TY  - JOUR
ID  - enlighten340171
UR  - https://eprints.gla.ac.uk/340171/
A1  - Dieden, Anna
A1  - Girerd, Nicolas
A1  - Ottosson, Filip
A1  - Molvin, John
A1  - Pareek, Manan
A1  - Melander, Olle
A1  - Bachus, Erasmus
A1  - R�stam, Lennart
A1  - Lindblad, Ulf
A1  - Daka, Bledar
A1  - Le�sd�ttir, Margr�t
A1  - Nilsson, Peter M.
A1  - Olsen, Michael H.
A1  - Clark, Andrew L.
A1  - Cleland, John G.F.
A1  - Delles, Christian
A1  - Gonz�lez, Arantxa
A1  - Lamiral, Zohra
A1  - Duarte, Kevin
A1  - Rossignol, Patrick
A1  - Zannad, Faiez
A1  - Gudmundsson, Petri
A1  - Juji?, Amra
A1  - Magnusson, Martin
Y1  - 2024/10/28/
N2  - Aims:
Biomarkers associated with asymptomatic ventricular dysfunction might improve risk stratification and identify pathways leading to heart failure (HF). We explored the association between proteomic biomarkers and left ventricular hypertrophy (LVH), diastolic dysfunction (DD) and incident HF in three population-based cohorts.

Methods and results:
A chip was used to measure 92 protein biomarkers in blood samples from >1500 Malm� Preventive Project (MPP) participants, of whom 514 had LVH (34%), 462 had DD (32.4%) and, over a median follow-up of 13 (11?14) years, 130 developed HF (7.7%). Findings were confirmed in the STANISLAS (n?>?1500, 238 participants with LVH, 76 with DD) and HOMAGE case-control (562 cases of incident HF, 871 controls) cohorts. In multivariable logistic or Cox regression analyses adjusted for age, sex and cardiovascular risk factors, N-terminal pro-B-type natriuretic peptide (NT-proBNP) was associated with LVH, DD and incident HF in all cohorts: MPP (LVH odds ratio [OR] [95% confidence interval] 1.48 [1.28?1.71]; DD OR 1.71 [1.53?1.92]; HF HR 1.98 [1.66?2.36]); STANISLAS (LVH OR 1.20 [1.02?1.41]; DD OR 1.46 [1.12?1.90]); HOMAGE (HF HR 1.85 [1.62?2.12]). Galectin-4, growth differentiation factor 15 and suppression of tumorigenicity-2 were associated with incident HF in MPP and HOMAGE. A pathway enrichment analysis suggested that inflammation and viral infection were related to incident HF.

Conclusion:
In conclusion, our study reinforces the role of NT-proBNP as a key biomarker for asymptomatic cardiac dysfunction and incident HF, consistent with its established use in clinical practice. This underscores the value of NT-proBNP for identifying patients at high risk for HF, and provides insights into pathways leading to HF and potential therapeutic targets.
PB  - Wiley
JF  - European Journal of Heart Failure
KW  - Heart failure
KW  -  proteomics
KW  -  diastolic dysfunction
KW  -  left ventricular hypertrophy.
SN  - 1388-9842
TI  - Proteomic biomarkers and pathway analysis for progression to heart failure in three epidemiological representative cohorts
AV  - public
ER  -