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Published on: October 17, 2017
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.
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.
Abstract:
The aim of the study was to assess the dynamics of monocyte chemoattractant protein-1 in patients with chronic heart failure of different functional classes depending on the presence or absence of concomitant type 2 diabetes. 95 patients with chronic heart failure II - III FC were examined due to coronary heart disease who were treated at the cardiological department of the Kharkiv City Clinical Hospital № 27 (mean age 65,13±8,66 years). The first group included 52 patients with CHF with type 2 diabetes, the second - 43 CHF patients without type 2 diabetes. Research was excluded patients with acute coronary syndrome, acute myocardial infarction. 71 patients of patients had II NYHA FC, 24 patients - III FC. Among the patients of first group 40 patients were diagnosed in CHF FC II, 12 - III FC. In II group 31 patients were with CHF class II, 12 patients - with III FC. Concentration of proinflammatory cytokine interleukin-1β and fibrosis factor monocyte chemoattractant protein-1 were determined by ELISA (enzyme-linked immunosorbent assay). In patients with chronic heart failure in presence or absence of type 2 diabetes increase in the profibrotic parameter monocyte chemoattractant protein-1 and proinflammatory cytokine interleukin-1β were increasing in parallel with NYHA FC increasing. Presence of type 2 diabetes negatively affects the work of cytokines and markers of fibrosis, as evidenced by higher levels of interleukin-1β and monocyte chemoattractant protein-1, compared with patients without diabetes in the presence of the same NYHA FC of chronic heart failure.
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