Inflammatory markers and antichlamydial antibodies in patients with metabolic syndrome
Rosecler Riethmuller Franco1, Luiz Carlos Bodanese, Giuseppe Repetto
1Pontifícia Universidade Católica do Rio Grande do Sul, Porto Alegre, RS, Brazil. rosecler.franco@unijui.edu.br
Insights
Metabolic syndrome patients with cardiovascular events showed higher levels of inflammatory markers like IL-6 and TNF-α. However, anti-chlamydial antibodies did not significantly differ between groups with and without cardiovascular events.
Area of Science:
- Cardiology
- Immunology
- Metabolic Disorders
Background:
- Metabolic syndrome (MS) is a significant risk factor for cardiovascular events.
- Inflammatory markers and anti-chlamydial antibodies are implicated in atherosclerosis and cardiovascular disease progression.
Purpose of the Study:
- To assess inflammatory markers (IL-6, TNF-α) and anti-Chlamydia pneumoniae antibodies in metabolic syndrome patients.
- To compare these markers in patients with and without cardiovascular events.
Main Methods:
- Cross-sectional study of 147 individuals with metabolic syndrome.
- 100 patients without cardiovascular events, 47 with events (including acute myocardial infarction and cerebrovascular accident).
- Diagnosis of MS based on NCEP-ATP III criteria.
Main Results:
- Elevated levels of IL-6 and TNF-α observed in patients with cardiovascular events (p=0.001).
- Higher IgG anti-C. pneumoniae antibodies in MS patients without events, and IgA in those with events.
- No significant difference in anti-chlamydial antibodies for acute myocardial infarction and stroke patients compared to controls.
Conclusions:
- Inflammatory markers IL-6 and TNF-α are significantly elevated in metabolic syndrome patients experiencing acute myocardial infarction and stroke.
- Anti-chlamydial antibodies did not show a significant difference between metabolic syndrome patients with and without cardiovascular events.
Background:
The metabolic syndrome is associated with increased risk of cardiovascular events. Inflammatory markers and antichlamydial antibodies have been linked to the development and progression of atherosclerosis and cardiovascular events.
Objective:
To evaluate the inflammatory markers interleukin-6 (IL-6) and tumor necrosis factor-alpha (TNF-α), as well as anti-chlamydia pneumoniae antibodies, in patients with metabolic syndrome (MS), with and without cardiovascular events.
Methods:
Cross sectional study consisting of 147 individuals. Out of these, 100 (68%) with MS and without cardiovascular events; and 47 (32%) with MS and with cardiovascular events. Among the individuals who had had cardiovascular events, 13 (6.11%) had acute myocardial infarction (AMI) and ten (4.7%) had cerebrovascular accident (CVA). The diagnosis of MS was determined by the criteria of NCEP-ATPIII.
Results:
The mean age of subjects with cardiovascular events was 61.26 ± 8.5 and 59.32 ± 9.9 in subjects without such events (p = 0.279), with a predominance of females. The weight, height, BMI and waist circumference of the group with MS and without event was greater. Among individuals with cardiovascular events (p = 0.001), the inflammatory markers IL-6 and TNF-α and the peripheral vascular disease were significantly greater. There were high levels of IgG antibodies to C. pneumoniae in the SM group, without events, and of IgA antibodies in the group with events, when the two groups were compared. With respect to AMI and stroke, the anti-chlamydia pneumoniae antibodies showed no statistical significance, compared to the group without cardiovascular events. An association was observed with the use of statins, nonsteroidal anti-inflammatory drugs and injectable, oral hypoglycemic agents, in the group with these events.
Conclusion:
The inflammatory markers were significantly elevated in patients with MS, with acute myocardial infarction and stroke. There was no significant difference in anti-chlamydial antibodies in patients with MS, with and without events.
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