PMID- 35685451 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20220716 IS - 1735-3955 (Print) IS - 2251-6638 (Electronic) IS - 1735-3955 (Linking) VI - 17 IP - 6 DP - 2021 Nov TI - Serum interleukin-18 and its relationship with subclinical atherosclerosis in systemic lupus erythematosus. PG - 1-6 LID - 10.22122/arya.v17i0.2126 [doi] AB - BACKGROUND: Interleukin-18 (IL-18) is a pro-inflammatory and pro-atherogenic factor, and its blood level has shown a direct correlation with atherosclerosis. We aimed to evaluate the serum IL-18 level in patients with systemic lupus erythematosus (SLE) and its relationship with the intima-media thickness (IMT) of the carotid artery in these patients, as an indicator of atherosclerosis. METHODS: In this cross-sectional study, 60 patients as the patient group and 30 healthy volunteers as the control group [matched sex, age, and body mass index (BMI)] were selected, and their disease status and general data were gathered using the Systemic Lupus Erythematosus Disease Activity Index 2000 (SLEDAI-2K) form. A blood sample was also obtained from all participants to determine the serum level of IL-18 and other metrics, including high-sensitivity C-reactive protein (hs-CRP), cholesterol, triglyceride (TG), low-density lipoprotein (LDL), high-density lipoprotein (HDL), anti-double stranded deoxyribonucleic acid (anti-dsDNA), complement 3 (C3), and C4. The IMT of the carotid artery was calculated in both groups. We also evaluated the clinical cardiovascular manifestations. RESULTS: The serum IL-18 levels in patients were significantly higher than in the control group (P < 0.005). It had no significant correlation with disease activity (P = 0.10). The patients with SLE with high IL-18 serum levels (> 280 pg/ml) had higher SLEDAI-2K (P = 0.02) than the patients with a low level (< 280), where 280 was the median of the IL-18 levels. The serum IL-18 level had no significant correlation with the carotid artery IMT. CONCLUSION: A high level of IL-18 reflects the disease activity, but it was not significantly correlated with subclinical atherosclerosis, denoted by the carotid artery IMT. CI - (c) 2021 Isfahan Cardiovascular Research Center & Isfahan University of Medical Sciences. FAU - Rezaieyazdi, Zahra AU - Rezaieyazdi Z AD - Rheumatic Diseases Research Center, Mashhad University of Medical Sciences, Mashhad, Iran. FAU - AkbariRad, Mina AU - AkbariRad M AD - Assistant Professor, Department of Internal Medicine, School of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran. FAU - Saadati, Nayyereh AU - Saadati N AD - Rheumatic Diseases Research Center, Mashhad University of Medical Sciences, Mashhad, Iran. FAU - Salari, Masoumeh AU - Salari M AD - Rheumatic Diseases Research Center, Mashhad University of Medical Sciences, Mashhad, Iran. FAU - Orang, Reza AU - Orang R AD - Rheumatic Diseases Research Center, Mashhad University of Medical Sciences, Mashhad, Iran. FAU - Sedighi, Sima AU - Sedighi S AD - Golestan Rheumatology Research Center, Golestan University of Medical Sciences, Gorgan, Iran. FAU - Esmaily, Habibollah AU - Esmaily H AD - Department of Epidemiology and Biostatistics, School of Health, Mashhad University of Medical Sciences, Mashhad, Iran. FAU - Azarpazhooh, Mahmoud Reza AU - Azarpazhooh MR AD - Department of Neurology, Ghaem Hospital, Mashhad University of Medical Sciences, Mashhad, Iran. FAU - Firoozi, Abdollah AU - Firoozi A AD - Pharmacist, School of Pharmacy, Mashhad University of Medical Sciences, Mashhad, Iran. FAU - Akbarpour, Ensieh AU - Akbarpour E AD - Department of Epidemiology and Biostatistics, School of Health, Mashhad University of Medical Sciences, Mashhad, Iran. LA - eng PT - Journal Article PL - Iran TA - ARYA Atheroscler JT - ARYA atherosclerosis JID - 101487337 PMC - PMC9145840 OTO - NOTNLM OT - Atherosclerosis OT - Interleukin-18 OT - Systemic Lupus Erythematosus EDAT- 2022/06/11 06:00 MHDA- 2022/06/11 06:01 PMCR- 2021/11/01 CRDT- 2022/06/10 02:31 PHST- 2020/02/21 00:00 [received] PHST- 2021/06/30 00:00 [accepted] PHST- 2022/06/10 02:31 [entrez] PHST- 2022/06/11 06:00 [pubmed] PHST- 2022/06/11 06:01 [medline] PHST- 2021/11/01 00:00 [pmc-release] AID - ARYA-17-3-2126 [pii] AID - 10.22122/arya.v17i0.2126 [doi] PST - ppublish SO - ARYA Atheroscler. 2021 Nov;17(6):1-6. doi: 10.22122/arya.v17i0.2126.