Analysis of inflammatory marker levels in patients with chronic heart failure
https://doi.org/10.15829/1728-8800-2018-5-47-52
Abstract
Aim. To analyze the levels of fractalkine, neopterin and C-reactive protein (CRP) in patients with chronic heart failure (CHF) depending on the left ventricular ejection fraction (LVEF) and stage of the disease.
Material and methods. We examined 340 people (280 patients with CHF) divided into groups depending on LVEF and stage of the disease (stage I-III). The control group consisted of 60 somatically healthy individuals. Levels of neopterin, fractalkine and CRP were indicated with the use of enzymoimmunoassay.
Results. Compared with the control group, patients with CHF, regardless of LVEF and the stage of the disease, had hyperproduction of neopterin, fractalkine and CRP. We indicated correlations between the level of neopterin, fractalkine, CRP and Rating Scale of Clinical State (RSCS) scores, as well as with the results of 6-minute walk distance. Compared with patients with CHF IIA, patients with CHF IIB-III and preserved LVEF, had a decrease in levels of fractalkine, neopterin and CRP.
Conclusion. Changes in levels of neopterin, fractalkine and CRP were detected in patients with CHF and preserved and reduced LVEF. More significant tendency to hyperproduction was noted in patients with reduced LVEF in the group of patients with CHF IIB-III.
About the Authors
E. A. PopovRussian Federation
E. A. Polunina
Russian Federation
L. P. Voronina
Russian Federation
O. S. Polunina
Russian Federation
I. S. Belyakova
Russian Federation
References
1. Mareev VYu, Ageev FT, Arutyunov GP, et al. National recommendations PRAS cardiology and internal medicine on the diagnosis and treatment of chronic heart failure (fourth revision). Journal оf Cardiac Failure. 2013;14(7):379-472. (In Russ.)
2. Kruchinkina EV, Ryabov VV. Immune response in case of decompensation of ischemic chronic heart failure. Russian Journal of Cardiology. 2018;(1):72-7 (In Russ.) doi:10.15829/1560-4071-2018-1-72-77.
3. Tsoy LG. Cytokines and chronic heart failure. Vestnik Kyrgyzsko-Rossiyskogo Slavyanskogo universiteta. 2017;7(7):72-5. (In Russ.) Цой Л.Г. Цитокины и хроническая сердечная недостаточность. Вестник Кыргызско-Российского Славянского университета. 2017;17(7):72-5.
4. Gu X, Xu J, Yang XP, Peterson E, et al. Fractalkine neutralization improves cardiac function after myocardial infarction. Experimental Physiology. 2015;100(7):805-17 doi:10.1113/EP085104.
5. Guo Y, Apostalakis S, Blann AD, et al. Plasma CX3CL1 levels and long term outcomes of patients with atrial fibrillation: the West Birmingham Atrial Fibrillation Project. Cerebrovasc Dis. 2014;38(3):204-11. doi:10.1159/000365841.
6. Tavluyeva EV, Barbarash OL. Interrelation of the levels of proinflammatory markers in women and men in the early post-infarction period with the annual prognosis. Cardiovascular Therapy and Prevention. 2015;14(5):35-9. (In Russ.) doi:10.15829/1728-8800-2015-5-35-39.
7. Rebrov AP, Sazhina EYU, Toma MI. Endothelial dysfunction and changes in the level of cytokines and C-reactive protein in patients with chronic heart failure. Russian Journal of Cardiology. 2005;2:26-31. (In Russ.)
8. Koller L, Blum S, Korpak M, et al. Predictive power of the fractalkine receptor CX3CR1 on CD4 T cells in patients with chronic heart failure. Int J Cardiol. 2014;171(1):96-7 doi:10.1016/j.ijcard.2013.11.082.
9. Husberg C, Nygard S, Finsen AV, et al. Cytokine expression profiling of the myocardium reveals a role for CX3CL1 (fractalkine) in heart failure. J Mol Cell Cardiol. 2008;45(2):261-9. doi:10.1016/j.yjmcc.2008.05.009.
10. Kravchun PP, Kadykova OI, Gabisoniya TN. New markers of chronic heart failure progression in patients with postinfarction cardiosclerosis, type 2 diabetes and obesity. Georgian medical news. 2015;238(1):60-4. (In Russ.)
11. Ozerova EA, Knyazeva LI, Goryaynov II, et al. Dynamics of the content of TNF-a and neopterin in patients with chronic cardiac insufficiency on the background of treatment. Fundamental research. 2005;(6):99. (In Russ.)
12. Shao Z, Zhang R, Shrestha K, et al. Usefulness of elevated urine neopterinlevels in assessing cardiac dysfunction and exercise ventilation inefficiency in patients withchronicsystolic heart failure. Am J Cardiol. 2014;113(11):1839-43. doi:10.1016/j.amjcard.2014.03.016.
13. Yamamoto E, Hirata Y, Tokitsu T, et al. The clinical significance of plasma neopterin in heart failure with preserved left ventricular ejection fraction. ESC Heart Fail. 2016;1:53-9. doi:10.1002/ehf2.12070.
14. Makkonen KF, Suyazova SB, Osipova OA, et al. The content of proinflammatory cytokines and C-reactive protein in patients with chronic heart failure with systolic and diastolic dysfunction of the left ventricle of the heart. Fundamental research. 2012;7:123-7. (In Russ.)
15. Berezin AE, Kremzer AA, Martovitskaya YV, et al. The utility of biomarker risk prediction score in patients with chronic heartfailure. Int J Clin Exp Med. 2015;8(10):18255-64.
16. Abernethy A, Raza S, Sun JL, et al. Inflammatory Biomarkers in Stable Versus Acutely Decompensated Heart Failure With Preserved Ejection Fraction. J Am Heart Assoc. 2018;7(8):e007385. doi:10.1161/JAHA.117.007385.
Review
For citations:
Popov E.A., Polunina E.A., Voronina L.P., Polunina O.S., Belyakova I.S. Analysis of inflammatory marker levels in patients with chronic heart failure. Cardiovascular Therapy and Prevention. 2018;17(5):47-52. (In Russ.) https://doi.org/10.15829/1728-8800-2018-5-47-52