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KMID : 0368120070370070312
Korean Circulation Journal
2007 Volume.37 No. 7 p.312 ~ p.317
Serum Cytokine Levels in Hypertensive Children - Tumor Necrosis Factor-¥á, Interleukin-6 -
Hong Young-Mi

Koo Hee-Sun
Lee Jae-Young
Jung Jo-Won
Kim Nam-Su
Noh Chung-Il
Abstract
Background and Objectives£ºAcute systemic inflammation is associated with an increased risk of acute cardiovascular events. Recently published data have suggested that chronic inflammation could be an independent risk factor for hypertension. Association between interleukin (IL)-6 or tumor necrosis factor (TNF)-¥á and hypertension is controversial. The purpose of this study is to investigate the association between blood pressure and cytokines such as TNF-¥á, IL-6 and adiponectin in hypertensive children.

Subjects and Methods£ºEighty hypertensive children were included in this study. The obesity index, body mass index (BMI) and skin fold thickness of the subjects were measured, and the fat mass and distributions analyzed. Blood pressure was also measured, as were the serum aldosterone, renin, angiotensin converting enzyme (ACE), insulin and homocysteine levels. The serum TNF-¥á, IL-6 and adiponectin levels were also estimated.

Results£ºThe serum renin, insulin, homocysteine and IL-6 levels were significantly increased in hypertensive compared to normal children. The serum TNF-¥á level had positive correlation with the insulin and negative correlations with adiponectin levels, respectively. The level of insulin had a significant negative correlation with that of adiponectin.

Conclusion£ºThe serum IL-6 level was significantly increased in hypertensive children. Further long-term follow-up studies will be required to reveal the role of cytokines in hypertensive children.
KEYWORD
Cytokines, Hypertension, Children
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