Recent studies have identified the importance of biologically active m
olecules such as neurohormones as mediators of disease progression in
heart failure. More recently it has become apparent that in addition t
o neurohormones, another portfolio of biologically active molecules, t
ermed cytokines, are also expressed in the setting of heart failure. T
his article reviews recent clinical and experimental material that sug
gests that the cytokines, much like the neurohormones, may represent a
nother class of biologically active molecules that are responsible for
the development and progression of heart failure.