PMID- 21251304 OWN - NLM STAT- PubMed-not-MEDLINE DCOM- 20110714 LR - 20220330 IS - 1743-7075 (Electronic) IS - 1743-7075 (Linking) VI - 8 DP - 2011 Jan 20 TI - Circulating interleukin-18: A specific biomarker for atherosclerosis-prone patients with metabolic syndrome. PG - 3 LID - 10.1186/1743-7075-8-3 [doi] AB - BACKGROUND: Metabolic syndrome (MetS) is associated with an increased risk of the development of atherosclerotic cardiovascular disease (CVD). Interleukin-18 (IL-18), which is a pleiotropic proinflammatory cytokine with important regulatory functions in the innate immune response system, plays a crucial role in vascular pathologies. IL-18 is also a predictor of cardiovascular death in patients with CVD and is involved in atherosclerotic plaque destabilization. RESULTS: In order to determine if circulating levels of IL-18 can serve as a specific biomarker for distinguishing MetS patients from pre-MetS subjects, we studied 78 patients with visceral fat deposition and 14 age-matched control subjects. Increased levels of IL-18 were observed more frequently in patients with MetS than in pre-MetS subjects and were positively associated with waist circumference. Serum levels of IL-18 were significantly reduced by a change in weight caused by lifestyle modifications. There was a significant interaction between waist circumference and serum IL-18 concentration. Weight loss of at least 5% of the body weight caused by lifestyle modification decreased IL-18 circulating levels relative to the reduction in waist circumference and blood pressure, suggesting that this degree of weight loss benefits the cardiovascular system. CONCLUSION: IL-18 may be a useful biomarker of the clinical manifestations of MetS and for the management of the risk factors of CVD. FAU - Yamaoka-Tojo, Minako AU - Yamaoka-Tojo M AD - Department of Rehabilitation, Kitasato University School of Allied Health Sciences, 1-15-1 Kitasato, Minami-ku, Sagamihara, 252-0373 Kanagawa, Japan. myamaoka@med.kitasato-u.ac.jp. FAU - Tojo, Taiki AU - Tojo T FAU - Wakaume, Kazuki AU - Wakaume K FAU - Kameda, Ryo AU - Kameda R FAU - Nemoto, Shinji AU - Nemoto S FAU - Takahira, Naonobu AU - Takahira N FAU - Masuda, Takashi AU - Masuda T FAU - Izumi, Tohru AU - Izumi T LA - eng PT - Journal Article DEP - 20110120 PL - England TA - Nutr Metab (Lond) JT - Nutrition & metabolism JID - 101231644 PMC - PMC3038890 EDAT- 2011/01/22 06:00 MHDA- 2011/01/22 06:01 PMCR- 2011/01/20 CRDT- 2011/01/22 06:00 PHST- 2010/11/14 00:00 [received] PHST- 2011/01/20 00:00 [accepted] PHST- 2011/01/22 06:00 [entrez] PHST- 2011/01/22 06:00 [pubmed] PHST- 2011/01/22 06:01 [medline] PHST- 2011/01/20 00:00 [pmc-release] AID - 1743-7075-8-3 [pii] AID - 10.1186/1743-7075-8-3 [doi] PST - epublish SO - Nutr Metab (Lond). 2011 Jan 20;8:3. doi: 10.1186/1743-7075-8-3.