Plasma connective tissue growth factor is a novel potential biomarker of cardiac dysfunction in patients with chronic

Norimichi Koitabashi1, Masashi Arai, Kazuo Niwano

  • 1Department of Medicine and Biological Science, Gunma University Graduate School of Medicine, Maebashi, Gunma, Japan.

Insights

Plasma connective tissue growth factor (CTGF) is elevated in heart failure patients, correlating with disease severity and fibrosis markers. This suggests CTGF is a useful diagnostic marker for cardiac dysfunction.

Area of Science:

  • Cardiology
  • Biochemistry

Background:

  • Connective tissue growth factor (CTGF) is implicated in myocardial fibrosis.
  • The diagnostic value of plasma CTGF in heart failure remains unevaluated.

Purpose of the Study:

  • To investigate the clinical utility of plasma CTGF concentration for diagnosing heart failure.

Main Methods:

  • Assessed plasma CTGF and fibrosis markers in 52 chronic heart failure patients.
  • Correlated CTGF levels with clinical data and echocardiographic parameters.

Main Results:

  • Plasma CTGF was elevated in symptomatic patients, proportional to NYHA class.
  • CTGF correlated with brain natriuretic peptide (BNP), TGF-beta, MMP-2, TIMP-2, and E/E' values.
  • No correlation found with systolic function or left ventricular mass.

Conclusions:

  • Plasma CTGF concentration serves as a novel diagnostic marker for cardiac dysfunction.
  • CTGF may offer specific insights into myocardial fibrosis in chronic heart failure.
Abstract

Related Concept Videos

Blood Studies for Cardiovascular System II: CRP, Hcy, and Cardiac Natriuretic Peptide Markers01:19

Blood Studies for Cardiovascular System II: CRP, Hcy, and Cardiac Natriuretic Peptide Markers

Cardiac biomarkers are critical in diagnosing, prognosing, and managing cardiovascular diseases. Routine measurement of specific biomarkers such as B-type natriuretic peptide (BNP), C-reactive protein (CRP), and homocysteine (Hcy) is common practice in clinical settings to evaluate heart function and predict cardiovascular events.
These markers indicate stress or strain on the heart muscle:
Natriuretic Peptides (BNP)
Cardiac myocytes produce these hormones in response to ventricular stretching...
Blood Studies for Cardiovascular System I: Cardiac Biomarkers01:20

Blood Studies for Cardiovascular System I: Cardiac Biomarkers

Cardiac biomarkers are enzymes, proteins, and hormones released into the blood when cardiac cells are injured. They are powerful tools for triaging.
The essential diagnostic tools for detecting myocardial necrosis and monitoring individuals suspected of having acute coronary syndrome (ACS) include:
Troponins
Troponins, particularly cardiac troponins I and T, are the most precise and sensitive markers of myocardial injury. They are detectable within 4-6 hours of myocardial injury and remain...
Heart Failure II: Pathophysiology01:29

Heart Failure II: Pathophysiology

Systolic Heart Failure and Compensatory MechanismsSystolic heart failure (also termed HFrEF, Heart Failure with Reduced Ejection Fraction) is the most prevalent type of heart filure. It results in a decreased volume of blood being pumped from the ventricle. The aortic arch and carotid sinuses have baroreceptors that detect reduced blood pressure, triggering the sympathetic nervous system (SNS) to release epinephrine and norepinephrine. Initially, this response aims to boost heart rate and...
Pathophysiology of Heart Failure01:17

Pathophysiology of Heart Failure

Heart failure (HF) is a progressive syndrome involving ventricles that leads to inadequate cardiac output. It can be classified based on location and output or ejection fraction. Ejection fraction (EF) is an essential measurement in the diagnosis and surveillance of HF. Reduced EF corresponds to systolic heart failure (HFrEF). However, HF with preserved ejection fraction (HFpEF) is becoming increasingly prevalent. Also known as diastolic HF, this form of HF is related to aging. The...
Role of Hematopoietic Growth Factors01:28

Role of Hematopoietic Growth Factors

Hematopoietic growth factors are molecules that regulate the differentiation rate of hematopoietic stem cells (HSCs). Erythropoietin (EPO), primarily produced by the kidneys, plays a crucial role in erythrocyte production. When oxygen levels in the blood are low, EPO is released into the bloodstream, reaching the bone marrow, where it stimulates HSCs to differentiate and mature into erythrocytes, which are vital for oxygen transport.
Thrombopoietin (TPO), mainly released by the liver,...