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Published on: January 28, 2020
Vasostatin-1 as a potential novel circulating biomarker in patients with chronic systolic heart failure: A pilot
Giuseppe Pinto1, Barbara Colombo2, Adriano Autieri1
1Heart Failure Unit, Department of Cardiology, IRCCS San Raffaele Scientific Institute, Milan, Italy.
Insights
In chronic systolic heart failure (HF), higher levels of vasostatin-1 (VS-1) and chromogranin A (CgA) indicate increased cardiovascular (CV) events. VS-1 may offer complementary prognostic information alongside NT-proBNP in HF patients.
Area of Science:
- Cardiology
- Biomarkers
- Heart Failure Research
Background:
- Circulating chromogranin A (CgA) levels are elevated in chronic systolic heart failure (HF).
- Vasostatin-1 (VS-1), a cardioregulatory fragment of CgA, is explored for its prognostic potential in HF.
Purpose of the Study:
- To assess the role of circulating VS-1 as a prognostic marker in patients with chronic systolic HF.
- To investigate the relationship between VS-1, CgA, NT-proBNP, and left ventricular ejection fraction (LVEF) in HF.
Main Methods:
- Plasma levels of CgA and VS-1 were measured in 80 patients with chronic systolic HF.
- Patients were monitored for cardiovascular (CV) events during follow-up.
Main Results:
- Higher plasma levels of both CgA and VS-1 were observed in patients who experienced CV events.
- VS-1 levels correlated with NT-proBNP, but not with LVEF.
- CgA, NT-proBNP, and age were independent predictors of CV events, while VS-1 was not.
Conclusions:
- Elevated VS-1 and CgA levels are associated with CV events in chronic systolic HF.
- VS-1's association with NT-proBNP, but not LVEF, suggests it may provide complementary prognostic data.
- VS-1 warrants further investigation as a potential biomarker in HF management.
Background And Aims:
Previous studies have shown that circulating chromogranin A (CgA) increases in patients with chronic systolic heart failure (HF). Aim of the present study is to evaluate the potential role of circulating vasostatin-1 (VS-1), a cardioregulatory fragment of CgA, as prognostic marker in patients with chronic HF.
Materials And Methods:
The plasma levels of CgA and VS-1 were determined in 80 patients with chronic systolic HF. Patients were followed-up to evaluate the occurrence of cardiovascular (CV) events.
Results:
CgA and VS-1 plasma levels were significantly higher in patients with CV events at follow-up. VS-1, but not CgA, was associated to NT-proBNP. No significant association of CgA and VS-1 with left ventricular ejection fraction (LVEF) was observed. CgA, NT-proBNP and age, but not VS-1, were independent predictors of CV events.
Conclusion:
In patients with chronic systolic HF those who experienced CV events had higher levels of VS-1 and CgA. Given its established effect on cardiac cells, the association of VS-1 levels with NT-proBNP levels but not with LVEF, suggests that this fragment might provide complementary information to NT-proBNP and CgA in HF patients.
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