LOX-1: A potential driver of cardiovascular risk in SLE patients.

Traditional cardiovascular disease (CVD) risk factors, such as hypertension, dyslipidemia and diabetes do not explain the increased CVD burden in systemic lupus erythematosus (SLE). The oxidized-LDL receptor, LOX-1, is an inflammation-induced receptor implicated in atherosclerotic plaque formation i...

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Main Authors: Divya Sagar, Ranjitha Gaddipati, Emily L Ongstad, Nicholas Bhagroo, Ling-Ling An, Jingya Wang, Mehdi Belkhodja, Saifur Rahman, Zerai Manna, Michael A Davis, Sarfaraz Hasni, Richard Siegel, Miguel Sanjuan, Joseph Grimsby, Roland Kolbeck, Sotirios Karathanasis, Gary P Sims, Ruchi Gupta
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2020-01-01
Series:PLoS ONE
Online Access:https://doi.org/10.1371/journal.pone.0229184
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author Divya Sagar
Ranjitha Gaddipati
Emily L Ongstad
Nicholas Bhagroo
Ling-Ling An
Jingya Wang
Mehdi Belkhodja
Saifur Rahman
Zerai Manna
Michael A Davis
Sarfaraz Hasni
Richard Siegel
Miguel Sanjuan
Joseph Grimsby
Roland Kolbeck
Sotirios Karathanasis
Gary P Sims
Ruchi Gupta
author_facet Divya Sagar
Ranjitha Gaddipati
Emily L Ongstad
Nicholas Bhagroo
Ling-Ling An
Jingya Wang
Mehdi Belkhodja
Saifur Rahman
Zerai Manna
Michael A Davis
Sarfaraz Hasni
Richard Siegel
Miguel Sanjuan
Joseph Grimsby
Roland Kolbeck
Sotirios Karathanasis
Gary P Sims
Ruchi Gupta
author_sort Divya Sagar
collection DOAJ
description Traditional cardiovascular disease (CVD) risk factors, such as hypertension, dyslipidemia and diabetes do not explain the increased CVD burden in systemic lupus erythematosus (SLE). The oxidized-LDL receptor, LOX-1, is an inflammation-induced receptor implicated in atherosclerotic plaque formation in acute coronary syndrome, and here we evaluated its role in SLE-associated CVD. SLE patients have increased sLOX-1 levels which were associated with elevated proinflammatory HDL, oxLDL and hsCRP. Interestingly, increased sLOX-1 levels were associated with patients with early disease onset, low disease activity, increased IL-8, and normal complement and hematological measures. LOX-1 was increased on patient-derived monocytes and low-density granulocytes, and activation with oxLDL and immune-complexes increased membrane LOX-1, TACE activity, sLOX-1 release, proinflammatory cytokine production by monocytes, and triggered the formation of neutrophil extracellular traps which can promote vascular injury. In conclusion, perturbations in the lipid content in SLE patients' blood activate LOX-1 and promote inflammatory responses. Increased sLOX-1 levels may be an indicator of high CVD risk, and blockade of LOX-1 may provide a therapeutic opportunity for ameliorating atherosclerosis in SLE patients.
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spelling doaj.art-9492d65c815e46fd9c7305beb52822532022-12-21T22:39:17ZengPublic Library of Science (PLoS)PLoS ONE1932-62032020-01-01153e022918410.1371/journal.pone.0229184LOX-1: A potential driver of cardiovascular risk in SLE patients.Divya SagarRanjitha GaddipatiEmily L OngstadNicholas BhagrooLing-Ling AnJingya WangMehdi BelkhodjaSaifur RahmanZerai MannaMichael A DavisSarfaraz HasniRichard SiegelMiguel SanjuanJoseph GrimsbyRoland KolbeckSotirios KarathanasisGary P SimsRuchi GuptaTraditional cardiovascular disease (CVD) risk factors, such as hypertension, dyslipidemia and diabetes do not explain the increased CVD burden in systemic lupus erythematosus (SLE). The oxidized-LDL receptor, LOX-1, is an inflammation-induced receptor implicated in atherosclerotic plaque formation in acute coronary syndrome, and here we evaluated its role in SLE-associated CVD. SLE patients have increased sLOX-1 levels which were associated with elevated proinflammatory HDL, oxLDL and hsCRP. Interestingly, increased sLOX-1 levels were associated with patients with early disease onset, low disease activity, increased IL-8, and normal complement and hematological measures. LOX-1 was increased on patient-derived monocytes and low-density granulocytes, and activation with oxLDL and immune-complexes increased membrane LOX-1, TACE activity, sLOX-1 release, proinflammatory cytokine production by monocytes, and triggered the formation of neutrophil extracellular traps which can promote vascular injury. In conclusion, perturbations in the lipid content in SLE patients' blood activate LOX-1 and promote inflammatory responses. Increased sLOX-1 levels may be an indicator of high CVD risk, and blockade of LOX-1 may provide a therapeutic opportunity for ameliorating atherosclerosis in SLE patients.https://doi.org/10.1371/journal.pone.0229184
spellingShingle Divya Sagar
Ranjitha Gaddipati
Emily L Ongstad
Nicholas Bhagroo
Ling-Ling An
Jingya Wang
Mehdi Belkhodja
Saifur Rahman
Zerai Manna
Michael A Davis
Sarfaraz Hasni
Richard Siegel
Miguel Sanjuan
Joseph Grimsby
Roland Kolbeck
Sotirios Karathanasis
Gary P Sims
Ruchi Gupta
LOX-1: A potential driver of cardiovascular risk in SLE patients.
PLoS ONE
title LOX-1: A potential driver of cardiovascular risk in SLE patients.
title_full LOX-1: A potential driver of cardiovascular risk in SLE patients.
title_fullStr LOX-1: A potential driver of cardiovascular risk in SLE patients.
title_full_unstemmed LOX-1: A potential driver of cardiovascular risk in SLE patients.
title_short LOX-1: A potential driver of cardiovascular risk in SLE patients.
title_sort lox 1 a potential driver of cardiovascular risk in sle patients
url https://doi.org/10.1371/journal.pone.0229184
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