Hydrocortisone Reduces Toll-Like Receptor 4 Expression on Peripheral CD14+ Monocytes in Patients Undergoing Percutanoues Coronary Intervention |
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| Authors: | Bahador Bagheri Bahram Sohrabi Ali Akbar Movassaghpour Simin Mashayekhi Afagh Garjani Mehriar Shokri Masoud Pezeshkian Alireza Garjani |
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| Institution: | 1.Dept. of Pharmacology, Faculty of Pharmacy, Tabriz University of Medical Sciences, Tabriz, Iran;;2. Shahid Madani Heart Hospital, Tabriz University of Medical Sciences, Tabriz, Iran;;3. Hematology Research Centre, Tabriz University of Medical Sciences, Tabriz, Iran;;4. Dept. of Clinical Pharmacy, Faculty of Pharmacy, Tabriz University of Medical Sciences, Tabriz, Iran;;5. School of Medicine, Tabriz University of Medical Sciences, Tabriz, Iran |
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| Abstract: | Bacground: Evidence from several lines of investigations suggests that Toll-like receptor 4 (TLR4) is involved in atherosclerosis as a bridge between innate and acquired immunity. Percutaneous coronary intervention (PCI) can trigger inflammation through activation of human TLR4 (hTLR4) on monocytes. Hydrocortisone as an anti-inflammatory and immuno-suppressant agent has multiple mechanisms of action. In this study, we aimed at assessing the effects of hydrocortisone on monocyte expression and activity of hTLR4 in patients underwent PCI. Methods: Blood samples were taken from a total of 71 patients with chronic stable angina who were scheduled for a PCI, before the intervention. Thirty patients received 100 mg hydrocortisone prior to the procedure. Control group was composed of 41 patients underwent PCI without receiving hydrocortisone. Blood collection was repeated 2 and 4 h after PCI. The expression of hTLR4 on the surface of CD14+ monocytes and the serum levels of TNF-α and IL-1β were measured using flowcytometry and Sandwich ELISA. Results: Compared with controls, hydrocortisone significantly reduced monocyte expression of hTLR4 in test group (P<0.01). In addition, it had a significant effect on reduction of serum concentrations of TNF-α and IL-1β in test group in a time-dependent manner (P<0.01). Conclusion: In this study, hydrocortisone was able to reduce the hTLR4/CD14 positive monocytes and its related pro-inflammatory cytokines, thus it can decrease inflammatory responses following PCI. Key Words: Toll-like receptor 4, Cytokines, Hydrocortisone |
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