Clustering of Inflammatory Biomarkers and Risk of Hypertension in a Mongolian Population in China

Abstract Objective There is little knowledge on whether there is clustering of inflammatory biomarkers, such as C-reactive protein （CRP）, soluble intracellular adhesion molecule1-1 （slCAM-1）, and angiotensin It （Ang Ⅱ）, in individuals with hypertension in the Mongolian population. In the present study, we investigated this relationship in a Mongolian population in China. Methods A total of 2589 adult Mongolians, aged 20 years and older, were recruited as study participants. Data on demographics, lifestyle, family history of hypertension, blood pressure, and blood chemistry were collected, and inflammatory biomarkers were measured in all participants. Results The proportion of subjects with increased levels of two or three biomarkers was significantly higher in those with hypertension （21.0% and 6.0%, respectively） than in those with prehypertension （12.7% and 0.5%, respectively） or normotension （8.1% and 0.2%, respectively）. The multivariate adjusted odds ratios （95% confidence interval） of hypertension associated with increased levels of one, two or three biomarkers were 0.94 （0.72-1.22）, 1.42 （0.93-2.16）, and 11.08 （1.45-84.80）, respectively, compared with subjects with no increase in any biomarker. Conclusion Hypertension was associated with a cluster of inflammatory biomarkers in the Mongolian population.

Change of Inflammatory Factors in Patients with Acute Coronary Syndrome

Background： Acute coronary syndrome （ACS） is closely related to unstable plaques and secondary thrombosis. The inflammatory cells in plaques and their inflammatory products may be the cause for plaque instability and ruptures. The study aimed to disclose the changes of inflammatory factors including serum intracellular adhesion molecule-1（ICAM-1 ）, chitinase-3-like protein I （YKL-40）, and lipoprotein-associated phospholipase A2 （Lp-PLA2） in patients with ACS and its clinical significance. Methods： A total of 120 patients with coronary heart disease （CHD） were categorized into 2 groups： 69 with ACS and 51 with stable angina pectoris （SAP）： 20 patients with chest pain and normal angiography served as a control group. The 120 patients with CHD were categorized into single-vessel disease group, double-vessel disease group, and three-vessel disease group based on the number of coronary artery stenosis. The severity of coronary artery stenosis was quantified based on coronary angiography using Gensini score. They were further divided into mild CHD group with its Gensini score 〈26 （n = 36）, moderate CHD group with its Gensini score being 26-54 （n = 48） and severe CHD group with its Gensini score 〉54 （n = 36）. Serum levels of ICAM-1, YKL-40, and Lp-PLA2 of different groups were determined by enzyme-linked immunosorbent assay. Correlation between ICAM-1, YKL-40, Lp-PLA2, and Gensini score was analyzed. Results： The levels of serum inflammatory factors ICAM-1, YKL-40, and Lp-PLA2 were significantly higher in the ACS group than those in control group and SAP group （all P 〈 0.05）： and compared with control group, no significant difference was observed in terms of the serum ICAM-1, YKL-40, and Lp-PLA2 levels in the SAP group （P 〉 0.05）.The levels of serum ICAM-1, YKL-40, and Lp-PLA2 were not significantly different among control group, single-vessel disease group, double-vessel disease group, and three-vessel disease group （all P 〉 0.05）. The levels of serum ICAM-1, YKL-40, and Lp-PLA2 were not significantly different among control group, mild CHD group （Gensini score 〈26）, moderate CHD group （Gensini score 26-54）, and severe CHD group （Gensini score 〉54） （all P 〉 0.05）. Nonparametric Spearman correlation analysis showed that the levels of serum ICAM-1, YKL-40, and Lp-PLA2 were not correlated with the Gensini score in CHD patients （r=0.093, r=-0.149, and r= -0.085, all P 〉 0.05; respectively）. Conclusions： The serum levels of ICAM-1, YKL-40, and Lp-PLA2 were correlated with different clinical types of CHD, but not well correlated the severity and extent of artery stenosis, suggesting that ICAM-1, YKL-40, and Lp-PLA2 rnight be involved in occurrence of instability of atherosclerotic plaque, and might reflect the severity of CHD mostly through reflecting the plaque stability.

Relationship between Two Blood Stasis Syndromes and Inflammatory Factors in Patients with Acute Coronary Syndrome

Objective： To investigate the relationship between inflammatory factors and two Chinese medicine（CM） syndrome types of qi stagnation and blood stasis（QSBS） and qi deficiency and blood stasis（QDBS） in patients with acute coronary syndrome（ACS）. Methods： Sixty subjects with ACS, whose pathogenesis changes belongs to qi disturbance blood stasis syndrome, were divided into 2 groups： 30 in the QSBS group and 30 in the QDBS group. The comparative analysis on them was carried out through comparing general information, coronary angiography and inflammatory factors including intracellular adhesion molecule-1（ICAM-1）, chitinase-3-like protein 1（YKL-40） and lipoprotein-associated phospholipase A2（Lp-PLA2）. Results： Compared with the QSBS group, Lp-PLA2 and YKL-40 levels in the QDBS group showed no-significant difference（P〉0.05）; ICAM-1 was significantly higher in the QDBS group than in the QSBS group in the pathological processes of qi disturbance and blood stasis syndrome of ACS（P〈0.05）. Conclusion： Inflammatory factor ICAM-1 may be an objective basis for syndrome typing of QSBS and QDBS, which provides a research direction for standardization research of CM syndrome types.

Changes of serum levels of ICAM-1,IGF-1 and IL-8 in normal offspring with a family history of essential hypertension

Background Essential hypertension （EH） has become the most common chronic non-infectious epidemic and is one of the most common risk factors for the damage to heart, brain, kidney and other organs. The serum levels of ICAM-1, IGF-1 and IL-8 play important roles in the pathogenesis of EH. Methods In the medical check-up center of the Affiliated Hospital of Qingdao University Medical College, sixty normal offspring with a family history of EH were randomly recruited into two groups： 30 offspring with a father or mother suffering from EH as single-parent group, and 30 offspring with both parents suffering from EH as double-parent group, and another 30 normal offspring whose parents did not suffer from EH as control group. The serum levels of ICAM-1, IGF-1 and IL-8 were determined by enzyme-linked immunosorbent assay （ELISA）. Result The serum levels of ICAM-1, IGF-1 and IL-8 were significantly higher in both single-parent group and double-parent group than in the control group （P 〈 0.05）, and the serum levels of ICAM-1, IGF-1 and IL-8 were higher in the double-parent group than in the single-parent group （P 〈 0.05）. The serum levels of ICAM-1, IGF-1 and IL-8 were positively correlated with the severity of blood pressure elevation （r = 0.375, r = 0.465, r = 0.326, P 〈 0.05, P 〈 0.01, P 〈 0.05 respectively）. Conclusions Due to the influence of heredity, the serum inflammatory factor contents in normal offspring with EH family history may increase before blood pressure rise. Detection of serum inflammatory factors in healthy offspring with a family history of EH could predict occurrence of hypertension, and provide a more reliable basis for the primary prevention of hypertension.