TY - EJOU AU - Buzás, Krisztina AU - Megyeri, Klára AU - Hõgye, Márta AU - Csanády, Miklós AU - Bogáts, Gábor AU - Mándi, Yvette TI - Comparative study of the roles of cytokines and apoptosis in dilated and hypertrophic cardiomyopathies T2 - European Cytokine Network PY - 2004 VL - 15 IS - 1 SN - 1952-4005 AB - Aims. In order to gain more insight into the pathogenesis of dilated and hypertrophic cardiomyo-pathies (DCM and HCM, respectively), we investigated the roles of certain cytokines that regulate apoptosis. Methods and results. ELISA tests, performed to determine the plasma concentrations of tumour necrosis factor-α (TNF-α), the soluble Fas (sFas), interleukin-6 (IL-6) and the soluble IL-6 receptor (sIL-6R), revealed that DCM patients exhibit elevated concentrations of TNF-α, sFas, IL-6 and sIL-6R, while HCM patients have only high IL-6 and sIL-6R levels as compared with healthy individuals. Western blot analysis of the levels of TNF-α, IL-6, Bcl-2 and Bax proteins in myocardium samples demonstrated that DCM patients express increased levels of TNF-α, IL-6 and Bax, whereas HCM heart lysates display only elevated levels of Bcl-2. Annexin V binding assay of TNF-α -treated H9C2 cells indicated that the in vitro cytotoxicity of this cytokine involves apoptotosis and necrosis. Conclusion. In accord with previous observations, our data indicate a strong activation of the pro-apoptotic TNF and Fas pathways in DCM patients, and an anti-apoptotic shift in HCM patients. These findings have a bearing on the pathogenesis of cardiomyopathies, since apoptosis may account for certain dysfunctions observed in DCM, while IL-6 may elicit the hypertrophy characteristic of HCM. KW - DCM KW - HCM KW - TNF-α KW - Fas KW - IL-6 KW - apoptosis DO -