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Expression of soluble ST2 in patients with essential hypertension and its relationship with left ventricular
Peng Wei1, Liang Liu1, Xiaoqing Wang1
1Department of Cardiology, Shanghai Jiao Tong University Affiliated Sixth People's Hospital, Shanghai, 200233, China.
Insights
Elevated soluble ST2 (sST2) levels are linked to left ventricular hypertrophy (LVH) in essential hypertension (EH). sST2 is an independent risk factor and potential biomarker for diagnosing hypertensive LVH.
Area of Science:
- Cardiology
- Biomarker Discovery
- Hypertension Research
Background:
- Left ventricular hypertrophy (LVH) in essential hypertension (EH) increases cardiovascular risk.
- Accurate diagnostic methods for hypertensive LVH are currently limited.
- Soluble ST2 (sST2) is a potential biomarker for cardiovascular conditions.
Purpose of the Study:
- To investigate the association between serum sST2 levels and LVH in patients with EH.
- To determine if sST2 can serve as a specific biomarker for identifying LVH in EH.
Main Methods:
- Enzyme-linked immunosorbent assay (ELISA) to measure serum sST2 levels.
- Pearson correlation, logistic regression, and ROC curve analysis were employed.
- Patients were categorized into LVH and non-LVH groups based on established criteria.
Main Results:
- EH patients with LVH exhibited significantly higher sST2 levels compared to those without LVH (P < 0.001).
- sST2 levels showed a positive correlation with left ventricular mass index (r = 0.454, P < 0.001).
- sST2 was identified as an independent risk factor for LVH in EH (OR = 2.990, P < 0.001), with an ROC AUC of 0.767.
Conclusions:
- Increased sST2 levels are significantly associated with LVH in EH patients.
- sST2 functions as an independent risk factor for hypertensive LVH.
- sST2 demonstrates potential as a diagnostic biomarker for LVH in essential hypertension.
Aims:
Identification and intervention of left ventricular hypertrophy (LVH) in essential hypertension (EH) are important for the prevention of adverse cardiovascular events. However, effective methods for diagnosing LVH are still lacking. This study aimed to explore the relationship between soluble ST2 (sST2) and LVH in EH patients to identify a potential specific biomarker for hypertensive LVH.
Methods And Results:
This study included 97 EH patients. Based on the criteria for LVH, participants were divided into the LVH group (n = 52) and the non-LVH group (n = 45). The level of serum sST2 was detected by enzyme-linked immunosorbent assay. Pearson correlation analysis, logistic regression analysis, and receiver operating characteristic (ROC) curve analysis were used to investigate the potential of sST2 as a biomarker of LVH in EH patients. Compared with the non-LVH group, the sST2 level was elevated in EH patients with LVH (P < 0.001). Pearson correlation analysis indicated that the sST2 level was positively correlated with the left ventricular mass index in EH patients (r = 0.454, P < 0.001). Logistic regression analysis showed that the odds ratio (OR) value of LVH was 2.990, suggesting that sST2 is an independent risk factor for LVH in EH patients [OR = 2.990, 95% confidence interval (CI), 1.650-5.419; P < 0.001]. The area under the ROC curve was 0.767 (95% CI, 0.669-0.866; P < 0.001), with a sensitivity of 0.808 and specificity of 0.689, indicating the possibility of considering sST2 as a biomarker for diagnosing LVH.
Conclusions:
Up-regulation of sST2 is strongly related to LVH in EH patients, is an independent risk factor for hypertensive LVH, and can be used as a biomarker for the diagnosis of LVH.
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