Serum CD121a (Interleukin 1 Receptor, Type I): A Potential Novel Inflammatory Marker for Coronary Heart Disease

PLoS One. 2015 Jun 22;10(6):e0131086. doi: 10.1371/journal.pone.0131086. eCollection 2015.

Abstract

Inflammation is now believed to be responsible for coronary heart disease (CHD). This belief has stimulated the evaluation of various inflammatory markers for predicting CHD. This study was designed to investigate the association between four inflammatory cytokines (CD121a, interleukin [IL]-1β, IL-8, and IL-11) and CHD. Here, we evaluated 443 patients with CHD and 160 CHD-free controls who underwent coronary angiography. Cytokines were evaluated using flow cytometry, and statistical analyses were performed to investigate the association between cytokine levels and the risk of CHD. Patients with CHD had significantly higher levels of CD121a. The odds ratios for CHD according to increasing CD121a quartiles were 1.00, 1.47 [95% confidence interval (CI): 0.79-2.72], 2.67 (95% CI: 1.47-4.84), and 4.71 (95% CI: 2.65-8.37) in an age- and sex-adjusted model, compared to 1.00, 1.48 (95% CI: 0.70-3.14), 2.25 (95% CI: 1.10-4.62), and 4.39 (95% CI: 2.19-8.79) in a model that was adjusted for multiple covariates. A comparison of the stable angina, unstable angina, and acute myocardial infarction (AMI) subgroups revealed that patients with AMI had the highest CD121a levels, although IL-1β levels were similar across all groups. IL-8 levels were also increased in AMI patients, and IL-11 levels were higher in CHD patients than in non-CHD patients. Correlation analysis revealed a positive association between CD121a, IL-8, and the Gensini score. Together, the significant increase in CD121a levels among CHD patients suggests that it may be a novel inflammatory marker for predicting CHD.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Aged
  • Aged, 80 and over
  • Angina, Stable / blood
  • Angina, Stable / immunology
  • Angina, Unstable / blood
  • Angina, Unstable / immunology
  • Biomarkers / blood
  • Case-Control Studies
  • Coronary Disease / blood*
  • Coronary Disease / diagnosis
  • Coronary Disease / immunology*
  • Female
  • Humans
  • Inflammation Mediators / blood*
  • Interleukin-11 / blood
  • Interleukin-1beta / blood
  • Interleukin-8 / blood
  • Male
  • Middle Aged
  • Myocardial Infarction / blood
  • Myocardial Infarction / immunology
  • Predictive Value of Tests
  • Receptors, Interleukin-1 Type I / blood*

Substances

  • Biomarkers
  • CXCL8 protein, human
  • IL11 protein, human
  • IL1B protein, human
  • Inflammation Mediators
  • Interleukin-11
  • Interleukin-1beta
  • Interleukin-8
  • Receptors, Interleukin-1 Type I

Grants and funding

This work is supported by grants from the National Science Foundation of China (No. 81300999 for ZL, 81270428 and 81470501 for XL). The funder had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.