1- Associate Professor, Environmental Health Research Center, Research Institute for Health Development, Kurdistan University of Medical Sciences, Sanandaj, Iran 2- Resident of Internal Medicine, Department of Internal Medicine, Faculty of Medicine, Kurdistan University of Medical Sciences, Sanandaj, Iran 3- Associate Professor, Liver and Digestive Research Center, Research Institute for Health Development, Kurdistan University of Medical Sciences, Sanandaj, Iran 4- Associate Professor, Cancer and Immunology Research Center, Research Institute for Health Development, Kurdistan University of Medical Sciences, Sanandaj, Iran 5- Associate Professor, Cancer and Immunology Research Center, Research Institute for Health Development, Kurdistan University of Medical Sciences, Sanandaj, Iran , nasrin_43ir@yahoo.com
Abstract: (365 Views)
Background and Aim:Rheumatoid arthritis (RA) is a chronic autoimmune disease with a genetic and environmental etiology. Evidence suggests an increased risk of atherosclerosis and its associated mortality in patients with RA. Vascular endothelial growth factor (VEGF) is the most important pro-angiogenic factor implicated in the pathogenesis of both RA and atherosclerosis. Therefore, this study aimed to determine the role of the VEGF -2578 polymorphism (rs699947) in changes in lipid profiles in Kurdish patients with RA. Materials and Methods: This cross-sectional study was conducted in 2020 and included 130 patients with a confirmed diagnosis of RA who were referred to the Rheumatology Clinic of Tohid Hospital, Sanandaj, Iran. Pain severity was assessed using the Visual Analog Scale (VAS). Plasma lipid profiles, including triglycerides (TG), total cholesterol (TC), and HDL-cholesterol, were measured by an auto-analyzer. Erythrocyte sedimentation rate (ESR), C-reactive protein (CRP), and rheumatoid factor (RF) values were recorded, and the severity of disease was calculated according to disease activity score-28 (DAS28) criteria. VEGF-2578 polymorphism was also genotyped by polymerase chain reaction-restriction fragment length polymorphism (PCR-RFLP). Results:The genotype distributions of AA, AC, and CC and allele frequencies for the VEGF-2578 at rs699947 did not show any significant difference from the expected value of the Hardy-Weinberg equilibrium. The frequencies of AA, AC, and CC genotypes were 42.3%, 43.8%, and 13.8%, respectively. The VEGF-2578 CC genotype was shown to be inversely associated with atherogenic index (P = 0.01) and total cholesterol levels (P = 0.01). No significant relationship was found between the VEGF-2578 polymorphism and other lipid parameters, CRP, RF, and disease severity (P > 0.05). Conclusion:The findings indicate that genetic variation in the VEGF gene is associated with plasma lipid profiles, including total cholesterol levels and the atherogenic index, in patients with RA, and may have implications for RA-related complications via its relationship with lipid metabolism. Keywords:Atherosclerosis; Genetic polymorphism, Rheumatoid arthritis, VEGF polymorphism
Mohammadi E, Rostamzadeh A, Rahmani K, Jalili A, Moradveisi B, Moghimi N. The association between vascular endothelial growth factor gene polymorphism (VEGF-2578 C/A; rs699947) and lipid profile in Iranian patients with rheumatoid arthritis. SJKU 2026; 31 (2) URL: http://sjku.muk.ac.ir/article-1-6217-en.html