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Published on: January 28, 2020
Interleukin 6(-174G/C) variant and its circulating levels in coronary artery disease patients and their first degree
Rajesh Kumar Galimudi1, Mrudula K Spurthi, Chiranjeevi Padala
1Department of Genetics, Osmania University, Hyderabad, Andhra Pradesh, India.
Insights
Interleukin-6 (IL-6) and C-reactive protein (CRP) levels are elevated in coronary artery disease (CAD) patients and their relatives. IL-6 gene variants (-174 G>C) are associated with increased risk, identifying at-risk individuals.
Area of Science:
- Cardiovascular Medicine
- Immunology
- Genetics
Background:
- Inflammation plays a key role in the development of coronary artery disease (CAD).
- Interleukin-6 (IL-6) is a significant inflammatory cytokine implicated in CAD pathogenesis.
- Identifying individuals at risk for CAD is crucial for preventative strategies.
Purpose of the Study:
- To assess serum levels of IL-6 and C-reactive protein (CRP) in CAD patients and their first-degree relatives (FDRs).
- To analyze the IL-6 gene -174 (G>C) polymorphism in relation to CAD.
- To identify FDRs at risk for developing CAD.
Main Methods:
- Enzyme-linked immunosorbent assay (ELISA) for IL-6 and latex agglutination for CRP.
- Polymerase chain reaction-restriction fragment length polymorphism (PCR-RFLP) for IL-6 genotyping.
- Study included 600 subjects: CAD patients, FDRs, and healthy controls.
Main Results:
- Significantly higher IL-6 and CRP levels were observed in CAD patients and FDRs compared to controls.
- IL-6 genotype frequencies differed significantly among CAD patients, FDRs, and controls.
- The CC genotype of IL-6 showed a significant association with higher serum IL-6 levels in CAD patients and FDRs (p<0.01).
Conclusions:
- Inflammation, indicated by IL-6 and CRP, is integral to CAD pathogenesis.
- IL-6 gene polymorphism is a potential biomarker for predicting CAD risk.
- This study highlights the utility of IL-6 assessment in identifying asymptomatic FDRs at risk for future coronary events.
Abstract:
Interleukin-6 (IL-6) a pleiotropic cytokine is a central mediator of inflammation in the pathogenesis of coronary artery disease (CAD). Our aim is to evaluate the serum levels of IL-6 and C-reactive protein (CRP) and to analyze the IL-6 polymorphism in CAD patients and to identify the first-degree relatives (FDRs) at risk of the disease in comparison with healthy controls. Estimation of IL-6 levels by enzyme-linked immunosorbent assay (ELISA) and CRP by latex reagent kit method, and genotyping of IL6 gene variants -174 (G>C) was carried out by polymerase chain reaction-restriction fragment length polymorphism (PCR-RFLP) in 600 subjects. IL-6 and CRP levels were significantly high in patients followed by FDRs compared to controls. The frequency of the IL-6 genotype was significantly different between cases, FDRs and controls and association of serum IL-6 levels with genotype found to be significant in CC genotype compared to GC and GG at p < 0.01 in CAD patients and FDRs, while there is no significant difference observed in controls. The study shows the importance of inflammation in the pathogenesis of CAD and predicts the risk of future coronary events in healthy asymptomatic FDRs.
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