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Effects of Natural Cytokine Complex on the Myocardial Blood Flow in Normal and under Conditions of Increased
M S Tverskaya1, L V Gankovskaya2, V V Sukhoparova2
1N. I. Pirogov Russian National Research Medical University, Ministry of the Health of the Russian Federation, Moscow, Russia. mstverskaya@mail.ru.
Insights
A natural cytokine complex (interleukin-1, -2, -6, tumor necrosis factor, macrophage migration inhibitory factor, and growth and differentiation factor-beta) dilates myocardial vessels, enhancing coronary blood flow, even during heart overload. However, prolonged high cytokine levels may worsen blood flow disturbances.
Area of Science:
- Cardiovascular Physiology
- Immunology
- Cytokine Biology
Background:
- Cytokines play a role in regulating vascular function.
- The impact of complex cytokine mixtures on myocardial hemodynamics requires further investigation.
Purpose of the Study:
- To investigate the effects of a natural cytokine complex on myocardial blood flow.
- To assess the influence of this complex under normal and acute heart overload conditions.
Main Methods:
- Systemic administration of a natural cytokine complex (IL-1, IL-2, IL-6, TNF, MIF, GTFβ).
- Assessment of myocardial blood flow under control conditions and during acute aortic stenosis.
- Evaluation of vascular parameters including plethora, perivascular edema, and capillary density.
Main Results:
- Cytokine complex administration caused moderate myocardial blood flow impairment with edema and plethora, but increased functioning vessels and coronary blood flow.
- Under acute heart overload, cytokine administration resulted in more pronounced capillary density increase compared to overload alone.
- Cytokines induced myocardial vessel dilatation and intensified blood flow, mitigating dyscirculatory changes.
Conclusions:
- Increased blood cytokine levels promote myocardial vessel dilatation and enhanced blood flow, offering protection during hemodynamic stress.
- Sustained or frequent hypercytokinemia could potentially lead to more severe myocardial blood flow disturbances.
Abstract:
The effects of a natural complex of cytokines IL-1, IL-2, IL-6, TNF, MIF, and GTFβ on myocardial blood flow were studied under control conditions and during acute experimental aortal stenosis. Systemic administration of the cytokine complex under control conditions led to moderate impairment of the blood flow in the myocardium associated with plethora and perivascular edema. The number of functioning vessels in the myocardium significantly increased under these conditions, which reflected enhancement of the coronary blood flow. The comparison of the myocardial blood flow under conditions of acute heart overload alone and in combination with systemic administration of the cytokine complex revealed similar changes. In both cases, moderate plethora in all compartments of the vascular network, moderate perivascular edema, and moderate blood stasis in the myocardial capillaries were seen. The only difference the increase in the density of functioning capillaries that was significantly more pronounced after cytokine administration. These data indicate that the increase in the blood cytokine level induced dilatation of myocardial vessels and intensification of blood flow in normal and under conditions of acute hemodynamic heart overload. Against the background of pronounced vasodilatation, the dyscirculatory changes in the myocardium were moderate. It was assumed that the increase in the duration or frequency of hypercytokinemia episodes can induce more severe blood flow disturbances in the myocardium.
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