PMID- 30728748 OWN - NLM STAT- MEDLINE DCOM- 20190808 LR - 20220331 IS - 1466-1861 (Electronic) IS - 0962-9351 (Print) IS - 0962-9351 (Linking) VI - 2019 DP - 2019 TI - Increased Interleukin-11 Levels Are Correlated with Cardiac Events in Patients with Chronic Heart Failure. PG - 1575410 LID - 10.1155/2019/1575410 [doi] LID - 1575410 AB - BACKGROUND: Interleukin-11 (IL-11) is an important inflammatory cytokine and has been demonstrated to participate in cardiovascular diseases. However, there have been no studies about the role of IL-11 in heart failure (HF). The present study is aimed at investigating whether IL-11 levels are associated with the cardiac prognosis in patients with HF. METHODS: The plasma concentrations of IL-11 were measured in 240 patients with chronic HF (CHF) and 80 control subjects without signs of significant heart disease. In addition, we prospectively followed these CHF patients to endpoints of cardiac events. RESULTS: Compared with the control group, the plasma IL-11 concentrations were significantly increased in the CHF patients and gradually increased in the New York Heart Association (NYHA) functional class II group, the NYHA functional class III group, and the NYHA functional class IV group. The receiver operating characteristic (ROC) curve revealed that the predictive role of IL-11 in HF is not as good as N-terminal B-type natriuretic peptide (BNP), although IL-11 has a certain value in predicting cardiac events. In addition, the CHF patients were divided into 3 groups according to the plasma IL-11 concentration category (low, T1; middle, T2; and high, T3). The multivariate Cox hazard analysis showed that the high plasma IL-11 concentrations were independently associated with the presence of cardiac events after adjustment for confounding factors. Furthermore, the CHF patients were divided into two groups based on the median plasma IL-11 concentrations. The Kaplan-Meier analysis revealed that the patients with high IL-11 concentrations had a higher risk of cardiac events compared with those with low IL-11 concentrations. CONCLUSIONS: Higher plasma IL-11 levels significantly increase the presence of cardiac events and suggest a poor outcome; although the diagnostic value of IL-11 in CHF is not as good as BNP, there is a certain value in predicting cardiac events in CHF. FAU - Ye, Jing AU - Ye J AD - Department of Cardiology, Renmin Hospital of Wuhan University, Cardiovascular Research Institute, Wuhan University, Hubei Key Laboratory of Cardiology, Wuhan 430060, China. AD - Department of Cardiology, The People's Hospital of Guangxi Zhuang Autonomous Region, Nanning, China. FAU - Wang, Zhen AU - Wang Z AD - Department of Cardiology, Renmin Hospital of Wuhan University, Cardiovascular Research Institute, Wuhan University, Hubei Key Laboratory of Cardiology, Wuhan 430060, China. FAU - Ye, Di AU - Ye D AD - Department of Cardiology, Renmin Hospital of Wuhan University, Cardiovascular Research Institute, Wuhan University, Hubei Key Laboratory of Cardiology, Wuhan 430060, China. FAU - Wang, Yuan AU - Wang Y AD - Department of Cardiology, Renmin Hospital of Wuhan University, Cardiovascular Research Institute, Wuhan University, Hubei Key Laboratory of Cardiology, Wuhan 430060, China. FAU - Wang, Menglong AU - Wang M AD - Department of Cardiology, Renmin Hospital of Wuhan University, Cardiovascular Research Institute, Wuhan University, Hubei Key Laboratory of Cardiology, Wuhan 430060, China. FAU - Ji, Qingwei AU - Ji Q AD - Department of Cardiology, The People's Hospital of Guangxi Zhuang Autonomous Region, Nanning, China. FAU - Huang, Ying AU - Huang Y AD - Department of Cardiology, The People's Hospital of Guangxi Zhuang Autonomous Region, Nanning, China. FAU - Liu, Ling AU - Liu L AD - Department of Cardiology, The People's Hospital of Guangxi Zhuang Autonomous Region, Nanning, China. FAU - Shi, Ying AU - Shi Y AD - Department of Cardiology, The People's Hospital of Guangxi Zhuang Autonomous Region, Nanning, China. FAU - Shi, Lei AU - Shi L AD - Department of Cardiology, The People's Hospital of Guangxi Zhuang Autonomous Region, Nanning, China. FAU - Zeng, Tao AU - Zeng T AD - Department of Cardiology, The People's Hospital of Guangxi Zhuang Autonomous Region, Nanning, China. FAU - Xu, Yao AU - Xu Y AD - Department of Cardiology, Renmin Hospital of Wuhan University, Cardiovascular Research Institute, Wuhan University, Hubei Key Laboratory of Cardiology, Wuhan 430060, China. FAU - Liu, Jianfang AU - Liu J AD - Department of Cardiology, Renmin Hospital of Wuhan University, Cardiovascular Research Institute, Wuhan University, Hubei Key Laboratory of Cardiology, Wuhan 430060, China. FAU - Jiang, Huimin AU - Jiang H AD - Department of Cardiology, Renmin Hospital of Wuhan University, Cardiovascular Research Institute, Wuhan University, Hubei Key Laboratory of Cardiology, Wuhan 430060, China. FAU - Lin, Yingzhong AU - Lin Y AUID- ORCID: 0000-0003-4424-0340 AD - Department of Cardiology, Renmin Hospital of Wuhan University, Cardiovascular Research Institute, Wuhan University, Hubei Key Laboratory of Cardiology, Wuhan 430060, China. AD - Department of Cardiology, The People's Hospital of Guangxi Zhuang Autonomous Region, Nanning, China. FAU - Wan, Jun AU - Wan J AUID- ORCID: 0000-0003-4865-783X AD - Department of Cardiology, Renmin Hospital of Wuhan University, Cardiovascular Research Institute, Wuhan University, Hubei Key Laboratory of Cardiology, Wuhan 430060, China. LA - eng PT - Journal Article DEP - 20190108 PL - United States TA - Mediators Inflamm JT - Mediators of inflammation JID - 9209001 RN - 0 (Cytokines) RN - 0 (IL11 protein, human) RN - 0 (Interleukin-11) RN - 114471-18-0 (Natriuretic Peptide, Brain) MH - Adult MH - Aged MH - Cardiovascular Diseases/blood/complications MH - Case-Control Studies MH - Chronic Disease MH - Cytokines/metabolism MH - Echocardiography MH - Female MH - Follow-Up Studies MH - Heart Failure/*blood/complications MH - Humans MH - Inflammation MH - Interleukin-11/*blood MH - Male MH - Middle Aged MH - Natriuretic Peptide, Brain/blood MH - Patient Discharge MH - Prognosis MH - Proportional Hazards Models MH - Prospective Studies MH - ROC Curve MH - Ventricular Function, Left PMC - PMC6341241 EDAT- 2019/02/08 06:00 MHDA- 2019/08/09 06:00 PMCR- 2019/01/08 CRDT- 2019/02/08 06:00 PHST- 2018/07/28 00:00 [received] PHST- 2018/11/01 00:00 [revised] PHST- 2018/11/13 00:00 [accepted] PHST- 2019/02/08 06:00 [entrez] PHST- 2019/02/08 06:00 [pubmed] PHST- 2019/08/09 06:00 [medline] PHST- 2019/01/08 00:00 [pmc-release] AID - 10.1155/2019/1575410 [doi] PST - epublish SO - Mediators Inflamm. 2019 Jan 8;2019:1575410. doi: 10.1155/2019/1575410. eCollection 2019.