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Interleukin &#40;IL&#41;-1&#44; IL-17&#44; Vascular Endothelial Growth Factor &#40;VEGF&#41;&#44; IL-6&#44; IL-22&#44; IL-23&#44; and Interferon-&#947; &#40;IFN- &#947;&#41;&#46;<a class="elsevierStyleCrossRefs" href="#bib0010"><span class="elsevierStyleSup">2&#8211;4</span></a> Moreover&#44; these mediators can lead to systemic inflammation that triggers dysfunction of endovascular endothelia&#44; increased oxidative stress&#44; hypercoagulation&#44; and increased angiogenesis which are also the main components of cardiovascular damage and atherosclerosis&#46;<a class="elsevierStyleCrossRefs" href="#bib0005"><span class="elsevierStyleSup">1&#44;5</span></a></p><p id="par0015" class="elsevierStylePara elsevierViewall">SCUBE-1 &#40;Signal peptideCUB-Epidermal growth factor domain-containing protein-1&#41; is a member of a protein family located on the cell surface &#8210; the SCUBE proteins &#8210; that can be detected in inflammatory processes and angiogenesis&#46;<a class="elsevierStyleCrossRefs" href="#bib0030"><span class="elsevierStyleSup">6&#8211;8</span></a> In recent studies&#44; it was determined that the SCUBE-1 protein was detected in vascular endothelial cells and platelets which are known to play crucial roles in the arterial thrombosis process&#46;<a class="elsevierStyleCrossRefs" href="#bib0045"><span class="elsevierStyleSup">9&#44;10</span></a> Additionally&#44; there is a study evaluating serum levels of VEGF&#44; SCUBE-1&#44; and SCUBE-3 in patients with psoriasis&#44; in which the authors stated that SCUBE-1 could be related to the pathogenesis of psoriasis&#46;<a class="elsevierStyleCrossRef" href="#bib0055"><span class="elsevierStyleSup">11</span></a></p><p id="par0020" class="elsevierStylePara elsevierViewall">carotid artery intima-media wall thickness &#40;CIMT&#41; is the measurement of the carotid artery wall thickness which is evaluated by ultrasound and&#44; even early changes in atherosclerosis can be directly diagnosed by this method&#46;<a class="elsevierStyleCrossRef" href="#bib0060"><span class="elsevierStyleSup">12</span></a> Some studies reported that psoriatic patients have higher CIMT values than healthy non-psoriatic controls&#46;<a class="elsevierStyleCrossRefs" href="#bib0065"><span class="elsevierStyleSup">13&#8211;15</span></a> Furthermore&#44; they claimed that psoriasis is an independent risk factor for increased CIMT which shows subclinical atherosclerosis&#46;<a class="elsevierStyleCrossRef" href="#bib0065"><span class="elsevierStyleSup">13</span></a></p><p id="par0025" class="elsevierStylePara elsevierViewall">The present study aimed to evaluate subclinical atherosclerosis in patients with psoriasis by CIMT measurement&#44; SCUBE-1 levels&#44; and metabolic parameters&#44; also to compare them between psoriatic patients and non-psoriatic healthy control subjects&#44; and by so&#44; to investigate that SCUBE-1 could play a role in both pathogeneses of psoriasis and atherosclerosis&#44; as well&#46; To the best of our knowledge&#44; this is the first study in the literature evaluating both SCUBE-1 levels and CIMT measurement concurrently in psoriatic patients and healthy controls&#46;</p></span><span id="sec0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0050">Material and method</span><p id="par0030" class="elsevierStylePara elsevierViewall">This prospective case-control study was reviewed by the Ethics Committee of Suleyman Demirel University Hospital and approved by the report of decision number 370 on 23&#46;12&#46;2019&#46; This study protocol was consistent with the Declaration of Helsinki and informed consent was obtained from each participant&#46;</p><span id="sec0015" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0055">Study population</span><p id="par0035" class="elsevierStylePara elsevierViewall">Patients diagnosed with psoriasis histopathologically and&#47;or clinically&#44; aged over 18-under 65&#44; presenting to the dermatology outpatient clinic of Suleyman Demirel University Hospital between January 2020 &#8210; January 2021&#44; were considered for this study&#46; Patients with a history of any cardiovascular or cerebrovascular events&#44; active infection and inflammatory systemic or skin diseases other than psoriasis&#44; and regular drug intake for any reason were excluded&#46; Detailed patient histories were taken&#44; skin examinations were performed and the presence of arthritis and&#47;or nail involvement was also examined and noted&#46; Psoriasis Area and Severity Index &#40;PASI&#41; scores<a class="elsevierStyleCrossRef" href="#bib0080"><span class="elsevierStyleSup">16</span></a> were calculated and according to the PASI scores patients were subdivided into 2 groups&#58; a mild disease with a PASI score&#160;&#8804;&#160;10&#44; and moderate-severe disease with PASI score &#62;10&#46;</p><p id="par0040" class="elsevierStylePara elsevierViewall">Age and sex-matched healthy volunteers without any inflammatory systemic diseases including cardiovascular and&#47;or neurovascular diseases&#44; inflammatory skin disorders&#44; and regular drug intake for any reason were also enrolled as the control group&#46;</p><p id="par0045" class="elsevierStylePara elsevierViewall">The height&#44; weight&#44; waist circumference&#44; diastolic and systolic blood pressures &#40;BPs&#41;&#44; and pulse of all subjects were measured&#46;</p></span><span id="sec0020" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0060">SCUBE and other laboratory tests&#8217; measurements</span><p id="par0050" class="elsevierStylePara elsevierViewall">After 10&#160;hours of fasting&#44; venous blood samples were collected and put into a clot activator serum separator tube and centrifuged at 3000&#160;rpm for 10&#160;min to separate serum specimens&#46; Then&#44; these serum samples were stored at &#8722;80&#176;C until analysis&#46; Biochemical tests including fasting blood glucose&#44; Triglyceride &#40;TG&#41;&#44; total cholesterol&#44; High-Density Lipoprotein &#40;HDL&#41;&#44; Low-Density Lipoprotein &#40;LDL&#41;&#44; and C-Reactive Protein &#40;CRP&#41; levels were measured by Beckman Coulter AU 5800 chemistry analyzer &#40;Beckman Coulter&#44; Brea&#44; CA&#44; USA&#41;&#46; Serum SCUBE-1 levels were measured by using the sandwich Enzyme-Linked Immunosorbent Assay &#40;ELISA&#41; kit &#40;E-EL-H5405 Elabscience&#44; Wuhan&#44; Hubei Province&#44; China&#41;&#46; The sensitivity of the ELISA kit was 0&#46;38&#160;ng&#47;mL&#46; The results were expressed as concentration units&#46;</p></span><span id="sec0025" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0065">CIMT ultrasound measurement</span><p id="par0055" class="elsevierStylePara elsevierViewall">This measurement was examined by the same certified and trained cardiologist&#46; Patients were rested for 10&#160;min and were asked to lie in a supine position during the examination&#46; B-mode ultrasonography of both right and left carotid arteries was performed by the physician with a high-resolution &#40;sensitive to a thickness of 0&#46;01&#160;mm&#41; linear 8&#160;MHz transducer for the Vivid S6 Ultrasound machine&#46;</p></span><span id="sec0030" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0070">Statistical analysis</span><p id="par0060" class="elsevierStylePara elsevierViewall">Data were analyzed using IBM SPSS Statistics 21&#46;0&#46; The values of descriptives were presented as mean&#160;&#177;&#160;SD &#40;also median&#44; minimum&#44; and maximum values were given&#41;&#46; The categorical variables were presented as frequency and percentage&#46; For analysis of continuous variables across groups first&#44; the distribution characteristics were examined with the Shapiro-Wilk test&#46; Chi-Square analysis was used for categorical and qualitative variables&#44; also the Student&#8217;s <span class="elsevierStyleItalic">t</span>-test was used for comparisons of normally distributed variables&#44; and the Mann-Whitney <span class="elsevierStyleItalic">U</span> test for non-normally distributed variables if two groups existed&#46; The relationship between the parameters was assessed using Pearson&#8217;s and Spearman&#8217;s correlation and analysis&#46; Univariate and multivariate logistic regression analyses consisted of SCUBE-1&#44; CIMT&#44; and the other variables &#40;Systolic BP&#44; waist circumference&#44; glucose&#44; hs-CRP&#44; TG&#41;&#46; Statistical significance was considered at a value of p&#160;&#60;&#160;0&#46;05&#46;</p></span></span><span id="sec0035" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0075">Results</span><p id="par0065" class="elsevierStylePara elsevierViewall">Forty-six patients &#40;19 female and 27 male&#41; with a mean age of 40&#46;3&#160;&#177;&#160;13&#46;8 years and 43 control &#40;18 female and 25 male&#41; subjects with a mean age of 39&#46;9&#160;&#177;&#160;11&#46;6 years were included in the study&#46; No significant difference was shown between the two groups regarding mean age and sex &#40;p&#160;&#61;&#160;0&#46;890&#44; p&#160;&#61;&#160;0&#46;958 respectively&#41;&#46; The mean duration of the disease in patients was 12&#46;6 years&#46; The mean PASI score was 12&#46;3 in the patient group&#46; 15 patients had mild&#44; and 31 patients had moderate-severe psoriasis according to PASI scores&#46; Patients had a little higher BMI than control subjects with an insignificant difference &#40;25&#46;9&#160;&#177;&#160;4&#46;8&#160;kg&#47;m<span class="elsevierStyleSup">2</span> vs&#46; 24&#46;6&#160;&#177;&#160;3&#46;2&#160;kg&#47;m<span class="elsevierStyleSup">2</span>&#59; p&#160;&#61;&#160;0&#46;154&#41;&#46; The mean systolic BP and waist circumference were higher in the patient group&#44; and these differences were significant &#40;p&#160;&#61;&#160;0&#46;044&#44; and p&#160;&#61;&#160;0&#46;005&#44; respectively&#41;&#46; The descriptive features of the participants were given in <a class="elsevierStyleCrossRef" href="#tbl0005">Table 1</a>&#46;</p><elsevierMultimedia ident="tbl0005"></elsevierMultimedia><span id="sec0040" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0080">Laboratory parameters</span><p id="par0070" class="elsevierStylePara elsevierViewall">Statistically significant differences were shown between patients and healthy controls in terms of serum fasting glucose&#44; TG&#44; and CRP levels &#40;for all p&#160;&#60;&#160;0&#46;05&#41;&#46; All of these parameters were higher in the patient group &#40;<a class="elsevierStyleCrossRef" href="#tbl0010">Table 2</a>&#41;&#46;</p><elsevierMultimedia ident="tbl0010"></elsevierMultimedia></span><span id="sec0045" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0085">SCUBE-1 levels and CIMT measurements</span><p id="par0075" class="elsevierStylePara elsevierViewall">The mean value of SCUBE-1 in patients was 4&#46;47&#160;&#177;&#160;2&#46;40 whereas it was 2&#46;66&#160;&#177;&#160;2&#46;49 in the control group&#44; and this difference was significant &#40;p&#160;&#60;&#160;0&#46;001&#41;&#46; Moreover&#44; significant differences were found between the groups regarding right&#44; left&#44; and mean CIMT measurements &#40;for all p&#160;&#60;&#160;0&#46;001&#41; &#40;<a class="elsevierStyleCrossRef" href="#tbl0015">Table 3</a>&#41;&#46;</p><elsevierMultimedia ident="tbl0015"></elsevierMultimedia><p id="par0080" class="elsevierStylePara elsevierViewall">However&#44; no significant differences were shown between each of the SCUBE-1 values and CIMT measurements according to the severity of the disease based on PASI scores among the patient group &#40;for all p&#160;&#62;&#160;0&#46;05&#41; &#40;<a class="elsevierStyleCrossRef" href="#tbl0020">Table 4</a>&#41;&#46;</p><elsevierMultimedia ident="tbl0020"></elsevierMultimedia><p id="par0085" class="elsevierStylePara elsevierViewall">Moreover&#44; SCUBE-1 and CIMT values were positively correlated among the patients &#40;<a class="elsevierStyleCrossRef" href="#tbl0025">Table 5</a>&#41;&#46; A positive correlation was also shown between SCUBE-1 levels and systolic BP&#44; and diastolic BP&#46; In addition&#44; positive correlations were found between systolic and diastolic BPs&#44; BMI and waist circumference&#44; total cholesterol&#44; and&#44; LDL levels &#40;<a class="elsevierStyleCrossRef" href="#tbl0025">Table 5</a>&#41;&#46; Multiple linear regression analyses revealed that the presence of psoriasis was significantly associated with CIMT and SCUBE-1 as well &#40;<a class="elsevierStyleCrossRef" href="#tbl0030">Table 6</a>&#41;&#46;</p><elsevierMultimedia ident="tbl0025"></elsevierMultimedia><elsevierMultimedia ident="tbl0030"></elsevierMultimedia></span></span><span id="sec0050" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0090">Discussion</span><p id="par0090" class="elsevierStylePara elsevierViewall">Evidence suggests that beneath the inflammation&#44; angiogenesis and endothelial dysfunction are also significant components of the pathogenic mechanisms in psoriasis&#46;<a class="elsevierStyleCrossRefs" href="#bib0085"><span class="elsevierStyleSup">17&#44;18</span></a> The association between psoriasis and increased risk of cardiovascular diseases has been proven in many studies<a class="elsevierStyleCrossRefs" href="#bib0085"><span class="elsevierStyleSup">17&#44;19&#8211;22</span></a> but the underlying mechanisms remain elusive&#46; There are two proposed underlying mechanisms&#58; First&#44; cardiovascular risk factors in the limelight &#40;DM&#44; insulin resistance&#44; hypertension&#44; altered lipid profiles&#44; high BMI&#44; smoking&#41; can be seen more in psoriatic patients compared to the rest of the population&#59;<a class="elsevierStyleCrossRefs" href="#bib0115"><span class="elsevierStyleSup">23&#44;24</span></a> the second one is psoriasis itself which systemic inflammation may also directly affect vessel walls and as a result inflamed vessels cause a higher risk of cardiovascular diseases and mortality&#46;<a class="elsevierStyleCrossRef" href="#bib0125"><span class="elsevierStyleSup">25</span></a> In a population-based study&#44; the authors showed that psoriasis was associated with increased mean CIMT&#44; but not with carotid plaque prevalence&#46;<a class="elsevierStyleCrossRef" href="#bib0130"><span class="elsevierStyleSup">26</span></a> In another study from Italy&#44; a significant increase in mean CIMT values was seen in patients with psoriasis&#44; also a strong positive correlation between CIMT and PASI scores was shown&#46;<a class="elsevierStyleCrossRef" href="#bib0135"><span class="elsevierStyleSup">27</span></a> Similar to the literature&#44; the authors showed a significant difference in CIMT values of psoriasis patients than healthy controls&#46; Furthermore&#44; systolic and diastolic BPs were significantly higher in the patient group whereas both groups did not have any difference in terms of smoking and alcohol habits&#44; and BMI&#46; In addition&#44; contrary to the study mentioned before&#44; the authors did not find either significant differences in CIMT values according to the severity of the disease&#44; nor a correlation between CIMT values and PASI scores&#46; The present results showed that even patients with mild disease may have a higher risk of the presence of subclinical atherosclerosis&#44; and in our subjects&#44; the possible underlying mechanism causing this difference is thought to be related to the disease itself&#46;</p><p id="par0095" class="elsevierStylePara elsevierViewall">SCUBE-1 belongs to the SCUBE proteins family which are increased in inflammatory processes and hypoxia-associated conditions&#44; and are thought to have a role in both physiological and pathological angiogenesis&#46;<a class="elsevierStyleCrossRef" href="#bib0140"><span class="elsevierStyleSup">28</span></a> In the literature&#44; expression of SCUBE-1 was shown in especially vascular endothelial cells of highly vascular tissues&#44;<a class="elsevierStyleCrossRef" href="#bib0040"><span class="elsevierStyleSup">8</span></a> and SCUBE-1 levels were found to increase in conditions such as acute coronary syndrome&#44; acute ischemic stroke&#44; DM&#44; malignities&#44; and also psoriasis&#46;<a class="elsevierStyleCrossRefs" href="#bib0045"><span class="elsevierStyleSup">9&#8211;11&#44;29&#44;30</span></a> Furthermore&#44; the SCUBE-1 levels were decreased by treatments against IL-1&#946; and TNF-&#945;&#46;<a class="elsevierStyleCrossRef" href="#bib0040"><span class="elsevierStyleSup">8</span></a> Till now&#44; there is only one study evaluating SCUBE-1 in patients with psoriasis&#44; and in this study&#44; the levels of VEGF&#44; SCUBE-1&#44; and SCUBE-3 were reported significantly different between patients with psoriasis and healthy controls&#46;<a class="elsevierStyleCrossRef" href="#bib0060"><span class="elsevierStyleSup">12</span></a> The authors also reported that SCUBE-1 had 83&#37; sensitivity and 62&#37; specificity for predicting psoriasis&#46; Thus&#44; they suggested that the SCUBE protein family may be a potential marker in the process and screening of pathological angiogenesis in psoriatic patients&#46; Similarly&#44; the authors showed significantly elevated SCUBE-1 levels in the patient group than in healthy controls&#46; In addition&#44; multiple regression analysis and correlation results between CIMT and SCUBE-1 indicated that SCUBE-1 is strongly associated with atherosclerosis&#44; and could be a useful and independent biomarker that shows subclinical atherosclerosis besides CIMT measurement&#46;</p><p id="par0100" class="elsevierStylePara elsevierViewall">In addition to these&#44; CRP is an acute-phase response protein that is involved in many inflammatory processes such as angiogenesis&#44; thrombosis&#44; and activation of the complement system&#46;<a class="elsevierStyleCrossRef" href="#bib0155"><span class="elsevierStyleSup">31</span></a> Elevated CRP levels were shown related to the risk of future cardiovascular events&#46;<a class="elsevierStyleCrossRef" href="#bib0160"><span class="elsevierStyleSup">32</span></a> In the present study&#44; the authors showed significantly increased CRP levels in the patient group which may show us a higher prevalence of underlying atherosclerosis and cardiovascular disorders in psoriasis patients&#46; Waist circumference is a clinical marker of obesity that is associated with atherosclerosis and cardiovascular disorders&#46; Moreover&#44; it is assumed as an independent noninvasive measurement of subclinical atherosclerosis&#46;<a class="elsevierStyleCrossRef" href="#bib0165"><span class="elsevierStyleSup">33</span></a> In the present study&#44; although the patients had similar BMI to the healthy controls&#44; the authors found the waist circumference measurement to be significantly higher in the patient group&#46; The authors also showed a positive correlation between waist circumference and BPs&#46; These results suggest that waist circumference measurement is also an important value showing increased BP&#44; and possible subclinical atherosclerosis even if patients are not obese&#46;</p></span><span id="sec0055" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0095">Conclusion</span><p id="par0105" class="elsevierStylePara elsevierViewall">Although the present study has some limitations such as a low number of participants&#44; and not including any other inflammatory marker related to angiogenesis or atherosclerosis such as VEGF&#44; adiponectin&#44; among others&#59; there has been no other study evaluating metabolic parameters&#44; serum SCUBE-1&#44; and CIMT concurrently in patients with psoriasis in the literature&#46; With these results&#44; the authors showed that besides CIMT measurement&#44; SCUBE-1 might be an important and independent marker to show subclinical atherosclerosis via participation in the pathological angiogenesis process in patients with psoriasis&#46; Moreover&#44; serum CRP levels and waist circumference could be particularly related to subclinical atherosclerosis and may be indicators of future cardiovascular diseases&#46; This pioneering study should be verified by prospective longitudinal future studies with larger sample sizes and more inflammatory markers&#46; The authors think that in the future when the pathways and mechanisms that SCUBE-1 plays a role in the pathogenesis of psoriasis are better understood&#44; it could be a potential target for future therapeutics especially to prevent underlying pathological angiogenesis and subclinical atherosclerosis in psoriasis&#46;</p></span><span id="sec0060" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0100">Financial support</span><p id="par0110" class="elsevierStylePara elsevierViewall">None declared&#46;</p></span><span id="sec0065" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0105">Authors&#8217; contributions</span><p id="par0115" class="elsevierStylePara elsevierViewall">This manuscript has been read and approved by all the authors and has not been published&#46;</p><p id="par0120" class="elsevierStylePara elsevierViewall">Havva Hilal Ayvaz &#199;elik&#58; Approval of the final version of the manuscript&#59; critical literature review&#59; data collection&#44; analysis and interpretation&#59; effective participation in research orientation&#59; &#305;ntellectual participation in propaedeutic and&#47;or therapeutic&#59; management of studied cases&#59; preparation and writing of the manuscript&#46;</p><p id="par0125" class="elsevierStylePara elsevierViewall">Mevl&#252;t Serdar Kuyumcu&#58; Approval of the final version of the manuscript&#59; critical literature review&#59; data collection&#44; analysis and interpretation&#59; effective participation in research orientation&#59; &#305;ntellectual participation in propaedeutic and&#47;or therapeutic&#59; &#305;ntellectual participation in propaedeutic and&#47;or therapeutic&#59; management of studied cases&#59; manuscript critical review&#59; statistical analysis&#59; study conception and planning&#46;</p><p id="par0130" class="elsevierStylePara elsevierViewall">Fevziye Burcu &#350;irin&#58; Approval of the final version of the manuscript&#59; data collection&#44; analysis and interpretation&#59; manuscript critical review&#59; study conception and planning&#46;</p><p id="par0135" class="elsevierStylePara elsevierViewall">Mehmet Cirit&#58; Data collection&#44; analysis and interpretation&#59; effective participation in research orientation&#46;</p><p id="par0140" class="elsevierStylePara elsevierViewall">Selma Korkmaz&#58; Manuscript critical review&#46;</p><p id="par0145" class="elsevierStylePara elsevierViewall">&#304;jlal Erturan&#58; Manuscript critical review&#46;</p><p id="par0150" class="elsevierStylePara elsevierViewall">Seda &#199;elik&#58; Data collection&#44; analysis and interpretation&#46;</p><p id="par0155" class="elsevierStylePara elsevierViewall">Mehmet Y&#305;ld&#305;r&#305;m&#58; Manuscript critical review&#46;</p></span><span id="sec0070" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0110">Conflicts of interest</span><p id="par0160" class="elsevierStylePara elsevierViewall">None declared&#46;</p></span></span>"
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        "resumen" => "<span id="abst0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0010">Background</span><p id="spar0070" class="elsevierStyleSimplePara elsevierViewall">Psoriasis is a chronic inflammatory disease that is associated with many inflammatory conditions such as atherosclerosis&#44; hypertension&#44; among others&#46; SCUBE-1 is a protein that plays a role in angiogenesis&#46;</p></span> <span id="abst0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0015">Objectives</span><p id="spar0075" class="elsevierStyleSimplePara elsevierViewall">The present study aimed to investigate whether SCUBE-1 could indicate subclinical atherosclerosis in psoriatic patients&#44; and to compare SCUBE-1 levels&#44; measurement of carotid artery &#305;ntima-media thickness &#40;CIMT&#41;&#44; and metabolic parameters in psoriasis patients and healthy controls&#46;</p></span> <span id="abst0015" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0020">Methods</span><p id="spar0080" class="elsevierStyleSimplePara elsevierViewall">Forty-six patients with psoriasis and 43 healthy controls were included&#46; The severity of the disease was assessed with Psoriasis Area Severity Index &#40;PASI&#41; in the patient group&#46; Levels of SCUBE-1&#44; CRP&#44; lipids&#44; and fasting glucose were measured with the enzyme-linked &#305;mmunosorbent assay &#40;ELISA&#41; method&#44; and CIMT measurements were performed by the same cardiologist&#46;</p></span> <span id="abst0020" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0025">Results</span><p id="spar0085" class="elsevierStyleSimplePara elsevierViewall">SCUBE-1 levels and CIMT values were significantly higher in the patient group &#40;for both p&#160;&#60;&#160;0&#46;05&#41;&#46; Moreover&#44; systolic blood pressure&#44; CRP levels&#44; and waist circumference were higher in the patient group even though both groups had similar BMIs &#40;for all p&#160;&#60;&#160;0&#46;05&#41;&#46; A positive correlation was found between SCUBE-1 and CIMT values among patients&#44; and multiple regression analyses revealed that SCUBE-1 and CIMT are significantly associated with psoriasis as well&#46;</p></span> <span id="abst0025" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0030">Study limitations</span><p id="spar0090" class="elsevierStyleSimplePara elsevierViewall">A low number of participants and not including any other inflammatory marker related to angiogenesis or atherosclerosis such as VEGF&#44; adiponectin are the main limitations of the present study&#46;</p></span> <span id="abst0030" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0035">Conclusion</span><p id="spar0095" class="elsevierStyleSimplePara elsevierViewall">Despite the severity of the disease&#44; even in psoriasis patients with mild disease the SCUBE-1 level may be an indicator of subclinical atherosclerosis and indicate the risk of cardiovascular disease in the future&#46;</p></span>"
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                  \t\t\t\t" scope="col">Control group&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">&#40;n&#160;&#61;&#160;46&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-head\n
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                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">&#40;n&#160;&#61;&#160;43&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">40&#46;3&#160;&#177;&#160;13&#46;8&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">0&#46;890<a class="elsevierStyleCrossRef" href="#tblfn0005"><span class="elsevierStyleSup">a</span></a>&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">0&#46;958<a class="elsevierStyleCrossRef" href="#tblfn0010"><span class="elsevierStyleSup">b</span></a>&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">25 &#40;54&#46;3&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">20 &#40;46&#46;5&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#46;460<a class="elsevierStyleCrossRef" href="#tblfn0010"><span class="elsevierStyleSup">b</span></a>&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">9 &#40;19&#46;6&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">0&#46;244<a class="elsevierStyleCrossRef" href="#tblfn0010"><span class="elsevierStyleSup">b</span></a>&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
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                  """
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                  \t\t\t\t">1&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">Sig&#46; &#40;2-tailed&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">0&#46;970 &#40;0&#46;941&#8210;1&#46;000&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">0&#46;052&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">0&#46;947 &#40;0&#46;909&#8210;0&#46;986&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleBold">0&#46;008</span><a class="elsevierStyleCrossRef" href="#tblfn0040"><span class="elsevierStyleSup">a</span></a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t">0&#46;968 &#40;0&#46;919&#8210;1&#46;019&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">0&#46;212&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">0&#46;965 &#40;0&#46;936&#8210;0&#46;994&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t"><span class="elsevierStyleBold">0&#46;019</span><a class="elsevierStyleCrossRef" href="#tblfn0040"><span class="elsevierStyleSup">a</span></a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t">0&#46;996 &#40;0&#46;969&#8210;1&#46;023&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">0&#46;764&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">0&#46;733 &#40;0&#46;579&#8210;0&#46;927&#41;&nbsp;\t\t\t\t\t\t\n
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