ELEVATED PLASMA INTERLEUKIN-6 LEVELS IN PATIENTS WITH ACUTE MYOCARDIAL-INFARCTION

被引:168
作者
MIYAO, Y [1 ]
YASUE, H [1 ]
OGAWA, H [1 ]
MISUMI, I [1 ]
MASUDA, T [1 ]
SAKAMOTO, T [1 ]
MORITA, E [1 ]
机构
[1] KUMAMOTO UNIV,SCH MED,DIV CARDIOL,1-1-1 HONJO,KUMAMOTO 860,JAPAN
关键词
D O I
10.1016/0002-8703(93)90526-F
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Interleukin-6 (IL-6) plays a key role in the synthesis of human acute-phase protein and several acute-phase responses occur in patients with acute myocardial infarction (AMI). We examined the plasma levels of IL-6 in 23 consecutive patients with AMI over the course of 4 weeks and in 30 control subjects. In patients with AMI, the plasma IL-6 levels (in picograms per milliliter) were increased at all sampling points from admission to discharge (ranging from 28.5 +/- 6.6 to 46.5 +/- 7.8) compared with levels in control subjects (11.4 +/- 2.9; p < 0.01). Cardiac catheterization did not influence plasma IL-6 levels. The plasma IL-6 level reached its peak approximately 3 days (46.5 +/- 7.8) and approximately 1 week after admission in patients with AMI. There was a significant positive linear correlation between the peak level of plasma IL-6 minus the level on admission and the peak level of plasma C-reactive protein in patients with AMI. The peak IL-6 level did not correlate with the peak levels of creatine kinase, pulmonary capillary wedge pressure, or left ventricular ejection fraction at 4 weeks. We conclude that the plasma IL-6 level is increased over a time course of 4 weeks in patients with AMI.
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页码:1299 / 1304
页数:6
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共 30 条
  • [1] Kushner, Ganapathi, Schultz, The acute phase response is mediated by heterogeneous mechanisms, Ann NY Acad Sci, 557, pp. 19-30, (1989)
  • [2] Gauldie, Richards, Northemann, Fey, Baumann, IFNβ<sub>2</sub>/BSF2/IL-6 is the monocyte-derived HSF that regulates receptor-specific acute phase gene regulation in hepatocytes, Ann NY Acad Sci, 557, pp. 46-59, (1989)
  • [3] Castell, Andus, Kunz, Heinrich, Interleukin-6: the major regulator of acute-phase protein synthesis in man and rat, Ann NY Acad Sci, 557, pp. 87-101, (1989)
  • [4] Dinarello, Interleukin-1 and the pathogenesis of the acute-phase response, N Engl J Med, 311, pp. 1413-1418, (1984)
  • [5] Ray, Tatter, Santhanam, Helfgott, May, Sehgal, Regulation of expression of interleukin-6: molecular and clinical studies, Ann NY Acad Sci, 557, pp. 353-362, (1989)
  • [6] Pasternak, Braunwald, Sobel, Acute myocardial infarction, Heart disease, pp. 1200-1291, (1992)
  • [7] Friedberg, Diseases of the heart, pp. 770-865, (1966)
  • [8] Fishbein, Maclean, Maroko, The histopathologic evolution of myocardial infarction, Chest, 73, pp. 843-849, (1978)
  • [9] Edwards, Pathology of myocardial infarction and reperfusion, Acute myocardial infarction, pp. 14-48, (1991)
  • [10] Murata, Ogawa, Yasuda, Nishijima, Oka, Ohmachi, Hiraoka, Ninobu, Uda, Mori, Serum interleukin 6 C-reactive protein and pancreatic secretory trypsin inhibitor as acute phase reactants after major thoraco-abdominal surgery, Immunological Investigations, 19, pp. 271-278, (1990)