Related Experiment Video
Updated: Jul 6, 2026

Coronary Progenitor Cells and Soluble Biomarkers in Cardiovascular Prognosis after Coronary Angioplasty
Published on: January 28, 2020
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.
Background:
Connective tissue growth factor (CTGF) has been recently reported as a mediator of myocardial fibrosis; however, the significance of plasma CTGF concentration has not been evaluated in patients with heart failure. The aim of this study was to investigate the clinical utility of plasma CTGF concentration for the diagnosis of heart failure.
Methods And Results:
We evaluated fifty-two patients with chronic heart failure. The plasma concentration of CTGF and other markers of fibrosis were assessed and compared with clinical and echocardiographic data. Plasma CTGF was significantly elevated in symptomatic patients in proportion to their NYHA classes and was significantly correlated with plasma brain natriuretic peptide (BNP) concentration (r=0.395, P<0.01). Plasma CTGF was also correlated with plasma transforming growth factor beta (TGF-beta) (r=0.512, P<0.01), matrix metalloproteinase (MMP)-2 (r=0.391, P<0.05) and tissue inhibitor of MMP (TIMP)-2 (r=0.354, P<0.05) concentrations. Interestingly, plasma CTGF was correlated with E/E' value evaluated by tissue Doppler echocardiography (r=0.593, P=0.012), but not with systolic function and left ventricular mass.
Conclusion:
Our study suggests that plasma CTGF concentration is a novel diagnostic marker for cardiac dysfunction and may provide additional specific information about myocardial fibrosis in chronic heart failure patients.
Related Concept Videos
Blood Studies for Cardiovascular System II: CRP, Hcy, and Cardiac Natriuretic Peptide Markers
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 Biomarkers
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: Pathophysiology
Pathophysiology of Heart Failure
Role of Hematopoietic Growth Factors
Thrombopoietin (TPO), mainly released by the liver,...
