Role of angiotensin II and neuroendocrine factors in immunological regulation in patients with coronary heart disease: prospective cross-sectional study
- Authors: Parfenyuk V.K.1, Logatkina A.V.2, Bondar S.S.3, Terekhov I.V.4, Nikiforov V.S.5
-
Affiliations:
- Razumovsky Saratov State Medical University
- Tula State University
- Kaluga Regional Clinical Hospital
- Tsiolkovsky Kaluga State University
- Mechnikov North-Western State Medical University
- Issue: Vol 14, No 4 (2023)
- Pages: 233-245
- Section: Original study articles
- URL: https://journals.rcsi.science/2221-7185/article/view/232027
- DOI: https://doi.org/10.17816/CS492285
- ID: 232027
Cite item
Full Text
Abstract
BACKGROUND: Among chronic noncommunicable diseases, cardiovascular diseases, particularly coronary heart disease (CHD), are the leading cause of death. The rennin-angiotensin-aldosterone system plays an important role in CHD development and progression; however, its role in the regulation of immunoneuroendocrine interactions requires further analysis.
OBJECTIVE: To study the relationship between angiotensin II (AT II) and molecular regulators of the activity of whole blood mononuclear cells (MNCs) in patients with angina pectoris.
MATERIALS AND METHODS: This cross-sectional study enrolled 65 patients with exertional angina aged 45–67 years, including 19 apparently healthy individuals. The levels of interleukins (ILs), transforming growth factor-β1 (TGF-β1), prostaglandin E2 (PG E2), serotonin, thyroid-stimulating hormone (TSH), and AT II in the blood serum were determined. In MNCs, the concentrations of protein kinases FAK, JNK, p38, and ERK, signal transducers, and activators of transcription (STAT 3, 5A, and 6) were determined.
RESULTS: In patients with coronary artery disease, the production of TGF-β1 increased by 7.2% (p=0.00001), AT II by 136.9% (p=0.0001), serotonin by 129.0% (p=0.00001), IL-18 by 92.5% (p=0.00001), TSH by 51.7% (p=0.0012), ERK protein kinase content by 86.4% (p=0.0001), JNK by 56.8% (p=0.0001), and FAK by 55.3% (p=0.00002). The levels of IL-15 also decreased by 38.1% (p=0.0001), PG E2 by 39.5% (p=0.0001), and STAT3 by 52.5% (p=0.0001).
CONCLUSION: The nature of the identified relationships among the analyzed factors allows us to consider AT II as a factor that ensures adaptive coupling of immune and neuroendocrine regulatory mechanisms in patients with coronary artery disease, contributing to a change in the balance between macrophages and T-helper types 1 and 2.
Full Text
##article.viewOnOriginalSite##About the authors
Vladimir K. Parfenyuk
Razumovsky Saratov State Medical University
Email: parfenyk0111@mail.ru
ORCID iD: 0000-0003-1329-4178
SPIN-code: 8154-2179
МD, Dr Sci. (Med.), department professor
Russian Federation, SaratovAnna V. Logatkina
Tula State University
Email: Logatkina_a@mail.ru
ORCID iD: 0000-0002-3397-136X
SPIN-code: 5365-6058
graduate student
Russian Federation, TulaStanislav S. Bondar
Kaluga Regional Clinical Hospital
Email: stos34@list.ru
ORCID iD: 0000-0003-2749-8366
SPIN-code: 6644-6951
therapist
Russian Federation, KalugaIgor V. Terekhov
Tsiolkovsky Kaluga State University
Author for correspondence.
Email: trft@mail.ru
ORCID iD: 0000-0002-6548-083X
SPIN-code: 2798-1551
МD, Cand Sci. (Med.), associate professor
Russian Federation, KalugaViktor S. Nikiforov
Mechnikov North-Western State Medical University
Email: viktor.nikiforov@szgmu.ru
ORCID iD: 0000-0001-7862-0937
SPIN-code: 4652-0981
МD, Dr Sci. (Med.), department professor
Russian Federation, St. PetersburgReferences
- Kobalava ZD, Konradi AO, Nedogoda SV, et al. Arterial hypertension in adults. Clinical guidelines 2020. Russian Journal of Cardiology. 2020;25(3):3786. (In Russ). doi: 10.15829/1560-4071-2020-3-3786
- Satou R, Penrose H, Navar LG. Inflammation as a Regulator of the Renin-Angiotensin System and Blood Pressure. Curr Hypertens Rep. 2018;20(12):100. doi: 10.1007/s11906-018-0900-0
- Simbirtsev AS. Cytokines in the pathogenesis and treatment of human diseases. St.Petersburg: Foliant; 2018 (In Russ).
- Caroccia B, Vanderriele PE, Seccia TM, et al. Aldosterone and cortisol synthesis regulation by angiotensin-(1-7) and angiotensin-converting enzyme 2 in the human adrenal cortex. J Hypertens. 2021;39(8):1577–1585. doi: 10.1097/HJH.0000000000002816
- Gein SV, Baeva TA. Endomorphins: structure, localization, immunoregulatory activity. Problems of Endocrinology. 2020;66(1):78–86. (In Russ). doi: 10.14341/probl10364
- Kunelskaya NL, Guseva AL, Chistov SD. The level of β-endorphin, chronic stress, and depression associated with vestibular pathology. Vestnik Oto-Rino-Laringologii. 2015;80(1):12–16. (In Russ). doi: 10.17116/otorino201580112-16
- Logatkina AV, Nikiforov VS, Bondar' SS, Terekhov IV. Proinflammatory cytokines and signaling pathways in peripheral blood mononuclear cells in patients with coronary heart disease. Clinical Medicine (Russian Journal). 2017;95(3):238–244. (In Russ). doi: 10.18821/0023-2149-2017-95-3-238-244
- Dittel LJ, Dittel BN, Brod SA. Ingested (Oral) Adrenocorticotropic Hormone Inhibits IL-17 in the Central Nervous System in the Mouse Model of Multiple Sclerosis and Experimental Autoimmune Encephalomyelitis. Immunohorizons. 2022;6(7):497–506. doi: 10.4049/immunohorizons.2200023
- Priyadarshini S, Pradhan B, Griebel P, Aich P. Cortisol regulates immune and metabolic processes in murine adipocytes and macrophages through HTR2c and HTR5a serotonin receptors. Eur J Cell Biol. 2018;97(7):483–492. doi: 10.1016/j.ejcb.2018.07.004
- Aladio JM, Costa D, Matsudo M, et al. Cortisol-Mediated Stress Response and Mortality in Acute Coronary Syndrome. Curr Probl Cardiol. 2021;46(3):100623. doi: 10.1016/j.cpcardiol.2020.100623
- Kobiec T, Otero-Losada M, Chevalier G, et al. The Renin-Angiotensin System Modulates Dopaminergic Neurotransmission: A New Player on the Scene. Front Synaptic Neurosci. 2021;(13):638519. doi: 10.3389/fnsyn.2021.638519
- Gordeeva EK, Kade AK. Correction of cytokine and hormonal imbalance in the treatment of angina pectoris. Kuban Scientific Medical Bulletin. 2018;25(3):51–55. (In Russ). doi: 10.25207/1608-6228-2018-25-3-51-55
- Terekhov IV, Solodukhin KA, Nikiforov VS, Lomonosov AV. Radiometry of water-containing myocardial tissue in patients with arterial hypertension. Russian Journal of Cardiology. 2013;18(5):40–43. (In Russ). doi: 10.15829/1560-4071-2013-5-40-43
- Zilov VG, Khadartsev AA, Terekhov IV, Bondar' SS. Relationship between the Contents of Cyclins, Cyclin-Dependent Kinases, and Their Inhibitors in Whole Blood Mononuclear Leukocytes during the Postclinical Stage of Community-Acquired Pneumonia under the Influence of 1-GHz Microwaves. Bull Exp Biol Med. 2017;163(5):623–626. doi: 10.1007/s10517-017-3864-1
- Terekhov IV, Solodukhin KA, Nikiforov VS, et al. Features of the biological effect of low-intensity microwave irradiation under conditions of antigenic stimulation of whole blood mononuclears. Physiotherapist. 2013;(1):26–32. (In Russ).
- Logatkina AV, Bondar SS, Nikiforov VS, et al. Features of the effect of antioxidant status on the production of cytokines and pro-inflammatory molecules under stimulation of human whole blood cells with mitogen and lipopolysaccharide. Problems of Biological, Medical and Pharmaceutical Chemistry. 2022;25(4):29–39. (In Russ). doi: 10.29296/25877313-2022-04-05
- Bondar SS, Terekhov IV, Nikiforov VS, et al. The relationship of JAK/STAT and MAPK/SAPK signaling pathways, NF-kB and content in the mononuclear cells of whole blood thioredoxins in the post-clinical stage of community-acquired pneumonia. Consilium Medicum. 2018;20(11):61–65. (In Russ). doi: 10.26442/20751753.2018.11.180091
- Khadartcev AA, Logatkina AV, Terekhov IV, Bondar SS. Metabolic changes in hypertensive patients treated by low-intensity microwave therapy. Arterial Hypertension. 2018;24(2):206–216. (In Russ). doi: 10.18705/1607-419X-2018-24-2-206-216
- Xue HM, Sun WT, Chen HX, et al. Targeting IRE1α-JNK-c-Jun/AP-1-sEH Signaling Pathway Improves Myocardial and Coronary Endothelial Function Following Global Myocardial Ischemia / Reperfusion. Int J Med Sci. 2022;19(9):1460–1472. doi: 10.7150/ijms.74533
- Feng B, Lin L, Li L, et al. Glucocorticoid induced group 2 innate lymphoid cell overactivation exacerbates experimental colitis. Front Immunol. 2022;(13):863034. doi: 10.3389/fimmu.2022.863034
- Yu T, Gan S, Zhu Q, et al. Modulation of M2 macrophage polarization by the crosstalk between Stat6 and Trim24. Nat Commun. 2019;10(1):4353. doi: 10.1038/s41467-019-12384-2
- Liu G, Chen Y, Wang Y, et al. Angiotensin II enhances group 2 innate lymphoid cell responses via AT1a during airway inflammation. J Exp Med. 2022;219(3):e20211001. doi: 10.1084/jem.20211001
- Rao E, Zhang Y, Zhu G, et al. Deficiency of AMPK in CD8+ T cells suppresses their anti-tumor function by inducing protein phosphatase-mediated cell death. Oncotarget. 2015;6(10):7944–7958. doi: 10.18632/oncotarget.3501
- Suarez J, Scott BT, Suarez-Ramirez JA, et al. Thyroid hormone inhibits ERK phosphorylation in pressure overload-induced hypertrophied mouse hearts through a receptor-mediated mechanism. Am J Physiol Cell Physiol. 2010;299(6):C1524–C1529. doi: 10.1152/ajpcell.00168.2010
- Yang H, Xia L, Chen J, et al. Stress-glucocorticoid-TSC22D3 axis compromises therapy-induced antitumor immunity. Nat Med. 2019;25(9):1428–1441. doi: 10.1038/s41591-019-0566-4
- Dong J, Li J, Cui L, et al. Cortisol modulates inflammatory responses in LPS-stimulated RAW264.7 cells via the NF-κB and MAPK pathways. BMC Vet Res. 2018;14(1):30. doi: 10.1186/s12917-018-1360-0
- Yeager MP, Guyre CA, Sites BD, et al. The Stress Hormone Cortisol Enhances Interferon-υ-Mediated Proinflammatory Responses of Human Immune Cells. Anesth Analg. 2018;127(2):556–563. doi: 10.1213/ANE.0000000000003481
- Logatkina AV, Nikiforov VS, Bondar SS, et al. Relationship between the expression of angiotensin II receptors type 1 and vasoactive regulators in arterial hypertension. Cardiosomatics. 2020;11(3):16–21. (In Russ). doi: 10.26442/22217185.2020.3.200408
- Benigni A, Cassis P, Remuzzi G. Angiotensin II revisited: new roles in inflammation, immunology and aging. EMBO Mol Med. 2010;2(7):247–257. doi: 10.1002/emmm.201000080
- Pállinger E, Csaba G. A hormone map of human immune cells showing the presence of adrenocorticotropic hormone, triiodothyronine and endorphin in immunophenotyped white blood cells. Immunology. 2008;123(4):584–589. doi: 10.1111/j.1365-2567.2007.02731.x
- Singh MR, Vigh J, Amberg GC. Angiotensin-II Modulates GABAergic Neurotransmission in the Mouse Substantia Nigra. eNeuro. 2021;8(2):ENEURO.0090-21.2021. doi: 10.1523/ENEURO.0090-21.2021
- Pilozzi A, Carro C, Huang X. Roles of β-Endorphin in Stress, Behavior, Neuroinflammation, and Brain Energy Metabolism. Int J Mol Sci. 2020;22(1):338. doi: 10.3390/ijms22010338
- Severino P, D'Amato A, Pucci M, et al. Ischemic Heart Disease Pathophysiology Paradigms Overview: From Plaque Activation to Microvascular Dysfunction. Int J Mol Sci. 2020;21(21):8118. doi: 10.3390/ijms21218118
Supplementary files
![](/img/style/loading.gif)