Skip to main content
Heart logoLink to Heart
. 1996 Mar;75(3):287–290. doi: 10.1136/hrt.75.3.287

Abnormal cytokine profiles in patients with idiopathic dilated cardiomyopathy and their asymptomatic relatives.

J B Marriott 1, J H Goldman 1, P J Keeling 1, M K Baig 1, A G Dalgleish 1, W J McKenna 1
PMCID: PMC484288  PMID: 8800994

Abstract

OBJECTIVES: Immunological abnormalities in idiopathic dilated cardiomyopathy (DCM) include an increase in soluble interleukin (IL)-2 receptor, disease specific cardiac autoantibodies, an HLA-DR4 association, and familial aggregation of disease; however, cytokine profiles have not been defined. Serum concentrations of IL-2, IL-4, IL-10, and IL-12 were measured in patients with DCM (WHO criteria), relatives with asymptomatic left ventricular enlargement (LVE), patients with ischaemic heart failure (IHD), and healthy controls. DESIGN: Serum from 20 individuals from each of the four groups was assayed for cytokine concentrations by a commercial enzyme linked immunosorbent assay. RESULTS: IL-2 concentrations were abnormally increased in DCM patients and relatives with LVE. Concentrations of IL-10 were increased in DCM patients. Concentrations of IL-4 and IL-12 were not increased in any of the groups. CONCLUSION: These abnormalities may reflect defective/inappropriate T cell function in patients with DCM and in their relatives with LVE.

Full text

PDF
287

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Anderson J. L., Carlquist J. F., Lutz J. R., DeWitt C. W., Hammond E. H. HLA A, B and DR typing in idiopathic dilated cardiomyopathy: a search for immune response factors. Am J Cardiol. 1984 May 1;53(9):1326–1330. doi: 10.1016/0002-9149(84)90088-2. [DOI] [PubMed] [Google Scholar]
  2. Aretz H. T., Billingham M. E., Edwards W. D., Factor S. M., Fallon J. T., Fenoglio J. J., Jr, Olsen E. G., Schoen F. J. Myocarditis. A histopathologic definition and classification. Am J Cardiovasc Pathol. 1987 Jan;1(1):3–14. [PubMed] [Google Scholar]
  3. Blackie S. P., Fairbarn M. S., McElvaney G. N., Morrison N. J., Wilcox P. G., Pardy R. L. Prediction of maximal oxygen uptake and power during cycle ergometry in subjects older than 55 years of age. Am Rev Respir Dis. 1989 Jun;139(6):1424–1429. doi: 10.1164/ajrccm/139.6.1424. [DOI] [PubMed] [Google Scholar]
  4. Caforio A. L., Bonifacio E., Stewart J. T., Neglia D., Parodi O., Bottazzo G. F., McKenna W. J. Novel organ-specific circulating cardiac autoantibodies in dilated cardiomyopathy. J Am Coll Cardiol. 1990 Jun;15(7):1527–1534. doi: 10.1016/0735-1097(90)92821-i. [DOI] [PubMed] [Google Scholar]
  5. Caforio A. L., Bottazzo G. F., McKenna W. J., Counihan P. J., Burke M., Poloniecki J., Davies M. J., Pepper J. R. Class II major histocompatibility complex antigens on cardiac endothelium: an early biopsy marker of rejection in the transplanted human heart. Transplant Proc. 1990 Aug;22(4):1830–1833. [PubMed] [Google Scholar]
  6. Caforio A. L., Keeling P. J., Zachara E., Mestroni L., Camerini F., Mann J. M., Bottazzo G. F., McKenna W. J. Evidence from family studies for autoimmunity in dilated cardiomyopathy. Lancet. 1994 Sep 17;344(8925):773–777. doi: 10.1016/s0140-6736(94)92339-6. [DOI] [PubMed] [Google Scholar]
  7. Epstein S. E., Rosing D. R. Verapamil: its potential for causing serious complications in patients with hypertrophic cardiomyopathy. Circulation. 1981 Sep;64(3):437–441. doi: 10.1161/01.cir.64.3.437. [DOI] [PubMed] [Google Scholar]
  8. Henke A., Spengler H. P., Stelzner A., Nain M., Gemsa D. Lipopolysaccharide suppresses cytokine release from coxsackie virus-infected human monocytes. Res Immunol. 1992 Jan;143(1):65–70. doi: 10.1016/0923-2494(92)80081-u. [DOI] [PubMed] [Google Scholar]
  9. Henry W. L., Gardin J. M., Ware J. H. Echocardiographic measurements in normal subjects from infancy to old age. Circulation. 1980 Nov;62(5):1054–1061. doi: 10.1161/01.cir.62.5.1054. [DOI] [PubMed] [Google Scholar]
  10. Huber S. A., Polgar J., Schultheiss P., Schwimmbeck P. Augmentation of pathogenesis of coxsackievirus B3 infections in mice by exogenous administration of interleukin-1 and interleukin-2. J Virol. 1994 Jan;68(1):195–206. doi: 10.1128/jvi.68.1.195-206.1994. [DOI] [PMC free article] [PubMed] [Google Scholar]
  11. Kriett J. M., Kaye M. P. The Registry of the International Society for Heart Transplantation: seventh official report--1990. J Heart Transplant. 1990 Jul-Aug;9(4):323–330. [PubMed] [Google Scholar]
  12. Lenfant C. NHLBI funding policies. Enhancing stability, predictability, and cost control. Circulation. 1994 Jul;90(1):1–1. doi: 10.1161/01.cir.90.1.1. [DOI] [PubMed] [Google Scholar]
  13. Limas C. J., Goldenberg I. F., Limas C. Soluble interleukin-2 receptor levels in patients with dilated cardiomyopathy. Correlation with disease severity and cardiac autoantibodies. Circulation. 1995 Feb 1;91(3):631–634. doi: 10.1161/01.cir.91.3.631. [DOI] [PubMed] [Google Scholar]
  14. Link J., Söderström M., Ljungdahl A., Höjeberg B., Olsson T., Xu Z., Fredrikson S., Wang Z. Y., Link H. Organ-specific autoantigens induce interferon-gamma and interleukin-4 mRNA expression in mononuclear cells in multiple sclerosis and myasthenia gravis. Neurology. 1994 Apr;44(4):728–734. doi: 10.1212/wnl.44.4.728. [DOI] [PubMed] [Google Scholar]
  15. Manolio T. A., Baughman K. L., Rodeheffer R., Pearson T. A., Bristow J. D., Michels V. V., Abelmann W. H., Harlan W. R. Prevalence and etiology of idiopathic dilated cardiomyopathy (summary of a National Heart, Lung, and Blood Institute workshop. Am J Cardiol. 1992 Jun 1;69(17):1458–1466. doi: 10.1016/0002-9149(92)90901-a. [DOI] [PubMed] [Google Scholar]
  16. Matsumori A., Yamada T., Suzuki H., Matoba Y., Sasayama S. Increased circulating cytokines in patients with myocarditis and cardiomyopathy. Br Heart J. 1994 Dec;72(6):561–566. doi: 10.1136/hrt.72.6.561. [DOI] [PMC free article] [PubMed] [Google Scholar]
  17. Michels V. V., Moll P. P., Miller F. A., Tajik A. J., Chu J. S., Driscoll D. J., Burnett J. C., Rodeheffer R. J., Chesebro J. H., Tazelaar H. D. The frequency of familial dilated cardiomyopathy in a series of patients with idiopathic dilated cardiomyopathy. N Engl J Med. 1992 Jan 9;326(2):77–82. doi: 10.1056/NEJM199201093260201. [DOI] [PubMed] [Google Scholar]
  18. Mosmann T. R., Coffman R. L. TH1 and TH2 cells: different patterns of lymphokine secretion lead to different functional properties. Annu Rev Immunol. 1989;7:145–173. doi: 10.1146/annurev.iy.07.040189.001045. [DOI] [PubMed] [Google Scholar]
  19. Romagnani S. Lymphokine production by human T cells in disease states. Annu Rev Immunol. 1994;12:227–257. doi: 10.1146/annurev.iy.12.040194.001303. [DOI] [PubMed] [Google Scholar]
  20. Simon A. K., Seipelt E., Sieper J. Divergent T-cell cytokine patterns in inflammatory arthritis. Proc Natl Acad Sci U S A. 1994 Aug 30;91(18):8562–8566. doi: 10.1073/pnas.91.18.8562. [DOI] [PMC free article] [PubMed] [Google Scholar]
  21. Smith S. C., Allen P. M. Myosin-induced acute myocarditis is a T cell-mediated disease. J Immunol. 1991 Oct 1;147(7):2141–2147. [PubMed] [Google Scholar]
  22. de Waal Malefyt R., Abrams J., Bennett B., Figdor C. G., de Vries J. E. Interleukin 10(IL-10) inhibits cytokine synthesis by human monocytes: an autoregulatory role of IL-10 produced by monocytes. J Exp Med. 1991 Nov 1;174(5):1209–1220. doi: 10.1084/jem.174.5.1209. [DOI] [PMC free article] [PubMed] [Google Scholar]

Articles from Heart are provided here courtesy of BMJ Publishing Group

RESOURCES