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  • 标题:Elevated resting heart rate as a predictor of inflammation and cardiovascular risk in healthy obese individuals
  • 本地全文:下载
  • 作者:Fatema Al-Rashed ; Sardar Sindhu ; Ashraf Al Madhoun
  • 期刊名称:Scientific Reports
  • 电子版ISSN:2045-2322
  • 出版年度:2021
  • 卷号:11
  • DOI:10.1038/s41598-021-93449-5
  • 语种:English
  • 出版社:Springer Nature
  • 摘要:The role of leukocyte inflammatory markers and toll like receptors (TLRs)2/4 in pathologies associated with elevated resting heart rate (RHR) levels in healthy obese (HO) individuals is not well elucidated. Herein, we investigated the relationship of RHR with expression of leukocyte-inflammatory markers and TLRs in HO individuals. 58-obese and 57-lean participants with no history of a major medical condition, were recruited in this study. In HO individuals, the elevated-RHR correlated positively with diastolic blood pressure, cholesterol, pro-inflammatory monocytes CD11b +CD11c +CD206 − phenotype (r = 0.52, P  = 0.0003) as well as with activated T cells CD8 +HLA-DR + phenotype (r = 0.27, P  = 0.039). No association was found between RHR and the percentage of CD16 +CD11b + neutrophils. Interestingly, elevated RHR positively correlated with cells expressing TLR4 and TLR2 (CD14 +TLR4 +, r = 0.51, P  ≤ 0.0001; and CD14 +TLR2 +, r = 0.42 , P  = 0.001). TLR4 + expressing cells also associated positively with the plasma concentrations of proinflammatory or vascular permeability/matrix modulatory markers including TNF-α (r = 0.36, P  = 0.005), VEGF (r = 0.47, P = 0.0002), and MMP-9 (r = 0.53, P  ≤ 0.0001). Multiple regression revealed that RHR is independently associated with CD14 +TLR4 + monocytes and VEGF. We conclude that in HO individuals, increased CD14 +TLR4 + monocytes and circulatory VEGF levels associated independently with RHR, implying that RHR monitoring could be used as a non-invasive clinical indicator to identify healthy obese individuals at an increased risk of developing inflammation and cardiovascular disease.
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