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Published on: April 8, 2013
Reduction in SLEDAI is associated with improved arterial stiffness in systemic lupus erythematosus
Tian Du1,2, Haiyu Pang3, Faming Ding1
1Department of Cardiology, Peking Union Medical College Hospital, Peking Union Medical College and Chinese Academy of Medical Sciences, Beijing.
Insights
Reducing systemic lupus erythematosus disease activity improves arterial stiffness and lipid profiles. Lowering SLEDAI scores in patients with lupus may reduce atherosclerosis risk.
Area of Science:
- Cardiology
- Rheumatology
- Biochemistry
Background:
- Lipid abnormalities contribute to premature atherosclerosis in Systemic Lupus Erythematosus (SLE) patients.
- Monitoring SLE disease activity is crucial for managing cardiovascular risk.
Purpose of the Study:
- To investigate changes in lipid profiles and arterial stiffness in SLE patients with reduced SLE disease activity index (SLEDAI).
- To assess correlations between inflammation markers, SLEDAI, arterial stiffness, and lipid profiles.
Main Methods:
- Longitudinal study of 51 female SLE patients with baseline SLEDAI ≥ 6 and >3 reduction at 1-year follow-up.
- Measured neutrophil-to-lymphocyte ratio (NLR), ESR, hsCRP, TC, LDL-C, HDL-C, TG, and mean brachial-ankle pulse wave velocity (baPWV).
- Compared baseline and 1-year follow-up measurements, analyzing correlations adjusted for confounders.
Main Results:
- Significant reductions observed in ESR, mean baPWV, TG, and TC to HDL-C ratio.
- No significant changes in HDL-C, hsCRP, or NLR.
- Significant correlations found between reduced ESR and TG, and reduced SLEDAI and mean baPWV.
Conclusions:
- SLE patients achieving SLEDAI reduction demonstrate improved arterial stiffness.
- Reducing SLEDAI may mitigate atherosclerosis risk in SLE patients.
- Further research can explore therapeutic strategies targeting SLEDAI reduction for cardiovascular benefit.
Abstract:
Lipid abnormalities are an important cause of premature atherosclerosis in patients with systemic lupus erythematosus (SLE). This longitudinal study investigates the changes in lipid profile and arterial stiffness with SLE disease activity index (SLEDAI) reduction.Fifty one female SLE patients with baseline SLEDAI ≥ 6 and SLEDAI reduction >3 at 1-year follow-up were included. Neutrophil-to-lymphocyte ratio (NLR), erythrocyte sedimentation rate (ESR), high-sensitivity C-reactive protein (hsCRP), total cholesterol (TC), low-density lipoprotein cholesterol (LDL-C), high-density lipoprotein cholesterol (HDL-C), triglyceride (TG), and mean brachial-ankle pulse wave velocity (baPWV) were measured and compared between baseline and 1-year follow-up. Correlations between inflammation biomarkers, SLEDAI, mean baPWV and lipid profile were assessed.We observed significant decreases in ESR, mean baPWV, TG and TC to HDL-C ratio compared with baseline at 1-year follow up, while HDL-C, hsCRP, and NLR were not significantly changed. Significant correlations were found between the reductions in ESR and TG, and SLEDAI and mean baPWV, with adjustment to age, disease duration, blood pressure, and medications (prednisone, immunosuppressants and ARB/ACEI).SLE patients experiencing SLEDAI reductions showed improvements in arterial stiffness. This finding may provide insight into the beneficial effects of reducing SLEDAI on atherosclerosis risk in SLE.
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