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Cited by 431

The DOI matches its Crossref record; 47 of the 47 references it cites were found in a registry or an index.

Proinflammatory high‐density lipoprotein as a biomarker for atherosclerosis in patients with systemic lupus erythematosus and rheumatoid arthritis

McMahon, Maureen, Grossman, Jennifer, FitzGerald, John, Dahlin‐Lee, Erika, Wallace, Daniel J., Thong, Bernard Y., Badsha, Humeira, Kalunian, Kenneth, Charles, Christina, Navab, Mohamad, Fogelman, Alan M., Hahn, Bevra H.·2006·Arthritis & Rheumatism

Abstract

Objective: Women with systemic lupus erythematosus (SLE) have a 7–50‐fold increased risk of coronary artery disease (CAD). In the general population, oxidized low‐density lipoprotein (ox‐LDL) increases the risk for CAD. Normal high‐density lipoproteins (HDLs) protect LDL from oxidation; proinflammatory HDLs do not. This study was undertaken to determine whether patients with SLE, who have chronic inflammation that causes oxidative damage, have more proinflammatory HDL and higher levels of ox‐LDL, thus predisposing them to atherosclerosis. Methods: One hundred fifty‐four women with SLE, 48 women with rheumatoid arthritis (RA), and 72 healthy controls were studied. The ability of the patients' HDL to prevent oxidation of normal LDL was measured. Values >1.0 (the value assigned for LDL oxidation in the absence of HDL) after the addition of HDL indicated proinflammatory HDL. Plasma ox‐LDL levels were measured as the amount of oxidation produced by the patient's LDL after the removal of HDL. Results: SLE patients had more proinflammatory HDL (mean ± SD score 1.02 ± 0.57, versus 0.68 ± 0.28 in controls [P < 0.0001] and 0.81 ± 0.22 in RA patients [P = 0.001 versus SLE patients]). A higher proportion of SLE patients had proinflammatory HDL: 44.7% of SLE patients versus 4.1% of controls and 20.1% of RA patients had scores >1.0 (P < 0.006 between all groups). Levels of ox‐LDL correlated with levels of proinflammatory HDL (r = 0.37, P < 0.001). SLE patients with CAD had significantly higher proinflammatory HDL scores than patients without CAD (P < 0.001). Conclusion: HDLs are proinflammatory in a significant proportion of SLE patients and are associated with elevated levels of ox‐LDL. Abnormal HDLs impair the ability to prevent LDL oxidation and may predispose to atherosclerosis.

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Metadata

Authors
McMahon, M., Grossman, J., FitzGerald, J., Dahlin‐Lee, E., Wallace, D. J., Thong, B. Y., Badsha, H., Kalunian, K., Charles, C., Navab, M., Fogelman, A. M., & Hahn, B. H.
Venue
Arthritis & Rheumatism
Publisher
Wiley
Published
2006-07-25
Volume
54
Issue
8
Pages
2541-2549
ISSN
  • 0004-3591 (ISSN-L)
  • 1529-0131
OpenAlex
W2016645249
Cited by
431
References
47
FWCI
18.13
Type
journal article
Language
en
Open access
closed

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CoChat. (2026). Citation check: Proinflammatory high‐density lipoprotein as a biomarker for atherosclerosis in patients with systemic lupus erythematosus and rheumatoid arthritis. https://app.cochat.ai/papers/10.1002/art.21976
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McMahon, M., Grossman, J., FitzGerald, J., Dahlin‐Lee, E., Wallace, D. J., Thong, B. Y., Badsha, H., Kalunian, K., Charles, C., Navab, M., Fogelman, A. M., & Hahn, B. H. (2006). Proinflammatory high‐density lipoprotein as a biomarker for atherosclerosis in patients with systemic lupus erythematosus and rheumatoid arthritis. Arthritis & Rheumatism. https://doi.org/10.1002/art.21976

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