PMID- 38154057 OWN - NLM STAT- MEDLINE DCOM- 20240222 LR - 20240223 IS - 2194-802X (Electronic) IS - 2194-802X (Linking) VI - 11 IP - 1 DP - 2024 Feb 1 TI - Interleukin-6, tumor necrosis factor-alpha, and high-sensitivity C-reactive protein for optimal immunometabolic profiling of the lifestyle-related cardiorenal risk. PG - 82-90 LID - 10.1515/dx-2023-0159 [doi] AB - OBJECTIVES: The present study aimed to identify optimal inflammatory biomarkers involved in cardiorenal risk in response to major lifestyle factors. METHODS: One hundred and twenty-nine adults aged 35-77 years participated voluntarily from 2017 to 2019 (Cordoba, Argentina) in a cross-sectional study to collect sociodemographic, clinical, and lifestyle data. Blood biomarkers (different cytokines, monocyte chemoattractant protein-1 [MCP-1], and high-sensitivity C-reactive protein [hs-CRP]) were measured using standard methods and then evaluated by principal component analysis and structural equation modeling (SEM) according to Mediterranean diet adherence, physical activity level, and waist circumference, while cardiorenal risk involved blood diastolic pressure, HDL-cholesterol, triacylglycerols, creatinine, and glycosylated hemoglobin. RESULTS: A principal component included TNF-alpha (tumor necrosis factor-alpha), IL-8 (interleukin-8), IL-6 (interleukin-6), hs-CRP, and MCP-1, with absolute rotated factor loadings >0.10. SEM showed that IL-6 (beta=0.38, 95 % IC=0.08-0.68), hs-CRP (beta=0.33, 95 % IC=0.17-0.48), and TNF-alpha (beta=0.22, 95 % IC=0.11-0.32) were the mediators that better explained an inflammatory profile positively related to waist circumference (beta=0.77, 95 % IC=0.61-0.94). Moreover, this profile was associated with an increased cardiorenal risk (beta=0.78, 95 % IC=0.61-0.94), which was well-defined by the variable used. CONCLUSIONS: Immune mediators are key elements in profiling the cardiorenal risk associated with lifestyle factors, for which the combination of hs-CRP, IL-6, and TNF-alpha has emerged as a robust indicator. This work reaffirms the need for biomarker optimization for early diagnosis and risk assessment. CI - (c) 2023 Walter de Gruyter GmbH, Berlin/Boston. FAU - Marchiori, Georgina Noel AU - Marchiori GN AUID- ORCID: 0000-0001-8633-9598 AD - Universidad Nacional de Cordoba, Facultad de Ciencias Medicas, Escuela de Nutricion, Centro de Investigaciones en Nutricion Humana (CenINH), Cordoba, Argentina. AD - Consejo Nacional de Investigaciones Cientificas y Tecnicas, CONICET, INICSA, Cordoba, Argentina. FAU - Defago, Maria Daniela AU - Defago MD AUID- ORCID: 0000-0002-8878-3067 AD - Universidad Nacional de Cordoba, Facultad de Ciencias Medicas, Escuela de Nutricion, Centro de Investigaciones en Nutricion Humana (CenINH), Cordoba, Argentina. AD - Consejo Nacional de Investigaciones Cientificas y Tecnicas, CONICET, INICSA, Cordoba, Argentina. FAU - Baraquet, Maria Lucia AU - Baraquet ML AUID- ORCID: 0000-0002-7730-0816 AD - Universidad Nacional de Cordoba, Facultad de Ciencias Medicas, Escuela de Nutricion, Centro de Investigaciones en Nutricion Humana (CenINH), Cordoba, Argentina. AD - Consejo Nacional de Investigaciones Cientificas y Tecnicas, CONICET, INICSA, Cordoba, Argentina. FAU - Del Rosso, Sebastian AU - Del Rosso S AUID- ORCID: 0000-0003-2572-5887 AD - Universidad Nacional de Cordoba, Facultad de Ciencias Quimicas, Centro de Investigaciones en Bioquimica Clinica e Inmunologia (CIBICI-CONICET), Cordoba, Argentina. FAU - Perovic, Nilda Raquel AU - Perovic NR AUID- ORCID: 0000-0003-4264-2610 AD - Universidad Nacional de Cordoba, Facultad de Ciencias Medicas, Escuela de Nutricion, Centro de Investigaciones en Nutricion Humana (CenINH), Cordoba, Argentina. FAU - Soria, Elio Andres AU - Soria EA AUID- ORCID: 0000-0003-2373-2493 AD - Consejo Nacional de Investigaciones Cientificas y Tecnicas, CONICET, INICSA, Cordoba, Argentina. AD - Universidad Nacional de Cordoba, Facultad de Ciencias Medicas, Catedra de Biologia Celular, Histologia y Embriologia, Instituto de Biologia Celular, Cordoba, Argentina. LA - eng PT - Journal Article DEP - 20240101 PL - Germany TA - Diagnosis (Berl) JT - Diagnosis (Berlin, Germany) JID - 101654734 RN - 0 (Biomarkers) RN - 9007-41-4 (C-Reactive Protein) RN - 0 (Interleukin-6) RN - 0 (Tumor Necrosis Factor-alpha) SB - IM MH - Adult MH - Humans MH - Biomarkers MH - *C-Reactive Protein/analysis MH - Cross-Sectional Studies MH - *Interleukin-6 MH - Tumor Necrosis Factor-alpha MH - Middle Aged MH - Aged OTO - NOTNLM OT - Cardio-renal syndrome OT - cardiovascular system OT - clinical laboratory techniques OT - inflammation mediators OT - kidney OT - latent class analysis EDAT- 2023/12/28 18:42 MHDA- 2024/02/20 11:50 CRDT- 2023/12/28 15:17 PHST- 2023/11/07 00:00 [received] PHST- 2023/12/07 00:00 [accepted] PHST- 2024/02/20 11:50 [medline] PHST- 2023/12/28 18:42 [pubmed] PHST- 2023/12/28 15:17 [entrez] AID - dx-2023-0159 [pii] AID - 10.1515/dx-2023-0159 [doi] PST - epublish SO - Diagnosis (Berl). 2024 Jan 1;11(1):82-90. doi: 10.1515/dx-2023-0159. eCollection 2024 Feb 1.