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2017 ; 2017
(ä): 9680729
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Endothelial Alterations in Systemic Lupus Erythematosus and Rheumatoid Arthritis:
Potential Effect of Monocyte Interaction
#MMPMID28546658
Atehortúa L
; Rojas M
; Vásquez GM
; Castaño D
Mediators Inflamm
2017[]; 2017
(ä): 9680729
PMID28546658
show ga
Patients with systemic autoimmune diseases such as rheumatoid arthritis (RA) and
systemic lupus erythematosus (SLE) are prone to develop atherosclerosis and
cardiovascular diseases five times more often than the general population; this
increase in frequency could be partially explained by an increase in the
macrovasculature endothelial damage. In these autoimmune diseases, a
microvascular endothelial injury has also been reported in different organs and
tissues, especially in sites where ultrafiltration processes occur. Different
components that are characteristic to the immunopathology of RA and SLE could be
involved in the endothelial cell activation, permeability increase, functional
alteration, and vascular injury. Circulating immune complexes (IC) detected in
SLE and RA have been proposed to participate in the endothelial injury. In the
vascular environment, IC can generate different responses that could be mediated
by monocytes, because these cells have patrolling and monitoring functions on the
endothelium. However, with certain stimuli such as TLR ligands, the monocytes are
retained in the lumen, releasing proinflammatory mediators that participate in
the endothelial damage. This paper aims to review some aspects about the
endothelial activation and dysfunction in the context of SLE and RA, as well as
the potential role that monocytes apparently play in this process.