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Published on: January 28, 2020
Correlation of serum high-sensitivity C-reactive protein and interleukin-6 in patients with acute coronary syndrome
X H Wang1, S Q Liu2, Y L Wang2
1Department of Cardiology, Liaocheng People's Hospital, Liaocheng, Shandong, China xiaohuawangcn@163.com.
Insights
Serum high-sensitivity C-reactive protein (hs-CRP) and Interleukin-6 (IL-6) are elevated in acute coronary syndrome (ACS). These inflammatory markers correlate positively, aiding in assessing plaque stability and ACS prognosis.
Area of Science:
- Cardiology
- Biochemistry
- Inflammation Research
Background:
- Serum high-sensitivity C-reactive protein (hs-CRP) indicates inflammation and plaque formation.
- Interleukin-6 (IL-6) is an inflammatory marker linked to atherosclerosis and plaque rupture.
- Understanding the relationship between hs-CRP and IL-6 in acute coronary syndrome (ACS) is crucial.
Purpose of the Study:
- To investigate the correlation between hs-CRP and IL-6 levels in patients with ACS.
- To evaluate the diagnostic and prognostic value of these markers in ACS.
Main Methods:
- Study included 60 ACS patients (33 acute myocardial infarction, 27 unstable angina pectoris), 45 stable angina pectoris patients, and 45 healthy controls.
- Serum hs-CRP was measured using immune turbidimetric method.
- Serum IL-6 levels were determined by enzyme-linked immunosorbent assay (ELISA).
Main Results:
- hs-CRP and IL-6 concentrations were significantly higher in acute myocardial infarction (AMI) and unstable angina pectoris (UAP) groups compared to stable angina pectoris (SAP) and healthy groups (P<0.01).
- AMI group showed significantly higher levels than the UAP group (P<0.05).
- A strong positive correlation (r=0.836) was observed between serum hs-CRP and IL-6 levels in ACS patients.
Conclusions:
- Elevated hs-CRP and IL-6 levels are associated with ACS.
- These inflammatory markers can help determine plaque stability and have prognostic relevance in ACS.
- hs-CRP and IL-6 show significant value in the judgment of ACS prognosis.
Abstract:
Serum high-sensitivity C-reactive protein (hs-CRP) is a sensitive indicator of inflammation, which is closely related with the progress of plaque formation. Interleukin-6 (IL-6) is one of the inflammatory markers of local coronary plaque and the peripheral blood cycle, promoting the occurrence of atherosclerosis development and plaque rupture. In this study, the correlation of hs-CRP and IL-6 was investigated in patients with acute coronary syndrome (ACS). Sixty cases of ACS, including 33 cases of acute myocardial infarction (AMI) and 27 cases of unstable angina pectoris (UAP), 45 cases of stable angina pectoris (SAP), and 45 healthy people (HG) were enrolled in study. The serum hs-CRP and serum IL-6 levels were tested by the immune turbidimetric method and enzyme-linked immunosorbent assay (ELISA), respectively. The differences among groups and their correlations were evaluated. Results showed that the serum hs-CRP and IL-6 concentrations of the AMI and UAP groups were significantly higher than those of the SAP and HG groups, respectively (P<0.01), and those of the AMI group were significantly higher than those of the UAP group (P<0.05). The serum hs-CRP and IL-6 levels of the ACS group were positively correlated (r=0.836). The serum hs-CRP and IL-6 levels could be used to determine the stability of plaque, and have some relevance in the ACS process, showing great value in judgments of ACS prognosis.
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