Monocyte chemo attractant protein-1 in patients with chronic heart failure of different functional class with type 2

P Kravchun1, A Narizhna1, N Ryndina1

  • 1Kharkiv National Medical University, Ukraine.

Georgian Medical News
|July 15, 2014
PubMed

Insights

In chronic heart failure (CHF), both interleukin-1β and monocyte chemoattractant protein-1 increase with functional class. Type 2 diabetes exacerbates these profibrotic markers in CHF patients.

Area of Science:

  • Cardiology
  • Endocrinology
  • Biochemistry

Background:

  • Chronic heart failure (CHF) is a complex condition often accompanied by comorbidities.
  • Type 2 diabetes is a prevalent comorbidity that can influence CHF progression and pathophysiology.
  • Interleukin-1β and monocyte chemoattractant protein-1 are key inflammatory and profibrotic mediators implicated in cardiovascular disease.

Purpose of the Study:

  • To investigate the dynamics of monocyte chemoattractant protein-1 (MCP-1) in patients with chronic heart failure (CHF).
  • To compare MCP-1 levels in CHF patients with and without type 2 diabetes across different functional classes.
  • To assess the interplay between CHF severity, type 2 diabetes, and specific cytokine/fibrosis markers.

Main Methods:

  • Enzyme-linked immunosorbent assay (ELISA) was used to quantify cytokine and fibrosis factor concentrations.
  • Study included 95 patients with CHF (II-III FC) due to coronary heart disease, divided into groups with and without type 2 diabetes.
  • Exclusion criteria included acute coronary syndrome and acute myocardial infarction.

Main Results:

  • Both interleukin-1β and monocyte chemoattractant protein-1 levels increased with higher New York Heart Association (NYHA) functional class in CHF patients.
  • Patients with type 2 diabetes exhibited significantly higher levels of interleukin-1β and monocyte chemoattractant protein-1 compared to those without diabetes, at the same NYHA functional class.
  • These findings suggest a negative impact of type 2 diabetes on cytokine activity and fibrosis markers in CHF.

Conclusions:

  • Monocyte chemoattractant protein-1 and interleukin-1β are elevated in CHF and correlate with disease severity.
  • Type 2 diabetes exacerbates the profibrotic and inflammatory response in chronic heart failure.
  • Targeting these pathways may offer therapeutic potential for CHF patients with diabetes.

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