Circulating IL-8 levels in heart failure patients with and without metabolic syndrome
Min-Jeong Shin1, Kyung Hye Lee, Ji Hyung Chung
1Department of Food and Nutrition, Korea University, Seoul, Republic of Korea.
Insights
Metabolic syndrome (MetS) in heart failure (HF) patients is linked to higher inflammation markers, including hsCRP and IL-8. This suggests inflammation plays a role in the relationship between MetS and HF progression.
Area of Science:
- Cardiology
- Metabolic Disorders
- Inflammation Research
Background:
- Metabolic syndrome (MetS) is suspected to increase heart failure (HF) risk and progression.
- Mechanisms linking MetS and HF progression remain largely unknown.
- This study investigates the association between MetS and inflammatory state in HF patients.
Purpose of the Study:
- To determine if MetS presence correlates with an elevated inflammatory state in patients with heart failure.
- To explore the relationship between metabolic syndrome and specific inflammatory markers in HF.
Main Methods:
- Cross-sectional study of 91 stable heart failure patients.
- Measurements included anthropometrics, lipoproteins, apolipoproteins (apoB, apoAI), and high-sensitivity C-reactive protein (hsCRP).
- Simultaneous analysis of 17 cytokines using bioplex technology.
Main Results:
- 39% of HF patients had MetS.
- HF patients with MetS showed higher apoB levels and a lower apoAI/apoB ratio.
- Elevated plasma IL-8 and serum hsCRP concentrations were observed in HF patients with MetS.
Conclusions:
- Metabolic syndrome in heart failure patients is associated with a significantly increased degree of inflammation.
- Findings provide insights into the inflammatory pathways connecting MetS and HF.
- Inflammation may be a key mechanism underlying the adverse effects of MetS on HF.
Background:
It has been suggested that the metabolic syndrome (MetS) is associated with increased risk for heart failure (HF) and progression of HF. However, the underlying mechanisms are unclear. We tested whether the presence of the MetS would be associated with the increased degree of inflammatory state in HF.
Methods:
Ninety-one eligible consecutive stable HF patients participated in this cross-sectional study. Anthropometric measurements were carried out and serum concentrations of lipoproteins, apolipoproteins (apoB, apoAI) and high sensitivity C-reactive protein (hsCRP) were measured. The simultaneous measurement of 17 cytokines using bioplex analysis was used.
Result:
Thirty-five subjects (39% of total, 48% of males and 31% of females) were classified as having the MetS in total HF patients. Serum concentrations of apoB (p<0.005) were significantly higher and the ratio of apoAI and apoB was significantly lower (p<0.01) in HF patients with MetS than those without MetS. Plasma levels of IL-8 (p<0.05) were significantly higher in HF patients with MetS than those without MetS. In addition, serum concentrations of hsCRP (p<0.005) were significantly higher in HF patients with MetS compared to those without MetS.
Conclusions:
The MetS in HF is associated with increased degree of inflammation, which provides information regarding the relationship between inflammation and HF with MetS.
Related Concept Videos
Heart Failure II: Pathophysiology
Pathophysiology of Heart Failure
Heart Failure IV: Classification and Diagnostic Evaluation
Heart Failure V: Medical Management
Heart Failure VI: Adjunct Therapies
Heart Failure I: Introduction
