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Plasma BIN1 correlates with heart failure and predicts arrhythmia in patients with arrhythmogenic right ventricular
Ting-Ting Hong1, Rebecca Cogswell, Cynthia A James
1Cardiovascular Research Institute, University of California San Francisco, San Francisco, CA 94158, USA.
Insights
Plasma Bridging Integrator 1 (BIN1) levels may indicate disease severity in arrhythmogenic right ventricular cardiomyopathy (ARVC). Lower BIN1 levels correlate with heart failure and predict future arrhythmias in ARVC patients.
Area of Science:
- Cardiology
- Biomarker Discovery
- Molecular Cardiology
Background:
- Arrhythmogenic right ventricular cardiomyopathy (ARVC) is a progressive cardiac muscle disorder.
- Bridging integrator 1 (BIN1) is crucial for cardiomyocyte health and is reduced in cardiomyopathy.
- Investigating circulating BIN1 as a potential indicator of cardiac status in ARVC patients.
Purpose of the Study:
- To assess plasma BIN1 levels as a measure of disease severity in ARVC patients.
- To determine if BIN1 levels correlate with cardiac function and predict ventricular arrhythmias.
Main Methods:
- Retrospective cohort study of 24 ARVC patients.
- Assessed plasma BIN1 levels.
- Correlated BIN1 levels with cardiac function and history of ventricular arrhythmias.
Main Results:
- Plasma BIN1 levels were significantly lower in ARVC patients with heart failure compared to those without.
- Lower BIN1 levels correlated with a higher number of previous ventricular arrhythmias.
- Low BIN1 levels accurately predicted advanced heart failure and future ventricular arrhythmias (AUC 0.88-0.89).
- Serial measurements showed decreasing BIN1 levels with disease progression.
Conclusions:
- Plasma BIN1 levels correlate with cardiac functional status in ARVC.
- BIN1 levels can predict the presence and future occurrence of ventricular arrhythmias.
- Circulating BIN1 shows potential as a biomarker for ARVC severity and prognosis.
Background:
Arrhythmogenic right ventricular cardiomyopathy (ARVC) is a disorder involving diseased cardiac muscle. Bridging integrator 1 (BIN1) is a membrane-associated protein important to cardiomyocyte homeostasis and is downregulated in cardiomyopathy. We hypothesized that BIN1 could be released into the circulation and that blood-available BIN1 can provide useful data on the cardiac status of patients whose hearts are failing secondary to ARVC.
Objective:
To determine whether plasma BIN1 levels can be used to measure disease severity in patients with ARVC.
Methods:
We performed a retrospective cohort study of 24 patients with ARVC. Plasma BIN1 levels were assessed for their ability to correlate with cardiac functional status and predict ventricular arrhythmias.
Results:
Mean plasma BIN1 levels were decreased in patients with ARVC with heart failure (15 ± 7 vs 60 ± 17 in patients without heart failure, P <.05; the plasma BIN1 level was 60 ± 10 in non-ARVC normal controls). BIN1 levels correlated inversely with number of previous ventricular arrhythmia (R = -.47; P <.05), and low BIN1 levels correctly classified patients with advanced heart failure or ventricular arrhythmia (receiver operator curve area under the curve of 0.88 ± 0.07). Low BIN1 levels also predicted future ventricular arrhythmias (receiver operator curve area under the curve of 0.89 ± 0.09). In a stratified analysis, BIN1 levels could predict future arrhythmias in patients without severe heart failure (n = 20) with an accuracy of 82%. In the 7 patients with ARVC with serial blood samples, all of whom had evidence of disease progression during follow-up, plasma BIN1 levels decreased significantly (a decrease of 63%; P <.05).
Conclusions:
Plasma BIN1 level seems to correlate with cardiac functional status and the presence or absence of sustained ventricular arrhythmias in a small cohort of patients with ARVC and can predict future ventricular arrhythmias.
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