PMID- 28144260 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20201001 IS - 1734-1922 (Print) IS - 1896-9151 (Electronic) IS - 1734-1922 (Linking) VI - 13 IP - 1 DP - 2017 Feb 1 TI - The rs2228145 polymorphism in the interleukin-6 receptor and its association with long-term prognosis after myocardial infarction in a pilot study. PG - 93-99 LID - 10.5114/aoms.2016.58636 [doi] AB - INTRODUCTION: Interleukin-6 (IL-6) is a cytokine with a complex function that is described as both pro- and anti-inflammatory. One factor that influences its function is the rs2228145 A/C single nucleotide polymorphism (SNP) of the IL-6 receptor (IL6R) gene. C allele carriers have a decreased inflammatory response and decreased prevalence of ischemic heart disease. The aim of the study was to investigate the association of the rs2228145 SNP of the IL6R gene with long-term total mortality in patients with ST-elevation myocardial infarction (STEMI) treated invasively. MATERIAL AND METHODS: We analyzed the data of consecutive patients with ST elevation myocardial infarction (STEMI) treated with primary percutaneous coronary intervention (PCI). Genotyping was performed with the TaqMan method. The analyzed end-point was total long-term mortality (median: 2875 days). RESULTS: The registry comprised 553 patients (mean age: 62.4 +/-11.9 years; 25.6% females, n = 142; TIMI 3 obtained in 91.7% of patients, n = 507). No significant differences in baseline characteristics were found between the genotypes. During long-term follow-up 171 (30.9%) patients died. There was non-significantly higher mortality in the rs2228145 AA homozygotes compared to C allele carriers (OR = 1.34, 95% CI: 0.93-1.93, p = 0.1). CONCLUSIONS: The rs2228145 polymorphism of IL6R was not significantly associated with long-term mortality after STEMI. However, AA homozygotes (high-risk genotype for ischemic heart disease) showed a trend towards adverse outcome compared to C allele carriers. The observed trend is promising, but it requires independent replication studies. FAU - Szpakowicz, Anna AU - Szpakowicz A AD - Department of Cardiology, Medical University of Bialystok, Bialystok, Poland. FAU - Pepinski, Witold AU - Pepinski W AD - Department of Forensic Medicine, Medical University of Bialystok, Bialystok, Poland. FAU - Waszkiewicz, Ewa AU - Waszkiewicz E AD - Department of Cardiology, Medical University of Bialystok, Bialystok, Poland. FAU - Skawronska, Malgorzata AU - Skawronska M AD - Department of Forensic Medicine, Medical University of Bialystok, Bialystok, Poland. FAU - Niemcunowicz-Janica, Anna AU - Niemcunowicz-Janica A AD - Department of Forensic Medicine, Medical University of Bialystok, Bialystok, Poland. FAU - Musial, Wlodzimierz J AU - Musial WJ AD - Department of Cardiology, Medical University of Bialystok, Bialystok, Poland. FAU - Kaminski, Karol A AU - Kaminski KA AD - Department of Cardiology, Medical University of Bialystok, Bialystok, Poland. LA - eng PT - Journal Article DEP - 20160317 PL - Poland TA - Arch Med Sci JT - Archives of medical science : AMS JID - 101258257 PMC - PMC5206359 OTO - NOTNLM OT - IL-6 receptor OT - ST elevation myocardial infarction OT - acute coronary syndrome OT - interleukin-6 COIS- The authors declare no conflict of interest. EDAT- 2017/02/02 06:00 MHDA- 2017/02/02 06:01 PMCR- 2017/02/01 CRDT- 2017/02/02 06:00 PHST- 2015/04/08 00:00 [received] PHST- 2015/06/01 00:00 [accepted] PHST- 2017/02/02 06:00 [entrez] PHST- 2017/02/02 06:00 [pubmed] PHST- 2017/02/02 06:01 [medline] PHST- 2017/02/01 00:00 [pmc-release] AID - 27140 [pii] AID - 10.5114/aoms.2016.58636 [doi] PST - ppublish SO - Arch Med Sci. 2017 Feb 1;13(1):93-99. doi: 10.5114/aoms.2016.58636. Epub 2016 Mar 17.