PMID- 16405895 OWN - NLM STAT- MEDLINE DCOM- 20070105 LR - 20220410 IS - 0021-9150 (Print) IS - 0021-9150 (Linking) VI - 188 IP - 2 DP - 2006 Oct TI - Plasma interleukin (IL)-18 concentrations is elevated in patients with previous myocardial infarction and related to severity of coronary atherosclerosis independently of C-reactive protein and IL-6. PG - 450-4 AB - AIM: Interleukin-18 (IL-18) is a pro-inflammatory cytokine with a central role in the inflammatory cascade. In the present study, we investigated whether patients with precocious myocardial infarction have higher plasma IL-18 concentrations than matched controls. Furthermore, the relationships between plasma IL-18 concentrations and coronary atherosclerosis, C-reactive protein (CRP), interleukin-6 (IL-6) and traditional cardiovascular risk factors were examined. METHODS AND RESULTS: Three hundred eighty-seven unselected survivors of a first myocardial infarction aged less than 60 years and 387 sex and age matched controls were enrolled in the study. A subset of patients (n=236) was evaluated by quantitative coronary angiography. Postinfarction patients had significantly higher mean level of plasma IL-18 than controls (309.6+/-138.6 versus 285.4+/-115.7pg IL-18/mL). Furthermore, plasma IL-18 concentration was significantly associated with coronary plaque area (r=0.17, p=0.009). This relationship remained in a partial correlation analysis adjusting for CRP (r=0.15, p=0.02), for IL-6 (r=0.15, p=0.02) and for both CRP and IL-6 (r=0.15, p=0.02). In addition, IL-18 levels were significantly associated with other cardiovascular risk factors, namely age, low density lipoprotein (LDL) cholesterol, triglycerides, high density lipoprotein (HDL) cholesterol, insulin, proinsulin, body mass index (BMI), systolic and diastolic blood pressure. CONCLUSION: The present work provides evidence that plasma IL-18 is increased in postinfarction patients and is associated with coronary atherosclerosis. FAU - Hulthe, Johannes AU - Hulthe J AD - Discovery Medicine, AstraZeneca, Molndal, Sweden; Wallenberg Laboratory for Cardiovascular Research, Sahlgrenska University Hospital, Gothenburg, Sweden. Johannes.Hulthe@astrazeneca.com FAU - McPheat, William AU - McPheat W FAU - Samnegard, Ann AU - Samnegard A FAU - Tornvall, Per AU - Tornvall P FAU - Hamsten, Anders AU - Hamsten A FAU - Eriksson, Per AU - Eriksson P LA - eng PT - Comparative Study PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20060106 PL - Ireland TA - Atherosclerosis JT - Atherosclerosis JID - 0242543 RN - 0 (Insulin) RN - 0 (Interleukin-18) RN - 0 (Interleukin-6) RN - 9007-41-4 (C-Reactive Protein) RN - 97C5T2UQ7J (Cholesterol) SB - IM CIN - Atherosclerosis. 2007 Dec;195(2):415-6. PMID: 17499253 MH - Age Factors MH - Blood Pressure MH - Body Mass Index MH - C-Reactive Protein/*analysis MH - Cholesterol/blood MH - Coronary Angiography MH - Coronary Artery Disease/*blood MH - Female MH - Humans MH - Insulin/blood MH - Interleukin-18/*blood MH - Interleukin-6/*blood MH - Male MH - Middle Aged MH - Myocardial Infarction/*blood MH - Nephelometry and Turbidimetry MH - Risk Factors MH - Sweden EDAT- 2006/01/13 09:00 MHDA- 2007/01/06 09:00 CRDT- 2006/01/13 09:00 PHST- 2005/05/24 00:00 [received] PHST- 2005/10/19 00:00 [revised] PHST- 2005/11/08 00:00 [accepted] PHST- 2006/01/13 09:00 [pubmed] PHST- 2007/01/06 09:00 [medline] PHST- 2006/01/13 09:00 [entrez] AID - S0021-9150(05)00765-3 [pii] AID - 10.1016/j.atherosclerosis.2005.11.013 [doi] PST - ppublish SO - Atherosclerosis. 2006 Oct;188(2):450-4. doi: 10.1016/j.atherosclerosis.2005.11.013. Epub 2006 Jan 6.