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Updated: May 4, 2026

Coronary Progenitor Cells and Soluble Biomarkers in Cardiovascular Prognosis after Coronary Angioplasty
Published on: January 28, 2020
A novel cardiac bio-marker: ST2: a review
Marco Matteo Ciccone1, Francesca Cortese, Michele Gesualdo
1Cardiovascular Diseases Section, Department of Emergency and Organ Transplantation (DETO), University of Bari, Bari 70124, Italy. marcomatteo.ciccone@uniba.it.
Soluble ST2 (suppression of tumorigenicity 2) shows promise as an early cardiovascular disease marker. Measuring soluble ST2 may improve detection of heart failure and ischemic heart conditions.
Area of Science:
- Biochemistry
- Cardiology
- Biomarkers
Background:
- Cardiovascular diseases (CVD) are a leading global cause of mortality.
- Current biomarkers like BNP, NT-proBNP, and troponins have limitations in accuracy for early CVD detection.
- There is a need for novel biomarkers to identify early-stage CVD and monitor disease progression.
Purpose of the Study:
- To review the potential of soluble ST2 (suppression of tumorigenicity 2) as an early detection marker for cardiovascular diseases.
- To explore the role of soluble ST2 in heart failure (HF) and ischemic heart diseases.
- To assess the clinical utility of soluble ST2 beyond existing biomarkers.
Main Methods:
- Literature review focusing on soluble ST2 as a biomarker.
- Analysis of ST2's role as a decoy receptor for interleukin-33.
- Examination of ST2 induction in mechanically overloaded cardiac myocytes.
- Review of studies measuring blood levels of soluble ST2 in cardiovascular conditions.
Main Results:
- Soluble ST2 is a protein induced in cardiac myocytes under mechanical stress, such as in heart failure or myocardial infarction.
- Its levels in the blood may indicate the onset or worsening of heart failure.
- ST2's mechanism as a decoy receptor suggests its involvement in inflammatory pathways relevant to CVD.
Conclusions:
- Soluble ST2 demonstrates potential as a valuable early diagnostic and prognostic marker for cardiovascular diseases, particularly heart failure and ischemic conditions.
- Further research is warranted to fully elucidate ST2's role and integrate it into clinical practice.
- Measuring soluble ST2 could enhance the early detection and management of CVD, complementing existing biomarkers.
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