TY - JOUR SN - 0958-0670 SP - 448 IS - 3 KW - cold injury KW - endothelial function KW - endothelin KW - interleukin nitric oxide KW - oxidative stress KW - pathophysiology KW - syndecan AV - public JF - Experimental Physiology Y1 - 2023/03/01/ TI - Plasma biomarkers of endothelial function, inflammation and oxidative stress in individuals with non-freezing cold injury PB - Wiley N1 - © 2023 The Authors. Experimental Physiology published by John Wiley & Sons Ltd on behalf of The Physiological Society. This is an open access article under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/), which permits use, distribution and reproduction in any medium, provided the original work is properly cited. ID - discovery10166206 N2 - Plasma biomarkers of inflammation, oxidative stress, endothelial function and damage were examined in 16 individuals with chronic NFCI (NFCI) and matched control participants with (COLD, n = 17) or without (CON, n = 14) previous cold exposure. Venous blood samples were collected at baseline to assess plasma biomarkers of endothelial function (nitrate, nitrite and endothelin-1), inflammation [interleukin-6 (IL-6), interleukin-10 (IL-10), tumour necrosis factor alpha and E-selectin], oxidative stress [protein carbonyl, 4-hydroxy-2-nonenal (4-HNE), superoxide dismutase and nitrotyrosine) and endothelial damage [von Willebrand factor, syndecan-1 and tissue type plasminogen activator (TTPA)]. Immediately after whole-body heating and separately, foot cooling, blood samples were taken for measurement of plasma [nitrate], [nitrite], [endothelin-1], [IL-6], [4-HNE] and [TTPA]. At baseline, [IL-10] and [syndecan-1] were increased in NFCI (P < 0.001 and P = 0.015, respectively) and COLD (P = 0.033 and P = 0.030, respectively) compared with CON participants. The [4-HNE] was elevated in CON compared with both NFCI (P = 0.002) and COLD (P < 0.001). [Endothelin-1] was elevated in NFCI compared with COLD (P < 0.001) post-heating. The [4-HNE] was lower in NFCI compared with CON post-heating (P = 0.032) and lower than both COLD (P = 0.02) and CON (P = 0.015) post-cooling. No between-group differences were seen for the other biomarkers. Mild to moderate chronic NFCI does not appear to be associated with a pro-inflammatory state or oxidative stress. Baseline [IL-10] and [syndecan-1] and post-heating [endothelin-1] are the most promising candidates for diagnosing NFCI, but it is likely that a combination of tests will be required. EP - 464 A1 - Eglin, Clare M A1 - Wright, Jennifer A1 - Shepherd, Anthony I A1 - Massey, Heather A1 - Hollis, Sarah A1 - Towse, Jonathan A1 - Young, John S A1 - Maley, Matthew J A1 - Bailey, Stephen J A1 - Wilkinson, Chris A1 - Montgomery, Hugh A1 - Tipton, Michael J UR - https://doi.org/10.1113/EP090722 VL - 108 ER -