IL-8 but not other biomarkers of endothelial damage is associated with disease activity in patients with ankylosing spondylitis without treatment with anti-TNF agents

Azevedo, Valderílio Feijó; Faria-Neto, José Rocha; Stinghen, Andréa Emília Marques; Lorencetti, Pedro G.; Miller, Wagner P.; Gonçalves, Beatriz P.; Szyhta, Carla Caroline; Pecoits‐Filho, Roberto

doi:10.1007/s00296-012-2631-x

Cited by 23 publications

(18 citation statements)

References 26 publications

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“…We also disclosed an association between sVCAM-1 and clinical features of the disease such as VAS spinal pain, hip involvement or synovitis and/or enthesitis in other peripheral joints. These results are in line with those reported by Azevedo et al [22] in AS patients with active disease but not receiving anti-TNF-α therapy. According to these observations, it seems that sVCAM-1 may be a good marker of disease activity and severity.…”

Section: Discussionsupporting

confidence: 95%

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Anti-TNF-α therapy reduces endothelial cell activation in non-diabetic ankylosing spondylitis patients

et al. 2015

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Endothelial dysfunction can be detected by the presence of elevated levels of biomarkers of endothelial cell activation. In this study, we aimed to establish whether correlations of these biomarkers with characteristics of patients with ankylosing spondylitis (AS) exist. We also studied the effect of anti-TNF-α therapy on these biomarkers. Serum sE-selectin, MCP-1 and sVCAM-1 levels were measured by ELISA in 30 non-diabetic AS patients undergoing anti-TNF-α therapy, immediately before and after an infusion of infliximab. Correlations of these biomarkers with clinical features, systemic inflammation, metabolic syndrome and other serum and plasma biomarkers of cardiovascular risk were studied. Potential changes in the concentration of these biomarkers following an infliximab infusion were also assessed. sE-selectin showed a positive correlation with CRP (p = 0.02) and with other endothelial cell activation biomarkers such as sVCAM-1 (p = 0.019) and apelin (p = 0.008). sVCAM-1 negatively correlated with BMI (p = 0.018), diastolic blood pressure (p = 0.008) and serum glucose (p = 0.04). sVCAM-1 also showed a positive correlation with VAS spinal pain (p = 0.014) and apelin (p < 0.001). MCP-1 had a negative correlation with LDL cholesterol (p = 0.026) and ESR (p = 0.017). Patients with hip involvement and synovitis and/or enthesitis in other peripheral joints showed higher levels of MCP-1 (p = 0.004 and 0.02, respectively). A single infliximab infusion led to a significant reduction in sE-selectin (p = 0.0015) and sVCAM-1 (p = 0.04). Endothelial dysfunction correlates with inflammation and metabolic syndrome features in patients with AS. A beneficial effect of the anti-TNF-α blockade on endothelial dysfunction, manifested by a reduction in levels of biomarkers of endothelial cell activation, was observed.

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Section: Discussionsupporting

confidence: 95%

“…Previous reports described that sVCAM-1 is significantly associated with BMI [22,26]. Unexpectedly, in our study we disclosed an inverse association between sVCAM-1 and BMI.…”

Section: Discussioncontrasting

confidence: 73%

Anti-TNF-α therapy reduces endothelial cell activation in non-diabetic ankylosing spondylitis patients

et al. 2015

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“…In addition, local vascular damage may have been caused by oxidative stress and lipid peroxidation with disease activation, which leads to increased capillary permeability. It has been shown by Azevedo et al [42] that interleukin-8, one of the biomarkers of endothelial damage, was higher in AS patients and the levels were clearly correlated with disease activity. Except for damage, angiogenesis also plays an important role in periarthritis of hip.…”

Section: Discussionmentioning

confidence: 90%

Active ankylosing spondylitis increases blood loss during total hip arthroplasty for a stiff hip joint

Jiang

Pan

et al. 2020

BMC Musculoskelet Disord

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Background: Total hip arthroplasty (THA) has been highlighted as the best treatment option for ankylosing spondylitis (AS) patients with advanced hip involvement. The huge blood loss associated with THA is a common concern of postoperative complications. Disease activity is a specific reflection of systematic inflammation of AS. The purpose of this study was to determine the effect of disease activity on blood loss during THA in patients with AS. Methods: Forty-nine patients with AS who underwent unilateral THAs were retrospectively studied. Ankylosing Spondylitis Disease Activity Score (ASDAS) was employed to evaluate the disease activity. Orthopedic Surgery Transfusion Hemoglobin European Overview (OSTHEO) formula was used to assess the surgical blood loss. The patients were divided into active group (ASDAS≥1.3; n = 32) and stable groups (ASDAS< 1.3; n = 17) based on the ASDAS. Peri-operative laboratory values, plain radiographs, intra-operative data, transfusion volume, and use of hemostatic agents were recorded and statistically analyzed. Results: The ASDAS, pre-operative C-reactive protein level, erythrocyte sedimentation rate, and fibrinogen concentration in the active group were higher than the stable group (all P < 0.05); however, the pre-operative hemoglobin concentration and albumin level were higher in the stable group (both P < 0.05). The total blood loss during THA in stable patients was 1415.31 mL and 2035.04 mL in active patients (P = 0.006). The difference between the two groups was shown to be consistent after excluding the gender difference (P = 0.030). A high transfusion rate existed in both groups (stable group, 76.47% with an average of 1.53 units; active group, 84.37% with an average of 2.31 units), but there was no significant difference between the two groups (both P > 0.05). Compensated blood loss, corresponding to transfusion, was noted significantly more in the active group compared to the stable group (P = 0.027). There was no significant difference with regard to functional recovery (P > 0.05). Conclusion: Active AS patients are at high risk for increased blood loss during THA compared to stable patients. The underlying mechanism includes disorders of the coagulation and fibrinolytic systems, poor nutrition status, osteoporosis, imbalance of oxidative-antioxidative status and local inflammatory reaction. It is strongly recommended to perform THA in AS patients with stable disease.

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“…Multiple endothelial biomarkers (also cellular biomarkers and microparticles) and various methodologies were proposed to predict the clinical outcome in sickle cell disease patients [47], ischaemic stroke [14], ankylosing spondylitis [48] and sepsis [38,39,49,50]. Since functional alterations of numerous endothelial biomarkers are causally involved in endothelial dysfunction-driven vascular pathologies, we aim to construct the panel of endothelial biomarkers encompassing multiple facets of endothelial-dependent regulation including those reflecting glycocalyx integrity, pro-and anti-thrombotic mechanisms, pro-and anti-fibrinolytic mechanisms, pro-and antiinflammatory mechanisms, vasoprotective mechanisms and others (see Fig.…”

Section: Multi-biomarker Strategies To Assess Endothelial Dysfunctionsmentioning

confidence: 99%

Towards a comprehensive endothelial biomarkers profiling and endothelium-guided pharmacotherapy

Walczak

Suraj

Kuś

et al. 2015

Pharmacological Reports

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Endothelial dysfunction has prognostic, diagnostic and therapeutic significance in cardiovascular disease, but the endothelial phenotype is still not measured routinely to stratify the cardiovascular risk and tailor therapy. Flow-mediated dilation (FMD), the gold-standard technique for the functional assessment of endothelial function that is increasingly used in clinical settings measures the nitric oxide (NO)-dependent function only. However, the endothelial dysfunction involves a plethora of pathophysiologically important biochemical changes beyond alterations in the NO bioavailability. Still, in many diseases, some plasma protein biomarkers reflecting the pro-thrombotic and the pro-inflammatory endothelial phenotypes have poor selectivity, specificity, and a weak predictive value if they are used alone. Therefore, a multi biomarker strategy seems to be a reasonable and promising alternative. Here, we propose a multi-biomarker strategy to diagnose the endothelial dysfunction and to monitor the efficacy of an endothelium-targeted therapy. This strategy is based on the panel of endothelial biomarkers, reflecting various aspects and mechanisms of dysfunctional endothelium. The potential of an advanced analytical platform like the ultra-high performance liquid chromatography (UHPLC) coupled to mass spectrometry-based multiple reaction monitoring for simultaneous quantification of multiple endothelial biomakers is also discussed.

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IL-8 but not other biomarkers of endothelial damage is associated with disease activity in patients with ankylosing spondylitis without treatment with anti-TNF agents

Cited by 23 publications

References 26 publications

Anti-TNF-α therapy reduces endothelial cell activation in non-diabetic ankylosing spondylitis patients

Anti-TNF-α therapy reduces endothelial cell activation in non-diabetic ankylosing spondylitis patients

Active ankylosing spondylitis increases blood loss during total hip arthroplasty for a stiff hip joint

Towards a comprehensive endothelial biomarkers profiling and endothelium-guided pharmacotherapy

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