The Impact of Lipoprotein Apheresis on Inflammatory Factors: A Systematic Review and Meta‐Analysis
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2025
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| author | Alireza Hatami Masoud Eslami Saeed Aslani Shahab Alizadeh Vasily N. Sukhorukov Sercan Karav Bahman Razi Amirhossein Sahebkar |
| author_facet | Alireza Hatami Masoud Eslami Saeed Aslani Shahab Alizadeh Vasily N. Sukhorukov Sercan Karav Bahman Razi Amirhossein Sahebkar Alireza Hatami Masoud Eslami Saeed Aslani Shahab Alizadeh Vasily N. Sukhorukov Sercan Karav Bahman Razi Amirhossein Sahebkar |
| collection | Wiley Open Access |
| contents | The Impact of Lipoprotein Apheresis on Inflammatory Factors: A Systematic Review and Meta‐Analysis Alireza Hatami Masoud Eslami Saeed Aslani Shahab Alizadeh Vasily N. Sukhorukov Sercan Karav Bahman Razi Amirhossein Sahebkar Journal of Clinical Apheresis ABSTRACT Lipoprotein apheresis is a well‐established therapy for patients with dyslipidemia unresponsive to conventional lipid‐lowering strategies. However, its impact on systemic inflammation remains uncertain. This systematic review and meta‐analysis evaluated the effect of apheresis on circulating inflammatory markers, including C‐reactive protein (CRP), high‐sensitivity CRP (hs‐CRP), interleukin‐6 (IL‐6), and tumor necrosis factor‐alpha (TNF‐α). Following PRISMA guidelines, a systematic search of PubMed, Scopus, and ISI Web of Science was conducted up to June 2025. Studies reporting pre‐ and post‐apheresis values for inflammatory markers were included. Standardized mean differences (SMD) and 95% confidence intervals (CI) were calculated. Thirteen publications met inclusion criteria. Meta‐analysis demonstrated that apheresis significantly reduced CRP levels (SMD = −0.31; 95% CI: −0.44 to −0.18; p < 0.001), particularly in long‐term interventions. No significant changes were observed for IL‐6, TNF‐α, or hs‐CRP. In conclusion, apheresis significantly reduces CRP levels, especially with long‐term treatment, suggesting a modest anti‐inflammatory benefit. However, its effects on other markers remain unclear. Larger and high‐quality trials are warranted. 10.1002/jca.70082 http://onlinelibrary.wiley.com/termsAndConditions#vor |
| doi_str_mv | 10.1002/jca.70082 |
| format | Artículo Open Access |
| id | wiley_oa_10_1002_jca_70082 |
| institution | Wiley Open Access |
| license_str_mv | http://onlinelibrary.wiley.com/termsAndConditions#vor |
| publishDate | 2025 |
| publisher | Wiley |
| record_format | wiley_oa |
| spellingShingle | The Impact of Lipoprotein Apheresis on Inflammatory Factors: A Systematic Review and Meta‐Analysis Alireza Hatami Masoud Eslami Saeed Aslani Shahab Alizadeh Vasily N. Sukhorukov Sercan Karav Bahman Razi Amirhossein Sahebkar Journal of Clinical Apheresis The Impact of Lipoprotein Apheresis on Inflammatory Factors: A Systematic Review and Meta‐Analysis Alireza Hatami Masoud Eslami Saeed Aslani Shahab Alizadeh Vasily N. Sukhorukov Sercan Karav Bahman Razi Amirhossein Sahebkar Journal of Clinical Apheresis ABSTRACT Lipoprotein apheresis is a well‐established therapy for patients with dyslipidemia unresponsive to conventional lipid‐lowering strategies. However, its impact on systemic inflammation remains uncertain. This systematic review and meta‐analysis evaluated the effect of apheresis on circulating inflammatory markers, including C‐reactive protein (CRP), high‐sensitivity CRP (hs‐CRP), interleukin‐6 (IL‐6), and tumor necrosis factor‐alpha (TNF‐α). Following PRISMA guidelines, a systematic search of PubMed, Scopus, and ISI Web of Science was conducted up to June 2025. Studies reporting pre‐ and post‐apheresis values for inflammatory markers were included. Standardized mean differences (SMD) and 95% confidence intervals (CI) were calculated. Thirteen publications met inclusion criteria. Meta‐analysis demonstrated that apheresis significantly reduced CRP levels (SMD = −0.31; 95% CI: −0.44 to −0.18; p < 0.001), particularly in long‐term interventions. No significant changes were observed for IL‐6, TNF‐α, or hs‐CRP. In conclusion, apheresis significantly reduces CRP levels, especially with long‐term treatment, suggesting a modest anti‐inflammatory benefit. However, its effects on other markers remain unclear. Larger and high‐quality trials are warranted. 10.1002/jca.70082 http://onlinelibrary.wiley.com/termsAndConditions#vor |
| title | The Impact of Lipoprotein Apheresis on Inflammatory Factors: A Systematic Review and Meta‐Analysis |
| topic | Journal of Clinical Apheresis |
| url | https://onlinelibrary.wiley.com/doi/10.1002/jca.70082 |