Potential novel biomarkers of cardiovascular dysfunction and disease: cardiotrophin-1, adipokines and galectin-3
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Simona Hogas1, Stefana C Bilha2, Dumitru Branisteanu2
1Nephrology Department, Dialysis and Renal Transplant Center, "C.I. Parhon" University Hospital, "Grigore T. Popa" University of Medicine and Pharmacy, Iasi, Romania.
Insights
New biomarkers for cardiovascular disease risk assessment are needed. This review discusses cardiotrophin-1, leptin, adiponectin, resistin, and galectin-3 as potential indicators of vascular inflammation, endothelial dysfunction, and fibrosis.
Area of Science:
- Biochemistry
- Cardiology
- Pathophysiology
Background:
- Cardiovascular disease (CVD) poses a significant global health burden.
- Current biomarkers like brain natriuretic peptide and troponin have limitations in broad patient applicability and accuracy.
- Accurate cardiovascular risk assessment remains challenging for diverse patient populations.
Purpose of the Study:
- To review the role of novel biomarkers in CVD pathogenesis and prognosis.
- To discuss the potential of specific markers including cardiotrophin-1, leptin, adiponectin, resistin, and galectin-3.
- To highlight the need for multiple biomarker evaluations for comprehensive cardiovascular state assessment.
Main Methods:
- Literature review focusing on vascular inflammation, atherosclerosis, atherothrombosis, endothelial dysfunction, and cardiovascular fibrosis.
- Analysis of existing data on established and emerging cardiovascular biomarkers.
- Discussion of the pathophysiological relevance of selected novel markers.
Main Results:
- Established biomarkers have improved CVD assessment but are not universally applicable or sufficiently accurate.
- Newer biomarkers reflect diverse cardiac and vascular modifications.
- Cardiotrophin-1, leptin, adiponectin, resistin, and galectin-3 show potential as biomarkers for various cardiovascular conditions.
Conclusions:
- There is a need for novel biomarkers to improve cardiovascular risk assessment.
- Selected markers of vascular inflammation, endothelial dysfunction, and fibrosis show promise.
- A multi-biomarker approach may offer a more comprehensive evaluation of cardiovascular health.
Abstract:
Cardiovascular disease is one of the main burdens of healthcare systems worldwide. Nevertheless, assessing cardiovascular risk in both apparently healthy individuals and low/high-risk patients remains a difficult issue. Already established biomarkers (e.g. brain natriuretic peptide, troponin) have significantly improved the assessment of major cardiovascular events and diseases but cannot be applied to all patients and in some cases do not provide sufficiently accurate information. In this context, new potential biomarkers that reflect various underlying pathophysiological cardiac and vascular modifications are needed. Also, a multiple biomarker evaluation that shows changes in the cardiovascular state is of interest. This review describes the role of selected markers of vascular inflammation, atherosclerosis, atherothrombosis, endothelial dysfunction and cardiovascular fibrosis in the pathogenesis and prognosis of cardiovascular disease: the potential use of cardiotrophin-1, leptin, adiponectin, resistin and galectin-3 as biomarkers for various cardiovascular conditions is discussed.
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