Article

Increased TNF-alpha and decreased TGF-beta expression in peripheral blood leukocytes after acute myocardial infarction.

German Diabetes Clinic, German Diabetes Center, Leibniz Institute at the Heinrich-Heine-University Düsseldorf, Düsseldorf, Germany.
Hormone and Metabolic Research (impact factor: 2.19). 06/2006; 38(5):346-51. DOI:10.1055/s-2006-925403 pp.346-51
Source: PubMed

ABSTRACT Inflammation contributes to the development of atherosclerosis and cardiovascular events. Counteracting pro- and anti-inflammatory responses of serum cytokines have been reported, but the relevance of TNF-alpha, TGF-beta and IL-6 gene expression in peripheral blood leukocytes and their contribution to systemic inflammation in atherosclerosis, especially after acute myocardial infarction (AMI), has not been investigated yet. Using quantitative RT-PCR, we determined temporal cytokine mRNA expression alterations in blood cells from patients with AMI (n = 51). Serum cytokine concentrations were analyzed in parallel using the ELISA technique. TNF-alpha mRNA expression rates and serum concentrations were significantly elevated in AMI patients compared to controls (n = 77), while mRNA expression and serum content of TGF-beta were decreased. Interestingly, we found no statistically significant correlation between transcript and protein levels, indicating that gene expression in leukocytes may be an independent sign for systemic inflammation. While IL-6 was significantly increased in serum from AMI patients with positive correlation to left ventricular dysfunction and negative correlation to ejection fraction, IL-6 mRNA levels did not differ between patients and controls. Gene expression alterations indicate a sophisticated regulation of counteracting TNF-alpha and TGF-beta cytokine expression in peripheral blood leukocytes after AMI with bias towards a pro-inflammatory situation.

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Keywords

blood cells
 
cardiovascular events
 
counteracting TNF-alpha
 
ejection fraction
 
gene expression
 
Gene expression alterations
 
IL-6 gene expression
 
IL-6 mRNA levels
 
mRNA expression
 
peripheral blood leukocytes
 
pro-inflammatory situation
 
protein levels
 
quantitative RT-PCR
 
serum concentrations
 
Serum cytokine concentrations
 
serum cytokines
 
statistically significant correlation
 
temporal cytokine mRNA expression alterations
 
TGF-beta cytokine expression
 
TNF-alpha mRNA expression rates