RT Journal Article T1 Potential Role and Impact of Peripheral Blood Mononuclear Cells in Radiographic Axial Spondyloarthritis-Associated Endothelial Dysfunction A1 Ruiz-Limon, Patricia A1 Ladehesa-Pineda, Maria L. A1 Lopez-Medina, Clementina A1 Lopez-Pedrera, Chary A1 Abalos-Aguilera, Maria C. A1 Barbarroja, Nuria A1 Arias-Quiros, Isabel A1 Perez-Sanchez, Carlos A1 Arias-de la Rosa, Ivan A1 Ortega-Castro, Rafaela A1 Escudero-Contreras, Alejandro A1 Collantes-Estevez, Eduardo A1 Jimenez-Gomez, Yolanda K1 Endothelium K1 Circulating mononuclear cells K1 Inflammation K1 Oxidative stress K1 Radiographic axial spondyloarthritis K1 Endotelio K1 Leucocitos mononucleares K1 Inflamación K1 Estrés oxidativo K1 Espondiloartrite axial AB Endothelial dysfunction (ED) is well known as a process that can lead to atherosclerosis and is frequently presented in radiographic axial spondyloarthritis (r-axSpA) patients. Here, we investigated cellular and molecular mechanisms underlying r-axSpA-related ED, and analyzed the potential effect of peripheral blood mononuclear cells (PBMCs) in promoting endothelial injury in r-axSpA. A total of 30 r-axSpA patients and 32 healthy donors (HDs) were evaluated. The endothelial function, inflammatory and atherogenic profile, and oxidative stress were quantified. In vitro studies were designed to evaluate the effect of PBMCs from r-axSpA patients on aberrant endothelial activation. Compared to HDs, our study found that, associated with ED and the plasma proatherogenic profile present in r-axSpA, PBMCs from these patients displayed a pro-oxidative, proinflammatory, and proatherogenic phenotype, with most molecular changes noticed in lymphocytes. Correlation studies revealed the relationship between this phenotype and the microvascular function. Additional in vitro studies confirmed that PBMCs from r-axSpA patients promoted endothelial injury. Altogether, this study suggests the relevance of r-axSpA itself as a strong and independent cardiovascular risk factor, contributing to a dysfunctional endothelium and atherogenic status by aberrant activation of PBMCs. Lymphocytes could be the main contributors in the development of ED and subsequent atherosclerosis in this pathology. PB MDPI YR 2021 FD 2021-06-04 LK http://hdl.handle.net/10668/4219 UL http://hdl.handle.net/10668/4219 LA en NO Ruiz-Limon P, Ladehesa-Pineda ML, Lopez-Medina C, Lopez-Pedrera C, Abalos-Aguilera MC, Barbarroja N, et al. Potential Role and Impact of Peripheral Blood Mononuclear Cells in Radiographic Axial Spondyloarthritis-Associated Endothelial Dysfunction. Diagnostics. 2021 Jun 4;11(6):1037 DS RISalud RD Mar 14, 2025