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Antibodies towards high-density lipoprotein components in patients with psoriasis

dc.contributor.authorPaiva-Lopes, MJ
dc.contributor.authorBatuca, J
dc.contributor.authorGouveia, S
dc.contributor.authorAlves, M
dc.contributor.authorPapoila, AL
dc.contributor.authorAlves, JD
dc.date.accessioned2019-10-28T14:53:56Z
dc.date.available2019-10-28T14:53:56Z
dc.date.issued2019
dc.description.abstractPsoriasis is a chronic inflammatory immune disorder associated with an increased risk of atherosclerosis. This increased risk is not fully understood. High-density lipoproteins (HDL) play an important role in the prevention of atherosclerosis and any factors that may hamper HDL function such as anti-HDL antibodies (aHDL) might be associated with an increased cardiovascular risk. We aimed to determine whether anti-HDL antibodies (aHDL) are present in patients with psoriasis. Sixty-seven patients with psoriasis were compared with a healthy control group. Epidemiologic and clinical data were recorded. IgG and IgM aHDL, IgG anti-apolipoprotein A-I (aApoA-I), anti-apolipoprotein E (aApoE), and anti-paraoxonase 1 (aPON1) antibodies, as well as VCAM-1, IL-6, and TNF-α were assessed by ELISA. Apolipoprotein A-I (ApoA-I) and Apolipoprotein E (ApoE) were measured by immunoturbidimetric immunoassay. Patients with psoriasis had higher titers of IgG aHDL (p < 0.001), IgG aApoA-I (p = 0.001) and aApoE antibodies (p < 0.001). IgG aHDL and aApoE titers were higher in patients with severe psoriasis (p = 0.010 and p = 0.018, respectively). Multiple regression analysis, considering all clinical and biological variables, showed that aApoE, IL-6, and aPON1 are the biological variables that best explain aHDL variability. This is the first report showing the presence of aHDL, aApoA-I, and aApoE antibodies in patients with psoriasis. These antibodies were associated with increased disease severity and may contribute to the pathogenesis of atherosclerosis in psoriasis. They may fulfill the clinical need for biomarkers of cardiovascular risk associated with psoriasis that would help to stratify patients for prevention and therapeutic approaches.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationArch Dermatol Res. 2019 Oct 14.pt_PT
dc.identifier.doi10.1007/s00403-019-01986-xpt_PT
dc.identifier.issn1432-069X
dc.identifier.urihttp://hdl.handle.net/10400.10/2314
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherSpringer Verlagpt_PT
dc.subjectAtherosclerosispt_PT
dc.subjectPsoriasispt_PT
dc.titleAntibodies towards high-density lipoprotein components in patients with psoriasispt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.conferencePlaceBerlinpt_PT
oaire.citation.titleArchives of Dermatological Researchpt_PT
rcaap.rightsclosedAccesspt_PT
rcaap.typearticlept_PT

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