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2018 ; 2018
(ä): 3424136
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Protective Effects of Hydroxychloroquine against Accelerated Atherosclerosis in
Systemic Lupus Erythematosus
#MMPMID29670462
Floris A
; Piga M
; Mangoni AA
; Bortoluzzi A
; Erre GL
; Cauli A
Mediators Inflamm
2018[]; 2018
(ä): 3424136
PMID29670462
show ga
Cardiovascular (CV) morbidity and mortality are a challenge in management of
patients with systemic lupus erythematosus (SLE). Higher risk of CV disease in
SLE patients is mostly related to accelerated atherosclerosis. Nevertheless, high
prevalence of traditional cardiovascular risk factors in SLE patients does not
fully explain the increased CV risk. Despite the pathological bases of
accelerated atherosclerosis are not fully understood, it is thought that this
process is driven by the complex interplay between SLE and atherosclerosis
pathogenesis. Hydroxychloroquine (HCQ) is a cornerstone in treatment of SLE
patients and has been thought to exert a broad spectrum of beneficial effects on
disease activity, prevention of damage accrual, and mortality. Furthermore, HCQ
is thought to protect against accelerated atherosclerosis targeting toll-like
receptor signaling, cytokine production, T-cell and monocyte activation,
oxidative stress, and endothelial dysfunction. HCQ was also described to have
beneficial effects on traditional CV risk factors, such as dyslipidemia and
diabetes. In conclusion, despite lacking randomized controlled trials
unambiguously proving the protection of HCQ against accelerated atherosclerosis
and incidence of CV events in SLE patients, evidence analyzed in this review is
in favor of its beneficial effect.