Rheumatoid arthritis

Subclinical atherosclerosis profiles in rheumatoid arthritis and primary Sjögren’s syndrome: the impact of BAFF genetic variations

Rheumatology (Oxford)Published Cross-sectional study

Authors' conclusion

Increased inflammatory burden, higher steroid doses and distinct BAFF gene variations imply chronic inflammation and B-cell hyperactivity as key contributors for the augmented atherosclerotic risk among autoimmune patients.

Study context

Population
Patients with RA or primary SS and healthy controls of similar age and sex distribution
Participants
166 / 148 / 200
Exposure
RA vs primary SS
  • RAn = 166
  • Primary SSn = 148reference
  • Healthy controlsn = 200
Outcome
Subclinical atherosclerosis: carotid/femoral plaque formation and arterial wall thickening; association with BAFF gene variants
Methodological detailsgenetic association study, PCR-based genotyping of five BAFF SNPs
  • Genetic association study
  • PCR-based genotyping of five BAFF SNPs

Main finding

As reported in the abstract

Atherosclerotic plaque formation

P < 0.001

Observational data: associations, not effects.

Further findings

Clinical features, RA vs primary SS

Higher rates of family CVD history, current steroid dose and serum inflammatory markers in RA

BAFF rs1224141 TT genotype

More prevalent in RA (but not primary SS) patients with plaque and arterial wall thickening vs those without

BAFF rs1014569 variant and plaque formation

TT genotype increased plaque risk in RA; AT genotype conferred increased risk in primary SS

BAFF haplotypes

GTTTT protective in RA; TATTT and TTCTT increased susceptibility for arterial wall thickening in primary SS

Original publication

Subclinical atherosclerosis profiles in rheumatoid arthritis and primary Sjögren’s syndrome: the impact of BAFF genetic variations. Rheumatology (Oxford). Published 11 June 2022. doi:10.1093/rheumatology/keac337

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