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.

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