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Serum concentration of visfatin is decreased in patients with chronic heart failure
Ewa Straburzyńska-Migaj1, Lucja Pilaczyńska-Szcześniak, Alicja Nowak
11st Department of Cardiology, Poznań, University of Medical Sciences, Poland.
Insights
Serum visfatin levels are significantly lower in patients with heart failure (HF), especially in advanced stages. These lower visfatin concentrations are independent of age or metabolic factors in HF patients.
Area of Science:
- Cardiovascular pathophysiology
- Metabolic syndrome
- Adipokine research
Background:
- Adipocytokines play an emerging role in cardiovascular disease.
- Visfatin is a novel adipokine with potential implications in pathophysiology.
- Understanding adipokine roles is crucial for cardiovascular health.
Purpose of the Study:
- To compare serum visfatin levels in patients with heart failure (HF) and healthy controls.
- To investigate the relationship between visfatin, glucose metabolism, and hsCRP in HF patients.
- To assess visfatin levels in relation to HF severity (NYHA class).
Main Methods:
- Study included 28 male systolic HF patients (NYHA class I-II and III-IV) and 23 controls.
- Serum samples were analyzed for visfatin, hsCRP, glucose, and lipid metabolism parameters.
- Insulin resistance was calculated using the Homeostasis Model Assessment (HOMA-IR).
Main Results:
- HF patients exhibited significantly lower serum visfatin and HDL-cholesterol compared to controls (p≤0.01).
- Significant differences in mean levels of visfatin, hsCRP, glucose, HOMA-IR, and HDL-cholesterol were observed across groups.
- Visfatin levels were notably lower in HF patients with more advanced NYHA classes.
Conclusions:
- Serum visfatin concentrations are significantly reduced in patients with systolic HF.
- Lower visfatin levels in HF are particularly pronounced in advanced NYHA classes.
- Visfatin levels in HF are independent of age, anthropometric, and metabolic parameters.
Background:
There is an increasing interest in the role of adipocytokines in cardiovascular pathophysiology.
Aim:
The aim of the study was to compare visfatin levels, a novel adipokine, in patients with heart failure (HF) due to the left ventricular systolic dysfunction with those in age- and body mass index (BMI) - matched healthy controls in relation to the parameters of glucose metabolism and high sensitivity C-reactive protein (hsCRP) levels.
Material/Subjects And Methods:
The study population consisted of 28 males with systolic HF referred for cardiopulmonary exercise testing, divided into two subgroups based on their NYHA class (HF patients NYHA(I+II), n=17, and HF patients NYHA(III+IV,) n=11), and 23 controls. The following indices were measured in a serum samples: visfatin, hsCRP, glucose and lipid metabolism parameters, and the insulin resistance index HOMA(IR) (homeostasis model assessment insulin resistance) was calculated.
Results:
Concentrations of visfatin and high-density lipoprotein cholesterol (HDL-cholesterol) in the HF subjects were significantly lower (p≤0.01) than in controls. The Kruskal-Wallis test showed significant differences between three groups (controls and both subgroups of heart failure patients) in mean levels of visfatin, hsCRP, glucose, HOMA(IR) and HDL-cholesterol.
Conclusion:
Serum visfatin concentrations in patients with systolic HF, particularly with more advanced NYHA classes, are significantly lower in comparison to healthy controls and are independent of age or anthropometric and metabolic parameters.
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