Pediatric rheumatology

Increased vascular deposition of oxidized low-density lipoprotein (LDL) in untreated juvenile dermatomyositis

Pediatr Rheumatol Online JPublished Cross-sectional study

Main finding · oxLDL deposition in muscle vessel wallsResult — go to the resultDifference in means 19.86

Authors' conclusion

This study found increased deposition of oxLDL within blood vessels of children with untreated JDM supporting the concern that these children are at increased risk for premature atherosclerosis from chronic exposure to vascular oxLDL.

Study context

Population
Female children with untreated juvenile dermatomyositis (JDM) and female pediatric controls; frozen sections of MRI-directed muscle biopsies
Participants
20 vs 5
Exposure
Untreated JDM vs healthy pediatric controls
  • Untreated JDMn = 20
  • Controlsn = 5reference
Outcome
Deposition of oxLDL (total fluorescence) in the walls of muscle vasculature
Methodological detailscase-control comparison, immunofluorescence of MRI-directed muscle biopsies
  • Case-control comparison
  • Immunofluorescence of MRI-directed muscle biopsies

Main finding

oxLDL deposition in muscle vessel walls

Difference in means

19.86

P = 0.03

As reported in the abstract

Observational data: associations, not effects.

Further findings

oxLDL deposition vs duration of untreated disease (within JDM)

Trend towards increased oxLDL deposition with longer untreated disease, r
0.43
P
P = 0.06

oxLDL deposition vs markers of acute disease activity (disease activity scores, muscle enzymes)

No significant correlation

Original publication

Increased vascular deposition of oxidized LDL in untreated juvenile dermatomyositis. Pediatr Rheumatol Online J. Published 8 August 2024. doi:10.1186/s12969-024-01001-2

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