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Published on: August 7, 2017
Relation Between Circulating Inflammatory Chemokines and Vascular Characteristics in Healthy, Young Children
Anouk L M Eikendal1, Annemieke M V Evelein2, Cuno S P M Uiterwaal3
1Department of Radiology, University Medical Center Utrecht, Utrecht, The Netherlands (A.M.E.).
Insights
In healthy children, the chemokine RANTES is linked to early vascular changes, suggesting its role in pre-atherosclerosis. This finding offers insight into the early origins of atherosclerosis.
Area of Science:
- Pediatric vascular health
- Cardiovascular research
- Inflammatory mediators
Background:
- Atherosclerosis originates in childhood with inflammatory vascular alterations.
- Chemokines are implicated as mediators of early vascular inflammation in atherosclerosis.
- Limited research exists on specific chemokines in pediatric pre-atherosclerosis.
Purpose of the Study:
- To investigate the relationship between specific chemokines and vascular characteristics in healthy children.
- To examine if monocyte chemotactic protein 1 (MCP-1), regulated on activation normal T-cell expressed and secreted (RANTES), vascular cell adhesion molecule (VCAM), and intercellular adhesion molecule (ICAM) correlate with carotid artery parameters.
Main Methods:
- Demographic, anthropometric, and plasma data were collected from 139 eight-year-old children.
- Carotid intima-media thickness (CIMT), distensibility, and Young's Elastic Modulus (YEM) were measured using ultrasound.
- Chemokine plasma levels were quantified using a multiplex assay, and associations were analyzed via multivariable linear regression.
Main Results:
- Regulated on activation normal T-cell expressed and secreted (RANTES) was significantly associated with common carotid artery distensibility and Young's Elastic Modulus (YEM).
- Increased RANTES levels correlated with decreased distensibility and increased YEM.
- Monocyte chemotactic protein 1 (MCP-1), VCAM, and ICAM showed no significant associations with the measured vascular characteristics.
Conclusions:
- RANTES plays a role in the development of pre-atherosclerotic vascular alterations in healthy young children.
- These findings contribute to understanding the early-life origins of atherosclerosis.
- Further research into chemokine involvement in pediatric vascular health is warranted.
Background:
Atherosclerosis begins in childhood with the occurrence of inflammatory vascular wall alterations that are detectable with B-mode ultrasound. Chemokines appear to be involved in the development of these alterations given that they occur early in the atherosclerotic pathway as mediators of vascular inflammation. However, this has not extensively been investigated. Therefore, we studied in healthy young children whether chemokines monocyte chemotactic protein 1 (MCP-1), regulated on activation normal T-cell expressed and secreted (RANTES), and vascular and intercellular adhesion molecules (VCAM and ICAM) related to vascular characteristics of the carotid artery.
Methods And Results:
We obtained demography, anthropometry, and overnight fasting plasma of 139 eight-year-old children of the Wheezing Illnesses Study Leidsche Rijn birth cohort. Carotid intima-media thickness (CIMT), distensibility, and Young's Elastic Modulus (YEM) of the common carotid artery were measured sonographically. Chemokine plasma levels were assessed using a multiplex assay. We studied the relation between the chemokines and vascular characteristics using multivariable linear regression analyses with adjustments for sex, systolic blood pressure, homeostasis model assessment of insulin resistance, triglycerides, low-density lipoprotein- and high-density lipoprotein-cholesterol. Of the studied chemokines, RANTES related to common carotid distensibility and YEM. One standard deviation increase in RANTES level related to a 5.45-MPA(-1) (95% confidence interval [CI], -9.43, -1.39; P=0.01) decrease in distensibility and to a 5.55-kPa increase in YEM (95% CI, 0.40, 10.85; P=0.03). RANTES did not relate to CIMT. MCP-1, VCAM, and ICAM did not relate to any of the studied vascular characteristics.
Conclusion:
RANTES appears to be involved in the development of preatherosclerotic inflammatory vascular alterations already in healthy, young children. This may provide further insight into the early-life origins of atherosclerosis.
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