PMID- 27103338 OWN - NLM STAT- MEDLINE DCOM- 20170209 LR - 20170209 IS - 1938-2723 (Electronic) IS - 1076-0296 (Linking) VI - 22 IP - 7 DP - 2016 Oct TI - Are Inflammatory Biomarkers Increased in Varicose Vein Blood? PG - 656-64 LID - 10.1177/1076029616645330 [doi] AB - OBJECTIVES: To test for the presence of inflammatory biomarkers in blood taken from varicose veins versus antecubital blood of the same patient and compare this to levels in healthy controls. METHODS: Using a multiplex biochip array method (Randox, United Kingdom), the interleukins (ILs) IL-1alpha, IL-1beta, IL-2, IL-4, IL-6, IL-8, and IL-10; vascular endothelial growth factor; interferon gamma, tumor necrosis factor alpha ; monocyte chemotactic protein 1 (MCP-1); and epidermal growth factor were measured in citrated plasma samples drawn from the arms and legs of 24 patients with varicose veins and 24 controls. RESULTS: Expressed as median (interquartile range) in pg/mL, leg samples from patients with varicose veins had significantly higher levels of IL-8 and MCP-1 compared to their own arm samples (IL-8: local 2.3 [1.71-3.3] vs systemic 2.3 [1.62-2.98], P = .023; MCP-1: local 114.42 [84.29-139.05] vs systemic 103.56 [79.75-126.42], P < .0005). This was not observed in the control group. Leg samples from both patients with varicose vein and controls had higher levels of IL-6 compared to their own arm samples (patients: local 1.67 [0.82-4.48] vs systemic 1.24 [0.58-3.26], P = .002; controls: local 1.23 [0.83-1.7] vs systemic 1.03 [1.7-1.52], P = .005). No significant differences were detected with the other biomarkers. CONCLUSIONS: Blood drawn from the site of varicose veins appears to have significantly increased concentrations of IL-6, IL-8, and MCP-1 when compared to the same patient's arm blood. This supports the hypothesis that inflammation is activated from the tissues drained by the varicose veins. CI - (c) The Author(s) 2016. FAU - Lattimer, Christopher R AU - Lattimer CR AUID- ORCID: 0000-0002-0282-4826 AD - Faculty of Medicine, Josef Pflug Vascular Laboratory, Ealing Hospital and Imperial College, Southall, Middlesex, United Kingdom c.lattimer09@imperial.ac.uk. FAU - Kalodiki, Evi AU - Kalodiki E AD - Faculty of Medicine, Josef Pflug Vascular Laboratory, Ealing Hospital and Imperial College, Southall, Middlesex, United Kingdom Hemostasis and Thrombosis Research Laboratories, Loyola University Medical Center, Maywood, IL, USA. FAU - Geroulakos, George AU - Geroulakos G AUID- ORCID: 0000-0003-0310-2726 AD - Faculty of Medicine, Josef Pflug Vascular Laboratory, Ealing Hospital and Imperial College, Southall, Middlesex, United Kingdom. FAU - Hoppensteadt, Debra AU - Hoppensteadt D AD - Hemostasis and Thrombosis Research Laboratories, Loyola University Medical Center, Maywood, IL, USA. FAU - Fareed, Jawed AU - Fareed J AD - Hemostasis and Thrombosis Research Laboratories, Loyola University Medical Center, Maywood, IL, USA. LA - eng PT - Journal Article DEP - 20160421 PL - United States TA - Clin Appl Thromb Hemost JT - Clinical and applied thrombosis/hemostasis : official journal of the International Academy of Clinical and Applied Thrombosis/Hemostasis JID - 9508125 RN - 0 (Biomarkers) RN - 0 (Cytokines) SB - IM MH - Adult MH - Aged MH - Aged, 80 and over MH - Biomarkers/*blood MH - Chronic Disease MH - Cytokines/*blood MH - Female MH - Humans MH - Inflammation MH - Male MH - Middle Aged MH - Varicose Veins/*blood MH - Venous Insufficiency/*blood OTO - NOTNLM OT - biochip array analysis OT - chronic venous insufficiency OT - inflammatory biomarkers OT - inflammatory cytokines OT - varicose veins EDAT- 2016/04/23 06:00 MHDA- 2017/02/10 06:00 CRDT- 2016/04/23 06:00 PHST- 2016/04/23 06:00 [entrez] PHST- 2016/04/23 06:00 [pubmed] PHST- 2017/02/10 06:00 [medline] AID - 1076029616645330 [pii] AID - 10.1177/1076029616645330 [doi] PST - ppublish SO - Clin Appl Thromb Hemost. 2016 Oct;22(7):656-64. doi: 10.1177/1076029616645330. Epub 2016 Apr 21.