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Published on: January 28, 2020
Inverse relationship between serum levels of interleukin-1beta and testosterone in men with stable coronary artery
J E Nettleship1, P J Pugh, K S Channer
1Hormone & Vascular Biology Group, Academic Unit of Diabetes Endocrinology & Metabolism, The University of Sheffield Medical School, Sheffield, UK.
Insights
This study found that higher coronary artery disease severity in men correlated with increased levels of inflammatory cytokines Interleukin-1 beta (IL-1beta) and Interleukin-10 (IL-10). Testosterone may regulate IL-1beta activity in these patients.
Area of Science:
- Cardiovascular Medicine
- Immunology
- Endocrinology
Background:
- Testosterone has shown benefits in managing myocardial ischemia in men with coronary artery disease (CAD).
- Inflammatory cytokines play a role in atherosclerosis, but their interaction with testosterone in the cardiovascular system is not well understood.
Purpose of the Study:
- To investigate the relationship between serum inflammatory cytokine levels and testosterone in men with stable coronary artery disease (CAD).
Main Methods:
- Serum samples were collected from 69 men with significant coronary artery occlusion.
- Levels of total testosterone, bioavailable testosterone, tumor necrosis factor-alpha, IL-1beta, IL-6, and IL-10 were measured.
- Analysis was performed based on the number of diseased coronary vessels and testosterone levels (hypogonadal, borderline hypogonadal, eugonadal).
Main Results:
- Significant stepwise increases in IL-1beta and IL-10 levels were observed with increasing severity of CAD (1, 2, or 3 vessel disease).
- A significant stepwise increase in IL-1beta levels was also noted across eugonadal, borderline hypogonadal, and hypogonadal men.
- No significant differences were observed in TNFalpha or IL-6 levels across CAD severity or testosterone status.
Conclusions:
- IL-1beta and IL-10 are implicated in the pathogenesis of coronary artery disease.
- Testosterone may play a regulatory role in IL-1beta activity among men with CAD.
Objectives:
To examine the relationship between serum levels of inflammatory cytokines and testosterone in men with stable coronary artery disease (CAD). Evidence supports a beneficial effect of testosterone upon objective measures of myocardial ischaemia in men with CAD, and in animal models of atherosclerosis. Inflammatory cytokines are involved in many stages of the atherosclerotic process, however, the effect of testosterone upon inflammatory cytokines within the cardiovascular system is largely unknown.
Methods:
Serum was collected from 69 men (59+/-1 years) having >75% occlusion of 1, 2, or 3 coronary arteries. Levels of total testosterone (TT), bioavailable testosterone (BT), tumour necrosis factor-alpha (TNFalpha), interleukin (IL)-1-beta (IL-1beta), IL-6 and IL-10 were measured and analysis made between men with 1, 2, or 3 vessel CAD, and between men with hypogonadal, borderline hypogonadal and eugonadal serum levels of testosterone.
Results:
In patients with 1, 2, or 3 vessel CAD, significant stepwise increases were observed in levels of IL-1beta: 0.16+/-0.03, 0.22+/-0.06, and 0.41+/-0.08 pg/ml (p=0.035), and IL-10: 0.93+/-0.11, 1.17+/-0.14, and 2.94+/-0.65 pg/ml (p=0.008). A significant stepwise increase in levels of IL-1beta was also observed in eugonadal, borderline hypogonadal, and hypogonadal men: 0.19+/-0.05, 0.29+/-0.05, and 0.46+/-0.13 pg/ml (p=0.047).
Conclusion:
Consequently this data implicates IL-1beta and IL-10 in the pathogenesis of CAD and suggests that testosterone may regulate IL-1beta activity in men with CAD.
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