Vistnes Maria, Waehre Anne, Nygård Ståle, Sjaastad Ivar, Andersson Kristin B, Husberg Cathrine, Christensen Geir
Institute for Experimental Medical Research, Oslo University Hospital Ullevål, and Center for Heart Failure Research, University of Oslo, Kirkeveien 166, N-0407 Oslo, Norway.
J Appl Physiol (1985). 2010 May;108(5):1357-64. doi: 10.1152/japplphysiol.01084.2009. Epub 2010 Mar 11.
The aim of this study was to examine whether alterations in circulating cytokine levels are dependent on the etiology of myocardial hypertrophy and heart failure (HF).
Several heart diseases are associated with altered levels of circulating cytokines. Cytokines are regarded as possible therapeutic targets or biomarkers, but such approaches are currently not in clinical use. If alterations in circulating cytokines are etiology dependent, this should be taken into consideration when using cytokines as disease markers and therapeutic targets.
The serum levels of 25 cytokines were quantified with Luminex and/or ELISA in four murine models of heart disease: banding of the ascending aorta (AB) or the pulmonary artery (PB), myocardial infarction (MI), and a cardiomyopathy model with inducible cardiomyocyte-specific knockout of the sarco(endo)plasmatic reticulum Ca2+-ATPase (SERCA2KO).
No increase in circulating cytokine levels were found in mice 1 wk after AB, although substantial myocardial hypertrophy was present. After 1 wk of MI, only interleukin (IL)-18 was increased. In the SERCA2KO mice with HF, circulating levels of IL-1alpha, IL-2, IL-3, IL-6, IL-9, IL-10, IL-12p40, eotaxin, granulocyte-colony stimulating factor (G-CSF), interferon-gamma, monocyte chemoattractant protein-1, macrophage inflammatory protein-1beta were increased, and in mice with PB, IL-1alpha, IL-6, G-CSF, and monokine induced by gamma-interferon showed elevated levels.
Serum levels of cytokines in mice with HF vary depending on the etiology. Increased serum levels of several cytokines were found in models with increased right ventricular afterload, suggesting that the cytokine responses result primarily from systemic congestion.
本研究旨在探讨循环细胞因子水平的改变是否取决于心肌肥大和心力衰竭(HF)的病因。
几种心脏病与循环细胞因子水平的改变有关。细胞因子被视为可能的治疗靶点或生物标志物,但目前此类方法尚未应用于临床。如果循环细胞因子的改变取决于病因,那么在将细胞因子用作疾病标志物和治疗靶点时应予以考虑。
在四种心脏病小鼠模型中,用Luminex和/或酶联免疫吸附测定(ELISA)对25种细胞因子的血清水平进行定量:升主动脉缩窄(AB)或肺动脉缩窄(PB)、心肌梗死(MI)以及一种可诱导心肌细胞特异性敲除肌浆网Ca2+ -ATP酶(SERCA2KO)的心肌病模型。
AB术后1周的小鼠,尽管存在明显的心肌肥大,但循环细胞因子水平未升高。MI术后1周,仅白细胞介素(IL)-18升高。在患有HF的SERCA2KO小鼠中,IL-1α、IL-2、IL-3、IL-6、IL-9、IL-10、IL-12p40、嗜酸性粒细胞趋化因子、粒细胞集落刺激因子(G-CSF)、干扰素-γ、单核细胞趋化蛋白-1、巨噬细胞炎性蛋白-1β的循环水平升高;在PB小鼠中,IL-1α、IL-6、G-CSF和γ干扰素诱导的单核因子水平升高。
HF小鼠的细胞因子血清水平因病因而异。在右心室后负荷增加的模型中发现几种细胞因子的血清水平升高,提示细胞因子反应主要源于全身充血。