PMID- 28786243 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20191120 IS - 1862-1783 (Electronic) IS - 1673-1581 (Print) IS - 1673-1581 (Linking) VI - 18 IP - 8 DP - 2017 Aug. TI - Interleukin-18, matrix metalloproteinase-22 and -29 are independent risk factors of human coronary heart disease. PG - 685-695 LID - 10.1631/jzus.B1700073 [doi] AB - BACKGROUND: Coronary heart disease (CHD) is characterized by arterial wall inflammation and matrix degradation. Matrix metalloproteinase (MMP)-22 and -29 and pro-inflammatory cytokine interleukin-18 (IL18) are present in human hearts. IL18 may regulate MMP-22 and -29 expression, which may correlate with CHD progression. METHODS AND RESULTS: Immunoblot analysis showed that IL18 induced MMP-22 expression in human aortic smooth muscle cells. The Mann Whitney test from a prospective study of 194 CHD patients and 68 non-CHD controls demonstrated higher plasma levels of IL18, MMP-22 and -29 in CHD patients than in the controls. A logistic regression test suggested that plasma IL18 (odds ratio (OR)=1.131, P=0.007), MMP-22 (OR=1.213, P=0.040), and MMP-29 (OR=1.198, P=0.033) were independent risk factors of CHD. Pearson's correlation test showed that IL18 (coefficient (r)=0.214, P=0.045; r=0.246, P=0.031) and MMP-22 (r=0.273, P=0.006; r=0.286, P=0.012) were associated with the Gensini score before and after adjusting for potential confounding factors. The multivariate Pearson's correlation test showed that plasma MMP-22 levels correlated positively with high-sensitive-C-reactive protein (hs-CRP) (r=0.167, P=0.023), and MMP-29 levels correlated negatively with triglyceride (r=-0.169, P=0.018). Spearman's correlation test indicated that plasma IL18 levels associated positively with plasma MMP-22 (r=0.845, P<0.001) and MMP-29 (r=0.548, P<0.001). CONCLUSIONS: Our observations suggest that IL18, MMP-22 and -29 serve as biomarkers and independent risk factors of CHD. Increased systemic IL18 in CHD patients may contribute to elevated plasma MMP-22 and -29 levels in these patients. FAU - Jin, Dong-Yi AU - Jin DY AD - Department of Cardiology, the First Affiliated Hospital of Zhengzhou University, Zhengzhou 450052, China. FAU - Liu, Cong-Lin AU - Liu CL AD - Department of Cardiology, the First Affiliated Hospital of Zhengzhou University, Zhengzhou 450052, China. AD - Department of Medicine, Brigham and Women's Hospital and Harvard Medical School, Boston, MA 02115, USA. FAU - Tang, Jun-Nan AU - Tang JN AD - Department of Cardiology, the First Affiliated Hospital of Zhengzhou University, Zhengzhou 450052, China. AD - Department of Molecular Biomedical Sciences and Center for Comparative Medicine and Translational Research, College of Veterinary Medicine, North Carolina State University, Raleigh, NC 27695, USA. FAU - Zhu, Zhao-Zhong AU - Zhu ZZ AD - Department of Environmental Health, Harvard T.H. Chan School of Public Health, Boston, MA 02115, USA. FAU - Xuan, Xue-Xi AU - Xuan XX AD - Department of Cardiology, the First Affiliated Hospital of Zhengzhou University, Zhengzhou 450052, China. FAU - Zhu, Xiao-Dan AU - Zhu XD AD - Department of Cardiology, the First Affiliated Hospital of Zhengzhou University, Zhengzhou 450052, China. FAU - Wang, Yun-Zhe AU - Wang YZ AD - Department of Cardiology, the First Affiliated Hospital of Zhengzhou University, Zhengzhou 450052, China. FAU - Zhang, Tian-Xia AU - Zhang TX AD - Department of Biology, Pennsylvania State University, University Park, PA 16802, USA. FAU - Shen, De-Liang AU - Shen DL AD - Department of Cardiology, the First Affiliated Hospital of Zhengzhou University, Zhengzhou 450052, China. FAU - Wang, Xiao-Fang AU - Wang XF AD - Department of Cardiology, the First Affiliated Hospital of Zhengzhou University, Zhengzhou 450052, China. FAU - Shi, Guo-Ping AU - Shi GP AD - Department of Cardiology, the First Affiliated Hospital of Zhengzhou University, Zhengzhou 450052, China. AD - Department of Medicine, Brigham and Women's Hospital and Harvard Medical School, Boston, MA 02115, USA. FAU - Zhang, Jin-Ying AU - Zhang JY AD - Department of Cardiology, the First Affiliated Hospital of Zhengzhou University, Zhengzhou 450052, China. LA - eng GR - R01 HL060942/HL/NHLBI NIH HHS/United States GR - R01 HL123568/HL/NHLBI NIH HHS/United States PT - Journal Article PL - China TA - J Zhejiang Univ Sci B JT - Journal of Zhejiang University. Science. B JID - 101236535 PMC - PMC5565516 OTO - NOTNLM OT - Interleukin-18; Matrix metalloproteinase (MMP)-22; MMP-29; Coronary heart disease; Risk factor COIS- Compliance with ethics guidelines: Dong-Yi JIN, Cong-Lin LIU, Jun-Nan TANG, Zhao-Zhong ZHU, Xue-Xi XUAN, Xiao-Dan ZHU, Yun-Zhe WANG, Tian-Xia ZHANG, De-Liang SHEN, Xiao-Fang WANG, Guo-Ping SHI, and Jin-Ying ZHANG declare that they have no conflict of interest. All procedures followed were in accordance with the ethical standards of the responsible committee on human experimentation (institutional and national) and with the Helsinki Declaration of 1975, as revised in 2008 (5). Informed consent was obtained from all patients for being included in the study. EDAT- 2017/08/16 06:00 MHDA- 2017/08/16 06:01 PMCR- 2017/08/01 CRDT- 2017/08/09 06:00 PHST- 2017/08/09 06:00 [entrez] PHST- 2017/08/16 06:00 [pubmed] PHST- 2017/08/16 06:01 [medline] PHST- 2017/08/01 00:00 [pmc-release] AID - 10.1631/jzus.B1700073 [doi] PST - ppublish SO - J Zhejiang Univ Sci B. 2017 Aug.;18(8):685-695. doi: 10.1631/jzus.B1700073.