Cardiovascular disease risk in psoriatic disease: mechanisms and implications for clinical practice.

IF 5.2 2区 医学 Q1 RHEUMATOLOGY
John L Medamana, Joel M Gelfand, Brittany N Weber, Michael S Garshick
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引用次数: 0

Abstract

Purpose of review: Psoriasis is an immune-mediated pro-inflammatory skin condition that is associated with an increase in risk factors for cardiovascular disease, risk of ischemic heart disease, and cardiovascular death. Despite this, traditional modifiable atherosclerotic cardiovascular disease (ASCVD) risk factors are underdiagnosed and undertreated in patients with psoriasis.

Recent findings: At a cellular level, psoriasis and atherosclerosis are driven by a host of shared inflammatory pathways, such as pro-inflammatory cytokines (TNF, IL-6), immune cells, and platelets which act synergistically to drive endothelial damage and atherosclerosis progression.

Summary: Optimal prevention of cardiovascular disease in psoriasis centers around modifying known risk factors for the development of ASCVD and emerging data highlight the promise of treating inflammation to further decrease the risk of ASCVD.

银屑病的心血管疾病风险:机制和临床实践意义。
综述目的:银屑病是一种免疫介导的促炎皮肤病,与心血管疾病、缺血性心脏病和心血管死亡的危险因素增加有关。尽管如此,传统的可改变的动脉粥样硬化性心血管疾病(ASCVD)危险因素在牛皮癣患者中被诊断和治疗不足。最近的研究发现:在细胞水平上,银屑病和动脉粥样硬化是由一系列共同的炎症途径驱动的,如促炎细胞因子(TNF, IL-6),免疫细胞和血小板,它们协同作用,驱动内皮损伤和动脉粥样硬化进展。摘要:银屑病心血管疾病的最佳预防围绕着改变ASCVD发展的已知危险因素,新出现的数据强调了治疗炎症以进一步降低ASCVD风险的希望。
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来源期刊
Current opinion in rheumatology
Current opinion in rheumatology 医学-风湿病学
CiteScore
9.70
自引率
2.00%
发文量
89
审稿时长
6-12 weeks
期刊介绍: A high impact review journal which boasts an international readership, Current Opinion in Rheumatology offers a broad-based perspective on the most recent and exciting developments within the field of rheumatology. Published bimonthly, each issue features insightful editorials and high quality invited reviews covering two or three key disciplines which include vasculitis syndromes, medical physiology and rheumatic diseases, crystal deposition diseases and rheumatoid arthritis. Each discipline introduces world renowned guest editors to ensure the journal is at the forefront of knowledge development and delivers balanced, expert assessments of advances from the previous year.
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