PMID- 30968846 OWN - NLM STAT- MEDLINE DCOM- 20190802 LR - 20200225 IS - 1643-3750 (Electronic) IS - 1234-1010 (Print) IS - 1234-1010 (Linking) VI - 25 DP - 2019 Apr 10 TI - Serum Levels of Inflammatory Cytokines and Expression of BCL2 and BAX mRNA in Peripheral Blood Mononuclear Cells and in Patients with Chronic Heart Failure. PG - 2633-2639 LID - 10.12659/MSM.912457 [doi] AB - BACKGROUND This study investigated the expression of the BCL2 and BAX mRNA, inflammatory cytokines, interleukin-1ss (IL-1ss), IL-6, and tumor necrosis factor-alpha (TNF-alpha), and cardiac function in patients with chronic heart failure (CHF). The New York Heart Association (NYHA) Functional Classification and measurement of the left ventricular ejection fraction (LVEF) evaluated cardiac function. MATERIAL AND METHODS Patients with CHF (n=60) due to coronary heart disease, hypertensive heart disease, and cardiomyopathy, and healthy controls (n=30) were studied. Enzyme-linked immunosorbent assay (ELISA) measured serum levels of IL-1ss, IL-6, and TNF-alpha. Quantitative reverse transcription polymerase chain reaction (qRT-PCR) detected mRNA expression of BCL2 and BAX in peripheral blood mononuclear cells (PBMCs). Color Doppler ultrasound measured the LVEF, and the NYHA classification of CHF was used. RESULTS In patients with CHF, levels of IL-1ss, IL-6 and TNF-alpha, and mRNA expression of BAX were significantly increased compared with the control group (p<0.01); BCL2 mRNA level was significantly lower (p<0.01). There were no significant differences in the expression levels of inflammatory cytokines, or BCL2 or BAX mRNA in patients with CHF due to coronary heart disease, hypertensive heart disease, or cardiomyopathy. Expression levels of IL-1ss, IL-6, TNF-alpha, and BAX mRNA were significantly associated with the degree of CHF. Cardiac function was negatively correlated with LVEF (p<0.05). Expression levels of BCL2 mRNA level were negatively correlated with cardiac function (p<0.05), and positively correlated with LVEF (p<0.05). CONCLUSIONS Levels of IL-1ss, IL-6, TNF-alpha, and BAX mRNA were negatively correlated with cardiac function, and BCL2 mRNA expression was positively associated with CHF. FAU - Liu, Wenxiu AU - Liu W AD - Department of Cardiology, Hebei Medical University, Shijiazhuang, Hebei, China (mainland). AD - Department of Cardiology, Bethune International Peace Hospital, Shijiazhuang, Hebei, China (mainland). FAU - Ru, Leisheng AU - Ru L AD - Department of Cardiology, Bethune International Peace Hospital, Shijiazhuang, Hebei, China (mainland). FAU - Su, Chang AU - Su C AD - Department of Cardiology, Bethune International Peace Hospital, Shijiazhuang, Hebei, China (mainland). FAU - Qi, Shuying AU - Qi S AD - Department of Cardiology, Bethune International Peace Hospital, Shijiazhuang, Hebei, China (mainland). FAU - Qi, Xiaoyong AU - Qi X AD - Department of Cardiology, Hebei Medical University, Shijiazhuang, Hebei, China (mainland). LA - eng PT - Journal Article DEP - 20190410 PL - United States TA - Med Sci Monit JT - Medical science monitor : international medical journal of experimental and clinical research JID - 9609063 RN - 0 (BCL2 protein, human) RN - 0 (Cytokines) RN - 0 (Inflammation Mediators) RN - 0 (Proto-Oncogene Proteins c-bcl-2) RN - 0 (RNA, Messenger) RN - 0 (bcl-2-Associated X Protein) MH - Aged MH - Cardiomyopathies/blood/genetics/physiopathology MH - Chronic Disease MH - Coronary Disease/blood/genetics/physiopathology MH - Cytokines/*blood MH - Female MH - *Gene Expression Regulation MH - Heart Failure/*blood/*genetics/physiopathology MH - Heart Function Tests MH - Humans MH - Hypertension/blood/genetics/physiopathology MH - Inflammation Mediators/*blood MH - Leukocytes, Mononuclear/*metabolism MH - Male MH - Middle Aged MH - Proto-Oncogene Proteins c-bcl-2/blood/*genetics MH - RNA, Messenger/genetics/metabolism MH - Stroke Volume MH - bcl-2-Associated X Protein/blood/*genetics PMC - PMC6474297 COIS- Conflict of interest None. EDAT- 2019/04/11 06:00 MHDA- 2019/08/03 06:00 PMCR- 2019/04/10 CRDT- 2019/04/11 06:00 PHST- 2019/04/11 06:00 [entrez] PHST- 2019/04/11 06:00 [pubmed] PHST- 2019/08/03 06:00 [medline] PHST- 2019/04/10 00:00 [pmc-release] AID - 912457 [pii] AID - 10.12659/MSM.912457 [doi] PST - epublish SO - Med Sci Monit. 2019 Apr 10;25:2633-2639. doi: 10.12659/MSM.912457.