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February 17, 2026The Journal of Rheumatology1 citations

Normalizing Uricemia in Psoriatic Arthritis: A Hypothetical Reduction of Atherosclerotic Plaque Burden

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RQRubén QueiroMLMarta LoredoEPEstefanía Pardo

Key Points

  • This research aims to explore the relationship between hyperuricemia and atherosclerotic plaque burden in psoriatic arthritis.
  • Theoretical analysis based on existing evidence of hyperuricemia's role in cardiovascular disease and psoriatic inflammation.
  • Review of mechanisms including interleukin pathways and endothelial activation in atherosclerosis.
  • Assessment of oxidative stress and neutrophil extracellular trap formation in psoriatic patients.
  • Hyperuricemia is linked to increased atherosclerotic plaque burden due to inflammatory processes.
  • Key inflammatory mediators such as IL-23 and TNF are involved in exacerbating endothelial activation.
  • Findings imply that managing uricemia could potentially reduce cardiovascular risk in psoriatic arthritis.

Abstract

Hyperuricemia has long been recognized as the biochemical substrate for gout, but growing evidence suggests that it may also contribute to cardiovascular (CV) disease. Psoriatic inflammation, dominated by interleukin (IL)-23/IL-17 and tumor necrosis factor, amplifies endothelial activation (increase in vascular cell adhesion molecule 1), oxidative stress, and neutrophil extracellular trap formation (ie, NETosis), priming the arterial wall for atherogenesis.

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Cite This Study

Queiro et al. (2026) studied this question.

synapsesocial.com/papers/6993b5aa7d96f15ed87911ebhttps://doi.org/10.3899/jrheum.2025-0992
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