Role of biomarkers of cardiac remodeling, myofibrosis, and inflammation in assessment of disease severity in euvolemic patients with chronic stable heart failure

• Published in: Journal of international medical research Vol. 48; no. 8; p. 300060520947869
• Main Authors: Andreasová, Táňa, Vránová, Jana, Vondráková, Dagmar, Sedláčková, Lenka, Zákostelská, Zuzana Jirásková, Neužil, Petr, Málek, Filip
• Format: Journal Article
• Language: English
• Published: London, England SAGE Publications 01.08.2020; Sage Publications Ltd; SAGE Publishing
• Subjects: Aged; Biomarkers; Female; Heart Failure; Humans; Inflammation; Male; Middle Aged; Natriuretic Peptide, Brain; Peptide Fragments; Retrospective Clinical Research Report; Severity of Illness Index; Stroke Volume; Ventricular Function, Left; Ventricular Remodeling; cystatin C; growth differentiation factor-15; Chronic heart failure; N-terminal pro-B-type natriuretic peptide; galectin-3; matrix metalloproteinases; urea
• ISSN: 0300-0605; 1473-2300; 1473-2300
• DOI: 10.1177/0300060520947869

Objective This study aimed to determine the importance of biomarkers of chronic heart failure (CHF) for assessing disease severity in euvolemic stable patients. Patients and methods N-terminal pro-B-type natriuretic peptide (NT-proBNP), growth differentiation factor (GDF)-15, galectin-3, cystatin-C, soluble suppression of tumorigenicity 2 (sST2), tissue type inhibitor of matrix metalloproteinase (TIMP)-1, and ceruloplasmin levels were measured in euvolemic patients with stable CHF. Severity of CHF was defined by echocardiographic and biochemical parameters. Results In 160 patients (123 men and 37 women, mean age: 65.8±12.2 years), we found strong associations between NT-proBNP and bilirubin levels (r = 0.434) and the estimated glomerular filtration rate (r = −0.321). GDF-15 and cystatin-C levels were significantly correlated with parameters of kidney function. In multivariable regression analysis, NT-proBNP levels were associated with the left ventricular ejection fraction and left ventricular end-systolic volume (coefficient of determination R2 = 0.777). Additionally, GDF-15 levels were correlated with urea levels (R2 = 0.742), and cystatin C levels were correlated with urea and bilirubin levels (R2 = 0.732). Conclusion Besides NT-proBNP, GDF-15 and cystatin C are promising biomarkers for establishing the severity of disease in euvolemic patients with stable CHF.