Effect of Natural Cytokine Complex on the Structure and Metabolism of the Cardiac Conduction System in the Myocardium under Normally and Increased Hemodynamic Load
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Updated: Feb 11, 2026

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M S Tverskaya1, L V Gankovskaya2, V V Sukhoparova2
1N. I. Pirogov Russian National Research Medical University, Moscow, Russia. mstverskaya@mail.ru.
Insights
A natural cytokine complex negatively impacts cardiac conduction cells, causing structural and metabolic issues. These effects are worsened by aortic stenosis, potentially leading to arrhythmias.
Area of Science:
- Cardiology
- Cell Biology
- Immunology
Background:
- Cytokines, particularly pro-inflammatory ones, play a role in cardiovascular health.
- The cardiac conduction system is crucial for maintaining normal heart rhythm.
- Acute hemodynamic load, such as aortic stenosis, can stress the heart.
Purpose of the Study:
- To investigate the effects of a natural cytokine complex on cardiac conduction cardiomyocytes.
- To assess these effects under normal conditions and during acute experimental aortic stenosis.
Main Methods:
- Systemic administration of a natural cytokine complex containing IL-1, IL-2, IL-6, TNF, MIF, and GTFβ.
- Assessment of structural and metabolic changes in conduction cardiomyocytes.
- Comparison between control groups and groups with experimental aortic stenosis.
Main Results:
- Cytokine complex administration induced structural abnormalities in conduction cardiomyocytes, more pronounced in the left ventricle and interventricular septum.
- Aortic stenosis exacerbated these morphological changes, affecting a significant number of cells.
- The cytokine complex inhibited key metabolic processes, including glycolysis, the citric acid cycle, and fatty acid oxidation, in conduction cardiomyocytes.
Conclusions:
- Elevated cytokine levels, especially pro-inflammatory ones, can disrupt the structure and metabolism of the cardiac conduction system.
- These disturbances are amplified under conditions of increased hemodynamic load.
- Such cytokine-induced changes may contribute to the development of cardiac arrhythmias.
Abstract:
Effect of natural complex of cytokines with activity of IL-1, IL-2, IL-6, TNF, MIF, and GTFβ on the structure and metabolism of conduction cardiomyocytes was assessed in the control and under acute experimental aortic stenosis. After systemic administration of the cytokine complex in the control, structural abnormalities were revealed in a relatively low number of conduction cardiomyocytes; their relative number increased in the left ventricle and interventricular septum. When the complex was administered against the background of aortic stenosis, morphological changes in the conduction system were seen in a significant number of cells with their plasma imbibition, especially in the left ventricle and interventricular septum. Systemic administration of the natural cytokine complex inhibited the major metabolic processes in the conduction system, both in the control and under conditions of sharply increased hemodynamic load. In conduction cardiomyocytes, deceleration of glycolysis and citric acid cycle, inhibition of oxidation of free fatty acids and their metabolites, and suppression of shuttle mechanisms and biosynthetic reactions were observed. Increased blood levels of cytokines, primarily of the proinflammatory ones, can cause structural and metabolic disturbances in the cardiac conduction system and promote the development of arrhythmias, especially in case of sharply increased hemodynamic load.
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