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Updated: May 7, 2026

The bm12 Inducible Model of Systemic Lupus Erythematosus SLE in C57BL/6 Mice
Published on: November 1, 2015
Subclinical Atherosclerosis and Endothelial Dysfunction in Cases of Systemic Lupus Erythematosus: A Hospital-Based
Tapobrata Biswas1, Silima Tarenia2, Sudipta Bera3
1Department of Internal Medicine, Deben Mahata Government Medical College and Hospital, Purulia, IND.
Insights
Systemic lupus erythematosus (SLE) patients have a higher risk of cardiovascular events. This study found increased endothelial dysfunction and subclinical atherosclerosis in SLE patients, highlighting the need for early detection and prevention strategies.
Area of Science:
- Cardiovascular Health
- Rheumatology
- Immunology
Background:
- Systemic lupus erythematosus (SLE) disproportionately affects women and is linked to increased cardiovascular (CV) event risk.
- Early identification of endothelial dysfunction and subclinical atherosclerosis in SLE is crucial for CV event prevention.
Purpose of the Study:
- To determine the prevalence of endothelial dysfunction and subclinical atherosclerosis in SLE patients.
- To assess the relationship between inflammatory markers and endothelial dysfunction in SLE.
Main Methods:
- Utilized flow-mediated dilatation (FMD) of the brachial artery to assess endothelial function.
- Employed carotid intima-media thickness (c-IMT) measurements to evaluate subclinical atherosclerosis.
- Compared SLE patients with healthy controls.
Main Results:
- Higher c-IMT values in SLE patients indicated subclinical atherosclerosis (33/50 cases).
- Reduced FMD (<4.5%) in SLE patients suggested endothelial dysfunction (5/50 cases).
- Endothelial dysfunction correlated positively with erythrocyte sedimentation rate (ESR) and C-reactive protein (CRP).
Conclusions:
- SLE patients exhibit a higher prevalence of endothelial dysfunction and subclinical atherosclerosis.
- Early detection of these CV risk factors in SLE is vital for implementing effective prevention strategies.
- Managing SLE-related cardiovascular risks can reduce future CV events and mortality.
Abstract:
Background Women are more likely to be affected with systemic lupus erythematosus (SLE), a chronic multisystem inflammatory autoimmune illness. It is well established that SLE increases the risk of cardiovascular (CV) events. This study aimed to determine the prevalence of endothelial dysfunction and subclinical atherosclerosis in patients with SLE. If these conditions are identified early, suitable preventative measures may be advocated to lessen the burden of future CV events. Aim This study aims to calculate the frequency of endothelial dysfunction and subclinical atherosclerosis in SLE patients using the flow-mediated dilatation (FMD) of the brachial artery and carotid intima-media thickness (c-IMT). Results There were 50 confirmed cases of SLE. Compared to healthy controls, SLE patients' c-IMT readings were higher, suggesting subclinical atherosclerosis. Thirty-three patients with c-IMT values >0.06 (p<0.00269) out of 50 SLE cases were found to have a high prevalence of subclinical atherosclerosis. Five SLE patients showed FMDs of less than 4.5% (p<0.021) compared to healthy controls, indicating preclinical atherosclerosis with endothelial dysfunction. It was discovered that endothelial dysfunction exhibited a positive linear connection with erythrocyte sedimentation rate (ESR) and C-reactive protein (CRP) when contrasted with traditional inflammatory indicators such as ESR and CRP. Conclusion Patients with SLE face a higher risk of CV events and mortality compared to those without the condition. They are also more prone to developing endothelial dysfunction and subclinical atherosclerosis. Detecting these issues early can help in implementing primary and secondary prevention strategies effectively.
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