The imbalance of peripheral interleukin-18 and transforming growth factor-β1 levels in patients with cirrhosis and esophageal varices

被引：7

作者：

Swidnicka-Siergiejko, Agnieszka ^{[1
]}

Wereszczynska-Siemiatkowska, Urszula ^{[1
]}

Siemiatkowski, Andrzej ^{[2
]}

Wasielica-Berger, Justyna ^{[1
]}

Janica, Jacek ^{[3
]}

Mroczko, Barbara ^{[4
]}

Dabrowski, Andrzej ^{[1
]}

机构：

[1] Med Univ Bialystok, Dept Gastroenterol & Internal Med, Ul M Sklodowskiej Curie 24a, PL-15276 Bialystok, Poland

[2] Med Univ Bialystok, Dept Anaesthesiol & Intens Care, Bialystok, Poland

[3] Med Univ Bialystok, Dept Radiol, Bialystok, Poland

[4] Med Univ Bialystok, Dept Neurodegenerat Diagnost, Bialystok, Poland

来源：

CYTOKINE | 2019年 / 113卷

关键词：

Cirrhosis; Esophageal varices; Interleukin-18; Transforming growth factor betal; PORTAL-HYPERTENSION; LIVER-DISEASE; IMMUNE DYSFUNCTION; ENDOTHELIAL-CELLS; BINDING-PROTEIN; TGF-BETA; INFLAMMATION; RECEPTOR; IL-18; INTERFERON;

D O I：

10.1016/j.cyto.2018.10.024

中图分类号：

Q5 [生物化学]; Q7 [分子生物学];

学科分类号：

071010 ; 081704 ;

摘要：

Introduction: The presence of esophageal varices in liver cirrhosis indicates clinically significant portal hypertension (PH), that results from structural and dynamic changes in the liver and systemic circulation including the activation of several fibrotic and inflammatory pathways. We assessed if interleukin-18 (IL-18) and transforming growth factor-beta 1 (TGF-beta 1) serum levels can be used as PH markers and reflect its severity. Material and methods: IL-18 and TGF-beta 1 peripheral blood levels were analyzed in 83 cirrhotic patients with esophageal varices compared to healthy individuals, in relation to MELD and Child-Pugh scores, laboratory and Doppler ultrasound parameters, and non-selective beta-blocker therapy (NSBB). Results: IL-18 concentration was significantly higher in cirrhotic patients, while TGF-beta 1 concentration was lower than in controls. MELD score correlated positively with IL-18 levels and negatively with TGF-beta 1 levels. IL-18 levels correlated positively with bilirubin, INR, ALT and AST levels, and negatively with albumin levels and erythrocyte count. TGF-beta 1 levels correlated positively with platelet count, leukocyte, and erythrocyte count, and negatively with bilirubin levels and prothrombin time. Moreover, significant correlations were found: between IL and 18 levels and portal, mesenteric superior, and splenic vein velocity, and between TGF-beta 1 levels and splenic vein diameter and spleen size. In a subgroup of patients, IL-18 levels significantly decreased after NSBB. Conclusion: The observed imbalance of peripheral IL-18 and TGF-beta 1 levels indicates clinically significant PH associated with the presence of esophageal varices in cirrhosis. The correlation of IL-18 levels with liver failure indicators and decrease with NSBB suggest an important role of IL-18 in disease progression and its potential use as noninvasive test for PH assessment.

引用

页码：440 / 445

页数：6

共 37 条

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