High-density lipoprotein cholesterol function improves after successful treatment of psoriasis: a step forward in the right direction.

High-density lipoprotein cholesterol function improves after successful treatment of psoriasis: a step forward in the right direction.
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DOI:
10.1038/jid.2013.447
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发表时间:
2014-03
影响因子:
6.5
通讯作者:
Gelfand, Joel M.
Gelfand, Joel M.
中科院分区:
医学1区
文献类型:
--
作者:
Mehta, Nehal N.;Gelfand, Joel M.

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有流行病学证据表明,高密度脂蛋白(高密度脂蛋白)浓度,或高密度脂蛋白“水平”,对动脉粥样硬化具有保护作用,这表明高密度脂蛋白在血管疾病中发挥作用。对高密度脂蛋白“功能”的更准确测量正在出现,例如高密度脂蛋白外流分析,它测量外周组织中胆固醇的清除。使用这项测试,我们已经证明了银屑病与高密度脂蛋白“水平”和高密度脂蛋白“功能”降低有关。Holzeret等人在本期中的研究表明,在一项开放的、非对照的研究中,高密度脂蛋白功能在牛皮癣中受到损害,并在成功治疗牛皮癣后得到改善。这些发现强调了牛皮癣的治疗可能延伸到皮肤以外的概念,需要一项随机对照临床试验来证实这些发现。
There is epidemiological evidence that high-density lipoprotein (HDL) concentrations, or HDL “levels,” exert protection from atherosclerosis, suggesting that HDL plays a role in vascular diseases. More accurate measures of HDL “function” are emerging, such as HDL efflux assays, which measure removal of cholesterol from peripheral tissues. Using this assay, we have demonstrated that psoriasis is associated with decreased HDL “levels” and HDL “function.” The study by Holzeret al.in this issue demonstrates in an open-label, uncontrolled study that HDL function is impaired in psoriasis and improves after successful treatment of psoriasis. These findings underscore the notion that treatment of psoriasis likely extends beyond the skin and that a randomized controlled clinical trial is needed to confirm these findings.
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