Aranda-Valera, Inmaculada ConcepcionArias de la Rosa, IvanRoldan-Molina, RosaAbalos-Aguilera, María Del CarmenTorres-Granados, CarmenPatiño-Trives, AlejandraLuque-Tevar, MariaIbañez-Costa, AlejandroGuzman-Ruiz, RocioMalagon, Maria Del MarEscudero-Contreras, AlejandroLopez-Pedrera, CharyCollantes-Estevez, EduardoBarbarroja, Nuria2023-02-092023-02-092020-07-03Aranda-Valera IC, Arias de la Rosa I, Roldán-Molina R, Ábalos-Aguilera MDC, Torres-Granados C, Patiño-Trives A, et al. Subclinical cardiovascular risk signs in adults with juvenile idiopathic arthritis in sustained remission. Pediatr Rheumatol Online J. 2020 Jul 14;18(1):59.http://hdl.handle.net/10668/15935Juvenile Idiopathic Arthritis (JIA) is one of the most common chronic diseases of childhood that often persists into adulthood and can result in significant long-term morbidity. As a long lasting chronic inflammatory disease, concern has been raised regarding the risk of premature development of cardiovascular disease (CVD) in JIA. This study aims to determine whether adults with JIA in clinical remission display clinical and subclinical signs of CVD risk: inflammatory mediators, adipokines, endothelial dysfunction and oxidative stress markers. This is a cross-sectional study including 25 patients diagnosed with JIA according to the International League of Associations for Rheumatology criteria (ILAR 2001) and 25 age- and sex-matched controls. Remission was determined by JADAS10  Mean duration of the disease was 13.47 ± 5.47 years. Mean age was 25.11 ± 7.21. Time in remission was 3.52 ± 3.33 years. Patients were in remission with no treatment (40%) and with treatments (60%). CVD risk factors and CIMT were similar in JIA patients and controls. However, cholesterol levels were significantly elevated in JIA patients. Levels of adipocytokines, oxidative stress and endothelial activation markers were elevated in serum and PBMCs from JIA patients. Serum of those JIA patients induced the activation of adipocytes, endothelial cells and healthy PBMCs. JIA adult patients in remission have subclinical signs of inflammation and CVD risk, showed by an increase in the levels of inflammatory cytokines, endothelial activation and oxidative stress markers and adipokines, molecules closely involved in the alteration of the vascular system.enAttribution 4.0 Internationalhttp://creativecommons.org/licenses/by/4.0/Cardiovascular riskClinical remissionJuvenile idiopathic arthritisAdultAge of OnsetArthritis, JuvenileAsymptomatic DiseasesBiomarkersCarotid Intima-Media ThicknessCross-Sectional StudiesCytokinesEndothelium, VascularFemaleHeart Disease Risk FactorsHumansInflammationInflammation MediatorsInsulin ResistanceMaleOxidative StressPatient AcuitySpainTimeresearch article32665015open accessAdultoArtritis juvenilBiomarcadoresCitocinasEndotelio vascularEnfermedades asintomáticasEstrés oxidativoFactores de riesgo de enfermedad cardiacaGravedad del pacienteGrosor intima-media carotídeoInflamación10.1186/s12969-020-00448-31546-0096PMC7362625https://doi.org/10.1186/s12969-020-00448-3https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7362625/pdf