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2018 ; 3
(8
): ä Nephropedia Template TP
gab.com Text
Twit Text FOAVip
Twit Text #
English Wikipedia
Neutrophil subsets and their gene signature associate with vascular inflammation
and coronary atherosclerosis in lupus
#MMPMID29669944
Carlucci PM
; Purmalek MM
; Dey AK
; Temesgen-Oyelakin Y
; Sakhardande S
; Joshi AA
; Lerman JB
; Fike A
; Davis M
; Chung JH
; Playford MP
; Naqi M
; Mistry P
; Gutierrez-Cruz G
; Dell'Orso S
; Naz F
; Salahuddin T
; Natarajan B
; Manna Z
; Tsai WL
; Gupta S
; Grayson P
; Teague H
; Chen MY
; Sun HW
; Hasni S
; Mehta NN
; Kaplan MJ
JCI Insight
2018[Apr]; 3
(8
): ä PMID29669944
show ga
BACKGROUND: Systemic lupus erythematosus (SLE) is associated with enhanced risk
of atherosclerotic cardiovascular disease not explained by Framingham risk score
(FRS). Immune dysregulation associated to a distinct subset of lupus
proinflammatory neutrophils (low density granulocytes; LDGs) may play key roles
in conferring enhanced CV risk. This study assessed if lupus LDGs are associated
with in vivo vascular dysfunction and inflammation and coronary plaque. METHODS:
SLE subjects and healthy controls underwent multimodal phenotyping of vascular
disease by quantifying vascular inflammation (18F-fluorodeoxyglucose-PET/CT
[18F-FDG-PET/CT]), arterial dysfunction (EndoPAT and cardio-ankle vascular
index), and coronary plaque burden (coronary CT angiography). LDGs were
quantified by flow cytometry. Cholesterol efflux capacity was measured in
high-density lipoprotein-exposed (HDL-exposed) radioactively labeled cell lines.
Whole blood RNA sequencing was performed to assess associations between
transcriptomic profiles and vascular phenotype. RESULTS: Vascular inflammation,
arterial stiffness, and noncalcified plaque burden (NCB) were increased in SLE
compared with controls even after adjustment for traditional risk factors. In
SLE, NCB directly associated with LDGs and associated negatively with cholesterol
efflux capacity in fully adjusted models. A neutrophil gene signature reflective
of the most upregulated genes in lupus LDGs associated with vascular inflammation
and NCB. CONCLUSION: Individuals with SLE demonstrate vascular inflammation,
arterial dysfunction, and NCB, which may explain the higher reported risk for
acute coronary syndromes. The association of LDGs and neutrophil genes with
vascular disease supports the hypothesis that distinct neutrophil subsets
contribute to vascular damage and unstable coronary plaque in SLE. Results also
support previous observations that neutrophils may disrupt HDL function and
thereby promote atherogenesis. TRIAL REGISTRATION: Clinicaltrials.gov
NCT00001372FUNDING. Intramural Research Program NIAMS/NIH (ZIA AR041199) and
Lupus Research Institute.