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The Immediate Impact of Infarct Size on the Systemic Inflammatory Response: IL-6 as Central Mediator Identified through Biomarker and Proteomic Profiling.

The Immediate Impact of Infarct Size on the Systemic Inflammatory Response: IL-6 as Central Mediator Identified through Biomarker and Proteomic Profiling.

期刊: Journal of cardiovascular translational research 日期: 2026-06-29 PMID: 42373877 DOI: 10.1007/s12265-026-10801-8 浏览: 23
作者: Los J, Mensink FB, Bulut Ö, Hol IH, Cetinyurek-Yavuz A, Riksen NP, El Messaoudi S, Cornel JH, van Geuns RM
J, L., FB, M., Ö, B., IH, H., A, C.Y., NP, R., S, E.M., JH, C., & RM, v.G. (2026). The Immediate Impact of Infarct Size on the Systemic Inflammatory Response: IL-6 as Central Mediator Identified through Biomarker and Proteomic Profiling.. Journal of cardiovascular translational research. https://doi.org/10.1007/s12265-026-10801-8
J L, FB M, Ö B, IH H, A CY, NP R, et al. The Immediate Impact of Infarct Size on the Systemic Inflammatory Response: IL-6 as Central Mediator Identified through Biomarker and Proteomic Profiling.. Journal of cardiovascular translational research. 2026; doi: 10.1007/s12265-026-10801-8
J L, FB M, Ö B, et al. The Immediate Impact of Infarct Size on the Systemic Inflammatory Response: IL-6 as Central Mediator Identified through Biomarker and Proteomic Profiling.[J]. Journal of cardiovascular translational research. 2026. DOI: 10.1007/s12265-026-10801-8.
@article{j2026,
  author = {Los J and Mensink FB and Bulut Ö and Hol IH and Cetinyurek-Yavuz A and Riksen NP and El Messaoudi S and Cornel JH and van Geuns RM},
  title = {The Immediate Impact of Infarct Size on the Systemic Inflammatory Response: IL-6 as Central Mediator Identified through Biomarker and Proteomic Profiling.},
  journal = {Journal of cardiovascular translational research},
  year = {2026},
  doi = {10.1007/s12265-026-10801-8},
  note = {PMID: 42373877},
}
TY  - JOUR
AU  - Los J
AU  - Mensink FB
AU  - Bulut Ö
AU  - Hol IH
AU  - Cetinyurek-Yavuz A
AU  - Riksen NP
AU  - El Messaoudi S
AU  - Cornel JH
AU  - van Geuns RM
TI  - The Immediate Impact of Infarct Size on the Systemic Inflammatory Response: IL-6 as Central Mediator Identified through Biomarker and Proteomic Profiling.
T2  - Journal of cardiovascular translational research
PY  - 2026
DO  - 10.1007/s12265-026-10801-8
AN  - PMID:42373877
ER  - 

摘要

Myocardial infarction (MI) induces an inflammatory response that may be amenable to targeted therapy. This cohort study evaluated the systemic inflammatory burden across different infarct sizes using serial measurements of C-reactive protein (CRP), interleukin-6 (IL-6), and targeted inflammatory proteomics (Olink's Target 96 Inflammation panel) during hospitalization and up to 12 weeks post-MI. Baseline IL-6 concentrations were progressively higher with increasing infarct size, with differential temporal trajectories observed across infarct size strata (P for interaction < 0.001), a finding confirmed by proteomic analysis (Padj for interaction = 0.009). Patients with small infarct size showed no significant changes in CRP or IL-6 concentrations, yet demonstrated downregulation of urokinase (uPA) and upregulation of angiogenesis-related proteins (tumor necrosis factor-related weak inducer of apoptosis [TWEAK] and hepatocyte growth factor [HGF]), similar to those observed in patients with moderate or large infarct sizes, emphasizing the biological significance of these processes. Overall, greater myocardial injury was associated with higher inflammatory burden, highlighting IL-6 as a promising therapeutic target for acute anti-inflammatory treatment after large MI.

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