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类风湿性关节炎与大动脉脉冲波速度的增加有关,这种速度由抗瘤缩因子-α疗法减少
Kaisa M Mäki-Petäjä1, Frances C Hall, Anthony D Booth
1Clinical Pharmacology Unit, University of Cambridge, Addenbrooke's Hospital, Box 110, Cambridge CB2 2QQ, United Kingdom.
Circulation
|September 6, 2006
概括
类风湿性关节炎 (RA) 患者有更硬的动脉,增加心血管风险. 抗瘤坏死因子-α (TNF-α) 治疗有效降低了这种大动脉硬度,这表明炎症控制对RA患者有好处.
科学领域:
- 心血管医学 心血管医学
- 类风湿病学 类风湿病学
- 血管生物学 血管生物学
背景情况:
- 类风湿性关节炎 (RA) 与更高的心血管风险有关,部分原因是大动脉硬度增加.
- 大动脉硬是心血管死亡率的独立预测因素.
- 传统的风险因素并不能完全解释RA中心血管风险增加的原因.
研究的目的:
- 为了确定甲状腺硬度是否在RA患者中升高.
- 为了研究 RA 炎症和大动脉硬之间的关系.
- 为了测试抗瘤坏死因子-α (TNF-α) 治疗是否可以减少大动脉硬度.
主要方法:
- 大动脉脉冲波速度 (PWV) 和增强指数测量了77名RA患者和142名对照人群.
- 评估了炎症标志物和疾病活性.
- 抗TNF-α治疗对PWV和内皮功能的影响在9名RA患者的12周内进行了评估.
主要成果:
- 与健康个体相比,RA患者的大动脉PWV显著增加 (P = 0.005).
- 大动脉PWV与年龄,平均动脉压和C反应性蛋白水平独立相关.
- 抗TNF-α疗法显著降低了大动脉PWV (P < 0.001),并改善了内皮功能.
结论:
- 风湿性关节炎与大动脉硬度增加有关,与当前的炎症有关.
- 这种增加的大动脉硬度似乎可以通过有效的炎症控制来逆转.
- 抗TNF-α疗法使大动脉硬性正常化,这表明了降低RA心血管风险的策略.
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