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Proinflammatory cytokines are increased in type 2 diabetic women with cardiovascular disease
Hillary A Tuttle1, Grace Davis-Gorman, Steve Goldman
1Cardiovascular and Thoracic Surgery Section, University of Arizona Health Sciences Center, 1501 North Campbell, Tucson, AZ 85724, USA.
Insights
Diabetic women with cardiovascular disease (CVD) show elevated levels of interleukin-6 (IL-6) and tumor necrosis factor-alpha (TNF-alpha). These inflammatory markers suggest a shared inflammatory pathway in both diabetes and CVD.
Area of Science:
- Biomedical Science
- Immunology
- Cardiology
Background:
- Diabetes significantly increases cardiovascular disease (CVD) risk, especially in women.
- Inflammation is a recognized risk factor for CVD and plays a role in diabetes.
- Proinflammatory cytokines like IL-6, TNF-alpha, and IL-1beta are implicated in both conditions.
Purpose of the Study:
- To investigate elevated proinflammatory cytokine levels in women with CVD.
- To compare these levels between diabetic women with CVD and nondiabetic women with CVD.
- To assess cytokine levels in healthy controls and diabetic women without CVD.
Main Methods:
- Comparison of IL-6, TNF-alpha, and IL-1beta levels across four groups: healthy controls, diabetic women without CVD, diabetic women with CVD, and nondiabetic women with CVD.
- Statistical analysis to determine significant differences in cytokine concentrations.
Main Results:
- Interleukin-6 (IL-6) was significantly increased in diabetic women with CVD compared to healthy controls.
- Tumor necrosis factor-alpha (TNF-alpha) showed a trend towards increase in diabetic women with and without CVD.
- Interleukin-1beta (IL-1beta) did not show significant differences among the groups.
Conclusions:
- Chronic elevation of IL-6 and TNF-alpha is observed in diabetic women, irrespective of CVD presence.
- The findings suggest a common inflammatory state contributing to both diabetes and CVD.
- These cytokines may represent a shared pathophysiological mechanism in diabetic women.
Abstract:
Diabetics have a much greater morbidity and mortality due to cardiovascular disease (CVD) than nondiabetics. Furthermore, diabetic women have a 3.8-fold greater risk for CVD compared to diabetic men. Inflammation is now considered a risk factor for CVD and it has been demonstrated that inflammation also plays a role in diabetes. One component of inflammation that has reported to be increased in patients with diabetes only and CVD only are proinflammatory cytokines, particularly interleukin-6 (IL-6), tumor necrosis factor (TNF-alpha), and interleukin-1 (IL-1beta). This study was performed to test the hypothesis that these proinflammatory cytokines were increased in women with CVD and further increased in diabetic women with CVD compared to nondiabetic women with CVD and healthy age-matched controls. We found that IL-6 was increased in diabetic women with CVD compared to healthy age-matched controls (1.41 = 0.48 to 0.33 +/- 0.06 pg/ml, P < .05). IL-6 was also increased in diabetic women without CVD compared to healthy age-matched controls, but not significantly (0.96 +/- 0.27 to 0.33 +/- 0.06 pg/ml). We found that TNF-alpha was increased in diabetic women with and without CVD compared to healthy age-matched controls, but not significantly (4.53 +/- 1.38 to 3.93 +/ -0.53 to 2.33 +/- 0.89 pg/ml). IL-1beta was not significantly different among any of the four groups of women. These results indicate that both IL-6 and TNF-alpha are chronically increased in diabetic women with and without CVD compared to nondiabetic women. The additive concentration of cytokines in diabetes and CVD suggests a common inflammatory state in both diabetes and CVD.
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