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The athero-contour: A novel tool for global and rapid assessment of atherogenic parameters. A use case in saroglitazar treatment of MAFLD patients
Pub Date : 2025-01-01 DOI: 10.1016/j.artere.2025.100723
Kung-Hung Lin , Nuria Amigo , Pablo Ortiz , Cristina Alonso , Alexander V. Smolensky , Deven Parmar , Naga P. Chalasani , Samer Gawrieh

Background and aims

Comprehensive assessment of pharmacotherapy effects on atherogenic parameters (AP) that influence the risk of cardiovascular disease (CVD) is challenging due to interactions among a large number of parameters that modulate CVD risk.

Methods

We developed an illustrative tool, athero-contour (AC), which incorporates weighted key lipid, lipo- and glycoprotein parameters, to readily illustrate their overall changes following pharmacotherapy. We demonstrate the applicability of AC to assess changes in AP in response to saroglitazar treatment in patients with metabolic associated fatty liver disease (MAFLD) in the EVIDENCES IV study.

Results

The baseline AC of saroglitazar and placebo groups was worse than the mean of the general population. After 16-week treatment, AC improved significantly in the saroglitazar group due to alterations in very low-density lipoprotein, triglyceride, and glycoproteins.

Conclusion

Using AC, we could readily and globally evaluate and visualize changes in AP. AC improved in patients with MAFLD following saroglitazar therapy.
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引用次数: 0
Nutritional recommendations: an easy and difficult task for the doctor
Pub Date : 2025-01-01 DOI: 10.1016/j.artere.2025.500764
Francisco Pérez-Jiménez
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引用次数: 0
When “old” lipid lowering therapies not should be discontinued
Pub Date : 2025-01-01 DOI: 10.1016/j.artere.2025.100732
Francesco Sbrana, Beatrice Dal Pino
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引用次数: 0
Comparison of baseline clinical characteristics among people with type 2 diabetes on second-line therapy previously added with dapagliflozin or another oral glucose-lowering drug: AGORA study
Pub Date : 2025-01-01 DOI: 10.1016/j.artere.2025.100724
Vicente Pallarés-Carratalá , Antonio Ruiz-García , Adalberto Serrano-Cumplido , Antonio Segura Fragoso , Verónica Fernández-Pascual , Beatriz Sánchez-Sánchez , María Inmaculada Cervera-Pérez , Francisco Javier Alonso-Moreno , Ezequiel Arranz-Martínez , Alfonso Barquilla-García , Daniel Rey-Aldana , José Polo García , Sergio Cinza-Sanjurjo , on behalf of the Investigators of the AGORA study, of the Spanish Society of Primary Care Physicians SEMERGEN Foundation

Introduction

Type 2 diabetes mellitus (T2D) has acquired epidemic proportions worldwide. In recent years, new oral glucose-lowering drugs (OGLD) have emerged that improve the cardiovascular–kidney–metabolic control in T2D people.

Objectives

To compare the baseline clinical–biological characteristics among T2D people to whom had added-on dapagliflozin (DAPA group) or another OGLD (SOC group) second-line hypoglycaemic therapies among the AGORA study population.

Methods

This is a multicentre cross-sectional observational study of the baseline characteristics of T2D people recruited through competitive sampling among 46 primary care health centres in Spain for the AGORA study. The inclusion and exclusion criteria of participants, and justification of the sample size are reported. After verifying the data necessary to be evaluated and informed consent, 317 subjects were included to the DAPA group and 288 to the SOC group. Both categorical and continuous variables were analysed and compared with the usual statistics. Cohen's d was used to assess the standardised difference in means.

Results

Six hundred and five patients with T2D were assessed (mean age 63.5 [SD ± 8.1] years, 61.8% men), whom 17.4% were smokers, 47.6% had obesity, 74.8% hypertension, 87.3% dyslipidaemia, and 41.7% reported physical inactivity, with no significant differences between both comparison groups. The mean (SD) evolution time of T2D was 10.1 (5.6) years. Most baseline clinical–biological characteristics at recruitment were similar in both groups. However, DAPA group was younger (2.9 years), and had lower systolic blood pressure (SBP) (2.8 mmHg), higher body weight (BW) (3.7 kg), and higher glycated haemoglobin A1c (HbA1c) (0.3%) than SOC group. Only 11.5% of participants had poor glycaemic control (HbA1c > 8%) at recruitment, 54.9% had good glycaemic control (HbA1c < 7%), being significantly lower in the DAPA group (47.3%) than in the SOC group (63.4%). The percentage of T2D patients with high vascular risk (VR) was 46.3%, and 53.7% with very high VR, being significantly higher in the DAPA group (57.4%) than in the SOC group (49.6%).

Conclusions

Most baseline cardiovascular–kidney–metabolic characteristics were similar in T2D patients whom had added dapagliflozin on second-line hypoglycaemic therapy as those whom had added-on another OGLD. However, patients whom had added-on dapagliflozin had higher VR, lower SBP, higher BW, and slightly worse HbA1c control. Future research is necessary to explain the causes of these differences in cardiometabolic control.
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引用次数: 0
Recommendations of the Spanish Arteriosclerosis Society: The diet in cardiovascular prevention - 2024 Update
Pub Date : 2025-01-01 DOI: 10.1016/j.artere.2024.100741
Emilio Ros , Pablo Pérez-Martínez , Ramón Estruch , José López-Miranda , Cristina Soler Ferrer , Javier Delgado-Lista , Francisco Gómez-Delgado , Rosa Solà , Vicente Pascual
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引用次数: 0
Assessment of the impact on thrombogenicity of surface modifications on nitinol stents in an in vitro model
Pub Date : 2025-01-01 DOI: 10.1016/j.artere.2025.100742
Javier Rodríguez Lega, Ángel González Pinto
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引用次数: 0
Levels of sCD163 in women rheumatoid arthritis: Relationship with cardiovascular risk markers
Pub Date : 2025-01-01 DOI: 10.1016/j.artere.2025.100721
Oscar Zaragoza-García , Olivia Briceño , José Rafael Villafan-Bernal , Ilse Adriana Gutiérrez-Pérez , Héctor Ugo Rojas-Delgado , Gustavo Adolfo Alonso-Silverio , Antonio Alarcón-Paredes , José Eduardo Navarro-Zarza , Cristina Morales-Martínez , Rubén Rodríguez-García , Iris Paola Guzmán-Guzmán

Aim

The soluble scavenger receptor differentiation antigen 163 (sCD163), a monocyte/macrophage activation marker, is related to cardiovascular mortality in the general population. This study aimed to evaluate their relationship between serum levels of sCD163 with cardiovascular risk indicators in rheumatoid arthritis (RA).

Methods

A cross-sectional study was performed on 80 women diagnosed with RA. The cardiovascular risks were determined using the lipid profile, metabolic syndrome, and QRISK3 calculator. For the assessment of RA activity, we evaluated the DAS28 with erythrocyte sedimentation rate (DAS28-ESR). The serum levels of sCD163 were determined by the ELISA method. Logistic regression models and receiver operating characteristics (ROC) curve were used to assess the association and predictive value of sCD163 with cardiovascular risk in RA patients.

Results

Levels of sCD163 were significantly higher in RA patients with high sensitivity protein C-reactive to HDL-c ratio (CHR)  0.121 (p = 0.003), total cholesterol/HDL-c ratio > 7% (p = 0.004), LDL-c/HDL-c ratio > 3% (p = 0.035), atherogenic index of plasma > 0.21 (p = 0.004), cardiometabolic index (CMI)  1.70 (p = 0.005), and high DAS28-ESR (p = 0.004). In multivariate analysis, levels of sCD163  1107.3 ng/mL were associated with CHR  0.121 (OR = 3.43, p = 0.020), CMI  1.70 (OR = 4.25, p = 0.005), total cholesterol/HDL-c ratio > 7% (OR = 6.63, p = 0.044), as well as with DAS28-ESR > 3.2 (OR = 8.10, p = 0.008). Moreover, levels of sCD163 predicted CHR  0.121 (AUC = 0.701), cholesterol total/HDL ratio > 7% (AUC = 0.764), and DAS28-ESR > 3.2 (AUC = 0.720).

Conclusion

Serum levels of sCD163 could be considered a surrogate of cardiovascular risk and clinical activity in RA.
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引用次数: 0
Risk factors and assessment of subclinical atherosclerosis in patients with psoriatic arthritis 银屑病关节炎患者亚临床动脉粥样硬化的风险因素和评估
Pub Date : 2024-11-01 DOI: 10.1016/j.artere.2024.11.002
Zhoulan Zheng , Qianru Liu , Zhenan Zhang , Qianyu Guo , Liyun Zhang , Gailian Zhang

Objective

To understand the prevalence of subclinical atherosclerosis (SCA) in psoriatic arthritis (PsA) patients; to explore the correlation between PsA combined with SCA and traditional cardiovascular risk factors and disease activity; to compare the role of Framingham Risk Score (FRS) and atherosclerotic cardiovascular disease (ASCVD) scores.

Methods

We included 50 PsA patients who met the CASPAR classification criteria, 50 diabetes patients and 50 healthy people. Clinical data were collected from all patients, minimal disease activity (MDA), disease activity index for psoriatic arthritis (DAPSA), ASCVD, FRS were assessed in patients with PsA, and carotid artery intima–media thickness was measured.

Results

The prevalence of SCA in PsA patients was significantly higher than that in healthy controls (44% vs 24%, P < 0.05). Smoking, drinking, ASCVD, FRS were the risk factors of PsA with SCA (P < 0.05). Psoriasis (PsO) duration, PtGA, VAS and DAPSA were the risk factors for PsA with SCA (P < 0.05). FRS and ASCVD scores underestimated SCA risk in PsA patients.

Conclusion

Compared with healthy controls, patients with PsA have higher prevalence of SCA. High DAPSA is a risk factor for PsA with SCA. Carotid ultrasound can monitor SCA in patients with PsA, improve stratification of cardiovascular risk.
目的了解亚临床动脉粥样硬化(SCA)在银屑病关节炎(PsA)患者中的发病率;探讨PsA合并SCA与传统心血管危险因素和疾病活动之间的相关性;比较弗雷明汉风险评分(FRS)和动脉粥样硬化性心血管疾病(ASCVD)评分的作用。方法我们纳入了50名符合CASPAR分类标准的PsA患者、50名糖尿病患者和50名健康人。我们收集了所有患者的临床数据,评估了 PsA 患者的最小疾病活动度(MDA)、银屑病关节炎疾病活动度指数(DAPSA)、ASCVD 和 FRS,并测量了颈动脉内膜中层厚度。吸烟、饮酒、ASCVD、FRS 是 PsA 伴有 SCA 的风险因素(P < 0.05)。银屑病(PsO)病程、PtGA、VAS 和 DAPSA 是患有 SCA 的 PsA 的风险因素(P < 0.05)。结论与健康对照组相比,PsA 患者的 SCA 患病率更高。高DAPSA是PsA合并SCA的风险因素。颈动脉超声可监测PsA患者的SCA,改善心血管风险分层。
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引用次数: 0
A new perspective on the regulatory role of miRNAS. Cross-kingdom regulation miRNAS 调控作用的新视角。跨领域调控
Pub Date : 2024-11-01 DOI: 10.1016/j.artere.2024.10.003
José Luis Sánchez-Quesada
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引用次数: 0
Dietary plant microRNAs as potential regulators of cellular cholesterol efflux 膳食植物微RNA是细胞胆固醇外流的潜在调节因子
Pub Date : 2024-11-01 DOI: 10.1016/j.artere.2024.11.001
María del Carmen López de las Hazas , Joao Tomé-Carneiro , Livia Balaguer , Gema de la Peña , Luis A. Chapado , Marta Alonso-Bernáldez , Andrea del Saz-Lara , Judit Gil-Zamorano , Emma Burgos-Ramos , María Rodríguez-Pérez , Diego Gómez-Coronado , Alberto Dávalos

Aim

Epidemiological evidence suggests adherence to vegetable-rich diets is associated to atheroprotective effects and bioactive components are most likely to play a relevant role. The notion of inter-kingdom regulation has opened a new research paradigm and perhaps microRNAs (miRNAs) from edible vegetables could influence consumer gene expression and lead to biological effects. We aimed to investigate the potential impact of broccoli-derived miRNAs on cellular cholesterol efflux in vitro.

Methods

Four miRNAs (miR159a, miR159b, miR166a and miR403) from Brassica oleracea var. italica (broccoli), a widely consumed cruciferous vegetable, were selected for further investigation, based on their high abundancy in this vegetable and their presence in other plants. Selected miRNAs were synthesized with a 3′-terminal 2′-O-methylation and their cellular toxicity, in vitro gastrointestinal resistance and cellular uptake were evaluated. Potential target genes within the mammalian transcriptome were assessed in silico following pathway analysis. In vitro cholesterol efflux was assessed in human THP-1-derived macrophages.

Results

miRNAs survival to in vitro GI digestion was around 1%, although some variation was seen between the four candidates. Cellular uptake by mammalian cells was confirmed, and an increase in cholesterol efflux was observed. Pathway analysis suggested these miRNAs are involved in biological processes related to phosphorylation, phosphatidylinositol and Wnt signaling, and to the insulin/IGF pathway.

Conclusions

Health-promoting properties attributed to cruciferous vegetables, might be mediated (at least in part) through miRNA-related mechanisms.
目的流行病学证据表明,坚持食用富含蔬菜的饮食与动脉粥样硬化的保护作用有关,而生物活性成分最有可能发挥相关作用。王国间调控的概念开辟了一个新的研究范式,食用蔬菜中的微 RNA(miRNA)可能会影响消费者的基因表达并导致生物效应。我们的目的是研究西兰花衍生的 miRNAs 对体外细胞胆固醇外流的潜在影响。方法根据西兰花这种广泛食用的十字花科蔬菜中的高丰度miRNAs及其在其他植物中的存在情况,我们从芸薹属欧芹(Brassica oleracea)变种(西兰花)中选取了四个miRNAs(miR159a、miR159b、miR166a和miR403)进行进一步研究。对所选的 miRNA 进行了 3′-末端 2′-O-甲基化合成,并评估了它们的细胞毒性、体外胃肠道耐受性和细胞吸收率。通过路径分析,对哺乳动物转录组中的潜在靶基因进行了硅评估。结果miRNAs的体外胃肠道消化存活率约为1%,但四种候选RNA之间存在一定差异。哺乳动物细胞的摄取得到证实,并观察到胆固醇外流增加。途径分析表明,这些 miRNAs 参与了磷酸化、磷脂酰肌醇和 Wnt 信号转导以及胰岛素/IGF 途径相关的生物过程。
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引用次数: 0
期刊
Clínica e Investigación en Arteriosclerosis (English Edition)
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