PMID- 24077952 OWN - NLM STAT- MEDLINE DCOM- 20151124 LR - 20211021 IS - 1434-9949 (Electronic) IS - 0770-3198 (Linking) VI - 33 IP - 4 DP - 2014 Apr TI - Anti-apolipoprotein A-1 antibodies and carotid intima-media thickness in Egyptian women with systemic lupus erythematosus. PG - 493-8 AB - The objective of the study was to evaluate anti-apolipoprotein A-I (Apo A-I) and carotid intima-media thickness (cIMT) as cardiovascular risk factors in Egyptian women with systemic lupus erythematosus (SLE). The study included 160 subjects, 80 women with SLE and 80 healthy women as a control group. Disease activity score (SLEDAI), disease damage index (SLICC/ACR), lipid profile, complement C3 and C4, high-sensitivity CRP (hsCRP), anti-dsDNA and anticardiolipin antibodies were evaluated in addition to anti-Apo A-I antibodies and cIMT. The mean age of patients was 28.35 +/- 7.06 years with mean disease duration of 4.58 +/- 3.36 years. Anti-Apo A-I antibody titer was significantly higher in SLE patients than in controls (mean 35.3 +/- 6.8 vs. 21.4 +/- 5.91 U/L; P = 0.000). Carotid ultrasound showed significantly thickened intima in SLE patients compared with control subjects (mean thickness, 0.5 +/- 0.08 vs. 0.45 +/- 0.06 mm; P = 0.003). Correlation studies with other cardiovascular risk factors demonstrated significant associations between anti-Apo A-I and SLEDAI, SLICC/ACR, C3 and C4. On the other hand, cIMT showed significant association with age, systolic blood pressure, hsCRP and body mass index. Thus, SLE disease activity is associated with a significant increase in anti-Apo A-I titer. Also, increased cIMT might be a cardiovascular risk factor in Egyptian patients with SLE. FAU - Radwan, M M AU - Radwan MM AD - 1Department of Internal Medicine, National Research Centre, Cairo, Egypt FAU - El-Lebedy, D AU - El-Lebedy D FAU - Fouda, R AU - Fouda R FAU - Elsorougy, E AU - Elsorougy E LA - eng PT - Journal Article PL - Germany TA - Clin Rheumatol JT - Clinical rheumatology JID - 8211469 RN - 0 (Adrenal Cortex Hormones) RN - 0 (Antibodies, Anti-Idiotypic) RN - 0 (Apolipoprotein A-I) RN - 0 (Cardiolipins) RN - 0 (Complement C3) RN - 0 (Complement C4) RN - 0 (Lipids) RN - 9007-41-4 (C-Reactive Protein) RN - 9007-49-2 (DNA) SB - IM MH - Adrenal Cortex Hormones/therapeutic use MH - Adult MH - Age Factors MH - Antibodies, Anti-Idiotypic/*blood MH - Apolipoprotein A-I/*immunology MH - Body Mass Index MH - C-Reactive Protein/analysis MH - Cardiolipins/immunology MH - *Carotid Intima-Media Thickness MH - Case-Control Studies MH - Complement C3/analysis MH - Complement C4/analysis MH - DNA/immunology MH - Egypt MH - Female MH - Humans MH - Lipids/blood MH - Lupus Erythematosus, Systemic/blood/*diagnostic imaging/drug therapy/*immunology MH - Risk Factors EDAT- 2013/10/01 06:00 MHDA- 2015/12/15 06:00 CRDT- 2013/10/01 06:00 PHST- 2013/06/10 00:00 [received] PHST- 2013/09/17 00:00 [accepted] PHST- 2013/07/23 00:00 [revised] PHST- 2013/10/01 06:00 [entrez] PHST- 2013/10/01 06:00 [pubmed] PHST- 2015/12/15 06:00 [medline] AID - 10.1007/s10067-013-2399-8 [doi] PST - ppublish SO - Clin Rheumatol. 2014 Apr;33(4):493-8. doi: 10.1007/s10067-013-2399-8.