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Published on: October 9, 2016
IL-6 significantly correlates with p-STAT3 expression and presents high variceal bleeding with mortality in cirrhotic
Jung-Ta Kao1, Cheng-Ju Yu2, Chun-Lung Feng2
1School of Medicine, China Medical University, Taichung, Taiwan; Graduate Institute of Clinical Medical Science, China Medical University, Taichung, Taiwan; Division of Hepato-Gastroenterology, Department of Internal Medicine, China Medical University Hospital, Taichung, Taiwan.
Insights
Interleukin-6 (IL-6) over-expression in cirrhotic patients is linked to poor liver function, increased mortality, and correlates with p-STAT3 expression. This finding highlights IL-6 as a key biomarker in liver cirrhosis progression.
Area of Science:
- Hepatology
- Biomarkers
- Inflammation
Background:
- Mediators like IL-6, IL-27, TNF-α, and VEGF regulate inflammation and angiogenesis.
- Limited data exists on the correlation between these mediators and STAT proteins in cirrhotic patients.
Purpose of the Study:
- To investigate the correlation among plasma mediators (IL-6, IL-27, TNF-α, VEGF) and STAT proteins in patients with liver cirrhosis.
- To assess the clinical significance of these mediators in liver cirrhosis.
Main Methods:
- Plasma samples from 158 cirrhotic patients and 144 non-cirrhotic individuals were analyzed.
- Liver tissue immunostaining for p-STAT1 and p-STAT3 was performed on paired samples.
- Mediator levels were correlated with clinical-pathologic features and patient outcomes.
Main Results:
- While IL-6, IL-27, TNF-α, and VEGF were elevated in chronic hepatitis and viral hepatitis patients compared to healthy individuals, IL-6 showed the strongest correlation in cirrhotic patients.
- Over-expressed IL-6 was significantly associated with poorer liver function, increased variceal severity, bleeding, and mortality.
- Plasma IL-6 strongly correlated with p-STAT3 expression in liver tissues of cirrhotic patients.
Conclusions:
- Elevated IL-6 levels in cirrhotic patients indicate hepatic dysfunction, variceal bleeding, and increased mortality.
- IL-6 expression correlates with p-STAT3 activation in the liver, suggesting a role in cirrhosis pathogenesis.
Background/Purpose:
Effective mediators activate downstream transducers regulating inflammation and angiogenesis. Correlation among mediators IL-6, IL-27, TNF-α, and VEGF with STAT proteins at diverse clinical-pathologic stages of cirrhotic patients remains limited.
Methods:
Plasma mediators were assayed from 158 naïve liver cirrhosis (LC-total group) and 144 non-LC individuals. The LC-total group included 69 hepatitis B virus-infected (LC-HBV) patients, 40 hepatitis C virus-infected (LC-HCV) patients, and 49 patients without HBV-/HCV- infection (LC-NBNC). Another 144 non-LC individuals comprised 54 healthy persons (HG) and 90 chronic hepatitis patients (CH-total) as the control group. To correlate with plasma mediators, 52 paired liver tissues (CH: 41 and LC: 11 cases) served for p-STAT1 and p-STAT3 immunostaining.
Results:
Although IL-6, IL-27, TNF-α, and VEGF were expressed significantly in CH-total versus HG (p = 0.011, p < 0.001, p = 0.007, p = 0.004, respectively) and overall viral hepatitis patients versus HG (p < 0.001, p < 0.001, p < 0.001, p < 0.001, respectively), only IL-6 presented the strongest correlation in cirrhotic patients than noncirrhotic patients (LC-HBV vs. HG, p < 0.001, vs. CH-HBV, p = 0.001; LC-HCV vs. HG, p = 0.001, vs. CH-HCV, p = 0.031; LC-NBNC vs. HG, p < 0.001). Over-expressed IL-6 linked with poorer liver function (albumin: r = -0.346, p < 0.001; bilirubin: r = 0.271, p = 0.001; INR: r = 0.308, p < 0.001; Child-Turcotte-Pugh Classification C vs. A or B, p = 0.001, p = 0.007, respectively), variceal severity (p = 0.045), and bleeding (p = 0.047), as well as patients' mortality (p = 0.005). Furthermore, plasma IL-6 significantly correlated with tissues p-STAT3 expression (r = 0.737, p = 0.010) (IL-27: r = 0.078, p = 0.820; TNF-α: r = -0.145, p = 0.670; VEGF: r = 0.142, p = 0.678) in cirrhotic patients than noncirrhotic patients.
Conclusion:
Over-expression of IL-6 reflects hepatic dysfunction and varices bleeding with mortality, as well as correlates p-STAT3 expression in cirrhotic patients.
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