PMID- 27090038 OWN - NLM STAT- MEDLINE DCOM- 20160602 LR - 20170511 IS - 0001-5385 (Print) IS - 0001-5385 (Linking) VI - 71 IP - 2 DP - 2016 Apr TI - Decrease of circulating myeloid dendritic cells in patients with chronic heart failure. PG - 165-72 LID - 10.2143/AC.71.2.3141846 [doi] AB - AIMS: Immunity and inflammation processes are known to be of central importance in chronic heart failure (CHF). Dendritic cells (DCs) are key players in adaptive immunity, yet their role in CHF is still unknown. The aim of this study was to investigate the circulating DCs in patients with compensated CHF. METHODS: Circulating myeloid (m) and plasmacytoid (p) DCs, as well as inflammatory cytokines interleukine (IL) 6 and IL10 were flow cytometrically analysed in peripheral blood of clinically compensated CHF patients with previously diagnosed dilated cardiomyopathy (DCM, n = 69), ischaemic cardiomyopathy (ICM, n = 49), as well as in unaffected controls (n = 51). Correlation analysis was performed between circulating DCs, cytokines and parameters of heart failure severity, such as NYHA class, the marker brain natriuretic peptide (BNP) and echocardiographic parameters of left ventricular function and dilation. RESULTS: Circulating mDCs were significantly decreased in all CHF patients, although more pronounced in DCM (0.14%, P < 0.001) than in ICM (0.18%, P = 0.043) compared to controls (0.2%). In contrast, no statistical changes were observed for pDCs. Circulating mDCs correlated with left ventricular ejection fraction (LVEF) and inversely with LV end-diastolic diameter (LVEDd) in all CHF patients. For DCM patients, an inverse correlation of mDCs with BNP was additionally observed. Circulating mDCs correlated inversely with IL6 and IL10 in all CHF patients. With the exception of IL-6 and NYHA class of DCM patients, cytokines did not significantly correlate with heart failure parameters. CONCLUSIONS: Blood mDCs are decreased in CHF patients. The reduction correlates with the severity of their HF. FAU - Pistulli, Rudin AU - Pistulli R FAU - Hammer, Nadin AU - Hammer N FAU - Rohm, Ilonka AU - Rohm I FAU - Kretzschmar, Daniel AU - Kretzschmar D FAU - Jung, Christian AU - Jung C FAU - Figulla, Hans-Reiner AU - Figulla HR FAU - Yilmaz, Atilla AU - Yilmaz A LA - eng PT - Journal Article PL - England TA - Acta Cardiol JT - Acta cardiologica JID - 0370570 RN - 0 (Cytokines) SB - IM MH - Adaptive Immunity MH - Adult MH - Aged MH - Cardiomyopathy, Dilated/*complications MH - Chronic Disease MH - Cytokines/*blood MH - Dendritic Cells/*immunology MH - Female MH - *Heart Failure/etiology/immunology/physiopathology MH - Humans MH - Male MH - Middle Aged MH - Myocardial Ischemia/*complications MH - Severity of Illness Index MH - Statistics as Topic MH - Ventricular Function, Left/immunology OTO - NOTNLM OT - Chronic heart failure OT - cytokine OT - dendritic cell OT - dilated cardiomyopathy OT - ischaemic cardiomyopathy EDAT- 2016/04/20 06:00 MHDA- 2016/06/03 06:00 CRDT- 2016/04/20 06:00 PHST- 2016/04/20 06:00 [entrez] PHST- 2016/04/20 06:00 [pubmed] PHST- 2016/06/03 06:00 [medline] AID - 10.2143/AC.71.2.3141846 [doi] PST - ppublish SO - Acta Cardiol. 2016 Apr;71(2):165-72. doi: 10.2143/AC.71.2.3141846.