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Response of growth differentiation factor-15 to percutaneous coronary intervention and regular exercise training
Peter Scott Munk1, Torstein Valborgland, Noreen Butt
1Department of Cardiology, Stavanger University Hospital, Stavanger, Norway. munk@lyse.net
Insights
Growth Differentiation Factor-15 (GDF-15) transiently increases after percutaneous coronary intervention (PCI). Six months of exercise training did not alter GDF-15, hsTNT, or NT-proBNP levels in stable angina patients.
Area of Science:
- Cardiology
- Biomarkers
- Interventional Cardiology
Background:
- Growth Differentiation Factor-15 (GDF-15) is a cardioprotective cytokine.
- Its response to percutaneous coronary intervention (PCI) and exercise training is unknown.
Purpose of the Study:
- To investigate GDF-15 plasma level changes after PCI.
- To determine the effect of exercise training on GDF-15, hsTNT, and NT-proBNP.
Main Methods:
- 36 stable angina patients undergoing PCI were randomized to exercise or control groups.
- Serial measurements of GDF-15, hsTNT, and NT-proBNP were performed post-PCI and during 6-month follow-up.
Main Results:
- GDF-15 showed a modest, transient increase 30 minutes post-PCI, peaking at 3 hours.
- hsTNT levels increased significantly at 24 hours post-PCI, normalizing by 7 days.
- No significant differences in GDF-15, hsTNT, or NT-proBNP changes were observed between groups during follow-up.
Conclusions:
- Coronary intervention with stent implantation causes a transient increase in GDF-15.
- Six months of exercise training does not impact GDF-15, hsTNT, or NT-proBNP levels in stable coronary artery disease patients.
Background:
Growth differentiation factor-15 (GDF-15) is considered to be a cardioprotective cytokine possessing antiapoptotic and antiproliferative properties. If GDF-15 plasma levels are influenced by percutanenous coronary intervention (PCI) or regular exercise training is currently not known.
Methods:
After successful revascularization by PCI with stent implantation 36 consecutive patients with stable angina pectoris were randomized to an exercise training program or to a control group. Patients were followed by serial measurements of GDF-15, high-sensitivity Troponin T (hsTNT) and N-terminal pro brain natriuretic peptide (NT-proBNP) levels in peripheral blood after PCI and during six months follow-up.
Results:
Plasma levels of GDF-15 showed an early response to PCI with a modest, but significant increase after 30 minutes (p = 0.007) peaking three hours after PCI. Levels of hsTNT rose 5-fold from baseline to 24 hours (p < 0.001) with a normalization at seven days post PCI. Changes in plasma levels of GDF-15, hsTNT and NT-proBNP were not significantly different between the training and control group during follow-up.
Conclusions:
GDF-15 levels show a modest transient increase in response to coronary intervention with stent implantation. Exercise training over six months does not affect plasma levels of GDF-15, hsTNT or NT-proBNP in patients with stable coronary artery disease.
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