PMID- 27562033 OWN - NLM STAT- MEDLINE DCOM- 20170220 LR - 20181113 IS - 1434-9949 (Electronic) IS - 0770-3198 (Linking) VI - 35 IP - 10 DP - 2016 Oct TI - Lipid peroxidation as risk factor for endothelial dysfunction in antiphospholipid syndrome patients. PG - 2485-93 LID - 10.1007/s10067-016-3369-8 [doi] AB - The aim of this study was to evaluate oxidative stress markers and it relations to endothelial damage as risk factor for thrombosis in patients with primary (PAPS) and secondary (SAPS) antiphospholipid syndrome (APS) in correlation to traditional risk factors. Flow-mediated (FMD) and nitroglycerine (NMD)-induced dilation of the brachial artery were studied in 140 APS patients (90 PAPS, 50 SAPS) and 40 controls matched by age, sex, and conventional risk factors for atherosclerosis. Markers of oxidative stress, lipid hydroperoxydes (LOOH), advanced oxidation protein products (AOPP), total sulfhydryl groups (tSHG), and paraoxonase 1 activity (PON1) were determined by spectrophotometric method. Oxidative stress dominates in APS patients. LOOH and AOPP correlate to lipid fractions (p < 0.05), unlike PON1, tSHG that correlated to antiphospholipid antibody positivity (p < 0.05). FMD was lower in APS patients comparing to controls (p < 0.001). Cholesterol is independent variable for FMD impairment in control group (p = 0.011); LOOH in PAPS (p = 0.004); LOOH, aCL, and triglycerides in SAPS patients (p = 0.009, p = 0.049, and p = 0.012, respectively). Combined predictive of aCL and LOOH is better for FMD impairment than LOOH alone in both PAPS and SAPS patients (AUC 0.727, p = 0.001, 95 % CI 0.616-0.837 and AUC 0.824, p<0.001, 95 % CI 0.690-0.957, respectively). Lipid peroxidation is independent predictor for endothelial dysfunction in APS patients. We demonstrated synergistic effect of aCL and LOOH as risk for endothelial impairment in both PAPS and SAPS patients. FAU - Stanisavljevic, Natasa AU - Stanisavljevic N AD - University Clinical Center "Bezanijska kosa", Bezanijska kosa bb, Belgrade, 11070, Serbia. nacastanisavljevic@gmail.com. FAU - Stojanovich, L AU - Stojanovich L AD - University Clinical Center "Bezanijska kosa", Bezanijska kosa bb, Belgrade, 11070, Serbia. FAU - Marisavljevic, D AU - Marisavljevic D AD - University Clinical Center "Bezanijska kosa", Bezanijska kosa bb, Belgrade, 11070, Serbia. AD - Faculty of Medicine, University of Belgrade, Belgrade, Serbia. FAU - Djokovic, A AU - Djokovic A AD - University Clinical Center "Bezanijska kosa", Bezanijska kosa bb, Belgrade, 11070, Serbia. AD - Faculty of Medicine, University of Belgrade, Belgrade, Serbia. FAU - Dopsaj, V AU - Dopsaj V AD - Clinical Center of Serbia, Faculty of Pharmacy Belgrade, University of Belgrade, Belgrade, Serbia. FAU - Kotur-Stevuljevic, J AU - Kotur-Stevuljevic J AD - Institute of Medical Biochemistry, Faculty of Pharmacy, University of Belgrade, Belgrade, Serbia. FAU - Martinovic, J AU - Martinovic J AD - Rakovica Community Health Center, Belgrade, Serbia. FAU - Memon, L AU - Memon L AD - University Clinical Center "Bezanijska kosa", Bezanijska kosa bb, Belgrade, 11070, Serbia. FAU - Radovanovic, S AU - Radovanovic S AD - University Clinical Center "Bezanijska kosa", Bezanijska kosa bb, Belgrade, 11070, Serbia. FAU - Todic, B AU - Todic B AD - University Clinical Center "Bezanijska kosa", Bezanijska kosa bb, Belgrade, 11070, Serbia. FAU - Lisulov, D AU - Lisulov D AD - University Clinical Center "Bezanijska kosa", Bezanijska kosa bb, Belgrade, 11070, Serbia. LA - eng PT - Journal Article DEP - 20160825 PL - Germany TA - Clin Rheumatol JT - Clinical rheumatology JID - 8211469 RN - 0 (Biomarkers) RN - EC 3.1.8.1 (Aryldialkylphosphatase) SB - IM MH - Adult MH - Antiphospholipid Syndrome/complications/metabolism/*physiopathology MH - Aryldialkylphosphatase/metabolism MH - Biomarkers MH - Endothelium, Vascular/*physiopathology MH - Female MH - Humans MH - Lipid Peroxidation/*physiology MH - Male MH - Middle Aged MH - Oxidative Stress/*physiology MH - Risk Factors MH - Thrombosis/*etiology/metabolism/physiopathology OTO - NOTNLM OT - Antiphospholipid syndrome OT - Endothelial dysfunction OT - Oxidative stress OT - Thrombosis EDAT- 2016/08/27 06:00 MHDA- 2017/10/14 06:00 CRDT- 2016/08/27 06:00 PHST- 2016/04/15 00:00 [received] PHST- 2016/07/25 00:00 [accepted] PHST- 2016/06/06 00:00 [revised] PHST- 2016/08/27 06:00 [entrez] PHST- 2016/08/27 06:00 [pubmed] PHST- 2017/10/14 06:00 [medline] AID - 10.1007/s10067-016-3369-8 [pii] AID - 10.1007/s10067-016-3369-8 [doi] PST - ppublish SO - Clin Rheumatol. 2016 Oct;35(10):2485-93. doi: 10.1007/s10067-016-3369-8. Epub 2016 Aug 25.