Impact of adalimumab treatment on cardiovascular risk biomarkers in psoriasis: Results of a pilot study |
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| Authors: | Spyridon Gkalpakiotis Monika Arenbergerova Petra Gkalpakioti Jana Potockova Petr Arenberger Pavel Kraml |
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| Affiliation: | 1. Department of Dermatology and Venereology, Third Faculty of Medicine, Charles University in Prague and Faculty Hospital of Kralovske Vinohrady, Prague, Czech Republic;2. 2nd Department of Internal Medicine, Third Faculty of Medicine, Charles University in Prague and Faculty Hospital of Kralovske Vinohrady, Prague, Czech Republic |
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| Abstract: | Psoriasis is a chronic systemic immune‐mediated inflammatory dermatosis associated with several comorbidities. Psoriasis patients are at increased risk of developing cardiovascular diseases (CVD), namely, coronary heart disease, stroke or peripheral vascular disease, and psoriasis seems to be an independent cardiovascular risk factor. Antipsoriatic systemic therapy, especially anti‐tumor necrosis factor (TNF)‐α, seems to exert a beneficial effect on these comorbidities. The purpose of this study was: (i) to measure the level of cardiovascular serum markers in psoriasis patients in comparison with healthy volunteers; and (ii) to compare the serum level of the same markers in patients before and 3 months after adalimumab therapy. We investigated six biomarkers connected to CVD: C‐reactive protein (measured high sensitively, hsCRP), oxidized low‐density lipoproteins (oxLDL), oxLDL/β‐glycoprotein I complex (oxLDL/β2GPI), vascular endothelial adhesion molecule 1 (VCAM‐1), E‐selectin and interleukin (IL)‐22. These biomarkers were measured in 21 patients with moderate/severe psoriasis before and after treatment with adalimumab and in healthy volunteers. hsCRP (P < 0.05), oxLDL‐β2GPI complex (P < 0.05), E‐selectin (P < 0.001) and IL‐22 (P < 0.001) were significantly increased in comparison with healthy controls, whereas oxLDL and VCAM‐1 were also higher in psoriasis patients but the difference did not reach statistical significance. A decrease of E‐selectin (P < 0.001) and IL‐22 (P < 0.001) was observed after 3 months of adalimumab therapy. Inhibition of TNF‐α seems to not only improve psoriasis but also decreases serum cardiovascular biomarkers. E‐selectin and IL‐22 could serve for monitoring of the efficacy of antipsoriatic systemic therapy on cardiovascular risk. |
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| Keywords: | adalimumab atherosclerosis biomarkers cardiovascular psoriasis |
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