Increased systemic inflammation and altered distribution of T-cell subsets in postmenopausal women.

<h4>Aim</h4>To investigate markers of systemic inflammation in pre- and postmenopausal women and identify possible predictors of systemic inflammation with menopause.<h4>Methods</h4>Cross-sectional study of 69 healthy women between 45- and 60 years. Blood samples were collect...

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Main Authors: Julie Abildgaard, Jeanette Tingstedt, Yanan Zhao, Hans Jakob Hartling, Anette Tønnes Pedersen, Birgitte Lindegaard, Susanne Dam Nielsen
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2020-01-01
Series:PLoS ONE
Online Access:https://doi.org/10.1371/journal.pone.0235174
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author Julie Abildgaard
Jeanette Tingstedt
Yanan Zhao
Hans Jakob Hartling
Anette Tønnes Pedersen
Birgitte Lindegaard
Susanne Dam Nielsen
author_facet Julie Abildgaard
Jeanette Tingstedt
Yanan Zhao
Hans Jakob Hartling
Anette Tønnes Pedersen
Birgitte Lindegaard
Susanne Dam Nielsen
author_sort Julie Abildgaard
collection DOAJ
description <h4>Aim</h4>To investigate markers of systemic inflammation in pre- and postmenopausal women and identify possible predictors of systemic inflammation with menopause.<h4>Methods</h4>Cross-sectional study of 69 healthy women between 45- and 60 years. Blood samples were collected to assess leukocyte subsets and plasma cytokines. MRI and DXA scans were performed to assess body composition. Through uni- and multivariate analyses, follicle-stimulating hormone (FSH), visceral fat mass and age were evaluated as predictors of systemic inflammation in relation to menopause.<h4>Results</h4>Postmenopausal women tended to have higher leukocyte counts (5.4 x109 vs. 4.9 x109 cells/l, p = 0.05) reflected in increased total lymphocytes (1.8 x109 vs. 1.6 x109 cells/l, p = 0.01) and monocytes (0.5 x109 vs. 0.4 x109 cells/l, p = 0.02), compared to premenopausal women. Increased visceral fat mass was a strong predictor of high leukocyte subsets. Postmenopausal women had higher plasma TNF-α (2.24 vs. 1.91 pg/ml, p = 0.01) and IL-6 (0.45 vs. 0.33 pg/ml, p = 0.004) compared to premenopausal women and high FSH was a significant predictor of increased plasma TNF-α, IL-1β and IL-6. Menopause was further associated with increased T-cells (1,336 vs. 1,128 cells/μl, p = 0.04) reflected in significantly higher counts of exhausted-, senescent-, and memory CD4+ T-cell subsets.<h4>Conclusions</h4>Menopause is associated with increased systemic inflammation as well as exhausted- and senescent T-cells. We suggest, that both increased visceral fat mass and declining sex hormone levels might contribute to postmenopausal systemic inflammation and calls for further large-scale studies to confirm these findings.
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spelling doaj.art-8b54a51f1a084f6cbdb81b3ba6e5dac52022-12-21T20:35:07ZengPublic Library of Science (PLoS)PLoS ONE1932-62032020-01-01156e023517410.1371/journal.pone.0235174Increased systemic inflammation and altered distribution of T-cell subsets in postmenopausal women.Julie AbildgaardJeanette TingstedtYanan ZhaoHans Jakob HartlingAnette Tønnes PedersenBirgitte LindegaardSusanne Dam Nielsen<h4>Aim</h4>To investigate markers of systemic inflammation in pre- and postmenopausal women and identify possible predictors of systemic inflammation with menopause.<h4>Methods</h4>Cross-sectional study of 69 healthy women between 45- and 60 years. Blood samples were collected to assess leukocyte subsets and plasma cytokines. MRI and DXA scans were performed to assess body composition. Through uni- and multivariate analyses, follicle-stimulating hormone (FSH), visceral fat mass and age were evaluated as predictors of systemic inflammation in relation to menopause.<h4>Results</h4>Postmenopausal women tended to have higher leukocyte counts (5.4 x109 vs. 4.9 x109 cells/l, p = 0.05) reflected in increased total lymphocytes (1.8 x109 vs. 1.6 x109 cells/l, p = 0.01) and monocytes (0.5 x109 vs. 0.4 x109 cells/l, p = 0.02), compared to premenopausal women. Increased visceral fat mass was a strong predictor of high leukocyte subsets. Postmenopausal women had higher plasma TNF-α (2.24 vs. 1.91 pg/ml, p = 0.01) and IL-6 (0.45 vs. 0.33 pg/ml, p = 0.004) compared to premenopausal women and high FSH was a significant predictor of increased plasma TNF-α, IL-1β and IL-6. Menopause was further associated with increased T-cells (1,336 vs. 1,128 cells/μl, p = 0.04) reflected in significantly higher counts of exhausted-, senescent-, and memory CD4+ T-cell subsets.<h4>Conclusions</h4>Menopause is associated with increased systemic inflammation as well as exhausted- and senescent T-cells. We suggest, that both increased visceral fat mass and declining sex hormone levels might contribute to postmenopausal systemic inflammation and calls for further large-scale studies to confirm these findings.https://doi.org/10.1371/journal.pone.0235174
spellingShingle Julie Abildgaard
Jeanette Tingstedt
Yanan Zhao
Hans Jakob Hartling
Anette Tønnes Pedersen
Birgitte Lindegaard
Susanne Dam Nielsen
Increased systemic inflammation and altered distribution of T-cell subsets in postmenopausal women.
PLoS ONE
title Increased systemic inflammation and altered distribution of T-cell subsets in postmenopausal women.
title_full Increased systemic inflammation and altered distribution of T-cell subsets in postmenopausal women.
title_fullStr Increased systemic inflammation and altered distribution of T-cell subsets in postmenopausal women.
title_full_unstemmed Increased systemic inflammation and altered distribution of T-cell subsets in postmenopausal women.
title_short Increased systemic inflammation and altered distribution of T-cell subsets in postmenopausal women.
title_sort increased systemic inflammation and altered distribution of t cell subsets in postmenopausal women
url https://doi.org/10.1371/journal.pone.0235174
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