Evaluation of Early Atherosclerosis in Patients with Inflammatory Bowel Disease
- 1 April 2012
- journal article
- Published by Springer Science and Business Media LLC in Digestive Diseases and Sciences
- Vol. 57 (8), 2137-2143
- https://doi.org/10.1007/s10620-012-2148-x
Abstract
Data regarding early atherosclerosis and inflammatory bowel disease are limited and conflicting results are present. The purpose of this study was to evaluate serological and sonographical evidence of subclinical vascular involvement in patients with inflammatory bowel disease. Thirty-nine patients with inflammatory bowel disease (20 Crohn's disease, and 19 ulcerative colitis patients) and 31 healthy controls were consecutively enrolled in the study. Flow mediated dilatation of the brachial artery and intima media thickness assessments of the common carotid artery were measured sonographically. Soluble CD40 ligand levels were evaluated. Crohn's disease activity index and modified Truelove-Witt’s criteria were also noted. Age, sex distribution, serum lipids, smoking status, and intima media thickness of the common carotid artery were similar between the inflammatory bowel disease patients and controls (p > 0.05). However, both endothelium dependent and independent flow mediated dilatation values were significantly impaired in the inflammatory bowel disease group compared with healthy controls (p < 0.05). Erythrocyte sedimentation rate, C-reactive protein and soluble CD40 ligand values were significantly increased in inflammatory bowel disease patients compared with controls (p < 0.05), and soluble CD40 ligand was negatively correlated with flow mediated dilatation (r = −0.3, p < 0.05). Flow mediated dilatation was significantly predicted from the concentrations of C-reactive protein and soluble CD40 ligand. Functional atherosclerosis is present in inflammatory bowel disease before early structural changes occur in vasculature. Higher sCD40L may indicate worse vascular outcome for IBD.Keywords
This publication has 31 references indexed in Scilit:
- Inflammatory Bowel Disease Is Associated With an Increased Incidence of Cardiovascular EventsThe American Journal of Gastroenterology, 2011
- Increased risk for coronary heart disease, asthma, and connective tissue diseases in inflammatory bowel diseaseJournal of Crohn's and Colitis, 2011
- Haemostatic system in inflammatory bowel diseases: New players in gut inflammationWorld Journal of Gastroenterology, 2011
- Inflammation in AtherosclerosisJournal of the American College of Cardiology, 2009
- Evidence of Endothelial Dysfunction in Patients With Inflammatory Bowel DiseaseClinical Gastroenterology and Hepatology, 2009
- Extraintestinal manifestations of inflammatory bowel diseaseDigestive and Liver Disease, 2008
- CD40 and Its Ligand in AtherosclerosisTrends in Cardiovascular Medicine, 2007
- Inflammatory Bowel Disease Is Not a Risk Factor for Cardiovascular Disease Mortality: Results from a Systematic Review and Meta-AnalysisThe American Journal of Gastroenterology, 2007
- Impaired endothelial function in patients with ankylosing spondylitisRheumatology, 2005
- Research Methods in Human Cardiovascular Pharmacology edited by Dr S. Maxwell and Prof. D. Webb Flow‐mediated dilatationBritish Journal of Clinical Pharmacology, 2000