Elevated resting heart rate as a predictor of inflammation and cardiovascular risk in healthy obese individuals

Abstract The role of leukocyte inflammatory markers and toll like receptors (TLRs)2/4 in pathologies associated with elevated resting heart rate (RHR) levels in healthy obese (HO) individuals is not well elucidated. Herein, we investigated the relationship of RHR with expression of leukocyte-inflamm...

Descripción completa

Guardado en:
Detalles Bibliográficos
Autores principales: Fatema Al-Rashed, Sardar Sindhu, Ashraf Al Madhoun, Zunair Ahmad, Dawood AlMekhled, Rafaat Azim, Sarah Al-Kandari, Maziad Al-Abdul Wahid, Fahd Al-Mulla, Rasheed Ahmad
Formato: article
Lenguaje:EN
Publicado: Nature Portfolio 2021
Materias:
R
Q
Acceso en línea:https://doaj.org/article/e2a0f457156243398013c76f594e7552
Etiquetas: Agregar Etiqueta
Sin Etiquetas, Sea el primero en etiquetar este registro!
id oai:doaj.org-article:e2a0f457156243398013c76f594e7552
record_format dspace
spelling oai:doaj.org-article:e2a0f457156243398013c76f594e75522021-12-02T15:39:50ZElevated resting heart rate as a predictor of inflammation and cardiovascular risk in healthy obese individuals10.1038/s41598-021-93449-52045-2322https://doaj.org/article/e2a0f457156243398013c76f594e75522021-07-01T00:00:00Zhttps://doi.org/10.1038/s41598-021-93449-5https://doaj.org/toc/2045-2322Abstract The role of leukocyte inflammatory markers and toll like receptors (TLRs)2/4 in pathologies associated with elevated resting heart rate (RHR) levels in healthy obese (HO) individuals is not well elucidated. Herein, we investigated the relationship of RHR with expression of leukocyte-inflammatory markers and TLRs in HO individuals. 58-obese and 57-lean participants with no history of a major medical condition, were recruited in this study. In HO individuals, the elevated-RHR correlated positively with diastolic blood pressure, cholesterol, pro-inflammatory monocytes CD11b+CD11c+CD206− phenotype (r = 0.52, P = 0.0003) as well as with activated T cells CD8+HLA-DR+ phenotype (r = 0.27, P = 0.039). No association was found between RHR and the percentage of CD16+CD11b+ neutrophils. Interestingly, elevated RHR positively correlated with cells expressing TLR4 and TLR2 (CD14+TLR4+, r = 0.51, P ≤ 0.0001; and CD14+TLR2+, r = 0.42, P = 0.001). TLR4+ expressing cells also associated positively with the plasma concentrations of proinflammatory or vascular permeability/matrix modulatory markers including TNF-α (r = 0.36, P = 0.005), VEGF (r = 0.47, P = 0.0002), and MMP-9 (r = 0.53, P ≤ 0.0001). Multiple regression revealed that RHR is independently associated with CD14+TLR4+ monocytes and VEGF. We conclude that in HO individuals, increased CD14+TLR4+ monocytes and circulatory VEGF levels associated independently with RHR, implying that RHR monitoring could be used as a non-invasive clinical indicator to identify healthy obese individuals at an increased risk of developing inflammation and cardiovascular disease.Fatema Al-RashedSardar SindhuAshraf Al MadhounZunair AhmadDawood AlMekhledRafaat AzimSarah Al-KandariMaziad Al-Abdul WahidFahd Al-MullaRasheed AhmadNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 11, Iss 1, Pp 1-11 (2021)
institution DOAJ
collection DOAJ
language EN
topic Medicine
R
Science
Q
spellingShingle Medicine
R
Science
Q
Fatema Al-Rashed
Sardar Sindhu
Ashraf Al Madhoun
Zunair Ahmad
Dawood AlMekhled
Rafaat Azim
Sarah Al-Kandari
Maziad Al-Abdul Wahid
Fahd Al-Mulla
Rasheed Ahmad
Elevated resting heart rate as a predictor of inflammation and cardiovascular risk in healthy obese individuals
description Abstract The role of leukocyte inflammatory markers and toll like receptors (TLRs)2/4 in pathologies associated with elevated resting heart rate (RHR) levels in healthy obese (HO) individuals is not well elucidated. Herein, we investigated the relationship of RHR with expression of leukocyte-inflammatory markers and TLRs in HO individuals. 58-obese and 57-lean participants with no history of a major medical condition, were recruited in this study. In HO individuals, the elevated-RHR correlated positively with diastolic blood pressure, cholesterol, pro-inflammatory monocytes CD11b+CD11c+CD206− phenotype (r = 0.52, P = 0.0003) as well as with activated T cells CD8+HLA-DR+ phenotype (r = 0.27, P = 0.039). No association was found between RHR and the percentage of CD16+CD11b+ neutrophils. Interestingly, elevated RHR positively correlated with cells expressing TLR4 and TLR2 (CD14+TLR4+, r = 0.51, P ≤ 0.0001; and CD14+TLR2+, r = 0.42, P = 0.001). TLR4+ expressing cells also associated positively with the plasma concentrations of proinflammatory or vascular permeability/matrix modulatory markers including TNF-α (r = 0.36, P = 0.005), VEGF (r = 0.47, P = 0.0002), and MMP-9 (r = 0.53, P ≤ 0.0001). Multiple regression revealed that RHR is independently associated with CD14+TLR4+ monocytes and VEGF. We conclude that in HO individuals, increased CD14+TLR4+ monocytes and circulatory VEGF levels associated independently with RHR, implying that RHR monitoring could be used as a non-invasive clinical indicator to identify healthy obese individuals at an increased risk of developing inflammation and cardiovascular disease.
format article
author Fatema Al-Rashed
Sardar Sindhu
Ashraf Al Madhoun
Zunair Ahmad
Dawood AlMekhled
Rafaat Azim
Sarah Al-Kandari
Maziad Al-Abdul Wahid
Fahd Al-Mulla
Rasheed Ahmad
author_facet Fatema Al-Rashed
Sardar Sindhu
Ashraf Al Madhoun
Zunair Ahmad
Dawood AlMekhled
Rafaat Azim
Sarah Al-Kandari
Maziad Al-Abdul Wahid
Fahd Al-Mulla
Rasheed Ahmad
author_sort Fatema Al-Rashed
title Elevated resting heart rate as a predictor of inflammation and cardiovascular risk in healthy obese individuals
title_short Elevated resting heart rate as a predictor of inflammation and cardiovascular risk in healthy obese individuals
title_full Elevated resting heart rate as a predictor of inflammation and cardiovascular risk in healthy obese individuals
title_fullStr Elevated resting heart rate as a predictor of inflammation and cardiovascular risk in healthy obese individuals
title_full_unstemmed Elevated resting heart rate as a predictor of inflammation and cardiovascular risk in healthy obese individuals
title_sort elevated resting heart rate as a predictor of inflammation and cardiovascular risk in healthy obese individuals
publisher Nature Portfolio
publishDate 2021
url https://doaj.org/article/e2a0f457156243398013c76f594e7552
work_keys_str_mv AT fatemaalrashed elevatedrestingheartrateasapredictorofinflammationandcardiovascularriskinhealthyobeseindividuals
AT sardarsindhu elevatedrestingheartrateasapredictorofinflammationandcardiovascularriskinhealthyobeseindividuals
AT ashrafalmadhoun elevatedrestingheartrateasapredictorofinflammationandcardiovascularriskinhealthyobeseindividuals
AT zunairahmad elevatedrestingheartrateasapredictorofinflammationandcardiovascularriskinhealthyobeseindividuals
AT dawoodalmekhled elevatedrestingheartrateasapredictorofinflammationandcardiovascularriskinhealthyobeseindividuals
AT rafaatazim elevatedrestingheartrateasapredictorofinflammationandcardiovascularriskinhealthyobeseindividuals
AT sarahalkandari elevatedrestingheartrateasapredictorofinflammationandcardiovascularriskinhealthyobeseindividuals
AT maziadalabdulwahid elevatedrestingheartrateasapredictorofinflammationandcardiovascularriskinhealthyobeseindividuals
AT fahdalmulla elevatedrestingheartrateasapredictorofinflammationandcardiovascularriskinhealthyobeseindividuals
AT rasheedahmad elevatedrestingheartrateasapredictorofinflammationandcardiovascularriskinhealthyobeseindividuals
_version_ 1718385905493868544