Interleukin-6, tumor necrosis factor-α, and high-sensitivity C-reactive protein for optimal immunometabolic profiling of the lifestyle-related cardiorenal risk

© 2023 Walter de Gruyter GmbH, Berlin/Boston..

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 (Córdoba, 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-α (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 (β=0.38, 95 % IC=0.08-0.68), hs-CRP (β=0.33, 95 % IC=0.17-0.48), and TNF-α (β=0.22, 95 % IC=0.11-0.32) were the mediators that better explained an inflammatory profile positively related to waist circumference (β=0.77, 95 % IC=0.61-0.94). Moreover, this profile was associated with an increased cardiorenal risk (β=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-α has emerged as a robust indicator. This work reaffirms the need for biomarker optimization for early diagnosis and risk assessment.

Medienart:

E-Artikel

Erscheinungsjahr:

2024

Erschienen:

2024

Enthalten in:

Zur Gesamtaufnahme - volume:11

Enthalten in:

Diagnosis (Berlin, Germany) - 11(2024), 1 vom: 01. Feb., Seite 82-90

Sprache:

Englisch

Beteiligte Personen:

Marchiori, Georgina Noel [VerfasserIn]
Defagó, María Daniela [VerfasserIn]
Baraquet, María Lucía [VerfasserIn]
Del Rosso, Sebastián [VerfasserIn]
Perovic, Nilda Raquel [VerfasserIn]
Soria, Elio Andrés [VerfasserIn]

Links:

Volltext

Themen:

9007-41-4
Biomarkers
C-Reactive Protein
Cardio-renal syndrome
Cardiovascular system
Clinical laboratory techniques
Inflammation mediators
Interleukin-6
Journal Article
Kidney
Latent class analysis
Tumor Necrosis Factor-alpha

Anmerkungen:

Date Completed 22.02.2024

Date Revised 23.02.2024

published: Electronic-eCollection

Citation Status MEDLINE

doi:

10.1515/dx-2023-0159

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM366447017