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Gene expression and levels of IL-6 and TNFα in PBMCs correlate with severity and functional class in patients with chronic heart failure

Background Evidence shows that proinflammatory cytokines are important determinants of assessment of severity and prognosis of chronic heart failure (CHF). Aims We investigated whether peripheral expression of the proinflammmatory factors, TNF-α and IL-6 can predict variable of clinical assessment o...

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Published in:Irish journal of medical science 2018-05, Vol.187 (2), p.359-368
Main Authors: Eskandari, V., Amirzargar, A. A., Mahmoudi, M. J., Rahnemoon, Z., Rahmani, F., Sadati, S., Rahmati, Z., Gorzin, F., Hedayat, M., Rezaei, N.
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cited_by cdi_FETCH-LOGICAL-c344t-f79178748fddae4795d00b0b40474636ab6477687a7555032240870c2b0c43a03
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container_issue 2
container_start_page 359
container_title Irish journal of medical science
container_volume 187
creator Eskandari, V.
Amirzargar, A. A.
Mahmoudi, M. J.
Rahnemoon, Z.
Rahmani, F.
Sadati, S.
Rahmati, Z.
Gorzin, F.
Hedayat, M.
Rezaei, N.
description Background Evidence shows that proinflammatory cytokines are important determinants of assessment of severity and prognosis of chronic heart failure (CHF). Aims We investigated whether peripheral expression of the proinflammmatory factors, TNF-α and IL-6 can predict variable of clinical assessment of patients with CHF. Methods In this report, we used real-time PCR assay to compare relative gene expression of TNFα and IL-6 in PBMC from CHF patients with various heart diseases ( n  = 42, EF 
doi_str_mv 10.1007/s11845-017-1680-2
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A. ; Mahmoudi, M. J. ; Rahnemoon, Z. ; Rahmani, F. ; Sadati, S. ; Rahmati, Z. ; Gorzin, F. ; Hedayat, M. ; Rezaei, N.</creator><creatorcontrib>Eskandari, V. ; Amirzargar, A. A. ; Mahmoudi, M. J. ; Rahnemoon, Z. ; Rahmani, F. ; Sadati, S. ; Rahmati, Z. ; Gorzin, F. ; Hedayat, M. ; Rezaei, N.</creatorcontrib><description>Background Evidence shows that proinflammatory cytokines are important determinants of assessment of severity and prognosis of chronic heart failure (CHF). Aims We investigated whether peripheral expression of the proinflammmatory factors, TNF-α and IL-6 can predict variable of clinical assessment of patients with CHF. Methods In this report, we used real-time PCR assay to compare relative gene expression of TNFα and IL-6 in PBMC from CHF patients with various heart diseases ( n  = 42, EF &lt; 45%, NYHA I to IV) and matched healthy control subjects ( n  = 42).We also determined the TNFα and IL-6 concentrations of cell culture supernatant of PBMCs with ELISA. Results There was a significant negative correlation between gene expression of TNFα and LVEF( r  = 0.4, p  &lt; 0.05). Patients with CHF had increased gene expression of TNFα and IL-6 in PBMCs ( p  &lt; 0.05). They also had elevated the supernatant levels of these cytokines in cultured PBMCs ( p  &lt; 0.001). Levels of TNFα and IL-6 were increased in ischemic heart disease compared to non-ischemic heart disease. There was a positive correlation between TNFα and IL-6 levels in CHF patients and severity of CHF in patients. Levels of these cytokines were higher in patients with NYHA III–IV than in NYHA I–II and normal subjects. Conclusions Results of this study indicate that peripheral expression of proinflammatory cytokines, TNF-α and IL-6, is important indicators of severity and prognosis in patients with chronic heart disease.</description><identifier>ISSN: 0021-1265</identifier><identifier>EISSN: 1863-4362</identifier><identifier>DOI: 10.1007/s11845-017-1680-2</identifier><identifier>PMID: 28889349</identifier><language>eng</language><publisher>London: Springer London</publisher><subject>Family Medicine ; General Practice ; Internal Medicine ; Medicine ; Medicine &amp; Public Health ; Original Article</subject><ispartof>Irish journal of medical science, 2018-05, Vol.187 (2), p.359-368</ispartof><rights>Royal Academy of Medicine in Ireland 2017</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c344t-f79178748fddae4795d00b0b40474636ab6477687a7555032240870c2b0c43a03</citedby><cites>FETCH-LOGICAL-c344t-f79178748fddae4795d00b0b40474636ab6477687a7555032240870c2b0c43a03</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/28889349$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Eskandari, V.</creatorcontrib><creatorcontrib>Amirzargar, A. A.</creatorcontrib><creatorcontrib>Mahmoudi, M. J.</creatorcontrib><creatorcontrib>Rahnemoon, Z.</creatorcontrib><creatorcontrib>Rahmani, F.</creatorcontrib><creatorcontrib>Sadati, S.</creatorcontrib><creatorcontrib>Rahmati, Z.</creatorcontrib><creatorcontrib>Gorzin, F.</creatorcontrib><creatorcontrib>Hedayat, M.</creatorcontrib><creatorcontrib>Rezaei, N.</creatorcontrib><title>Gene expression and levels of IL-6 and TNFα in PBMCs correlate with severity and functional class in patients with chronic heart failure</title><title>Irish journal of medical science</title><addtitle>Ir J Med Sci</addtitle><addtitle>Ir J Med Sci</addtitle><description>Background Evidence shows that proinflammatory cytokines are important determinants of assessment of severity and prognosis of chronic heart failure (CHF). Aims We investigated whether peripheral expression of the proinflammmatory factors, TNF-α and IL-6 can predict variable of clinical assessment of patients with CHF. Methods In this report, we used real-time PCR assay to compare relative gene expression of TNFα and IL-6 in PBMC from CHF patients with various heart diseases ( n  = 42, EF &lt; 45%, NYHA I to IV) and matched healthy control subjects ( n  = 42).We also determined the TNFα and IL-6 concentrations of cell culture supernatant of PBMCs with ELISA. Results There was a significant negative correlation between gene expression of TNFα and LVEF( r  = 0.4, p  &lt; 0.05). Patients with CHF had increased gene expression of TNFα and IL-6 in PBMCs ( p  &lt; 0.05). They also had elevated the supernatant levels of these cytokines in cultured PBMCs ( p  &lt; 0.001). Levels of TNFα and IL-6 were increased in ischemic heart disease compared to non-ischemic heart disease. There was a positive correlation between TNFα and IL-6 levels in CHF patients and severity of CHF in patients. Levels of these cytokines were higher in patients with NYHA III–IV than in NYHA I–II and normal subjects. Conclusions Results of this study indicate that peripheral expression of proinflammatory cytokines, TNF-α and IL-6, is important indicators of severity and prognosis in patients with chronic heart disease.</description><subject>Family Medicine</subject><subject>General Practice</subject><subject>Internal Medicine</subject><subject>Medicine</subject><subject>Medicine &amp; Public Health</subject><subject>Original Article</subject><issn>0021-1265</issn><issn>1863-4362</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><recordid>eNp9kUtu1EAQhluIiAyBA7BBvWTjUP1wd3sJI_KQhsAirFvtdpnpyGMPXXYgR-A4XCRnwhOHLFmVVPX9_6I-xt4IOBUA9j0J4XRZgLCFMA4K-YythDOq0MrI52wFIEUhpCmP2UuiGwBVKaNfsGPpnKuUrlbs9zn2yPHXPiNRGnoe-oZ3eIsd8aHll5vCPKyur87u__DU868fP6-JxyFn7MKI_Gcat5zmQE7j3QPaTn0c56rQ8dgFokNqH8aE_UgLHrd56FPkWwx55G1I3ZTxFTtqQ0f4-nGesG9nn67XF8Xmy_nl-sOmiErrsWhtJayz2rVNE1DbqmwAaqg1aKuNMqE22lrjbLBlWYKSUoOzEGUNUasA6oS9W3r3efgxIY1-lyhi14Ueh4m8qJS1pbHSzahY0JgHooyt3-e0C_nOC_AHA34x4GcD_mDAyznz9rF-qnfYPCX-vXwG5ALQfOq_Y_Y3w5Tnb9F_Wv8CUU-RFw</recordid><startdate>20180501</startdate><enddate>20180501</enddate><creator>Eskandari, V.</creator><creator>Amirzargar, A. A.</creator><creator>Mahmoudi, M. J.</creator><creator>Rahnemoon, Z.</creator><creator>Rahmani, F.</creator><creator>Sadati, S.</creator><creator>Rahmati, Z.</creator><creator>Gorzin, F.</creator><creator>Hedayat, M.</creator><creator>Rezaei, N.</creator><general>Springer London</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20180501</creationdate><title>Gene expression and levels of IL-6 and TNFα in PBMCs correlate with severity and functional class in patients with chronic heart failure</title><author>Eskandari, V. ; Amirzargar, A. A. ; Mahmoudi, M. 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J.</creatorcontrib><creatorcontrib>Rahnemoon, Z.</creatorcontrib><creatorcontrib>Rahmani, F.</creatorcontrib><creatorcontrib>Sadati, S.</creatorcontrib><creatorcontrib>Rahmati, Z.</creatorcontrib><creatorcontrib>Gorzin, F.</creatorcontrib><creatorcontrib>Hedayat, M.</creatorcontrib><creatorcontrib>Rezaei, N.</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Irish journal of medical science</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Eskandari, V.</au><au>Amirzargar, A. A.</au><au>Mahmoudi, M. J.</au><au>Rahnemoon, Z.</au><au>Rahmani, F.</au><au>Sadati, S.</au><au>Rahmati, Z.</au><au>Gorzin, F.</au><au>Hedayat, M.</au><au>Rezaei, N.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Gene expression and levels of IL-6 and TNFα in PBMCs correlate with severity and functional class in patients with chronic heart failure</atitle><jtitle>Irish journal of medical science</jtitle><stitle>Ir J Med Sci</stitle><addtitle>Ir J Med Sci</addtitle><date>2018-05-01</date><risdate>2018</risdate><volume>187</volume><issue>2</issue><spage>359</spage><epage>368</epage><pages>359-368</pages><issn>0021-1265</issn><eissn>1863-4362</eissn><abstract>Background Evidence shows that proinflammatory cytokines are important determinants of assessment of severity and prognosis of chronic heart failure (CHF). Aims We investigated whether peripheral expression of the proinflammmatory factors, TNF-α and IL-6 can predict variable of clinical assessment of patients with CHF. Methods In this report, we used real-time PCR assay to compare relative gene expression of TNFα and IL-6 in PBMC from CHF patients with various heart diseases ( n  = 42, EF &lt; 45%, NYHA I to IV) and matched healthy control subjects ( n  = 42).We also determined the TNFα and IL-6 concentrations of cell culture supernatant of PBMCs with ELISA. Results There was a significant negative correlation between gene expression of TNFα and LVEF( r  = 0.4, p  &lt; 0.05). Patients with CHF had increased gene expression of TNFα and IL-6 in PBMCs ( p  &lt; 0.05). They also had elevated the supernatant levels of these cytokines in cultured PBMCs ( p  &lt; 0.001). Levels of TNFα and IL-6 were increased in ischemic heart disease compared to non-ischemic heart disease. There was a positive correlation between TNFα and IL-6 levels in CHF patients and severity of CHF in patients. Levels of these cytokines were higher in patients with NYHA III–IV than in NYHA I–II and normal subjects. Conclusions Results of this study indicate that peripheral expression of proinflammatory cytokines, TNF-α and IL-6, is important indicators of severity and prognosis in patients with chronic heart disease.</abstract><cop>London</cop><pub>Springer London</pub><pmid>28889349</pmid><doi>10.1007/s11845-017-1680-2</doi><tpages>10</tpages></addata></record>
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subjects Family Medicine
General Practice
Internal Medicine
Medicine
Medicine & Public Health
Original Article
title Gene expression and levels of IL-6 and TNFα in PBMCs correlate with severity and functional class in patients with chronic heart failure
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