Informative significance of serum cytokines and their importance for development of metabolic syndrome with arterial hypertension in elderly persons

Metabolic syndrome (MS) is among the main public health challenges worldwide, leading to significant labor losses, increased costs for treatment and rehabilitation of the patients. The aim of the present study was to identify the informative serum interleukins, by determining the odds ratio in elder...

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Autores principales:	N. M. Agarkov, V. I. Kolomiets, S. I. Korneeva, E. O. Moskaleva, K. F. Makkonen
Formato:	article
Lenguaje:	RU
Publicado:	SPb RAACI 2021
Materias:	serum interleukins metabolic syndrome hypertension elderly Immunologic diseases. Allergy RC581-607
Acceso en línea:	https://doaj.org/article/1e0e44489930464d99db51050ced6f5d
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spelling	oai:doaj.org-article:1e0e44489930464d99db51050ced6f5d2021-11-18T08:03:51ZInformative significance of serum cytokines and their importance for development of metabolic syndrome with arterial hypertension in elderly persons1563-06252313-741X10.15789/1563-0625-ISO-2146https://doaj.org/article/1e0e44489930464d99db51050ced6f5d2021-05-01T00:00:00Zhttps://www.mimmun.ru/mimmun/article/view/2353https://doaj.org/toc/1563-0625https://doaj.org/toc/2313-741XMetabolic syndrome (MS) is among the main public health challenges worldwide, leading to significant labor losses, increased costs for treatment and rehabilitation of the patients. The aim of the present study was to identify the informative serum interleukins, by determining the odds ratio in elderly patients with MS and hypertension. The main group of 86 patients with MS and arterial hypertension (AH) aged 60-75 years was examined under clinical conditions. The inclusion criteria were as follows: age of 60-75 years, presence of MS, primary hypertension (grade II-III), absence of acute myocardial infarction, malignant neoplasms, disorders of cerebral circulation, kidney failure over last 6 months. Diagnostics of MS and hypertension was carried out in accordance with Expert Guidelines from the Russian Research Society of Cardiology on the MS Diagnosis and Treatment. Our first study of a large range of serum interleukins in elderly patients with MS and hypertension allowed us to reveal the inversely directed changes in pro- and anti-inflammatory cytokine contents. Combined AH/MS in elderly persons is accomplished by sufficient increase of the most proinflammatory cytokines, and vice versa, by significant decrease in anti-inflammatory cytokines in blood serum. This finding clearly points to importance of immunological regulatory systems for initiation of AH with MS at older age. Pro- and anti-inflammatory serum interleukins are actively involved into the AH/MS development in elderly accompanied by their pronounced imbalance. The mentioned immune reactions could underlie the MS/AH condition. High risk of this disorder is connected with changed production of proinflammatory cytokines (IL-8, IL-1β), like as anti-inflammatory serum interleukins (IL-4, IL-10), with predominance of the former. The above interleukins should be considered dominant diagnostic markers of AH/MS in elderly persons. Measurement of serum interleukins and discriminant-based approach allows highly reliable differentiation of elderly patients with AH/MS from similar individuals without this disorder.N. M. AgarkovV. I. KolomietsS. I. KorneevaE. O. MoskalevaK. F. MakkonenSPb RAACIarticleserum interleukinsmetabolic syndromehypertensionelderlyImmunologic diseases. AllergyRC581-607RUMedicinskaâ Immunologiâ, Vol 23, Iss 2, Pp 303-310 (2021)
institution	DOAJ
collection	DOAJ
language	RU
topic	serum interleukins metabolic syndrome hypertension elderly Immunologic diseases. Allergy RC581-607
spellingShingle	serum interleukins metabolic syndrome hypertension elderly Immunologic diseases. Allergy RC581-607 N. M. Agarkov V. I. Kolomiets S. I. Korneeva E. O. Moskaleva K. F. Makkonen Informative significance of serum cytokines and their importance for development of metabolic syndrome with arterial hypertension in elderly persons
description	Metabolic syndrome (MS) is among the main public health challenges worldwide, leading to significant labor losses, increased costs for treatment and rehabilitation of the patients. The aim of the present study was to identify the informative serum interleukins, by determining the odds ratio in elderly patients with MS and hypertension. The main group of 86 patients with MS and arterial hypertension (AH) aged 60-75 years was examined under clinical conditions. The inclusion criteria were as follows: age of 60-75 years, presence of MS, primary hypertension (grade II-III), absence of acute myocardial infarction, malignant neoplasms, disorders of cerebral circulation, kidney failure over last 6 months. Diagnostics of MS and hypertension was carried out in accordance with Expert Guidelines from the Russian Research Society of Cardiology on the MS Diagnosis and Treatment. Our first study of a large range of serum interleukins in elderly patients with MS and hypertension allowed us to reveal the inversely directed changes in pro- and anti-inflammatory cytokine contents. Combined AH/MS in elderly persons is accomplished by sufficient increase of the most proinflammatory cytokines, and vice versa, by significant decrease in anti-inflammatory cytokines in blood serum. This finding clearly points to importance of immunological regulatory systems for initiation of AH with MS at older age. Pro- and anti-inflammatory serum interleukins are actively involved into the AH/MS development in elderly accompanied by their pronounced imbalance. The mentioned immune reactions could underlie the MS/AH condition. High risk of this disorder is connected with changed production of proinflammatory cytokines (IL-8, IL-1β), like as anti-inflammatory serum interleukins (IL-4, IL-10), with predominance of the former. The above interleukins should be considered dominant diagnostic markers of AH/MS in elderly persons. Measurement of serum interleukins and discriminant-based approach allows highly reliable differentiation of elderly patients with AH/MS from similar individuals without this disorder.
format	article
author	N. M. Agarkov V. I. Kolomiets S. I. Korneeva E. O. Moskaleva K. F. Makkonen
author_facet	N. M. Agarkov V. I. Kolomiets S. I. Korneeva E. O. Moskaleva K. F. Makkonen
author_sort	N. M. Agarkov
title	Informative significance of serum cytokines and their importance for development of metabolic syndrome with arterial hypertension in elderly persons
title_short	Informative significance of serum cytokines and their importance for development of metabolic syndrome with arterial hypertension in elderly persons
title_full	Informative significance of serum cytokines and their importance for development of metabolic syndrome with arterial hypertension in elderly persons
title_fullStr	Informative significance of serum cytokines and their importance for development of metabolic syndrome with arterial hypertension in elderly persons
title_full_unstemmed	Informative significance of serum cytokines and their importance for development of metabolic syndrome with arterial hypertension in elderly persons
title_sort	informative significance of serum cytokines and their importance for development of metabolic syndrome with arterial hypertension in elderly persons
publisher	SPb RAACI
publishDate	2021
url	https://doaj.org/article/1e0e44489930464d99db51050ced6f5d
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Informative significance of serum cytokines and their importance for development of metabolic syndrome with arterial hypertension in elderly persons

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