Accelerated atherosclerosis and inflammation in systemic lupus erythematosus

Systemic lupus erythematosus (SLE) is a chronic inflammatory autoimmune disease that mainly affects young women, a group usually free of atherosclerosis. As treatment for SLE has improved during recent years and long term survival increased, it has become clear that patients with SLE have increased...

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Veröffentlicht in:Japanese Journal of Clinical Immunology 2012, Vol.35(6), pp.470-480
1. Verfasser: ASANUMA, Yu FUNAKUBO
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description Systemic lupus erythematosus (SLE) is a chronic inflammatory autoimmune disease that mainly affects young women, a group usually free of atherosclerosis. As treatment for SLE has improved during recent years and long term survival increased, it has become clear that patients with SLE have increased morbidity and mortality from atherosclerotic cardiovascular disease. Several imaging techniques showed increased prevalence of premature atherosclerosis which was most striking in young patients with SLE. Pathogenesis of atherosclerosis is an inflammatory process. Inflammatory cells and mediators play a key role in the pathogenesis of atherosclerosis. Systemic inflammation and immune dysfunction are thought to accelerate atherosclerosis in patients with SLE as well. Several possible reasons for accelerated atherosclerosis in SLE have been suggested. Traditional coronary risk factors, other coronary risk factors including lipoprotein (a), CRP, homocysteine, inflammatory cytokines, increased vascular damage, lupus related factors and medications may affect the development of atherosclerosis in SLE. Atherosclerosis risk assessment, preventive strategy for accelerated atherosclerosis and its treatment would be required in patients with SLE.
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As treatment for SLE has improved during recent years and long term survival increased, it has become clear that patients with SLE have increased morbidity and mortality from atherosclerotic cardiovascular disease. Several imaging techniques showed increased prevalence of premature atherosclerosis which was most striking in young patients with SLE. Pathogenesis of atherosclerosis is an inflammatory process. Inflammatory cells and mediators play a key role in the pathogenesis of atherosclerosis. Systemic inflammation and immune dysfunction are thought to accelerate atherosclerosis in patients with SLE as well. Several possible reasons for accelerated atherosclerosis in SLE have been suggested. Traditional coronary risk factors, other coronary risk factors including lipoprotein (a), CRP, homocysteine, inflammatory cytokines, increased vascular damage, lupus related factors and medications may affect the development of atherosclerosis in SLE. Atherosclerosis risk assessment, preventive strategy for accelerated atherosclerosis and its treatment would be required in patients with SLE.</description><identifier>ISSN: 0911-4300</identifier><identifier>EISSN: 1349-7413</identifier><identifier>DOI: 10.2177/jsci.35.470</identifier><identifier>PMID: 23291482</identifier><language>eng ; jpn</language><publisher>Japan: The Japan Society for Clinical Immunology</publisher><subject>atherosclerosis ; C-Reactive Protein - metabolism ; cardiovascular disease ; Coronary Artery Disease - epidemiology ; Coronary Artery Disease - etiology ; Coronary Artery Disease - immunology ; Coronary Artery Disease - prevention &amp; control ; Cytokines - physiology ; Female ; Homocysteine - blood ; Humans ; Hydroxymethylglutaryl-CoA Reductase Inhibitors - administration &amp; dosage ; inflammation ; Inflammation - complications ; Inflammation - immunology ; Inflammation Mediators - physiology ; Lipoprotein(a) - blood ; Lupus Erythematosus, Systemic - complications ; Lupus Erythematosus, Systemic - immunology ; Male ; Randomized Controlled Trials as Topic ; Risk Assessment ; Risk Factors ; Sex Factors ; systemic lupus erythematosus</subject><ispartof>Japanese Journal of Clinical Immunology, 2012, Vol.35(6), pp.470-480</ispartof><rights>2012 The Japan Society for Clinical Immunology</rights><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4230-effd5173bd666b9511007071c193796c7c0e7fd2507794bd6219a39bc91f3a5e3</citedby><cites>FETCH-LOGICAL-c4230-effd5173bd666b9511007071c193796c7c0e7fd2507794bd6219a39bc91f3a5e3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,1877,4010,27900,27901,27902</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/23291482$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>ASANUMA, Yu FUNAKUBO</creatorcontrib><title>Accelerated atherosclerosis and inflammation in systemic lupus erythematosus</title><title>Japanese Journal of Clinical Immunology</title><addtitle>Jpn. J. Clin. Immunol.</addtitle><description>Systemic lupus erythematosus (SLE) is a chronic inflammatory autoimmune disease that mainly affects young women, a group usually free of atherosclerosis. As treatment for SLE has improved during recent years and long term survival increased, it has become clear that patients with SLE have increased morbidity and mortality from atherosclerotic cardiovascular disease. Several imaging techniques showed increased prevalence of premature atherosclerosis which was most striking in young patients with SLE. Pathogenesis of atherosclerosis is an inflammatory process. Inflammatory cells and mediators play a key role in the pathogenesis of atherosclerosis. Systemic inflammation and immune dysfunction are thought to accelerate atherosclerosis in patients with SLE as well. Several possible reasons for accelerated atherosclerosis in SLE have been suggested. Traditional coronary risk factors, other coronary risk factors including lipoprotein (a), CRP, homocysteine, inflammatory cytokines, increased vascular damage, lupus related factors and medications may affect the development of atherosclerosis in SLE. 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J. Clin. Immunol.</addtitle><date>2012</date><risdate>2012</risdate><volume>35</volume><issue>6</issue><spage>470</spage><epage>480</epage><pages>470-480</pages><issn>0911-4300</issn><eissn>1349-7413</eissn><abstract>Systemic lupus erythematosus (SLE) is a chronic inflammatory autoimmune disease that mainly affects young women, a group usually free of atherosclerosis. As treatment for SLE has improved during recent years and long term survival increased, it has become clear that patients with SLE have increased morbidity and mortality from atherosclerotic cardiovascular disease. Several imaging techniques showed increased prevalence of premature atherosclerosis which was most striking in young patients with SLE. Pathogenesis of atherosclerosis is an inflammatory process. Inflammatory cells and mediators play a key role in the pathogenesis of atherosclerosis. Systemic inflammation and immune dysfunction are thought to accelerate atherosclerosis in patients with SLE as well. Several possible reasons for accelerated atherosclerosis in SLE have been suggested. Traditional coronary risk factors, other coronary risk factors including lipoprotein (a), CRP, homocysteine, inflammatory cytokines, increased vascular damage, lupus related factors and medications may affect the development of atherosclerosis in SLE. Atherosclerosis risk assessment, preventive strategy for accelerated atherosclerosis and its treatment would be required in patients with SLE.</abstract><cop>Japan</cop><pub>The Japan Society for Clinical Immunology</pub><pmid>23291482</pmid><doi>10.2177/jsci.35.470</doi><tpages>11</tpages><oa>free_for_read</oa></addata></record>
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subjects atherosclerosis
C-Reactive Protein - metabolism
cardiovascular disease
Coronary Artery Disease - epidemiology
Coronary Artery Disease - etiology
Coronary Artery Disease - immunology
Coronary Artery Disease - prevention & control
Cytokines - physiology
Female
Homocysteine - blood
Humans
Hydroxymethylglutaryl-CoA Reductase Inhibitors - administration & dosage
inflammation
Inflammation - complications
Inflammation - immunology
Inflammation Mediators - physiology
Lipoprotein(a) - blood
Lupus Erythematosus, Systemic - complications
Lupus Erythematosus, Systemic - immunology
Male
Randomized Controlled Trials as Topic
Risk Assessment
Risk Factors
Sex Factors
systemic lupus erythematosus
title Accelerated atherosclerosis and inflammation in systemic lupus erythematosus
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