Endothelial dysfunction in rheumatoid arthritis: influence of HLA-DRB1 alleles

被引:33
作者
Gonzalez-Gay, MA
Gonzalez-Juanatey, C
Ollier, WE
机构
[1] Hosp XeralCalde, Div Rheumatol, Lugo 27004, Spain
[2] Hosp XeralCalde, Div Cardiol, Lugo 27004, Spain
[3] Univ Manchester, Ctr Integrated Genom Med Res, Manchester M13 9PT, Lancs, England
关键词
rheumatoid arthritis; atherosclerosis; endothelial dysfunction; endothelium-dependent vasodilatation; shared epitope; HLA-DRB1; alleles;
D O I
10.1016/j.autrev.2003.10.006
中图分类号
R392 [医学免疫学]; Q939.91 [免疫学];
学科分类号
100102 [免疫学];
摘要
Cardiovascular disease is the commonest cause of premature mortality in rheumatoid arthritis (RA) patients. Vascular endothelial injury is the primary event in atherosclerosis. It has been associated with endothelial dysfunction. We have recently observed that actively treated RA patients had endothelial dysfunction. HLA-DRB1 shared epitope alleles, in particular HLA-DRB1*0404, seem to be implicated in the development of endothelial dysfunction. These results underline the influence of genetic factors in the risk of atherosclerosis in RA patients. (C) 2003 Elsevier B.V. All rights reserved.
引用
收藏
页码:301 / 304
页数:4
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