PMID- 23918775 OWN - NLM STAT- MEDLINE DCOM- 20141028 LR - 20220408 IS - 1879-0844 (Electronic) IS - 1388-9842 (Linking) VI - 16 IP - 1 DP - 2014 Jan TI - Inflammatory cytokines in chronic heart failure: interleukin-8 is associated with adverse outcome. Results from CORONA. PG - 68-75 LID - 10.1093/eurjhf/hft125 [doi] AB - AIM: We investigated the ability of prototypical inflammatory cytokines to predict clinical outcomes in a large population of patients with chronic systolic heart failure (HF). METHODS AND RESULTS: Serum levels of tumour necrosis factor-alpha (TNF-alpha), soluble TNF receptors type I and II (sTNF-RI and sTNF-RII), and the chemokines monocyte chemoattractant protein-1 (MCP-1) and interleukin-8 (IL-8) were analysed in 1464 patients with chronic ischaemic systolic HF in the CORONA study, aged >/= 60 years, in NYHA class II-IV, and related to the primary endpoint (n = 320), as well as any coronary event (n = 255), all-cause mortality (n = 329), cardiovascular (CV) mortality (n = 268), and the composite endpoint hospitalization from worsening heart failure (WHF) or CV mortality (n = 547). TNF-alpha, sTNF-RI, sTNF-RII, and IL-8, but not MCP-1, were independent predictors of all endpoints except the coronary endpoint in multivariable models including conventional clinical variables. After further adjustment for estimated glomerular filtration rate, the ApoB/ApoA-1 ratio, NT-proBNP, and high-sensitivity C-reactive protein, only IL-8 remained a significant predictor of all endpoints (except the coronary endpoint), while sTNF- RI remained independently associated with CV mortality. Adding IL-8 to the full model led to a significant improvement in net reclassification for all-cause mortality and CV hospitalization, but only a borderline significant improvement for the primary endpoint, CV mortality, and the composite endpoint WHF hospitalization or CV mortality. CONCLUSION: Our study supports a relationship between IL-8 and outcomes in patients with chronic HF. However, the clinical usefulness of IL-8 as a biomarker in an unselected HF population is at present unclear. CI - First published online by Oxford University Press on behalf of the European Society of Cardiology. All rights reserved. (c) The Author 2013. FAU - Nymo, Stale H AU - Nymo SH AD - Research Institute of Internal Medicine, Oslo University Hospital Rikshospitalet, Oslo, Norway; Center for Heart Failure Research, University of Oslo, Oslo, Norway; Faculty of Medicine, University of Oslo, Oslo, Norway. FAU - Hulthe, Johannes AU - Hulthe J FAU - Ueland, Thor AU - Ueland T FAU - McMurray, John AU - McMurray J FAU - Wikstrand, John AU - Wikstrand J FAU - Askevold, Erik T AU - Askevold ET FAU - Yndestad, Arne AU - Yndestad A FAU - Gullestad, Lars AU - Gullestad L FAU - Aukrust, Pal AU - Aukrust P LA - eng PT - Journal Article PT - Multicenter Study DEP - 20131203 PL - England TA - Eur J Heart Fail JT - European journal of heart failure JID - 100887595 RN - 0 (Biomarkers) RN - 0 (Cytokines) RN - 0 (Interleukin-8) SB - IM MH - Biomarkers MH - Cytokines/*blood MH - Disease Progression MH - Female MH - Follow-Up Studies MH - Heart Failure/*blood/complications MH - Humans MH - Inflammation/*blood/complications MH - Interleukin-8/blood MH - Male MH - Middle Aged MH - Prognosis MH - Retrospective Studies OTO - NOTNLM OT - Heart failure OT - Inflammation OT - Interleukins OT - Prognosis OT - Survival EDAT- 2013/08/07 06:00 MHDA- 2014/10/29 06:00 CRDT- 2013/08/07 06:00 PHST- 2013/05/22 00:00 [received] PHST- 2013/06/04 00:00 [accepted] PHST- 2013/08/07 06:00 [entrez] PHST- 2013/08/07 06:00 [pubmed] PHST- 2014/10/29 06:00 [medline] AID - hft125 [pii] AID - 10.1093/eurjhf/hft125 [doi] PST - ppublish SO - Eur J Heart Fail. 2014 Jan;16(1):68-75. doi: 10.1093/eurjhf/hft125. Epub 2013 Dec 3.