PMID- 28116487 OWN - NLM STAT- MEDLINE DCOM- 20180430 LR - 20220310 IS - 1615-2573 (Electronic) IS - 0910-8327 (Linking) VI - 32 IP - 7 DP - 2017 Jul TI - Interleukin-1beta is associated with coronary endothelial dysfunction in patients with mTOR-inhibitor-eluting stent implantation. PG - 823-832 LID - 10.1007/s00380-017-0947-x [doi] AB - Implantation of mammalian target of rapamycin (mTOR)-inhibitor drug-eluting stents (DESs) impairs coronary endothelial function. There are no known non-invasive biomarkers of coronary endothelial dysfunction. We aimed to assess the association between serum interleukin-1beta (IL-1beta) and coronary endothelial dysfunction in patients with mTOR-inhibitor DES implantation and to investigate the association between the mTOR pathway and IL-1beta. We enrolled 35 patients who had implanted DESs for coronary artery disease. At a 10-month follow-up, peripheral venous blood samples were collected to measure IL-1beta levels. Coronary endothelial dysfunction was evaluated by intracoronary infusion of incremental doses of acetylcholine. Serum IL-1beta levels were significantly associated with the magnitude of vasoconstriction to acetylcholine at the segment distal (P < 0.05) but not proximal to the stent. Serum IL-1beta levels were positively correlated with stent length (P < 0.05). To examine the direct effects of mTOR inhibition on IL-1beta release, sirolimus was incubated in cultured human umbilical vein endothelial cells (HUVECs) or coronary artery smooth muscle cells (CASMCs). Sirolimus directly increased IL-1beta mRNA expression (P < 0.01) and enhanced IL-1beta release into the culture media (P < 0.01) in CASMCs, but not in HUVECs. Inhibition of mTOR triggers IL-1beta release through transcriptional activation in CASMCs. Serum IL-1beta levels are a potential biomarker for mTOR-inhibitor DES-associated coronary endothelial dysfunction. FAU - Chibana, Hidetoshi AU - Chibana H AD - Division of Cardio-Vascular Medicine, Department of Internal Medicine, Kurume University School of Medicine, 67 Asahi-machi, Kurume, Fukuoka, 830-0011, Japan. FAU - Kajimoto, Hidemi AU - Kajimoto H AD - Division of Cardio-Vascular Medicine, Department of Internal Medicine, Kurume University School of Medicine, 67 Asahi-machi, Kurume, Fukuoka, 830-0011, Japan. kajimoto@med.kurume-u.ac.jp. FAU - Ueno, Takafumi AU - Ueno T AD - Division of Cardio-Vascular Medicine, Department of Internal Medicine, Kurume University School of Medicine, 67 Asahi-machi, Kurume, Fukuoka, 830-0011, Japan. FAU - Yokoyama, Shinji AU - Yokoyama S AD - Division of Cardio-Vascular Medicine, Department of Internal Medicine, Kurume University School of Medicine, 67 Asahi-machi, Kurume, Fukuoka, 830-0011, Japan. FAU - Sasaki, Ken-Ichiro AU - Sasaki KI AD - Division of Cardio-Vascular Medicine, Department of Internal Medicine, Kurume University School of Medicine, 67 Asahi-machi, Kurume, Fukuoka, 830-0011, Japan. FAU - Ohtsuka, Masanori AU - Ohtsuka M AD - Division of Cardio-Vascular Medicine, Department of Internal Medicine, Kurume University School of Medicine, 67 Asahi-machi, Kurume, Fukuoka, 830-0011, Japan. FAU - Koiwaya, Hiroshi AU - Koiwaya H AD - Division of Cardio-Vascular Medicine, Department of Internal Medicine, Kurume University School of Medicine, 67 Asahi-machi, Kurume, Fukuoka, 830-0011, Japan. FAU - Nakayoshi, Takaharu AU - Nakayoshi T AD - Division of Cardio-Vascular Medicine, Department of Internal Medicine, Kurume University School of Medicine, 67 Asahi-machi, Kurume, Fukuoka, 830-0011, Japan. FAU - Mitsutake, Yoshiaki AU - Mitsutake Y AD - Division of Cardio-Vascular Medicine, Department of Internal Medicine, Kurume University School of Medicine, 67 Asahi-machi, Kurume, Fukuoka, 830-0011, Japan. FAU - Itaya, Naoki AU - Itaya N AD - Division of Cardio-Vascular Medicine, Department of Internal Medicine, Kurume University School of Medicine, 67 Asahi-machi, Kurume, Fukuoka, 830-0011, Japan. FAU - Sasaki, Masahiro AU - Sasaki M AD - Division of Cardio-Vascular Medicine, Department of Internal Medicine, Kurume University School of Medicine, 67 Asahi-machi, Kurume, Fukuoka, 830-0011, Japan. FAU - Fukumoto, Yoshihiro AU - Fukumoto Y AD - Division of Cardio-Vascular Medicine, Department of Internal Medicine, Kurume University School of Medicine, 67 Asahi-machi, Kurume, Fukuoka, 830-0011, Japan. LA - eng PT - Journal Article DEP - 20170123 PL - Japan TA - Heart Vessels JT - Heart and vessels JID - 8511258 RN - 0 (Biomarkers) RN - 0 (IL1B protein, human) RN - 0 (Interleukin-1beta) RN - EC 2.7.11.1 (TOR Serine-Threonine Kinases) RN - W36ZG6FT64 (Sirolimus) SB - IM MH - Aged MH - Biomarkers/blood MH - Coronary Artery Disease/*physiopathology/therapy MH - Coronary Vessels/*physiopathology MH - Drug-Eluting Stents/*adverse effects MH - Endothelium, Vascular/drug effects/*pathology MH - Female MH - Humans MH - Interleukin-1beta/*blood MH - Japan MH - Linear Models MH - Male MH - Percutaneous Coronary Intervention MH - Sirolimus/pharmacology MH - TOR Serine-Threonine Kinases/antagonists & inhibitors MH - Vasoconstriction/drug effects OTO - NOTNLM OT - Biomarker OT - Coronary artery OT - Drug-eluting stent OT - Endothelial dysfunction EDAT- 2017/01/25 06:00 MHDA- 2018/05/01 06:00 CRDT- 2017/01/25 06:00 PHST- 2016/09/12 00:00 [received] PHST- 2017/01/06 00:00 [accepted] PHST- 2017/01/25 06:00 [pubmed] PHST- 2018/05/01 06:00 [medline] PHST- 2017/01/25 06:00 [entrez] AID - 10.1007/s00380-017-0947-x [pii] AID - 10.1007/s00380-017-0947-x [doi] PST - ppublish SO - Heart Vessels. 2017 Jul;32(7):823-832. doi: 10.1007/s00380-017-0947-x. Epub 2017 Jan 23.