PMID- 24751794 OWN - NLM STAT- MEDLINE DCOM- 20150120 LR - 20220318 IS - 1932-6203 (Electronic) IS - 1932-6203 (Linking) VI - 9 IP - 4 DP - 2014 TI - Soluble ST2 and interleukin-33 levels in coronary artery disease: relation to disease activity and adverse outcome. PG - e95055 LID - 10.1371/journal.pone.0095055 [doi] LID - e95055 AB - OBJECTIVES: ST2 is a receptor for interleukin (IL)-33. We investigated an association of soluble ST2 (sST2) and IL-33 serum levels with different clinical stages of coronary artery disease. We assessed the predictive value of sST2 and IL-33 in patients with stable angina, non-ST elevation myocardial infarction (NSTEMI) and ST elevation myocardial infarction (STEMI). METHODS: We included 373 patients of whom 178 had stable angina, 97 had NSTEMI, and 98 had STEMI. Patients were followed for a mean of 43 months. The control group consisted of 65 individuals without significant stenosis on coronary angiography. Serum levels of sST2 and IL-33 were measured by ELISAs. RESULTS: sST2 levels were significantly increased in patients with STEMI as compared to patients with NSTEMI and stable angina as well as with controls. IL-33 levels did not differ between the four groups. During follow-up, 37 (10%) patients died and the combined endpoint (all cause death, MI and rehospitalisation for cardiac causes) occurred in 66 (17.6%) patients. sST2 serum levels significantly predicted mortality in the total cohort. When patients were stratified according to their clinical presentation, the highest quintile of sST2 significantly predicted mortality in patients with STEMI, but not with NSTEMI or stable coronary artery disease. sST2 was a significant predictor for the combined endpoint in STEMI patients and in patients with stable angina. Serum levels of IL-33 were not associated with clinical outcome in the total cohort, but the highest quintile of IL-33 predicted mortality in patients with STEMI. CONCLUSIONS: Serum levels of sST2 are increased in patients with acute coronary syndromes as compared to levels in patients with stable coronary artery disease and in individuals without coronary artery disease. sST2 and IL-33 were associated with mortality in patients with STEMI but not in patients with NSTEMI or stable angina. FAU - Demyanets, Svitlana AU - Demyanets S AD - Department of Internal Medicine II, Medical University of Vienna, Vienna, Austria; Department of Laboratory Medicine, Medical University of Vienna, Vienna, Austria. FAU - Speidl, Walter S AU - Speidl WS AD - Department of Internal Medicine II, Medical University of Vienna, Vienna, Austria. FAU - Tentzeris, Ioannis AU - Tentzeris I AD - 3rd Medical Department for Cardiology and Emergency Medicine, Wilhelminenhospital, Vienna, Austria. FAU - Jarai, Rudolf AU - Jarai R AD - 3rd Medical Department for Cardiology and Emergency Medicine, Wilhelminenhospital, Vienna, Austria. FAU - Katsaros, Katharina M AU - Katsaros KM AD - Department of Internal Medicine II, Medical University of Vienna, Vienna, Austria; Ludwig Boltzmann Cluster for Cardiovascular Research, Vienna, Austria. FAU - Farhan, Serdar AU - Farhan S AD - 3rd Medical Department for Cardiology and Emergency Medicine, Wilhelminenhospital, Vienna, Austria. FAU - Krychtiuk, Konstantin A AU - Krychtiuk KA AD - Department of Internal Medicine II, Medical University of Vienna, Vienna, Austria; Ludwig Boltzmann Cluster for Cardiovascular Research, Vienna, Austria. FAU - Wonnerth, Anna AU - Wonnerth A AD - Department of Internal Medicine II, Medical University of Vienna, Vienna, Austria; Ludwig Boltzmann Cluster for Cardiovascular Research, Vienna, Austria. FAU - Weiss, Thomas W AU - Weiss TW AD - 3rd Medical Department for Cardiology and Emergency Medicine, Wilhelminenhospital, Vienna, Austria. FAU - Huber, Kurt AU - Huber K AD - 3rd Medical Department for Cardiology and Emergency Medicine, Wilhelminenhospital, Vienna, Austria. FAU - Wojta, Johann AU - Wojta J AD - Department of Internal Medicine II, Medical University of Vienna, Vienna, Austria; Core Facilities, Medical University of Vienna, Vienna, Austria; Ludwig Boltzmann Cluster for Cardiovascular Research, Vienna, Austria. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20140421 PL - United States TA - PLoS One JT - PloS one JID - 101285081 RN - 0 (IL1RL1 protein, human) RN - 0 (IL33 protein, human) RN - 0 (Interleukin-1 Receptor-Like 1 Protein) RN - 0 (Interleukin-33) RN - 0 (Interleukins) RN - 0 (Receptors, Cell Surface) SB - IM MH - Aged MH - Case-Control Studies MH - Coronary Artery Disease/*blood/mortality MH - Female MH - Humans MH - Interleukin-1 Receptor-Like 1 Protein MH - Interleukin-33 MH - Interleukins/*blood MH - Male MH - Middle Aged MH - Multivariate Analysis MH - Proportional Hazards Models MH - Receptors, Cell Surface/*blood MH - Risk Factors MH - Solubility MH - Treatment Outcome PMC - PMC3994012 COIS- Competing Interests: The authors have declared that no competing interests exist. EDAT- 2014/04/23 06:00 MHDA- 2015/01/21 06:00 PMCR- 2014/04/21 CRDT- 2014/04/23 06:00 PHST- 2013/09/10 00:00 [received] PHST- 2014/03/23 00:00 [accepted] PHST- 2014/04/23 06:00 [entrez] PHST- 2014/04/23 06:00 [pubmed] PHST- 2015/01/21 06:00 [medline] PHST- 2014/04/21 00:00 [pmc-release] AID - PONE-D-13-37242 [pii] AID - 10.1371/journal.pone.0095055 [doi] PST - epublish SO - PLoS One. 2014 Apr 21;9(4):e95055. doi: 10.1371/journal.pone.0095055. eCollection 2014.