Opium addiction increases interleukin 1 receptor antagonist (IL-1Ra) in the coronary artery disease patients

鸦片成瘾增加冠状动脉疾病患者的白细胞介素 1 受体拮抗剂 (IL-1Ra)

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作者:Habibollah Saadat, Seyed Ali Ziai, Maryam Ghanemnia, Mohammad Hasan Namazi, Morteza Safi, Hosein Vakili, Ali Dabbagh, Omid Gholami

Background

There is evidence that opium addiction has immunosuppressant effects. Coronary artery disease (CAD) is a condition resulted from atherosclerosis which is dependent on the immune response.

Conclusion

Consumption of opium in CAD patients is associated with higher IL-1Ra levels.

Methods

The participants underwent prognostic treadmill test and plasma levels of interleukin-6 (IL-6) and interleukin-1Ra (IL-1Ra) were evaluated with ELISA method before, just after and 4 hours after the test.

Purpose

To evaluate plasma levels of interleukin-6 and interleukin-1Ra in 30 patients with three-vessel coronary artery disease, ejection fraction of more than 35% and to evaluate their changes after prognostic treadmill test in 15 opium addicted and 15 non-addicted patients.

Results

IL-1Ra (2183 pg/ml) tended to decrease over time in the opium addicted group (1372 pg/ml after prognostic treadmill test and 1034 pg/ml 4 hours after that), although such decrease did not reach the statistical significance. IL-1Ra levels were significantly higher in opium addicted than in non addicted patients. Opium addiction had no significant effect on IL-6 changes.

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