Abstract

Background:Hypercholesterolemia is a modifiable risk factor in atherosclerosis with a complex association with inflammation.Objective:In the present study, the association between low-density lipoprotein cholesterol (LDL-C) and interleukin 17A (IL-17A), as an inflammatory cytokine, was investigated. In addition to IL-17A, serum levels of interleukin 23 (IL-23) and transforming growth factor β (TGF-β), as effective cytokines in T helper 17 cell (Th17) development, were also determined.Method:Cytokine levels were measured using enzyme-linked immunosorbent assay (ELISA) in healthy subjects with LDL-C<130 versus LDL-C=>130 mg/dL.Results:Although IL-17A is an inflammatory cytokine and a positive association between its levels and LDL-C is expected, the data obtained in this study provide support for a reverse association (p<0.05).Conclusion:Inflammation plays a major role in atherosclerosis development; however, various inflammatory components involved in atherosclerosis assert their own unique association with hypercholesterolemia.

Highlights

  • Atherosclerosis is one of the most common causes of cardiovascular disease

  • The aim of this study was to investigate any possible association between serum levels of transforming growth factor β (TGF-β), interleukin 23 (IL-23), interleukin 17A (IL-17A) and low-density lipoprotein cholesterol (LDL-C) in healthy people with increased levels of LDLC

  • This study was conducted to investigate any association between IL-17A, IL-23, TGF-β and LDL-C in people with LDL-C higher than normal range (130 mg/dL)

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Summary

Introduction

Atherosclerosis is one of the most common causes of cardiovascular disease. It begins early in life, making primary prevention efforts necessary from childhood [1]. There is a complex association between lipid metabolism, atherosclerosis and inflammation [6]. Among inflammatory mediators, raised plasma levels of C-Reactive Protein (CRP) is associated with increased risk of coronary heart diseases [10]. IL-17A is signature cytokine of Th17 cells associated with inflammatory and autoimmune diseases [12], and its association with atherosclerosis is still controversial. The aim of this study was to investigate any possible association between serum levels of TGF-β, IL-23, IL-17A and LDL-C in healthy people with increased levels of LDLC. Hypercholesterolemia is a modifiable risk factor in atherosclerosis with a complex association with inflammation

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