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Association between high-sensitivity C-reactive protein and N-Terminal Pro-B-Type Natriuretic Peptide in patients
Wenliang Che1, Buchun Zhang, Wenling Liu
1Department of Cardiology, Shanghai Tenth People's Hospital, Tongji University School of Medicine, China. chewenliang@tongji.edu.cn
Insights
Hepatitis C virus (HCV) patients showed lower high-sensitivity C-reactive protein (hs-CRP) levels but a significant correlation between hs-CRP and N-Terminal Pro-B-Type Natriuretic Peptide (NT-proBNP). This suggests a link between inflammation and cardiac function in HCV infection.
Area of Science:
- Cardiology
- Hepatology
- Inflammation Research
Background:
- Previous research indicates elevated N-Terminal Pro-B-Type Natriuretic Peptide (NT-proBNP) and potential left ventricular diastolic dysfunction in Hepatitis C Virus (HCV) infected patients.
- Investigating high-sensitivity C-reactive protein (hs-CRP) characteristics and its clinical correlations in HCV patients is crucial.
Purpose of the Study:
- To examine the characteristics of hs-CRP in HCV-infected patients.
- To determine the correlation between hs-CRP and clinical profiles, including NT-proBNP and echocardiographic variables.
Main Methods:
- A study involving 106 HCV-infected patients and 106 healthy controls.
- Serum hs-CRP and NT-proBNP levels were measured.
- Regression analysis was used to identify independent correlates of hs-CRP.
Main Results:
- Serum hs-CRP levels were significantly lower in HCV patients compared to controls (P = 0.012).
- A significant linear correlation was found between hs-CRP and NT-proBNP in HCV patients (r = 0.392, P = 0.017).
- Independent correlates of hs-CRP included older age and higher NT-proBNP levels.
Conclusions:
- Despite significantly decreased hs-CRP levels in HCV patients, a significant association exists between hs-CRP and NT-proBNP.
- These findings highlight a potential link between inflammatory markers and cardiac biomarkers in HCV infection.
Background:
Prior study showed HCV-infected patients have increased serum N-Terminal Pro-B-Type Natriuretic Peptide (NT-proBNP) and a possible left ventricular diastolic dysfunction. The objectives of the present paper were to investigate the characteristics of hs-CRP and its correlation with clinical profiles including NT-proBNP and echocardiographic variables in HCV-infected patients.
Methods And Results:
A total of 106 HCV-infected patients and 106 control healthy individuals were enrolled. The level of serum hs-CRP (median 1.023 mg/L, range 0.03∼5.379 mg/L) was significantly lower in all 106 patients than that in controls (median 3.147 mg/L, range 0.08~7.36 mg/L, P = 0.012). Although hs-CRP did not correlate significantly with NT-proBNP when all patients and controls were included (r = 0.169, P = 0.121), simple regression analysis demonstrated a statistically significant linear correlation between hs-CRP and NT-proBNP in HCV-infected patients group (r = 0.392, P = 0.017). Independent correlates of hs-CRP levels (R(2) = 0.13) were older age (β' = 0.031, P = 0.025) and NT proBNP (β' = 0.024, P = 0.017).
Conclusions:
Although the level of serum hs-CRP decreased significantly, there was a significant association between hs-CRP and NT-proBNP in HCV-infected patients.
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