Peculiarities of lipid metabolism and vascular wall rigidity in ulcerative colitis patients


DOI: https://dx.doi.org/10.18565/therapy.2024.3.19-25

Kucherova N.Yu., Tsyganova Yu.V., Tarasova L.V.

1) I.N. Ulyanov Chuvash State University, Cheboksary; 2) Republican Cardiological Dispensary of the Ministry of Healthcare of Chuvashia, Cheboksary; 3) Republican Clinical Hospital of the Ministry of Healthcare of Chuvashia, Cheboksary; 4) Institute for Advanced Medical Education of the Ministry of Healthcare of Chuvashia, Cheboksary
Abstract. Nowadays, lots of data concerning the higher incidence of cardiovascular diseases (CVD) in patients with ulcerative colitis (UC) comparatively to the general population, despite the significantly lower incidence of traditional cardiovascular risk factors among them are collected. Existing methods for assessing CVD risk do not cover all aspects through which inflammatory bowel diseases (IBD) potentiate cardiovascular risk, therefore, a targeted study of the pathophysiological links between UC and CVD is necessary to improve methods for assessing the risk of cardiovascular events in this group of patients for their timely prevention.
The aim: to estimate the characteristics of the lipid profile and severity of arterial wall rigidity in UC patients.
Material and methods. A comparative analysis of the lipid profile and cardio-ankle index CAVI was performed in 120 patients with UC. All of them were kept for observation at the Republican Clinical Hospital of the Ministry of Healthcare of Chuvashia.
Results. Patients with UC had lower levels of total cholesterol, low-density and high-density lipoproteins, higher values of cardio-ankle index CAVI than in the control group, as well as a stronger correlation between the rate of increase of this index and age. A high correlation between the degree of excess of CAVI index and the duration and age of onset of the disease was found.
Conclusion. Patients with UC associated with long-term persistent chronic inflammation, have changes in the structure of the vascular wall and endothelium, which is confirmed by detected higher values of CAVI index. Also in this case, qualitative changes in the activity of lipoproteins are observed, which, in combination with the identified changes in lipid profile indexes, determines the presence in this group of patients of a special type of dyslipidemia with a specific combination of quantitative and qualitative indexes that determine its high atherogenicity.

Literature


1. Agrawal M., Jess T. Implications of the changing epidemiology of inflammatory bowel disease in a changing world. United European Gastroenterol J. 2022; 10(10): 1113–20.


https://doi.org/10.1002/ueg2.12317. PMID: 36251359. PMCID: PMC9752308.


2. Kaplan G.G., Windsor J.W. The four epidemiological stages in the global evolution of inflammatory bowel disease. Nat Rev Gastroenterol Hepatol. 2021; 18(1): 56–66. https://doi.org/10.1038/s41575-020-00360-x. PMID: 33033392. PMCID: PMC7542092.


3. Веселов А.В., Белоусова Е.А., Бакулин И.Г. с соавт. Оценка экономического бремени и текущего состояния организации лекарственного обеспечения пациентов с иммуновоспалительными заболеваниями (на примере язвенного колита и болезни Крона) в Российской Федерации. Проблемы социальной гигиены, здравоохранения и истории медицины. 2020; 28(S2): 1137–1145. (Veselov A.V., Belousova E.A., Bakulin I.G. et al. Assessment of the economic burden and the current state of the organization of drug provision for patients with immunoinflammatory diseases (using the example of ulcerative colitis and Crohn’s disease) in the Russian Federation. Problemy sotsial’noy gigieny, zdravookhraneniya i istorii meditsiny = Problems of Social Hygiene, Healthcare and the History of Medicine. 2020; 28(S2): 1137–1145 (In Russ.)). EDN: IKHWYH.


4. Peery A.F., Crockett S.D., Murphy C.C. et al. Burden and cost of gastrointestinal, liver, and pancreatic diseases in the United States: Update 2018. Gastroenterology. 2019; 156(1): 254–272.e11.


https://doi.org/10.1053/j.gastro.2018.08.063. PMID: 30315778. PMCID: PMC6689327.


5. Czubkowski P., Osiecki M., Szymanska E., Kierkus J. The risk of cardiovascular complications in inflammatory bowel disease. Clin Exp Med. 2020; 20(4): 481–91.


https://doi.org/10.1007/s10238-020-00639-y. PMID: 32785793. PMCID: PMC7568702.


6. Chen B., Collen L.V., Mowat C. et al. Inflammatory bowel disease and cardiovascular diseases. Am J Med. 2022; 135(12): 1453–60.


https://doi.org/10.1016/j.amjmed.2022.08.012. PMID: 36058305.


7. Weissman S., Sinh P., Mehta T.I. et al. Atherosclerotic cardiovascular disease in inflammatory bowel disease: The role of chronic inflammation. World J Gastrointest Pathophysiol. 2020; 11(5): 104–13.


https://doi.org/10.4291/wjgp.v11.i5.104. PMID: 32832194. PMCID: PMC7403753.


8. Федеральная служба государственной статистики. Хорошее здоровье и благополучие. Доступ: https://rosstat.gov.ru/sdg/data/goal3 (дата обращения – 28.03.2024). (Federal State Statistics Service (Russia). Good health and well-being. URL: https://rosstat.gov.ru/sdg/data/goal3 (date of access – 28.03.2024) (In Russ.)).


9. Butter M., Weiler S., Biedermann L. et al. Clinical manifestations, pathophysiology, treatment and outcome of inflammatory bowel diseases in older people. Maturitas. 2018; 110: 71–78.


https://doi.org/10.1016/j.maturitas.2018.01.015. PMID: 29563038.


10. Барановский А.Ю., Кондрашина Э.А. Клинические особенности воспалительных заболеваний кишечника (язвенный колит, болезнь Крона) в гериатрической практике. Успехи геронтологии. 2019; 32(5): 837–842. (Baranovsky A.Yu., Kondrashina E.A. Clinical features of inflammatory bowel diseases (ulcerative colitis, Crohn’s disease) in geriatric practice. Uspekhi gerontologii = Advances in Gerontology. 2019; 32(5): 837–842 (In Russ.)). EDN: KBREMH.


11. Xiao Y., Powell D.W., Liu X., Li Q. Cardiovascular manifestations of inflammatory bowel diseases and the underlying pathogenic mechanisms. Am J Physiol Regul Integr Comp Physiol. 2023; 325(2): 193–211.


https://doi.org/10.1152/ajpregu.00300.2022. PMID: 37335014. PMCID: PMC10979804.


12. Oliveira A.C., Cunha P.M.G.M., Vitorino P.V.O. et al. Vascular aging and arterial stiffness. Arq Bras Cardiol. 2022; 119(4): 604–15.


https://doi.org/10.36660/abc.20210708. PMID: 36287415. PMCID: PMC9563886.


13. Xiang Q., Tian F., Xu J. et al. New insight into dyslipidemia-induced cellular senescence in atherosclerosis. Biol Rev Camb Philos Soc. 2022; 97(5): 1844–67.


https://doi.org/10.1111/brv.12866. PMID: 35569818. PMCID: PMC9541442.


14. Kudinov V.A., Alekseeva O.Yu., Torkhovskaya T.I. et al. High-density lipoproteins as homeostatic nanoparticles of blood plasma. Int J Mol Sci. 2020; 21(22): 8737.


https://doi.org/10.3390/ijms21228737. PMID: 33228032. PMCID: PMC7699323.


15. Wu P., Jia F., Zhang B. et al. Risk of cardiovascular disease in inflammatory bowel disease. Exp Ther Med. 2017; 13(2): 395–400.


https://dx.doi.org/10.3892/etm.2016.3966. PMID: 28352306. PMCID: PMC5348671.


16. Бабаева Г.Г., Бабаев З.М. Частота выявления некоторых маркеров эндотелиальной дисфункции у больных с воспалительными заболеваниями кишечника. Терапевтический архив. 2018; 90(4): 12–16. (Babayeva G.G., Babayeva Z.M. Frequency of detection of some markers of endothelial dysfunction in patients with inflammatory bowel diseases. Terapevticheskiy arkhiv = Therapeutic Archive. 2018; 90(4): 12–16 (In Russ.)).


https://doi.org/10.26442/terarkh201890412-16. EDN: YVQZQA.


17. Миронова О.Ю., Исайкина М.А., Хасиева С.А. Атеросклероз и сердечно-сосудистый риск у пациентов с воспалительными заболеваниями кишечника. Терапевтический архив. 2021; 93(12): 1533–1538. (Mironova O.Yu., Isaikina M.A., Khasieva S.A. Аtherosclerosis and cardiovascular risk in patients with inflammatory bowel disease. Terapevticheskiy arkhiv = Therapeutic Archive. 2021; 93(12): 1533–1538 (In Russ.)).


https://doi.org/10.26442/00403660.2021.12.201225. EDN: HJJJXN.


About the Autors


Nadezhda Yu. Kucherova, MD, postgraduate student of the Department of hospital therapy, I.N. Ulyanov Chuvash State University, cardiologist at the advisory clinic of the Republican Cardiological Dispensary of the Ministry of Healthcare of Chuvashia. Address: 428000, Cheboksary, 29a Fedora Gladkova St.
E-mail: nadezda_kan@mail.ru
ORCID: https://orcid.org/0000-0002-9500-3719
Yulia V. Tsyganova, MD, PhD (Medicine), associate professor of the Department of hospital therapy, I.N. Ulyanov Chuvash State University. Address: 428015, Cheboksary, 45 Moskovsky Highway.
E-mail: j.v.tsyganova@mail.ru
ORCID: https://orcid.org/0000-0002-8339-9496
Larisa V. Tarasova, MD, Dr. Sci. (Medicine), associate professor, head of the Department of hospital therapy, I.N. Ulyanov Chuvash State University, professor of the Department of public health and healthcare, Institute for Advanced Medical Education of the Ministry of Healthcare of Chuvashia, head of the Department of gastroenterology, Republican Clinical Hospital of the Ministry of Healthcare of Chuvashia. Address: 428015, Cheboksary, 45 Moskovsky Highway.
E-mail: tlarisagast18@mail.ru
ORCID: https://orcid.org/0000-0003-1496-0689


Similar Articles


Бионика Медиа