Abstract

BackgroundThere is evidence that opium addiction has immunosuppressant effects. Coronary artery disease (CAD) is a condition resulted from atherosclerosis which is dependent on the immune response.PurposeTo evaluate plasma levels of interleukin-6 and interleukin-1Ra in 30 patients with three-vessel coronary artery disease, ejection fraction of more than 35% and to evaluate their changes after prognostic treadmill test in 15 opium addicted and 15 non-addicted patients.MethodsThe participants underwent prognostic treadmill test and plasma levels of interleukin-6 (IL-6) and interleukin-1Ra (IL-1Ra) were evaluated with ELISA method before, just after and 4 hours after the test.ResultsIL-1Ra (2183 pg/ml) tended to decrease over time in the opium addicted group (1372 pg/ml after prognostic treadmill test and 1034 pg/ml 4 hours after that), although such decrease did not reach the statistical significance. IL-1Ra levels were significantly higher in opium addicted than in non addicted patients. Opium addiction had no significant effect on IL-6 changes.ConclusionConsumption of opium in CAD patients is associated with higher IL-1Ra levels.

Highlights

  • Atherosclerosis is a chronic inflammatory process, which is characterized by leukocyte proliferation and migration of smooth muscle cells, matrix formation, revascularization and cytokine formation [1]

  • Consumption of opium in Coronary artery disease (CAD) patients is associated with higher IL-1Ra levels

  • IL-1Ra and IL-6 are significantly increased in coronary artery disease (CAD) patients compared with healthy individuals [4,5]

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Summary

Introduction

Atherosclerosis is a chronic inflammatory process, which is characterized by leukocyte proliferation and migration of smooth muscle cells, matrix formation, revascularization and cytokine formation [1]. IL-1Ra and IL-6 are significantly increased in coronary artery disease (CAD) patients compared with healthy individuals [4,5]. Within 2 h after heroin administration, proliferative responses to alloantigens and the production of IL-1b, IFN-c, IL-12 and NO were enhanced significantly in mice spleen cells. Coronary artery disease (CAD) is a condition resulted from atherosclerosis which is dependent on the immune response. Purpose: To evaluate plasma levels of interleukin-6 and interleukin-1Ra in 30 patients with three-vessel coronary artery disease, ejection fraction of more than 35% and to evaluate their changes after prognostic treadmill test in 15 opium addicted and 15 non-addicted patients

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