Cytokines in Pericardial Effusion of Patients with Inflammatory Pericardial Disease

Background. The role of inflammatory and angiogenic cytokines in patients with inflammatory pericardial effusion still remains uncertain. Methods. We assessed pericardial and serum levels of VEGF, bFGF, IL-1β and TNF-α by ELISA in patients with inflammatory pericardial effusion (PE) of autoreactive...

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Main Authors: Konstantinos Karatolios, Rainer Moosdorf, Bernhard Maisch, Sabine Pankuweit
Format: Article
Language:English
Published: Wiley 2012-01-01
Series:Mediators of Inflammation
Online Access:http://dx.doi.org/10.1155/2012/382082
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author Konstantinos Karatolios
Rainer Moosdorf
Bernhard Maisch
Sabine Pankuweit
author_facet Konstantinos Karatolios
Rainer Moosdorf
Bernhard Maisch
Sabine Pankuweit
author_sort Konstantinos Karatolios
collection DOAJ
description Background. The role of inflammatory and angiogenic cytokines in patients with inflammatory pericardial effusion still remains uncertain. Methods. We assessed pericardial and serum levels of VEGF, bFGF, IL-1β and TNF-α by ELISA in patients with inflammatory pericardial effusion (PE) of autoreactive (𝑛=22) and viral (𝑛=11) origin, and for control in pericardial fluid (PF) and serum (𝑛=26) of patients with coronary artery disease (CAD) undergoing coronary artery bypass graft surgery. Results. VEGF levels were significantly higher in patients with autoreactive and viral PE than in patients with CAD in both PE (𝑃=0,006 for autoreactive and 𝑃<0,001 for viral PE) and serum (𝑃<0,001 for autoreactive and 𝑃<0,001 for viral PE). Pericardial bFGF levels were higher compared to serum levels in patients with inflammatory PE and patients with CAD (𝑃≤0,001 for CAD; 𝑃≤0,001 for autoreactive PE; 𝑃=0,005 for viral PE). Pericardial VEGF levels correlated positively with markers of pericardial inflammation, whereas pericardial bFGF levels showed a negative correlation. IL-1β and TNF-α were detectable only in few PE and serum samples. Conclusions. VEGF and bFGF levels in pericardial effusion are elevated in patients with inflammatory PE. It is thus possible that VEGF and bFGF participate in the pathogenesis of inflammatory pericardial disease.
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spelling doaj-art-5696bc664ba54281ac2be8735e8524082025-02-03T01:01:58ZengWileyMediators of Inflammation0962-93511466-18612012-01-01201210.1155/2012/382082382082Cytokines in Pericardial Effusion of Patients with Inflammatory Pericardial DiseaseKonstantinos Karatolios0Rainer Moosdorf1Bernhard Maisch2Sabine Pankuweit3Department of Cardiology, University Hospital Gießen & Marburg, Baldinger Straße, 35043 Marburg, GermanyDepartment of Heart Surgery, University Hospital Gießen & Marburg, Baldinger Straße, 35043 Marburg, GermanyDepartment of Cardiology, University Hospital Gießen & Marburg, Baldinger Straße, 35043 Marburg, GermanyDepartment of Cardiology, University Hospital Gießen & Marburg, Baldinger Straße, 35043 Marburg, GermanyBackground. The role of inflammatory and angiogenic cytokines in patients with inflammatory pericardial effusion still remains uncertain. Methods. We assessed pericardial and serum levels of VEGF, bFGF, IL-1β and TNF-α by ELISA in patients with inflammatory pericardial effusion (PE) of autoreactive (𝑛=22) and viral (𝑛=11) origin, and for control in pericardial fluid (PF) and serum (𝑛=26) of patients with coronary artery disease (CAD) undergoing coronary artery bypass graft surgery. Results. VEGF levels were significantly higher in patients with autoreactive and viral PE than in patients with CAD in both PE (𝑃=0,006 for autoreactive and 𝑃<0,001 for viral PE) and serum (𝑃<0,001 for autoreactive and 𝑃<0,001 for viral PE). Pericardial bFGF levels were higher compared to serum levels in patients with inflammatory PE and patients with CAD (𝑃≤0,001 for CAD; 𝑃≤0,001 for autoreactive PE; 𝑃=0,005 for viral PE). Pericardial VEGF levels correlated positively with markers of pericardial inflammation, whereas pericardial bFGF levels showed a negative correlation. IL-1β and TNF-α were detectable only in few PE and serum samples. Conclusions. VEGF and bFGF levels in pericardial effusion are elevated in patients with inflammatory PE. It is thus possible that VEGF and bFGF participate in the pathogenesis of inflammatory pericardial disease.http://dx.doi.org/10.1155/2012/382082
spellingShingle Konstantinos Karatolios
Rainer Moosdorf
Bernhard Maisch
Sabine Pankuweit
Cytokines in Pericardial Effusion of Patients with Inflammatory Pericardial Disease
Mediators of Inflammation
title Cytokines in Pericardial Effusion of Patients with Inflammatory Pericardial Disease
title_full Cytokines in Pericardial Effusion of Patients with Inflammatory Pericardial Disease
title_fullStr Cytokines in Pericardial Effusion of Patients with Inflammatory Pericardial Disease
title_full_unstemmed Cytokines in Pericardial Effusion of Patients with Inflammatory Pericardial Disease
title_short Cytokines in Pericardial Effusion of Patients with Inflammatory Pericardial Disease
title_sort cytokines in pericardial effusion of patients with inflammatory pericardial disease
url http://dx.doi.org/10.1155/2012/382082
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