Heart failure & cardiomyopathies

IL-17 is Associated with Disease Severity and Targetable Inflammatory Processes in Heart Failure

ESC Heart FailPublished Observational cohort study

Authors' conclusion

In patients with HF, elevated IL-17 concentrations indicate more severe HF and increased activity of inflammatory processes known to be involved in the pathophysiology of HF.

Study context

Population
Patients diagnosed with heart failure (HF)validation cohort n = 1737
Participants
2,082 patients
Exposure
High vs low circulating IL-17 concentrations
Outcome
Clinical characteristics, outcomes and pathways associated with IL-17
Methodological detailsindependent validation cohort, IL-17 measured by ELISA; 363 circulating proteins by proximity extension assay
  • Independent validation cohort
  • IL-17 measured by ELISA; 363 circulating proteins by proximity extension assay

Main finding

As reported in the abstract

  • Elevated IL-17: more severe HF (more current or previous HF hospitalizations, higher NYHA class, higher NT-proBNP)
  • High IL-17 independently associated with increased risk of HF hospitalization and mortality
  • Most up-regulated proteins with high IL-17 (both cohorts): FGF-21, IL-6, CXCL13, TNFRSF6B, IL-1RA
  • Increased activity of pathways of lymphocyte-mediated immunity, leukocyte activation and immune-response regulation

Observational data: associations, not effects.

Original publication

IL-17 is Associated with Disease Severity and Targetable Inflammatory Processes in Heart Failure. ESC Heart Fail. Published 19 July 2024. doi:10.1002/ehf2.14968

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