Increased concentrations of C-reactive protein and IL-6 but not IL-18 are independently associated with incident coronary events in middle-aged men and women
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Increased concentrations of C-reactive protein and IL-6 but not IL-18 are independently associated with incident coronary events in middle-aged men and women : results from the MONICA/KORA Augsburg case-cohort study, 1984-2002. / Koenig, Wolfgang; Khuseyinova, Natalie; Baumert, Jens; Thorand, Barbara; Loewel, Hannelore; Chambless, Lloyd; Meisinger, Christa; Schneider, Andrea; Martin, Stephan; Kolb, Hubert; Herder, Christian.
In: ARTERIOSCL THROM VAS, Vol. 26, No. 12, 12.2006, p. 2745-2751.Research output: SCORING: Contribution to journal › SCORING: Journal article › Research
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TY - JOUR
T1 - Increased concentrations of C-reactive protein and IL-6 but not IL-18 are independently associated with incident coronary events in middle-aged men and women
T2 - results from the MONICA/KORA Augsburg case-cohort study, 1984-2002
AU - Koenig, Wolfgang
AU - Khuseyinova, Natalie
AU - Baumert, Jens
AU - Thorand, Barbara
AU - Loewel, Hannelore
AU - Chambless, Lloyd
AU - Meisinger, Christa
AU - Schneider, Andrea
AU - Martin, Stephan
AU - Kolb, Hubert
AU - Herder, Christian
PY - 2006/12
Y1 - 2006/12
N2 - OBJECTIVE: We performed a prospective case-cohort study in initially healthy, middle-aged men and women from the MONICA/KORA Augsburg studies conducted between 1984 and 2002 to assess the role of IL-18 in comparison with IL-6 and CRP in the prediction of incident coronary heart disease (CHD).METHODS AND RESULTS: Concentrations of IL-18 were measured in 382 case subjects with incident CHD and 1980 noncases. Mean follow-up was 11 years. Baseline concentrations of IL-18 were slightly higher in cases than in noncases (172.4 [1.0] versus 161.3 [1.0] pg/mL, respectively; P=0.114), but were clearly elevated for C-reactive protein (CRP) and IL-6 in cases compared with noncases. In multivariable analyses, accounting for classical cardiovascular risk factors and inflammatory markers, no statistically significant association was seen between increased concentrations of IL-18 and incident CHD both in men (hazard ratio [HR] and 95% confidence intervals [CIs] comparing extreme tertiles, 1.20; 95% CI, 0.85 to 1.69), and in women (HR, 1.25; 95% CI, 0.67 to 2.34). However, in this population increased concentrations of CRP and IL-6 were found to be independent predictors of future CHD events, even after multivariable adjustment.CONCLUSIONS: Elevated concentrations of CRP and IL-6, but not IL-18, were independently associated with risk of CHD in subjects from an area with moderate absolute risk.
AB - OBJECTIVE: We performed a prospective case-cohort study in initially healthy, middle-aged men and women from the MONICA/KORA Augsburg studies conducted between 1984 and 2002 to assess the role of IL-18 in comparison with IL-6 and CRP in the prediction of incident coronary heart disease (CHD).METHODS AND RESULTS: Concentrations of IL-18 were measured in 382 case subjects with incident CHD and 1980 noncases. Mean follow-up was 11 years. Baseline concentrations of IL-18 were slightly higher in cases than in noncases (172.4 [1.0] versus 161.3 [1.0] pg/mL, respectively; P=0.114), but were clearly elevated for C-reactive protein (CRP) and IL-6 in cases compared with noncases. In multivariable analyses, accounting for classical cardiovascular risk factors and inflammatory markers, no statistically significant association was seen between increased concentrations of IL-18 and incident CHD both in men (hazard ratio [HR] and 95% confidence intervals [CIs] comparing extreme tertiles, 1.20; 95% CI, 0.85 to 1.69), and in women (HR, 1.25; 95% CI, 0.67 to 2.34). However, in this population increased concentrations of CRP and IL-6 were found to be independent predictors of future CHD events, even after multivariable adjustment.CONCLUSIONS: Elevated concentrations of CRP and IL-6, but not IL-18, were independently associated with risk of CHD in subjects from an area with moderate absolute risk.
KW - Adult
KW - Age Factors
KW - Aged
KW - C-Reactive Protein/analysis
KW - Case-Control Studies
KW - Coronary Artery Disease/blood
KW - Death, Sudden, Cardiac
KW - Female
KW - Follow-Up Studies
KW - Germany
KW - Humans
KW - Interleukin-18/blood
KW - Interleukin-6/blood
KW - Male
KW - Middle Aged
KW - Multivariate Analysis
KW - Myocardial Infarction/blood
KW - Predictive Value of Tests
KW - Prospective Studies
U2 - 10.1161/01.ATV.0000248096.62495.73
DO - 10.1161/01.ATV.0000248096.62495.73
M3 - SCORING: Journal article
C2 - 17008587
VL - 26
SP - 2745
EP - 2751
JO - ARTERIOSCL THROM VAS
JF - ARTERIOSCL THROM VAS
SN - 1079-5642
IS - 12
ER -