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November 22, 2013Lara D. Veeken

Decreased circulating endothelial progenitor cells as an early risk factor of subclinical atherosclerosis in systemic lupus erythematosus

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Key result

Lower circulating EPCs in female SLE patients are linked to pathological arterial stiffness.

  • n=46

Why the study?

Decreased circulating endothelial progenitor cells have been suggested to be associated with increased subclinical atherosclerosis, but their relationship in SLE patients was unclear.

Is a decreased number of circulating endothelial progenitor cells associated with subclinical atherosclerosis and cardiovascular risk factors in female patients with systemic lupus erythematosus?

Comparison

Patients with pathological versus normal pulse wave velocity

Design

Cross-sectional study with flow cytometry and vascular imaging

Authors

RCRaquel CastejónHospital Universitario Puerta de Hierro MajadahondaCJCarlos Jimenez-OrtizHospital Universitario Puerta de Hierro MajadahondaSVSara Valero-GonzálezCentro Nacional de Microbiologia

Discussion

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Implication

Hypothesis-generating for EPCs as subclinical atherosclerosis biomarker in female SLE; prospective validation required before clinical adoption.

Study Design

Type

Cross-Sectional (n=46)

Structured PICO

Is a decreased number of circulating endothelial progenitor cells associated with subclinical atherosclerosis and cardiovascular risk factors in female patients with systemic lupus erythematosus?

P
Population
46 female patients with systemic lupus erythematosus evaluated for circulating endothelial progenitor cells and subclinical atherosclerosis.
E
Exposure
Measurement of circulating endothelial progenitor cells (EPCs) by flow cytometry
C
Comparator
Patients with normal versus pathological pulse wave velocity (PWV)
O
Outcome
Subclinical atherosclerosis assessed by carotid-femoral pulse wave velocity (PWV), intima media thickness (IMT), and carotid plaquesurrogate

Decreased circulating endothelial progenitor cells are associated with pathological arterial stiffness and cardiovascular risk factors in female SLE patients, suggesting their potential as a biomarker for subclinical atherosclerosis.

Cite This Study

Castejón et al. (2013) conducted a cross-sectional in Systemic lupus erythematosus (n=46). Decreased circulating endothelial progenitor cells vs. Normal circulating endothelial progenitor cells was evaluated on Pathological arterial stiffness (pulse wave velocity). Decreased circulating endothelial progenitor cells in female SLE patients were significantly associated with pathological arterial stiffness and cardiovascular risk factors.

synapsesocial.com/papers/6aad19559c258adf6fa8747bhttps://doi.org/10.1093/rheumatology/ket367
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Increased arterial stiffness correlated with disease activity in systemic lupus erythematosus2008 · 61 citations
  2. 2Association of brachial-ankle pulse wave velocity with cardiovascular risk factors in systemic lupus erythematosus2005 · 33 citations
  3. 3Stiffness parameters, intima-media thickness and early atherosclerosis in systemic lupus erythematosus patients2009 · 50 citations
  4. 4Circulating activated endothelial cells in systemic lupus erythematosus: Further evidence for diffuse vasculopathy2001 · 116 citations
  5. 5Risk factors for coronary artery disease in patients with systemic lupus erythematosus1992 · 627 citations