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Published on: October 12, 2017
Oxidized High-Density Lipoprotein and Cardiovascular Risk in Rheumatoid Arthritis
Linda Scharow1, Susann Patschan2, Nikolaos Pagonas1
1Department of Cardiology und Rhythmology, University Clinic Ruppin-Brandenburg, Brandenburg Medical School (Theodor Fontane), Neuruppin, Brandenburg, Germany.
Insights
Oxidized high-density lipoprotein (oxHDL) shows associations with cardiovascular risk indicators in rheumatoid arthritis (RA) patients. Further research is needed to confirm oxHDL
Area of Science:
- Rheumatology
- Cardiology
- Biochemistry
Background:
- Rheumatoid arthritis (RA) patients face significantly higher cardiovascular risk (CVR).
- Current serological predictors for RA-associated CVR are lacking.
- Elevated oxidized high-density lipoprotein (oxHDL) is linked to cardiovascular diseases.
Purpose of the Study:
- To assess oxidized high-density lipoprotein (oxHDL) as a potential cardiovascular risk predictor in rheumatoid arthritis (RA).
Main Methods:
- Observational cross-sectional study of 200 RA patients on disease-modifying anti-rheumatic drug (DMARD) therapy.
- Collected anamnestic, clinical, and laboratory markers of cardiovascular morbidity and disease activity.
- Quantified oxHDL using a fluorometric biochemical cell-free assay.
Main Results:
- oxHDL levels correlated positively with body mass index (BMI) and number of tender small joints.
- Higher oxHDL was observed in overweight and hypertensive RA patients.
- oxHDL showed negative correlations with total cholesterol and prednisolone dose.
Conclusions:
- oxHDL is associated with specific cardiovascular risk indicators in RA patients.
- Prospective and follow-up studies are required to validate oxHDL's role in RA cardiovascular risk assessment.
Background:
Patients with rheumatoid arthritis (RA) have a disproportionately increased cardiovascular risk (CVR). Serological CVR predictors that capture this disease-associated risk increase are currently not available. Elevated levels of oxidized high-density lipoprotein (oxHDL) have been associated with coronary artery disease and atrial fibrillation. The aim of this study was to evaluate the suitability of oxHDL as a CVR predictor in RA.
Methods:
An observational cross-sectional study was conducted in patients with confirmed RA undergoing variable disease-modifying anti-rheumatic drug (DMARD) therapy. Anamnestic, clinical, and laboratory surrogate markers of cardiovascular morbidity and disease activity were collected. Th quantification of oxHDL was conducted using a fluorometric biochemical cell-free assay.
Results:
A total of 200 RA patients were included in the study. oxHDL showed significant correlations with the following variables: body mass index (BMI) (positive), total cholesterol, and average daily prednisolone dose (both negative). Overweight and hypertensive individuals exhibited higher levels of oxHDL. Additionally, oxHDL correlated positively with the number of tender small joints.
Conclusion:
oxHDL is associated with distinct CVR indicators in RA. Both prospective and follow-up data are needed to definitively evaluate the role of oxHDL in CVR assessment in RA.
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