PMID- 18804762 OWN - NLM STAT- MEDLINE DCOM- 20090825 LR - 20181113 IS - 1879-1484 (Electronic) IS - 0021-9150 (Print) IS - 0021-9150 (Linking) VI - 203 IP - 2 DP - 2009 Apr TI - Association between IL-6 and the extent of coronary atherosclerosis in the veterans affairs diabetes trial (VADT). PG - 610-4 LID - 10.1016/j.atherosclerosis.2008.07.031 [doi] AB - AIMS: The aim of the present study was to investigate the association of high-sensitivity C-reactive protein (CRP), interleukin-6 (IL-6) and lipoprotein-associated phospholipase A2 (Lp-PLA2) with the extent of calcified coronary atherosclerosis in patients with type 2 diabetes mellitus (T2DM). MATERIALS AND RESULTS: This is a cross-sectional study of 306 subjects aged 40years or older who were enrolled into the veterans affairs diabetes trial (VADT). Calcified coronary atherosclerosis was assessed using electron beam computed tomography scored by the Agatston method. Clinical parameters, traditional cardiovascular risk factors and plasma levels of CRP, IL-6 and Lp-PLA2 were measured at the time of the scan. Coronary artery calcium (CAC) scores increased stepwise across increasing categories of IL-6, but did not change across increasing categories of CRP and Lp-PLA2. After adjustment for traditional cardiovascular risk factors, IL-6 was significantly associated with CAC scores (p=0.05). The association between IL-6 and CAC was largely in those with lower (below the median) abdominal artery calcium (AAC) levels (p=0.04). CONCLUSIONS: Despite a generally higher level of systemic inflammation in T2DM, the inflammatory marker IL-6 remained significantly associated with CAC score, particularly in those subjects with lower AAC scores. FAU - Saremi, Aramesh AU - Saremi A AD - Phoenix VA Health Care System, AZ 85012-1892, United States. FAU - Anderson, Robert J AU - Anderson RJ FAU - Luo, Ping AU - Luo P FAU - Moritz, Thomas E AU - Moritz TE FAU - Schwenke, Dawn C AU - Schwenke DC FAU - Allison, Mathew AU - Allison M FAU - Reaven, Peter D AU - Reaven PD CN - VADT LA - eng GR - R01 HL067690-02/HL/NHLBI NIH HHS/United States GR - R01 HL070621/HL/NHLBI NIH HHS/United States GR - R01 HL067690-03/HL/NHLBI NIH HHS/United States GR - HL70621/HL/NHLBI NIH HHS/United States GR - P01 HL076491/HL/NHLBI NIH HHS/United States GR - R01067690/PHS HHS/United States GR - P01 HL77107/HL/NHLBI NIH HHS/United States GR - R01 HL067690-01/HL/NHLBI NIH HHS/United States GR - R01 HL067690/HL/NHLBI NIH HHS/United States GR - P50 HL077107/HL/NHLBI NIH HHS/United States PT - Clinical Trial PT - Journal Article PT - Multicenter Study PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't PT - Research Support, U.S. Gov't, Non-P.H.S. DEP - 20080805 PL - Ireland TA - Atherosclerosis JT - Atherosclerosis JID - 0242543 RN - 0 (Interleukin-6) RN - 9007-41-4 (C-Reactive Protein) RN - EC 3.1.1.47 (1-Alkyl-2-acetylglycerophosphocholine Esterase) SB - IM MH - 1-Alkyl-2-acetylglycerophosphocholine Esterase/*metabolism MH - Aged MH - Atherosclerosis/immunology/pathology MH - C-Reactive Protein/*metabolism MH - Calcinosis/pathology MH - Cardiovascular Diseases/blood MH - Coronary Artery Disease/*complications/*diagnosis MH - Cross-Sectional Studies MH - Female MH - Humans MH - Inflammation MH - Interleukin-6/*blood MH - Male MH - Middle Aged MH - Multivariate Analysis MH - Risk Factors PMC - PMC2688903 MID - NIHMS110855 COIS- Duality of interest The authors attest that no conflict of interest or duality exists related to this work. EDAT- 2008/09/23 09:00 MHDA- 2009/08/26 09:00 PMCR- 2010/04/01 CRDT- 2008/09/23 09:00 PHST- 2008/03/27 00:00 [received] PHST- 2008/07/24 00:00 [revised] PHST- 2008/07/28 00:00 [accepted] PHST- 2008/09/23 09:00 [pubmed] PHST- 2009/08/26 09:00 [medline] PHST- 2008/09/23 09:00 [entrez] PHST- 2010/04/01 00:00 [pmc-release] AID - S0021-9150(08)00535-2 [pii] AID - 10.1016/j.atherosclerosis.2008.07.031 [doi] PST - ppublish SO - Atherosclerosis. 2009 Apr;203(2):610-4. doi: 10.1016/j.atherosclerosis.2008.07.031. Epub 2008 Aug 5.