title: Inflammatory status in patients with chronic renal failure: the role of PTX3 and pro-inflammatory cytokines.
abstract: Increased plasma levels of several acute phase proteins, such as C-reactive protein (CRP), have been documented among different patients with chronic renal failure (CRF). The aim of the present study was to determine whether pentraxin-3 (PTX3) is a reliable marker of inflammation in CRF. Plasma samples and monocytes were taken from 43 patients before and after undergoing haemodialysis (HD), from 45 uraemic patients (UR) without HD treatment and from 25 healthy controls. Plasma and monocyte samples were analyzed by ELISA for levels of PTX3, tumor necrosis factor-alpha (TNF-alpha), interleukin-1beta (IL-1beta) and interleukin-6 (IL-6); all of these protein levels were higher in CRF patients with respect to the controls. After HD, plasma PTX3 and cytokine levels increased. Inter- and intra-individual variations in CRP were observed in HD patients, while PTX3 plasma levels were stable. Release of PTX3, TNF-alpha, IL-1beta and IL-6 by unstimulated monocytes from patients, before and after HD, was higher with respect to UR patients and controls. After lipopolysaccharide stimulation, all values were higher in patients before HD than those in UR patients, but lower when compared to those in the controls. In contrast, no changes were observed after HD. A significant correlation among plasma PTX3 versus fibrinogen, TNF-alpha and IL-1beta was observed in HD and UR patients. Collectively, these data suggest that PTX3 protein may represent an additional and stable marker of inflammation in CRF.
authors.affiliation: Department of Biomedical Sciences, University of Catania, 95124 Catania, Italy. g.malaponte@unict.it
authors.forename: Grazia
authors.initials: G
authors.lastname: Malaponte
authors.forename: Massimo
authors.initials: M
authors.lastname: Libra
authors.forename: Ylenia
authors.initials: Y
authors.lastname: Bevelacqua
authors.forename: Paola
authors.initials: P
authors.lastname: Merito
authors.forename: Pasquale
authors.initials: P
authors.lastname: Fatuzzo
authors.forename: Francesco
authors.initials: F
authors.lastname: Rapisarda
authors.forename: Maria
authors.initials: M
authors.lastname: Cristina
authors.forename: Gabriele
authors.initials: G
authors.lastname: Naselli
authors.forename: Franca
authors.initials: F
authors.lastname: Stivala
authors.forename: Maria C
authors.initials: MC
authors.lastname: Mazzarino
authors.forename: Pietro
authors.initials: P
authors.lastname: Castellino
mesh_terms: D000368:Aged; D002097:C-Reactive Protein / Q000378:metabolism*; D002469:Cell Separation; D016207:Cytokines / Q000097:blood / Q000378:metabolism*; D005260:Female; D005340:Fibrinogen / Q000378:metabolism; D006801:Humans; D007249:Inflammation; D018836:Inflammation Mediators / Q000097:blood / Q000378:metabolism*; D007676:Kidney Failure, Chronic / Q000473:pathology*; D008070:Lipopolysaccharides / Q000494:pharmacology; D008297:Male; D009000:Monocytes / Q000187:drug effects / Q000378:metabolism; D006435:Renal Dialysis; D000683:Serum Amyloid P-Component / Q000378:metabolism*; D013347:Subcellular Fractions / Q000187:drug effects; D013997:Time Factors; D014511:Uremia / Q000097:blood; D000099153:Pentraxins