PMID- 27749218 OWN - NLM STAT- MEDLINE DCOM- 20170620 LR - 20220409 IS - 0392-856X (Print) IS - 0392-856X (Linking) VI - 34 IP - 6 DP - 2016 Nov-Dec TI - Serum calprotectin is a biomarker of carotid atherosclerosis in patients with primary Sjogren's syndrome. PG - 1006-1012 AB - OBJECTIVES: We aimed to identify the association of carotid atherosclerosis with the traditional risk factors, disease features, cytokine profile, and calprotectin in patients with primary Sjogren's syndrome (pSS). METHODS: 63 primary pSS patients and 63 age- and sex-matched healthy controls underwent carotid ultrasound, clinical and laboratory examination. The presence of carotid plaques was taken as carotid atherosclerosis. The covariates of carotid atherosclerosis were identified in univariate and multivariate regressions. RESULTS: Patients with pSS had higher prevalence of carotid atherosclerosis (13% vs. 2%, p<0.05) and higher serum levels of calprotectin, tumour necrosis factor receptor 2 (TNF-R2), hepatocyte growth factor (HGF), and monocyte chemoattractant protein-1 (MCP-1) than controls. Sex, menopause, and the prevalence of traditional cardiovascular did not differ between groups (all p>0.05). In univariate analyses, serum calprotectin, most traditional cardiovascular (age, male sex, metabolic syndrome, hypertension, hypertriglyceridaemia, and serum creatinine), and some disease-associated risk factors (glucocorticoid or saliva substitute use, constitutional domain of Eular-Sjogren's syndrome disease activity index - EULAR) were associated with a higher risk for plaque. In a multivariate analysis, having pSS and higher serum calprotectin were associated with carotid atherosclerosis independent of traditional risk factors. CONCLUSIONS: pSS have a higher prevalence of carotid atherosclerosis, which is associated with higher serum calprotectin level independent of traditional cardiovascular risk factors. Our findings suggest calprotectin as a biomarker of subclinical atherosclerosis in pSS. FAU - Balarini, Gabriela M AU - Balarini GM AD - The Center of Health Science, Federal University of Espirito Santo (UFES), Brazil. FAU - Zandonade, Eliana AU - Zandonade E AD - Department of Statistics, Federal University of Espirito Santo (UFES), Brazil. FAU - Tanure, Leandro AU - Tanure L AD - Department of Locomotor System, Federal University of Minas Gerais, Brazil. FAU - Ferreira, Gilda A AU - Ferreira GA AD - Department of Locomotor System, Federal University of Minas Gerais, Brazil. FAU - Sardenberg, Wildner M AU - Sardenberg WM AD - The Center of Health Science, Federal University of Espirito Santo (UFES), Brazil. FAU - Serrano, Erica V AU - Serrano EV AD - The Center of Health Science, Federal University of Espirito Santo (UFES), Brazil. FAU - Dias, Cleia C AU - Dias CC AD - The Center of Health Science, Federal University of Espirito Santo (UFES), Brazil. FAU - Navarro, Tulio P AU - Navarro TP AD - Department of Locomotor System, Federal University of Minas Gerais, Brazil. FAU - Nordal, Hilde H AU - Nordal HH AD - Broegelmann Research Laboratory, University of Bergen, Norway. FAU - Mydel, Piotr M AU - Mydel PM AD - Broegelmann Research Laboratory; and Department of Clinical Science, University of Bergen, Norway. FAU - Brun, Johan G AU - Brun JG AD - Broegelmann Research Laboratory; and Department of Clinical Science, University of Bergen, Norway. FAU - Brokstad, Karl A AU - Brokstad KA AD - Broegelmann Research Laboratory, University of Bergen, Norway. FAU - Gerdts, Eva AU - Gerdts E AD - Department of Clinical Science, University of Bergen, Norway. FAU - Jonsson, Roland AU - Jonsson R AD - Broegelmann Research Laboratory; and Department of Clinical Science, University of Bergen, Norway. FAU - Valim, Valeria AU - Valim V AD - The Center of Health Science, Federal University of Espirito Santo (UFES), Brazil; and Broegelmann Research Laboratory, University of Bergen, Norway. val.valim@gmail.com. LA - eng PT - Journal Article DEP - 20160908 PL - Italy TA - Clin Exp Rheumatol JT - Clinical and experimental rheumatology JID - 8308521 RN - 0 (Biomarkers) RN - 0 (Chemokine CCL2) RN - 0 (Leukocyte L1 Antigen Complex) RN - 0 (Receptors, Tumor Necrosis Factor, Type II) RN - 67256-21-7 (Hepatocyte Growth Factor) SB - IM MH - Adult MH - Atherosclerosis/blood/complications/*diagnosis MH - Biomarkers/blood MH - Carotid Artery Diseases/blood/complications/*diagnosis MH - Chemokine CCL2/blood MH - Female MH - Hepatocyte Growth Factor/blood MH - Humans MH - Leukocyte L1 Antigen Complex/*blood MH - Male MH - Middle Aged MH - Receptors, Tumor Necrosis Factor, Type II/blood MH - Severity of Illness Index MH - Sjogren's Syndrome/blood/*complications EDAT- 2016/10/18 06:00 MHDA- 2017/06/21 06:00 CRDT- 2016/10/18 06:00 PHST- 2015/12/05 00:00 [received] PHST- 2016/04/04 00:00 [accepted] PHST- 2016/10/18 06:00 [pubmed] PHST- 2017/06/21 06:00 [medline] PHST- 2016/10/18 06:00 [entrez] AID - 10210 [pii] PST - ppublish SO - Clin Exp Rheumatol. 2016 Nov-Dec;34(6):1006-1012. Epub 2016 Sep 8.