PMID- 29970710 OWN - NLM STAT- MEDLINE DCOM- 20181030 LR - 20220318 IS - 1998-4138 (Electronic) IS - 1998-4138 (Linking) VI - 14 IP - Supplement DP - 2018 Jun TI - Imbalance of T-helper 1/T-helper 2 cytokines and impaired glucose tolerance among patient with acute coronary syndrome. PG - S480-S485 LID - 10.4103/0973-1482.194346 [doi] AB - PURPOSE: The balance between T helper (Th) cells Th1- and Th2-related cytokines plays a key role in the clinical process of acute coronary syndrome (ACS) and type 2 diabetes mellitus (T2DM) or impaired glucose tolerance (IGT). The objective of this study was to assess the status of Th1/Th2 cytokines in patients with ACS and T2D or IGT. METHODS: A total of 201 ACS patients were enrolled in the study. All ACS patients were divided into three groups: Group I-patients with normal glucose tolerance (NGT), Group II-patients with IGT and Group III-patients with T2D. We measured circulating Th1/Th2-type cytokines (interleukin [IL]-4, IL-13, interferon-gamma [IFN-gamma], and tumor-necrosis factor-alpha [TNF-alpha]) using enzyme-linked immunosorbent assay and calculated the ratio of Th1/Th2. RESULTS: Significant elevations in serum levels of IL-4, IL-13, IFN-gamma, and TNF-alpha were found in ACS-T2D and ACS-IGT groups compared to that in both ACS-NGT group and healthy individuals. Higher serum levels of IL-4, IL-13, and TNF-alpha were found in ACS-NGT group than that in the control group. Furthermore, IL-4 and IFN-gamma concentrations were significantly higher in ACS-T2D patients than in ACS-IGT patients. IFN-gamma/IL-4, IFN-gamma/IL-13, and TNF-alpha/IL-4 ratios as markers of Th1/Th2 ratio were significantly higher for the ACS-T2D group and ACS-IGT group as compared to that in the ACS-NGT group and control group (P < 0.05). CONCLUSION: Shifts in the balance of Th1/Th2 toward a predominance of Th1 may represent more severe inflammatory status in ACS patients with type T2D or IGT. FAU - Zhao, Shao-Li AU - Zhao SL AD - Department of Endocrinology, Third Xiangya Hospital, Central South University, Changsha 410013, Hunan Province, China. FAU - Mo, Zhao-Hui AU - Mo ZH AD - Department of Endocrinology, Third Xiangya Hospital, Central South University, Changsha 410013, Hunan Province, China. FAU - He, Hong-Hui AU - He HH AD - Department of Endocrinology, Third Xiangya Hospital, Central South University, Changsha 410013, Hunan Province, China. FAU - Zhao, Li-Ling AU - Zhao LL AD - Department of Endocrinology, Third Xiangya Hospital, Central South University, Changsha 410013, Hunan Province, China. FAU - Xie, Yan-Hong AU - Xie YH AD - Department of Endocrinology, Third Xiangya Hospital, Central South University, Changsha 410013, Hunan Province, China. LA - eng PT - Journal Article PL - India TA - J Cancer Res Ther JT - Journal of cancer research and therapeutics JID - 101249598 RN - 0 (Biomarkers) RN - 0 (Cytokines) RN - 0 (Inflammation Mediators) RN - IY9XDZ35W2 (Glucose) SB - IM MH - Acute Coronary Syndrome/blood/diagnosis/*metabolism MH - Adult MH - Aged MH - Biomarkers MH - Coronary Angiography MH - Cytokines/blood/*metabolism MH - Echocardiography MH - Female MH - Glucose/*metabolism MH - *Glucose Intolerance MH - Heart Function Tests MH - Humans MH - Inflammation Mediators MH - Lymphocyte Count MH - Male MH - Middle Aged MH - Th1 Cells/*metabolism MH - Th2 Cells/*metabolism OTO - NOTNLM OT - Acute coronary syndrome OT - T-helper 1/T-helper 2 profile OT - impaired glucose tolerance OT - type 2 diabetes mellitus COIS- There are no conflicts of interest EDAT- 2018/07/05 06:00 MHDA- 2018/10/31 06:00 CRDT- 2018/07/05 06:00 PHST- 2018/07/05 06:00 [entrez] PHST- 2018/07/05 06:00 [pubmed] PHST- 2018/10/31 06:00 [medline] AID - JCanResTher_2018_14_9_480_194346 [pii] AID - 10.4103/0973-1482.194346 [doi] PST - ppublish SO - J Cancer Res Ther. 2018 Jun;14(Supplement):S480-S485. doi: 10.4103/0973-1482.194346.