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Evaluation of biomarkers related to endothelial dysfunction: proof of vasculopathy in anti-melanoma differentiation-associated gene 5 dermatomyositis


1, 2, 3, 4

 

  1. Department of Rheumatology, West China Hospital, Sichuan University, Chengdu, Sichuan, China.
  2. Department of Rheumatology, People's Hospital of Leshan, Sichuan, China.
  3. Department of Rheumatology, West China Hospital, Sichuan University, Chengdu, Sichuan, China.
  4. Department of Rheumatology, West China Hospital, Sichuan University, Chengdu, Sichuan, China. yb420@163.com

CER13340
2021 Vol.39, N°1
PI 0151, PF 0157
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PMID: 32896243 [PubMed]

Received: 18/03/2020
Accepted : 27/07/2020
In Press: 03/09/2020
Published: 05/02/2021

Abstract

OBJECTIVES:
We aimed to reveal evidence of endothelial dysfunction in the development of anti-melanoma differentiation-associated gene 5 (MDA5) dermatomyositis (DM).
METHODS:
Thirty anti-MDA5 DM patients were enrolled and compared with patients with polymyositis (PM) (n=10) and healthy controls (n=20). The concentrations of soluble intercellular adhesion molecule-1 (sICAM-1), soluble vascular cell adhesion molecule-1 (sVCAM-1), endothelin-1 (ET-1) and von Willebrand factor (vWF) as well as interferon-alpha (IFN-α) and Galcetin-9 in the peripheral blood were tested by enzyme-linked immunosorbent assay (ELISA).
RESULTS:
Plasma levels of sICAM-1, sVCAM-1, ET-1 and vWF were higher in the anti-MDA5 DM patients than in either the healthy controls or the PM patients. In the anti-MDA5 DM cohort, the ET-1 and vWF levels were significantly lower in the cases without cutaneous ulcers and ILD than the other cases. There was a strong positive relationship between the concentrations of ET-1 and Galectin-9 in the anti-MDA5 DM group.
CONCLUSIONS:
Our data suggest that endothelial dysfunction may be involved in the development of anti-MDA5 DM.

DOI: https://doi.org/10.55563/clinexprheumatol/ubov8b

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