Iván Ferraz-Amaro, Santos Castañeda, Zena Ibrahim-Achi, Antonia de Vera-González, Mónica Renuncio-García, Esther F Vicente-Rabaneda, J Gonzalo Ocejo-Vinyals, Miguel Ángel González-Gay
{"title":"中性粒细胞明胶酶相关脂钙蛋白水平与系统性硬化症患者的皮肤厚度和代谢综合征特征相关。","authors":"Iván Ferraz-Amaro, Santos Castañeda, Zena Ibrahim-Achi, Antonia de Vera-González, Mónica Renuncio-García, Esther F Vicente-Rabaneda, J Gonzalo Ocejo-Vinyals, Miguel Ángel González-Gay","doi":"10.55563/clinexprheumatol/lad3qd","DOIUrl":null,"url":null,"abstract":"<p><strong>Objectives: </strong>Systemic sclerosis (SSc) is a chronic multisystem disease characterised by microcirculatory vascular dysfunction and progressive fibrosis of the skin and internal organs. Neutrophil gelatinase-associated lipocalin (NGAL) is a protein primarily secreted by immune cells and is known to be elevated in inflammatory states. Our study aims to investigate whether serum NGAL levels differ between individuals with SSc and healthy controls, and to explore its relationship with a comprehensive characterisation of disease features in SSc patients.</p><p><strong>Methods: </strong>A cross-sectional study was conducted that included 81 individuals with SSc and 76 healthy age- and sex-matched controls. A multivariable analysis using linear regression was performed to determine whether NGAL serum levels differ between patients and controls, and to examine the relationship between NGAL levels and disease characteristics.</p><p><strong>Results: </strong>Serum levels of NGAL do not differ significantly between patients and controls (188±110 vs. 197±147 ng/ml, p=0.67). However, after multivariable analysis, extension of the skin involvement (beta coefficient 5 [95% confidence interval 0.5-10] ng/ml, p=0.030) and disease duration (beta coefficient 6 [95% CI 0.1-12] ng/ml, p=0.045) were significantly associated with higher NGAL levels. Additionally, in patients with SSc, NGAL levels were independently and significantly related to a dyslipidaemia pattern manifested by higher serum levels of several lipid profile markers, such as LDL: HDL cholesterol ratio, apolipoprotein B: apolipoprotein A1 ratio, and atherogenic index. Furthermore, a significant and negative association between NGAL and the Homeostasis Model Assessment of Insulin Sensitivity (HOMA2-S%) was found.</p><p><strong>Conclusions: </strong>NGAL serum levels in patients with SSc correlate positively and independently with extension of the skin involvement. NGAL levels also correlate with features of metabolic syndrome, such as a dyslipidaemic pattern and reduced insulin sensitivity, which may be associated with an increased risk of atherosclerosis and cardiovascular disease in patients with SSc.</p>","PeriodicalId":10274,"journal":{"name":"Clinical and experimental rheumatology","volume":" ","pages":"1391-1397"},"PeriodicalIF":3.4000,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Neutrophil gelatinase-associated lipocalin levels are associated with skin thickness and metabolic syndrome features in patients with systemic sclerosis.\",\"authors\":\"Iván Ferraz-Amaro, Santos Castañeda, Zena Ibrahim-Achi, Antonia de Vera-González, Mónica Renuncio-García, Esther F Vicente-Rabaneda, J Gonzalo Ocejo-Vinyals, Miguel Ángel González-Gay\",\"doi\":\"10.55563/clinexprheumatol/lad3qd\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Objectives: </strong>Systemic sclerosis (SSc) is a chronic multisystem disease characterised by microcirculatory vascular dysfunction and progressive fibrosis of the skin and internal organs. Neutrophil gelatinase-associated lipocalin (NGAL) is a protein primarily secreted by immune cells and is known to be elevated in inflammatory states. Our study aims to investigate whether serum NGAL levels differ between individuals with SSc and healthy controls, and to explore its relationship with a comprehensive characterisation of disease features in SSc patients.</p><p><strong>Methods: </strong>A cross-sectional study was conducted that included 81 individuals with SSc and 76 healthy age- and sex-matched controls. A multivariable analysis using linear regression was performed to determine whether NGAL serum levels differ between patients and controls, and to examine the relationship between NGAL levels and disease characteristics.</p><p><strong>Results: </strong>Serum levels of NGAL do not differ significantly between patients and controls (188±110 vs. 197±147 ng/ml, p=0.67). However, after multivariable analysis, extension of the skin involvement (beta coefficient 5 [95% confidence interval 0.5-10] ng/ml, p=0.030) and disease duration (beta coefficient 6 [95% CI 0.1-12] ng/ml, p=0.045) were significantly associated with higher NGAL levels. Additionally, in patients with SSc, NGAL levels were independently and significantly related to a dyslipidaemia pattern manifested by higher serum levels of several lipid profile markers, such as LDL: HDL cholesterol ratio, apolipoprotein B: apolipoprotein A1 ratio, and atherogenic index. Furthermore, a significant and negative association between NGAL and the Homeostasis Model Assessment of Insulin Sensitivity (HOMA2-S%) was found.</p><p><strong>Conclusions: </strong>NGAL serum levels in patients with SSc correlate positively and independently with extension of the skin involvement. NGAL levels also correlate with features of metabolic syndrome, such as a dyslipidaemic pattern and reduced insulin sensitivity, which may be associated with an increased risk of atherosclerosis and cardiovascular disease in patients with SSc.</p>\",\"PeriodicalId\":10274,\"journal\":{\"name\":\"Clinical and experimental rheumatology\",\"volume\":\" \",\"pages\":\"1391-1397\"},\"PeriodicalIF\":3.4000,\"publicationDate\":\"2025-08-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Clinical and experimental rheumatology\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.55563/clinexprheumatol/lad3qd\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2025/3/4 0:00:00\",\"PubModel\":\"Epub\",\"JCR\":\"Q2\",\"JCRName\":\"RHEUMATOLOGY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Clinical and experimental rheumatology","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.55563/clinexprheumatol/lad3qd","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/3/4 0:00:00","PubModel":"Epub","JCR":"Q2","JCRName":"RHEUMATOLOGY","Score":null,"Total":0}
引用次数: 0
摘要
目的:系统性硬化症(SSc)是一种以微循环血管功能障碍和皮肤和内脏器官进行性纤维化为特征的慢性多系统疾病。中性粒细胞明胶酶相关脂钙蛋白(NGAL)是一种主要由免疫细胞分泌的蛋白质,已知在炎症状态下会升高。我们的研究旨在探讨血清NGAL水平在SSc患者和健康对照组之间是否存在差异,并探讨其与SSc患者疾病特征的综合表征之间的关系。方法:横断面研究包括81名SSc患者和76名年龄和性别匹配的健康对照组。采用线性回归进行多变量分析,以确定NGAL血清水平在患者和对照组之间是否存在差异,并检查NGAL水平与疾病特征之间的关系。结果:患者与对照组血清NGAL水平无显著差异(188±110∶197±147 ng/ml, p=0.67)。然而,在多变量分析后,皮肤受损伤的延伸(β系数5[95%置信区间0.5-10]ng/ml, p=0.030)和疾病持续时间(β系数6 [95% CI 0.1-12] ng/ml, p=0.045)与NGAL水平升高显著相关。此外,在SSc患者中,NGAL水平与血脂异常模式独立且显著相关,表现为血清中几种脂质谱标记物水平升高,如LDL: HDL胆固醇比率、载脂蛋白B:载脂蛋白A1比率和动脉粥样硬化指数。此外,研究发现NGAL与胰岛素敏感性稳态模型评估(HOMA2-S%)之间存在显著的负相关。结论:SSc患者血清NGAL水平与皮肤受累范围呈正相关且独立相关。NGAL水平还与代谢综合征的特征相关,如血脂异常模式和胰岛素敏感性降低,这可能与SSc患者动脉粥样硬化和心血管疾病的风险增加有关。
Neutrophil gelatinase-associated lipocalin levels are associated with skin thickness and metabolic syndrome features in patients with systemic sclerosis.
Objectives: Systemic sclerosis (SSc) is a chronic multisystem disease characterised by microcirculatory vascular dysfunction and progressive fibrosis of the skin and internal organs. Neutrophil gelatinase-associated lipocalin (NGAL) is a protein primarily secreted by immune cells and is known to be elevated in inflammatory states. Our study aims to investigate whether serum NGAL levels differ between individuals with SSc and healthy controls, and to explore its relationship with a comprehensive characterisation of disease features in SSc patients.
Methods: A cross-sectional study was conducted that included 81 individuals with SSc and 76 healthy age- and sex-matched controls. A multivariable analysis using linear regression was performed to determine whether NGAL serum levels differ between patients and controls, and to examine the relationship between NGAL levels and disease characteristics.
Results: Serum levels of NGAL do not differ significantly between patients and controls (188±110 vs. 197±147 ng/ml, p=0.67). However, after multivariable analysis, extension of the skin involvement (beta coefficient 5 [95% confidence interval 0.5-10] ng/ml, p=0.030) and disease duration (beta coefficient 6 [95% CI 0.1-12] ng/ml, p=0.045) were significantly associated with higher NGAL levels. Additionally, in patients with SSc, NGAL levels were independently and significantly related to a dyslipidaemia pattern manifested by higher serum levels of several lipid profile markers, such as LDL: HDL cholesterol ratio, apolipoprotein B: apolipoprotein A1 ratio, and atherogenic index. Furthermore, a significant and negative association between NGAL and the Homeostasis Model Assessment of Insulin Sensitivity (HOMA2-S%) was found.
Conclusions: NGAL serum levels in patients with SSc correlate positively and independently with extension of the skin involvement. NGAL levels also correlate with features of metabolic syndrome, such as a dyslipidaemic pattern and reduced insulin sensitivity, which may be associated with an increased risk of atherosclerosis and cardiovascular disease in patients with SSc.
期刊介绍:
Clinical and Experimental Rheumatology is a bi-monthly international peer-reviewed journal which has been covering all clinical, experimental and translational aspects of musculoskeletal, arthritic and connective tissue diseases since 1983.