Academic Journal

IGFBP7 and GDF-15, but not P1NP, are associated with cardiac alterations and 10-year outcome in an elderly community-based study

التفاصيل البيبلوغرافية
العنوان: IGFBP7 and GDF-15, but not P1NP, are associated with cardiac alterations and 10-year outcome in an elderly community-based study
المؤلفون: Meessen, Jennifer M. T. A., Cesaroni, Giulia, Mureddu, Gian F., Boccanelli, Alessandro, Wienhues-Thelen, Ursula-Henrike, Kastner, Peter, Ojeda-Fernandez, Luisa, Novelli, Deborah, Bazzoni, Gianfranco, Mangiavacchi, Maurizio, Agabiti, Nera, Masson, Serge, Staszewsky, Lidia, Latini, Roberto
المساهمون: Takeda Italia Farmaceutici
المصدر: BMC Cardiovascular Disorders ; volume 21, issue 1 ; ISSN 1471-2261
بيانات النشر: Springer Science and Business Media LLC
سنة النشر: 2021
الوصف: Background Little is known about the clinical value of Insulin-like growth factor-binding protein-7 (IGFBP7), a cellular senescence marker, in an elderly general population with multiple co-morbidities and high prevalence of asymptomatic cardiovascular ventricular dysfunction. Inflammation and fibrosis are hallmarks of cardiac aging and remodelling. Therefore, we assessed the clinical performance of IGFBP7 and two other biomarkers reflecting these pathogenic pathways, the growth differentiation factor-15 (GFD-15) and amino-terminal propeptide of type I procollagen (P1NP), for their association with cardiac phenotypes and outcomes in the PREDICTOR study. Methods 2001 community-dwelling subjects aged 65–84 years who had undergone centrally-read echocardiography, were selected through administrative registries. Atrial fibrillation (AF) and 4 echocardiographic patterns were assessed: E/e’ (> 8), enlarged left atrial area, left ventricular hypertrophy (LVH) and reduced midwall circumference shortening (MFS). All-cause and cardiovascular mortality and hospitalization were recorded over a median follow-up of 10.6 years. Results IGFBP7 and GDF-15, but not P1NP, were independently associated with prevalent AF and echocardiographic variables after adjusting for age and sex. After adjustment for clinical risk factors and cardiac patterns or NT-proBNP and hsTnT, both IGFBP7 and GDF-15 independently predicted all-cause mortality, hazard ratios 2.13[1.08–4.22] and 2.03[1.62–2.56] per unit increase of Ln-transformed markers, respectively. Conclusions In a community-based elderly cohort , IGFBP7 and GDF-15 appear associated to cardiac alterations as well as to 10-year risk of all-cause mortality.
نوع الوثيقة: article in journal/newspaper
اللغة: English
DOI: 10.1186/s12872-021-02138-8
DOI: 10.1186/s12872-021-02138-8.pdf
DOI: 10.1186/s12872-021-02138-8/fulltext.html
الاتاحة: http://dx.doi.org/10.1186/s12872-021-02138-8
https://link.springer.com/content/pdf/10.1186/s12872-021-02138-8.pdf
https://link.springer.com/article/10.1186/s12872-021-02138-8/fulltext.html
Rights: https://creativecommons.org/licenses/by/4.0 ; https://creativecommons.org/licenses/by/4.0
رقم الانضمام: edsbas.8A20B345
قاعدة البيانات: BASE
الوصف
DOI:10.1186/s12872-021-02138-8