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Immune mechanisms associated with cardiovascular disease in systemic lupus erythematosus: A path to potential
Gabriela Guzmán-Martínez1,2,3, Concepción Marañón4,
1Atrys Health, Madrid, Spain.
Insights
Systemic lupus erythematosus (SLE) patients face higher cardiovascular disease (CVD) risks. Autoimmune responses in SLE contribute to atherosclerosis and cardiac issues, offering potential biomarkers and therapeutic targets.
Area of Science:
- Rheumatology
- Cardiology
- Immunology
Background:
- Systemic lupus erythematosus (SLE) patients have a significantly increased risk of cardiovascular disease (CVD).
- CVD is a leading cause of morbidity and mortality in SLE, especially with improved management of other disease manifestations.
- Immune system components are implicated in the development of atherosclerosis and endothelial damage in SLE.
Purpose of the Study:
- To review the clinical presentation of CVD in SLE patients.
- To explore the role of autoimmune responses in SLE-related atherogenesis, endothelial dysfunction, and cardiac disease.
- To discuss immune mediators as potential early CVD biomarkers and therapeutic targets in SLE.
Main Methods:
- Literature review of studies on cardiovascular disease in Systemic Lupus Erythematosus.
- Analysis of the role of immune constituents in SLE-associated cardiovascular pathology.
- Evaluation of immune mediators as potential biomarkers and therapeutic targets.
Main Results:
- Autoimmune responses, including specific cells, autoantibodies, and inflammatory mediators, are key drivers of CVD in SLE.
- These immune factors contribute to the induction of atherogenesis and endothelial impairment.
- Immune mediators show potential for early CVD detection and targeted interventions in SLE.
Conclusions:
- Cardiovascular disease is a critical complication of SLE, driven by underlying autoimmune processes.
- Understanding the role of immune mediators is crucial for developing novel diagnostic and therapeutic strategies for CVD in SLE.
- Targeting immune pathways may reduce cardiovascular morbidity and mortality in SLE patients.
Abstract:
Systemic lupus erythematosus (SLE) patients display an increased risk of cardiovascular disease (CVD). With the improved clinical management of other classical severe manifestation of the disease, CVD is becoming one of the most relevant complications of SLE, and it is an important factor causing morbidity and mortality. Several immune constituents have been shown to be involved in the pathogenesis of atherosclerosis and endothelial damage in SLE patients, including specific circulating cell populations, autoantibodies, and inflammatory mediators. In this review, we summarize the presentation of CVD in SLE and the role of the autoimmune responses present in SLE patients in the induction of atherogenesis, endothelial impairment and cardiac disease. Additionally, we discuss the utility of these immune mediators as early CVD biomarkers and targets for clinical intervention in SLE patients.
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