Abstract 20661: Vitamin D Deficiency, Tumor Necrosis Factor-Alpha, and Event-Free Survival in Patients With Heart Failure

Circulation ◽  
2014 ◽  
Vol 130 (suppl_2) ◽  
Author(s):  
Eun Kyeung Song ◽  
Debra K Moser ◽  
Terry A Lennie

Background: Vitamin D is related to tumor necrosis factor-alpha (TNF-α), a proinflammatory cytokine that predicts cardiovascular disease. However, whether low vitamin D intake is associated with TNF-α and event-free survival in patients with heart failure (HF) has not been examined. Purpose: To determine whether association of TNF-α with event-free survival differs between patients with vitamin D adequacy and deficiency. Methods: A total of 146 patients with HF (age 63±11 years, 34% female) provided blood to measure serum TNF-α and were divided into 2 groups by median value. Nutrition Analysis program was used to determine intake of vitamin D through a 3-day food diary. Patients with > 80% probability of deficiency were defined as having a diet deficient in vitamin D. Covariate data on age, gender, body mass index, etiology, NYHA class, ejection fraction, comorbidities, and prescribed medications were obtained from review of medical records. Patients were followed for 1 year to determine time to first event of hospitalization or death. Hierarchical logistic and Cox regression was used to address purpose. Results: Eighty-five patients (58%) had vitamin D deficiency. During 1-year, 40 patients (27%) were hospitalized or died. Vitamin D deficiency was associated with higher level of TNF-α (OR=3.10, 95% CI=1.32-7.26). In patients with vitamin D deficiency, higher level of TNF-α (HR=3.08, 95% CI=1.06-8.89) predicted shorter event-free survival after controlling for all covariates, whereas there was no difference in event-free survival between higher and lower level of TNF-α in patients with vitamin D adequacy ( p = .985) . Conclusions: The data suggest that one possible mechanism by which vitamin D deficiency contributed to poor health outcomes is through inflammatory pathways in HF patients. Future study is required to determine whether vitamin D adequacy could play a protective role in the impact of proinflammatory cytokines on event-free survival in HF patients.

2021 ◽  
Vol 26 (3) ◽  
pp. 271-280
Author(s):  
I.O. Shymanskyi ◽  
A.O. Mazanova ◽  
O.O. Lisakovska ◽  
D.O. Labudzynskyi ◽  
O.O. Makarova ◽  
...  

На сьогодні дефіцит вітаміну D3 (холекальциферолу) та порушення сигналювання через рецептор вітаміну D (vitamin D receptor, VDR) вважають одними із факторів ризику розвитку гепатопатії на тлі цукрового діабету 2-го типу (ЦД2). Протизапальна і гепатопротекторна дія вітаміну D3 і в цілому наукове обґрунтування можливості його ефективного застосування в клініці ЦД2 активно висвітлюється в літературі, однак конкретні механізми залишаються недостатньо з’ясованими. Мета — дослідження впливу вітаміну D3 на рівень експресії мРНК ключових компонентів вітамін D-авто-/паракринної системи та цитокінового шляху фактора некрозу пухлини-альфа/транскрипційного фактора NF-κB (tumor necrosis factor alpha/nuclear factor kappa-light-chainenhancer of activated B cells, TNF-α/NF-κB) у тканині печінки за експериментального ЦД2. Матеріал і методи.У щурів-самців лінії Вістар викликали ЦД2 шляхом поєднання високожирової дієти та низької дози стрептозотоцину (25 мг/кг). Вимірювання вмісту триацилгліцеролів, холестеролу, вищих жирних кислот, загальних ліпідів та загального холестеролу в сироватці крові проводили стандартними біохімічними методами. Вміст 25(OH)D визначали методом імуноензимного аналізу. Аналіз експресії мРНК генів RelA, Iκb, Tnf-α, Cyp27a1, Cyp2r1,Cyp27b1 та Vdr проводили методом полімеразної ланцюгової реакції (ПЛР) у реальному часі. Результати. Експериментальний ЦД2 супроводжувався дефіцитом вітаміну D в організмі піддослідних тварин та розвитком діабетичної гепатопатії, свідченням чого є підвищення активності аланінамінотрансферази, а також акумулювання холестеролу, триацилгліцеролів і вищих жирних кислот у крові тварин. Показано зниження вмісту мРНК ключових компонентів вітамін D-авто-/паракринної системи в печінці діабетичних тварин, що призводило допорушення сигналювання через VDR та активування цитокінового шляху TNF-α/NF-κB. Введення вітаміну D3 в дозі 800 МО/кг протягом 30 діб тваринам із ЦД2 істотно нормалізувало експресію Vdr та ензимів метаболічного перетворення вітаміну D у тканині печінки та знижувало експресію прозапальних факторів — NF-κB та TNF-α. Висновки. Застосування вітаміну D3 в комплексній терапії ЦД2 потенційно може чинити гепатопротекторний ефект шляхом нормалізування функціонального стану вітамін D-авто-/паракринної системи печінки та модулювання прозапальних процесів, залежних від ядерного фактора κВ.


2020 ◽  
Author(s):  
Wenna Gao ◽  
Ruilin Zhu ◽  
liu yang

Background: Mounting evidence has suggested tumor necrosis factor-alpha (TNF-α) can promote the development of diabetic retinopathy (DR), and TNF-α gene variants may influence DR risk. However, the results are quite different. Objectives: To comprehensively address this issue, we performed the meta-analysis to evaluate the association of TNF-α-308 G/A and -238 G/A polymorphism with DR. Method: Data were retrieved in a systematic manner and analyzed using STATA Statistical Software. Crude odds ratios (ORs) with 95% confidence intervals (CIs) were used to assess the strength of associations. Allelic and genotypic comparisons between cases and controls were evaluated. Results: For the TNF-α-308 G/A polymorphism, overall analysis suggested a marginal association with DR [the OR(95%CI) of (GA versus GG), (GA + AA) versus GG, and (A versus G) are 1.21(1.04, 1.41), 1.20(1.03, 1.39), and 1.14(1.01, 1.30), respectively]. And the subgroup analysis indicated an enhanced association among the European population. For the TNF-α-238 G/A polymorphism, there was mild correlation in the entire group [the OR(95%CI) of (GA versus GG) is 1.55(1.14,2.11) ], which was strengthened among the Asian population. Conclusion: The meta-analysis suggested that -308 A and -238 A allele in TNF-α gene potentially increased DR risk and showed a discrepancy in different ethnicities.


2005 ◽  
Vol 60 (4) ◽  
pp. 471-475 ◽  
Author(s):  
Barbara Orzeszko ◽  
Tomasz Świtaj ◽  
Anna B. Jakubowska-Mućka ◽  
Witold Lasek ◽  
Andrzej Orzeszko ◽  
...  

Certain adamantylated heterocycles were previously shown to enhance the secretion of tumor necrosis factor alpha (TNF-α) by murine melanoma cells that have been transduced with the gene for human TNF-α and constitutively expressed this cytokine. The stimulatory potency of those compounds depended, among other factors, on the structure of the linker between the adamantyl residue and the heterocyclic core. In the present study, a series of (1-adamantyl)alkylsulfanyl derivatives of heterocyclic compounds was prepared by alkylation of the corresponding thioheterocyles. Of the novel adamantylalkylthio compounds tested in the aforementioned cell line, 2-(2-adamantan-1-ylethylsulfanyl)- 4-methyl-pyrimidine was found to be the most active


2013 ◽  
Vol 87 (23) ◽  
pp. 12935-12948 ◽  
Author(s):  
Jie Zhang ◽  
Kezhen Wang ◽  
Shuai Wang ◽  
Chunfu Zheng

NF-κB plays central roles in regulation of diverse biological processes, including innate and adaptive immunity and inflammation. HSV-1 is the archetypal member of the alphaherpesviruses, with a large genome encoding over 80 viral proteins, many of which are involved in virus-host interactions and show immune modulatory capabilities. In this study, we demonstrated that the HSV-1 ICP0 protein, a viral E3 ubiquitin ligase, was shown to significantly suppress tumor necrosis factor alpha (TNF-α)-mediated NF-κB activation. ICP0 was demonstrated to bind to the NF-κB subunits p65 and p50 by coimmunoprecipitation analysis. ICP0 bound to the Rel homology domain (RHD) of p65. Fluorescence microscopy demonstrated that ICP0 abolished nuclear translocation of p65 upon TNF-α stimulation. Also, ICP0 degraded p50 via its E3 ubiquitin ligase activity. The RING finger (RF) domain mutant ICP0 (ICP0-RF) lost its ability to inhibit TNF-α-mediated NF-κB activation and p65 nuclear translocation and degrade p50. Notably, the RF domain of ICP0 was sufficient to interact with p50 and abolish NF-κB reporter gene activity. Here, it is for the first time shown that HSV-1 ICP0 interacts with p65 and p50, degrades p50 through the ubiquitin-proteasome pathway, and prevents NF-κB-dependent gene expression, which may contribute to immune evasion and pathogenesis of HSV-1.


2016 ◽  
Vol 36 (9) ◽  
pp. 1342-1353 ◽  
Author(s):  
Gil Diamant ◽  
Tal Eisenbaum ◽  
Dena Leshkowitz ◽  
Rivka Dikstein

The proinflammatory cytokine tumor necrosis factor alpha (TNF-α) modulates the expression of many genes, primarily through activation of NF-κB. Here, we examined the global effects of the elongation factor Spt5 on nascent and mature mRNAs of TNF-α-induced cells using chromatin and cytosolic subcellular fractions. We identified several classes of TNF-α-induced genes controlled at the level of transcription, splicing, and chromatin retention. Spt5 was found to facilitate splicing and chromatin release in genes displaying high induction rates. Further analysis revealed striking effects of TNF-α on the splicing of 25% of expressed genes; the vast majority were not transcriptionally induced. Splicing enhancement of noninduced genes by TNF-α was transient and independent of NF-κB. Investigating the underlying basis, we found that Spt5 is required for the splicing facilitation of the noninduced genes. In line with this, Spt5 interacts with Sm core protein splicing factors. Furthermore, following TNF-α treatment, levels of RNA polymerase II (Pol II) but not Spt5 are reduced from the splicing-induced genes, suggesting that these genes become enriched with a Pol II-Spt5 form. Our findings revealed the Pol II-Spt5 complex as a highly competent coordinator of cotranscriptional splicing.


2006 ◽  
Vol 26 (24) ◽  
pp. 9244-9255 ◽  
Author(s):  
Xiaolan Feng ◽  
Shirin Bonni ◽  
Karl Riabowol

ABSTRACT ING proteins affect apoptosis, growth, and DNA repair by transducing stress signals such as DNA damage, binding histones, and subsequently regulating chromatin structure and p53 activity. p53 target genes, including the p21 cyclin-dependent kinase inhibitor and Bax, an inducer of apoptosis, are regulated by ING proteins. To identify additional targets downstream of p33ING1 and p32ING2, cDNA microarrays were performed on phenotypically normal human primary fibroblasts. The 0.36% of genes affected by ING proteins in primary fibroblasts were distinct from targets seen in established cells and included the HSP70 heat shock gene, whose promoter was specifically induced >10-fold. ING1-induced expression of HSP70 shifted cells from survival to a death pathway in response to tumor necrosis factor alpha (TNF-α), and p33ING1b protein showed synergy with TNF-α in inducing apoptosis, which correlated with reduced NF-κB-dependent transcription. These findings are consistent with previous reports that HSP70 promotes TNF-α-mediated apoptosis by binding I-κΒ kinase gamma and impairing NF-κB survival signaling. Induction of HSP70 required the amino terminus of ING1b but not the plant homeodomain region that was recently identified as a histone binding domain. Regulation of HSP70 gene expression by the ING tumor suppressors provides a novel link between the INGs and the stress-regulated NF-κB survival pathway important in hypoxia and angiogenesis.


2008 ◽  
Vol 82 (16) ◽  
pp. 7790-7798 ◽  
Author(s):  
Marlynne Q. Nicol ◽  
Jean-Marie Mathys ◽  
Albertina Pereira ◽  
Kevin Ollington ◽  
Michael H. Ieong ◽  
...  

ABSTRACT Human immunodeficiency virus (HIV)-positive persons are predisposed to pulmonary infections, even after receiving effective highly active antiretroviral therapy. The reasons for this are unclear but may involve changes in innate immune function. HIV type 1 infection of macrophages impairs effector functions, including cytokine production. We observed decreased constitutive tumor necrosis factor alpha (TNF-α) concentrations and increased soluble tumor necrosis factor receptor type II (sTNFRII) in bronchoalveolar lavage fluid samples from HIV-positive subjects compared to healthy controls. Moreover, net proinflammatory TNF-α activity, as measured by the TNF-α/sTNFRII ratio, decreased as HIV-related disease progressed, as manifested by decreasing CD4 cell count and increasing HIV RNA (viral load). Since TNF-α is an important component of the innate immune system and is produced upon activation of Toll-like receptor (TLR) pathways, we hypothesized that the mechanism associated with deficient TNF-α production in the lung involved altered TLR expression or a deficit in the TLR signaling cascade. We found decreased Toll-like receptor 1 (TLR1) and TLR4 surface expression in HIV-infected U1 monocytic cells compared to the uninfected parental U937 cell line and decreased TLR message in alveolar macrophages (AMs) from HIV-positive subjects. In addition, stimulation with TLR1/2 ligand (Pam3Cys) or TLR4 ligand (lipopolysaccharide) resulted in decreased intracellular phosphorylated extracellular signal-regulated kinase and subsequent decreased transcription and expression of TNF-α in U1 cells compared to U937 cells. AMs from HIV-positive subjects also showed decreased TNF-α production in response to these TLR2 and TLR4 ligands. We postulate that HIV infection alters expression of TLRs with subsequent changes in mitogen-activated protein kinase signaling and cytokine production that ultimately leads to deficiencies of innate immune responses that predispose HIV-positive subjects to infection.


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