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SHR Neuro Krebs Kardio Lipid Stoffw Microb

Zabini, D; Heinemann, A; Foris, V; Nagaraj, C; Nierlich, P; Bálint, Z; Kwapiszewska, G; Lang, IM; Klepetko, W; Olschewski, H; Olschewski, A.
Comprehensive analysis of inflammatory markers in chronic thromboembolic pulmonary hypertension patients.
Eur Respir J. 2014; 44(4):951-962 Doi: 10.1183/09031936.00145013 [OPEN ACCESS]
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Führende Autor*innen der Med Uni Graz
Olschewski Andrea
Zabini-Polzer Diana
Co-Autor*innen der Med Uni Graz
Balint Zoltan
Chandran Nagaraj
Foris Vasile
Heinemann Akos
Kwapiszewska-Marsh Grazyna
Olschewski Horst
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Abstract:
Chronic thromboembolic pulmonary hypertension (CTEPH) is associated with chronic inflammation but the pathological mechanisms are largely unknown. Our study aimed to simultaneously profile a broad range of cytokines in the supernatant of pulmonary endarterectomy (PEA) surgical material, as well as prospectively in patients with CTEPH to investigate whether circulating cytokines are associated with haemodynamic and physical characteristics of CTEPH patients. Herein, we show that PEA specimens revealed a significant upregulation of interleukin (IL)-6, monocyte chemoattractant protein-1, interferon-γ-induced protein-10 (IP)-10, macrophage inflammatory protein (MIP)1α and RANTES compared to lung tissue from healthy controls. In prospectively collected serum, levels of IL-6, IL-8, IP-10, monokine induced by interferon-γ (MIG) and MIP1α were significantly elevated in CTEPH patients compared to age- and sex-matched healthy controls. In serum of idiopathic pulmonary arterial hypertension (IPAH) patients, only IP-10 and MIG were significantly increased. In CTEPH but not in IPAH, IP-10 was negatively correlated with cardiac index, 6-min walking distance and carbon monoxide diffusion capacity. In vitro, IP-10 significantly increased migration of freshly isolated adventitial fibroblasts. Our study is the first to show that IP-10 secretion is associated with poor pulmonary haemodynamics and physical capacity in CTEPH and might be involved in the pathological mechanism of PEA tissue formation. ©ERS 2014.
Find related publications in this database (using NLM MeSH Indexing)
Adult -
Aged -
Aged, 80 and over -
Biomarkers - blood
Chronic Disease -
Cytokines - blood
Female -
Humans -
Hypertension, Pulmonary - blood Hypertension, Pulmonary - etiology
Inflammation - blood Inflammation - etiology
Male -
Middle Aged -
Prospective Studies -
Pulmonary Embolism - blood Pulmonary Embolism - complications

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