Lupus & antiphospholipid syndrome

Oxidised low-density lipoprotein and antibodies against oxidised low-density lipoprotein in patients with antiphospholipid syndrome

Clin Exp RheumatolPublished Cross-sectional study

Authors' conclusion

This study indicates that the presence of anti-OxLDL may serve as potential markers for venous thrombosis in APS patients.

Study context

Population
Antiphospholipid syndrome (APS) patients and healthy controls, Peking University People's Hospital106 isolated thrombotic APS
Participants
170 vs 39
Exposure
APS patients vs healthy controls
  • APSn = 170
  • Healthy controls (HC)n = 39reference
Outcome
OxLDL and anti-OxLDL (ELISA) and their clinical significance in APS
Methodological detailssingle-centre
  • Single-centre

Main finding

As reported in the abstract

OxLDL titre

P < 0.001

Observational data: associations, not effects.

Further findings

OxLDL positivity rate

P < 0.001

Anti-OxLDL positivity rate

P < 0.001

Risk factor for venous thrombotic APS (multivariate logistic regression)

OR (95% CI)P value
Anti-OxLDL positivityMultivariate logistic regression12.424 (1.108–139.330)P = 0.041
OutcomeP value
LAC positivity in APS, by OxLDL levelP = 0.042
Venous thrombosis in APS, by anti-OxLDL statusP = 0.008
Coomb's test positivity in APS, by anti-OxLDL statusP = 0.049
  • LAC positivity in APS, by oxidised low-density lipoprotein (OxLDL) level: Elevated OxLDL 68.0%
  • LAC positivity in APS, by OxLDL level: Non-elevated OxLDL 45.0%
  • Venous thrombosis in APS, by anti-OxLDL status: Positive anti-OxLDL 46.2%
  • Venous thrombosis in APS, by anti-OxLDL status: Negative anti-OxLDL 18.5%
  • Coomb's test positivity in APS, by anti-OxLDL status: Positive anti-OxLDL 52.6%
  • Coomb's test positivity in APS, by anti-OxLDL status: Negative anti-OxLDL 76.2%

Original publication

Oxidised low-density lipoprotein and antibodies against oxidised low-density lipoprotein in patients with antiphospholipid syndrome. Clin Exp Rheumatol. Published 10 February 2024. doi:10.55563/clinexprheumatol/ntj6n5

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