Abstract
Objective
We investigated the possible association of intracellular cytokine profiles in peripheral
mononuclear cells in whole blood from patients with carotid atherosclerosis in whom
follow-up after carotid endarterectomy (CEA) showed the onset or progression of contralateral
disease.
Methods and results
Intracellular expression of tumor necrosis factor (TNF)-α, interferon (IFN)-γ, interleukin
(IL)-1β, IL-6, IL-8, IL-4 and IL-10 was determined in 43 patients with carotid atherosclerosis,
at baseline and at 1, 3, 6 and 12 months after CEA, and in 16 healthy subjects. When
follow-up ended patients were divided into two groups, those with cured or stable
disease (no onset of disease or unchanged stenosis in the contralateral vessel) and
those with progressive disease (onset of disease or increased stenosis in the contralateral
vessel). In patients with cured or stable disease, cytokine-positive cells significantly
decreased or remained unchanged (IL-8 and IL-10) during follow-up, whereas in patients
with progressive disease they increased or remained unchanged (TNF-α). Multivariate
ANOVA confirmed that the trend of cytokine expression between baseline and 12 months
differed significantly in the two groups.
Conclusions
Intracellular expression of TNF-α, IFN-γ, IL-1β, IL-6, IL-8, IL-4 and IL-10 in peripheral
mononuclear cells is associated with the outcome of contralateral disease after CEA.
Keywords
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References
- Mechanisms of disease: inflammation, atherosclerosis, and coronary artery disease.New Engl J Med. 2005; 352: 1685-1695
- Cytokines in the pathogenesis of atherosclerosis.Thromb Haemost. 2002; 88: 554-567
- Vulnerable plaque: definition, detection, treatment, and future implications.Curr Atheroscler Rep. 2005; 7: 121-126
- Elevated levels of interleukin-6 in unstable angina.Circulation. 1996; 94: 874-877
- Cytokines as plasma markers of abdominal aortic aneurysm.Clin Chem Lab Med. 2000; 38: 1161-1164
- Serum level of the antiinflammatory cytokine interleukin-10 is an important prognostic determinant in patients with acute coronary syndromes.Circulation. 2003; 107: 2109-2114
- Circulating levels of interleukin-8 and vascular endothelial growth factor in patients with carotid stenosis.J Korean Med Sci. 2001; 16: 198-203
- Increased Th1 activity in patients with coronary artery disease.Cytokine. 2004; 26: 131-137
- Cytokine expression in circulating T lymphocytes from patients undergoing carotid endarterectomy.J Cardiovasc Surg. 2003; 44: 237-242
- Effects of fluvastatin, an HMG-CoA reductase inhibitor, on serum levels of interleukin-18 and matrix metalloproteinase-9 in patients with hypercholesterolemia.Clin Cardiol. 2005; 28: 423-428
- Effects of angiotensin-converting enzyme inhibition and statin treatment on inflammatory markers and endothelial functions in patients with long term rheumatoid arthritis.J Rheumatol. 2005; 32: 2095-2101
- Aspirin: recent advances in cardiovascular prevention.Rev Med Liege. 2004; 59: 695-703
- Cytokine expression in advanced human atherosclerotic plaques: dominance of pro-inflammatory (Th1) and macrophage-stimulating cytokines.Atherosclerosis. 1999; 145: 33-43
- Cross-regulatory roles of interleukin (IL)-12 and IL-10 in atherosclerosis.J Clin Invest. 1996; 97: 2130-2138
- Expression of interleukin-10 in advanced human atherosclerotic plaques: relation to inducible nitric oxide synthase expression and cell death.Arterioscler Thromb Vasc Biol. 1999; 19: 611-616
- Cytokines in the pathogenesis of atherosclerosis.Thromb Haemost. 2002; 88: 554-567
- The role of interleukin-4 and interleukin-12 in the progression of atherosclerosis in apolipoprotein E-deficient mice.Am J Pathol. 2003; 163: 1117-1125
- IFN-gamma potentiates atherosclerosis in apoE knock-out mice.J Clin Invest. 1997; 99: 2752-2761
- IFN-gamma deficiency exerts gender specific effects on atherogenesis in apolipoprotein E-/-mice.J Interferon Cytokine Res. 2002; 22: 661-670
- Interleukin-4 deficiency decreases atherosclerotic lesion formation in a site-specific manner in female LDL receptor-/-mice.Arterioscler Thromb Vasc Biol. 2002; 22: 456-461
- Hypercholesterolemia is associated with a T helper (Th) 1/Th2 switch of the autoimmune response in atherosclerotic apo E-knockout mice.J Clin Invest. 1998; 101: 1717-1725
- Regulation of vascular cell adhesion molecule-1 expression by IL-4 and TNF-alpha in cultured endothelial cells.J Clin Invest. 1995; 95: 264-271
- TNF-alpha and IL-4 synergistically increase vascular cell adhesion molecule-1 expression in cultured vascular smooth muscle cells.J Immunol. 1997; 159: 4532-4538
- Interleukin-4-dependent production of PPAR-γ ligands in macrophages by 12/15-lipoxygenase.Nature. 1999; 400: 378-382
- Specific inflammatory cytokines regulate the expression of human monocyte 15-lipoxygenase.Proc Natl Acad Sci USA. 1992; 89: 217-221
- Requisite role for interleukin-4 in the acceleration of fatty streaks induced by Heat Shock Protein 65 or Mycobacterium tuberculosis.Circ Res. 2000; 86: 1203-1210
- Interleukin-10 attenuates the response to vascular injury.J Surg Res. 2004; 121: 206-213
- Serum levels of the anti-inflammatory cytokine interleukin-10 are decreased in patients with unstable angina.Circulation. 2001; 104: 746-749
- Flow cytometric measurement of intracellular cytokines.J Immunol Methods. 2000; 243: 107-124
- Increasing levels of interleukin (IL)-1Ra and IL-6 during the first 2 days of hospitalization in unstable angina are associated with increased risk of in-hospital coronary events.Circulation. 1999; 99: 2079-2084
- Elevation of tumor necrosis factor-alpha and increased risk of recurrent coronary events after myocardial infarction.Circulation. 2000; 101: 2149-2153
- Plasma levels of interleukin 2, 6, 10 and phenotypic characterization of circulating T lymphocytes in ischemic heart disease.Atherosclerosis. 1999; 145: 369-374
- Circulating levels of IL-1β, a prothrombotic cytokine, are elevated in unstable angina versus stable angina.J Thromb Thrombolysis. 2000; 9: 217-222
- Inflammatory response in unstable angina.Circulation. 1999; 100: e98
- Immune monitoring of patients with septic shock by measurement of intraleukocyte cytokines.Intensive Care Med. 2004; 30: 2028-2037
Article info
Publication history
Published online: May 09, 2006
Accepted:
March 22,
2006
Received in revised form:
March 21,
2006
Received:
January 11,
2006
Identification
Copyright
© 2006 Elsevier Ireland Ltd. Published by Elsevier Inc. All rights reserved.