PMID- 35242141 OWN - NLM STAT- MEDLINE DCOM- 20220502 LR - 20220502 IS - 1664-3224 (Electronic) IS - 1664-3224 (Linking) VI - 13 DP - 2022 TI - ​Circulating Cytokines in Myocardial Infarction Are Associated With Coronary Blood Flow. PG - 837642 LID - 10.3389/fimmu.2022.837642 [doi] LID - 837642 AB - BACKGROUND: The level of systemic inflammation correlates with the severity of the clinical course of acute myocardial infarction (AMI). It has been shown that circulating cytokines and endothelial dysfunction play an important role in the process of clot formation. The aim of our study was to assess the concentration of various circulating cytokines, endothelial function and blood clotting in AMI patients depending on the blood flow through the infarction-related artery (IRA). METHODS: We included 75 patients with AMI. 58 presented with ST-elevation myocardial infarction (STEMI) and 17 had non-ST-elevation myocardial infarction (non-STEMI). A flow-mediated dilation test (FMD test), thrombodynamics and rotational thromboelastometry as well as assessment of 14 serum cytokines using xMAP technology were performed. FINDINGS: Non-STEMI-patients were characterized by higher levels of MDC, MIP-1beta, TNF-alpha. Moreover, we observed that patients with impaired blood flow through the IRA (TIMI flow 0-1) had higher average and initial clot growth rates, earlier onset of spontaneous clots, C-reactive protein (CRP) and IL-10 compared to patients with preserved blood flow through the IRA (TIMI flow 2-3). Patients with TIMI 2-3 blood flow had higher level of IP-10. IL-10 correlated with CRP and pro-inflammatory cytokines levels, initial clot growth rate and clot lysis time in TIMI 0-1 patients. All these differences were statistically significant. INTERPRETATION: We demonstrated that concentrations of the inflammatory cytokines correlate not only with the form of myocardial infarction (STEMI or non-STEMI), but also with the blood flow through the infarct-related artery. Inflammatory response, functional state of endothelium, and clot formation are closely linked with each other. A combination of these parameters affects the patency of the infarct-related artery. CI - Copyright (c) 2022 Kalinskaya, Dukhin, Lebedeva, Maryukhnich, Rusakovich, Vorobyeva, Shpektor, Margolis and Vasilieva. FAU - Kalinskaya, Anna AU - Kalinskaya A AD - Laboratory of Atherothrombosis, Cardiology Department, Moscow State University of Medicine and Dentistry, Moscow, Russia. AD - Clinical City Hospital named after I.V. Davydovsky, Moscow Department of Healthcare, Moscow, Russia. FAU - Dukhin, Oleg AU - Dukhin O AD - Laboratory of Atherothrombosis, Cardiology Department, Moscow State University of Medicine and Dentistry, Moscow, Russia. AD - Clinical City Hospital named after I.V. Davydovsky, Moscow Department of Healthcare, Moscow, Russia. FAU - Lebedeva, Anna AU - Lebedeva A AD - Laboratory of Atherothrombosis, Cardiology Department, Moscow State University of Medicine and Dentistry, Moscow, Russia. FAU - Maryukhnich, Elena AU - Maryukhnich E AD - Laboratory of Atherothrombosis, Cardiology Department, Moscow State University of Medicine and Dentistry, Moscow, Russia. FAU - Rusakovich, Georgy AU - Rusakovich G AD - Laboratory of Atherothrombosis, Cardiology Department, Moscow State University of Medicine and Dentistry, Moscow, Russia. FAU - Vorobyeva, Daria AU - Vorobyeva D AD - Laboratory of Atherothrombosis, Cardiology Department, Moscow State University of Medicine and Dentistry, Moscow, Russia. FAU - Shpektor, Alexander AU - Shpektor A AD - Laboratory of Atherothrombosis, Cardiology Department, Moscow State University of Medicine and Dentistry, Moscow, Russia. AD - Clinical City Hospital named after I.V. Davydovsky, Moscow Department of Healthcare, Moscow, Russia. FAU - Margolis, Leonid AU - Margolis L AD - Eunice Kennedy Shriver National Institute of Child Health and Human Development, National Institutes of Health, Bethesda, MD, United States. FAU - Vasilieva, Elena AU - Vasilieva E AD - Laboratory of Atherothrombosis, Cardiology Department, Moscow State University of Medicine and Dentistry, Moscow, Russia. AD - Clinical City Hospital named after I.V. Davydovsky, Moscow Department of Healthcare, Moscow, Russia. LA - eng PT - Journal Article PT - Research Support, N.I.H., Intramural PT - Research Support, Non-U.S. Gov't DEP - 20220215 PL - Switzerland TA - Front Immunol JT - Frontiers in immunology JID - 101560960 RN - 0 (Cytokines) RN - 130068-27-8 (Interleukin-10) SB - IM MH - Cytokines MH - Humans MH - Infarction MH - Interleukin-10 MH - *Myocardial Infarction MH - *Non-ST Elevated Myocardial Infarction MH - *ST Elevation Myocardial Infarction PMC - PMC8886043 OTO - NOTNLM OT - *clot formation OT - *cytokines OT - *endothelium OT - *inflammation OT - *myocardial infarction COIS- The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest. EDAT- 2022/03/05 06:00 MHDA- 2022/05/03 06:00 PMCR- 2022/02/15 CRDT- 2022/03/04 05:40 PHST- 2021/12/16 00:00 [received] PHST- 2022/01/21 00:00 [accepted] PHST- 2022/03/04 05:40 [entrez] PHST- 2022/03/05 06:00 [pubmed] PHST- 2022/05/03 06:00 [medline] PHST- 2022/02/15 00:00 [pmc-release] AID - 10.3389/fimmu.2022.837642 [doi] PST - epublish SO - Front Immunol. 2022 Feb 15;13:837642. doi: 10.3389/fimmu.2022.837642. eCollection 2022.