Association between Vascular Inflammation and Inflammation in Adipose Tissue, Spleen, and Bone Marrow in Patients
Hannah Kaiser1,2,3, Amanda Kvist-Hansen1,2,3, Martin Krakauer4,5
1Department of Cardiology, Herlev and Gentofte Hospital, 2900 Hellerup, Denmark.
Insights
Psoriasis patients show links between vascular inflammation and inflammation in adipose tissues, spleen, and bone marrow. These findings suggest shared inflammatory pathways contributing to cardiovascular disease risk.
Area of Science:
- Cardiovascular Medicine
- Inflammation Research
- Dermatology
Background:
- Psoriasis shares inflammatory pathways with atherosclerotic cardiovascular disease (CVD).
- Potential links exist between vascular inflammation and inflammation in adipose tissues, spleen, and bone marrow.
Purpose of the Study:
- To investigate associations between vascular inflammation and inflammation in adipose tissues, spleen, and bone marrow in psoriasis patients.
- To utilize 18F-fluorodeoxyglucose positron emission tomography/computed tomography (18F-FDG-PET/CT) for inflammation assessment.
Main Methods:
- Recruited 83 psoriasis patients, with half having established CVD.
- Measured inflammation via 18F-FDG uptake in the aorta, visceral (VAT), subcutaneous (SAT), and pericardial (PAT) adipose tissues, spleen, and bone marrow.
- Performed carotid ultrasound imaging.
Main Results:
- Vascular inflammation correlated significantly with FDG uptake in VAT, SAT, PAT, spleen, and bone marrow.
- Associations remained significant after adjusting for age, sex, BMI, and hsCRP.
- No correlations were found between vascular inflammation and carotid intima-media thickness or plaque presence.
Conclusions:
- An inflammatory link exists between vascular and adipose tissues, spleen, and bone marrow in psoriasis patients.
- These findings highlight potential systemic inflammatory mechanisms in psoriasis-associated CVD.
- Further research into these pathways may reveal novel therapeutic targets.
Abstract:
Psoriasis is associated with atherosclerotic cardiovascular disease (CVD) with significant overlap of inflammatory pathways. A link between vascular inflammation and inflammation in multiple adipose tissue types, spleen, and bone marrow may exist. Therefore, we investigated these associations using 18F-fluorodeoxyglucose positron emission tomography/computed tomography (18F-FDG-PET/CT) in patients with psoriasis (n = 83) where half had established CVD. Carotid ultrasound imaging was also performed. Inflammation was measured by FDG uptake in the aorta, visceral- (VAT), subcutaneous- (SAT), and pericardial (PAT) adipose tissues, and spleen and bone marrow, respectively. Vascular inflammation was associated with FDG uptakes in all adipose tissues, including VAT (β = 0.26; p < 0.001), SAT (β = 0.28; p < 0.001), PAT (β = 0.24; p < 0.001), spleen (β = 1.35; p = 0.001), and bone marrow (β = 1.14; p < 0.001). Adjustments for age, sex, body mass index, and high sensitivity C-reactive protein did not change the results. These associations were generally preserved in the patients without prior CVD. No associations were observed between vascular inflammation and carotid intima-media thickness or presence of carotid plaques, respectively. The results suggest an inflammatory link between vascular and adipose tissues, spleen, and bone marrow in patients with psoriasis.
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