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Updated: Nov 27, 2025

Measurement of Chitinase Activity in Biological Samples
Published on: August 22, 2019
Clinical significance of chitotriosidase in outpatients with advanced heart failure
Sara Cetin Sanlialp1, Gokay Nar2, Hande Senol3
1The Department of Cardiology, Servergazi State Hospital, Denizli, Turkey saracetin@hotmail.com.tr.
Insights
Plasma chitotriosidase (CHIT) levels are elevated in chronic heart failure (CHF) patients and correlate with N-terminal pro brain natriuretic peptide (NT-proBNP). This suggests CHIT may aid in diagnosing and assessing CHF severity.
Area of Science:
- Biochemistry
- Cardiology
- Immunology
Background:
- Plasma chitotriosidase (CHIT) is an inflammatory marker elevated in various diseases.
- Chronic heart failure (CHF) involves inflammatory processes.
- The role of CHIT in CHF diagnosis and severity remains unexplored.
Purpose of the Study:
- To investigate the association between plasma CHIT levels and CHF.
- To evaluate CHIT's potential role in diagnosing CHF.
- To assess CHIT's correlation with CHF severity.
Main Methods:
- Plasma CHIT and N-terminal pro brain natriuretic peptide (NT-proBNP) levels were measured using ELISA in 36 CHF patients and 27 controls.
- CHF patients were categorized into ischemic (IHF) and non-ischemic (NIHF) groups.
- Statistical analysis was performed to compare CHIT and NT-proBNP levels between groups and assess correlations.
Main Results:
- Plasma CHIT and NT-proBNP levels were significantly higher in CHF patients compared to controls (p<0.001).
- Both CHIT and NT-proBNP levels were elevated in IHF compared to NIHF (p=0.002 for CHIT, p=0.001 for NT-proBNP).
- A strong positive correlation was observed between plasma CHIT and NT-proBNP levels (r=0.969, p<0.001).
Conclusions:
- Plasma CHIT levels are increased in patients with CHF.
- Elevated CHIT levels in CHF correlate strongly with NT-proBNP, a known HF biomarker.
- CHIT shows potential as a diagnostic and prognostic marker for CHF.
Abstract:
The previous studies have shown that plasma chitotriosidase (CHIT) levels increase in many diseases with inflammation. However, there are no reported studies investigating the relationship between CHIT and chronic heart failure (CHF) which is an inflammatory process. Therefore, we aimed to investigate the role of CHIT in diagnosis and severity of CHF in this study. 36 patients (50% male, mean age 63.17±10.18 years) with left ventricular ejection fraction <40% and 27 controls (44% male, mean age 61.33±8.73 years) were included in this study. Patients with CHF were divided into two groups as ischemic heart failure (IHF) and non-ischemic heart failure (NIHF) according to the underlying etiology. Plasma CHIT and N-terminal pro brain natriuretic peptide (NT-proBNP) levels were measured by ELISA method. Plasma CHIT and NT-proBNP levels were higher in patients with CHF than in controls (CHIT 931.25±461.39 ng/mL, 232.79±61.28 ng/mL, p<0.001; NT-proBNP, 595.31±428.11 pg/mL vs 78.13±30.47 pg/L; p<0.001). Also, the levels of these parameters increased in IHF compared with NIHF (CHIT, 1139.28±495.22 ng/mL, 671.22±237.21 ng/mL, p=0.002; NT-proBNP, 792.87±461.26 pg/mL vs 348.36±202.61 pg/mL, p=0.001) and there was a strong correlation between NT-proBNP and CHIT (r=0.969, p<0.001). According to this study findings, plasma CHIT level increases in CHF and its increased levels are correlated with NT-proBNP which is used diagnosis and prognosis of HF.
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