Skip to main content
Erschienen in: Current Heart Failure Reports 5/2015

01.10.2015 | Biomarkers of Heart Failure (W.H.W. Tang, Section Editor)

The Current and Potential Clinical Relevance of Heart Failure Biomarkers

verfasst von: Parul U. Gandhi, Jeffrey M. Testani, Tariq Ahmad

Erschienen in: Current Heart Failure Reports | Ausgabe 5/2015

Einloggen, um Zugang zu erhalten

Abstract

Heart failure is a growing epidemic, and our understanding of the intricacies of its pathophysiology continues to evolve. Over the last decade, biomarkers of heart failure have been extensively investigated, particularly for diagnosis and risk stratification. While the natriuretic peptides remain the gold standard heart failure biomarker, they are plagued by their non-specific nature; furthermore, the strategy of natriuretic peptide-guided care remains elusive. Multiple candidate markers indicative of other physiologic aspects of heart failure have been identified and studied, including soluble ST2, galectin-3, and high-sensitivity cardiac troponins. Each of these biomarkers has the potential to provide unique therapeutically relevant information. Ultimately, a multi-marker approach may be applied to improve care of patients with heart failure. Definitive clinical trials and the use of advanced statistical analytic techniques are needed to truly determine the optimal strategy of biomarker-assisted diagnosis, prognostication, and management of patients who suffer from this devastating condition.
Literatur
1.
Zurück zum Zitat Katz AM. The "modern" view of heart failure: how did we get here? Circ Heart Fail. 2008;1:63–71.CrossRefPubMed Katz AM. The "modern" view of heart failure: how did we get here? Circ Heart Fail. 2008;1:63–71.CrossRefPubMed
3.
Zurück zum Zitat Yancy CW et al. 2013 ACCF/AHA guideline for the management of heart failure: a report of the American College of Cardiology Foundation/American Heart Association Task Force on practice guidelines. Circulation. 2013;128:e240–327. doi:10.1161/CIR.0b013e31829e8776.CrossRefPubMed Yancy CW et al. 2013 ACCF/AHA guideline for the management of heart failure: a report of the American College of Cardiology Foundation/American Heart Association Task Force on practice guidelines. Circulation. 2013;128:e240–327. doi:10.​1161/​CIR.​0b013e31829e8776​.CrossRefPubMed
4.••
Zurück zum Zitat Ahmad T et al. Charting a roadmap for heart failure biomarker studies. JACC Heart Fail. 2014;2:477–88. doi:10.1016/j.jchf.2014.02.005. This reference outlines the current state of biomarker research and provides a guide for how to design trials to appropriately study biomarkers going forward. CrossRefPubMed Ahmad T et al. Charting a roadmap for heart failure biomarker studies. JACC Heart Fail. 2014;2:477–88. doi:10.​1016/​j.​jchf.​2014.​02.​005. This reference outlines the current state of biomarker research and provides a guide for how to design trials to appropriately study biomarkers going forward. CrossRefPubMed
6.•
Zurück zum Zitat van Kimmenade RR, Januzzi Jr JL. Emerging biomarkers in heart failure. Clin Chem. 2012;58:127–38. doi:10.1373/clinchem.2011.165720. This paper delineates the criteria for a useful biomarker in heart failure and describes some important candidate markers. CrossRefPubMed van Kimmenade RR, Januzzi Jr JL. Emerging biomarkers in heart failure. Clin Chem. 2012;58:127–38. doi:10.​1373/​clinchem.​2011.​165720. This paper delineates the criteria for a useful biomarker in heart failure and describes some important candidate markers. CrossRefPubMed
11.
Zurück zum Zitat Weinberg EO et al. Identification of serum soluble ST2 receptor as a novel heart failure biomarker. Circulation. 2003;107:721–6.CrossRefPubMed Weinberg EO et al. Identification of serum soluble ST2 receptor as a novel heart failure biomarker. Circulation. 2003;107:721–6.CrossRefPubMed
12.
Zurück zum Zitat Sanada S et al. IL-33 and ST2 comprise a critical biomechanically induced and cardioprotective signaling system. J Clin Invest. 2007;117:1538–49.PubMedCentralCrossRefPubMed Sanada S et al. IL-33 and ST2 comprise a critical biomechanically induced and cardioprotective signaling system. J Clin Invest. 2007;117:1538–49.PubMedCentralCrossRefPubMed
13.
Zurück zum Zitat Weinberg EO et al. Expression and regulation of ST2, an interleukin-1 receptor family member, in cardiomyocytes and myocardial infarction. Circulation. 2002;106:2961–6.PubMedCentralCrossRefPubMed Weinberg EO et al. Expression and regulation of ST2, an interleukin-1 receptor family member, in cardiomyocytes and myocardial infarction. Circulation. 2002;106:2961–6.PubMedCentralCrossRefPubMed
14.
Zurück zum Zitat Seki K et al. Interleukin-33 prevents apoptosis and improves survival after experimental myocardial infarction through ST2 signaling. Circ Heart Fail. 2009;2:684–91.CrossRefPubMed Seki K et al. Interleukin-33 prevents apoptosis and improves survival after experimental myocardial infarction through ST2 signaling. Circ Heart Fail. 2009;2:684–91.CrossRefPubMed
16.
Zurück zum Zitat Januzzi Jr JL et al. Measurement of the interleukin family member ST2 in patients with acute dyspnea: results from the PRIDE (Pro-Brain Natriuretic Peptide Investigation of Dyspnea in the Emergency Department) study. J Am Coll Cardiol. 2007;50:607–13.CrossRefPubMed Januzzi Jr JL et al. Measurement of the interleukin family member ST2 in patients with acute dyspnea: results from the PRIDE (Pro-Brain Natriuretic Peptide Investigation of Dyspnea in the Emergency Department) study. J Am Coll Cardiol. 2007;50:607–13.CrossRefPubMed
18.
19.
Zurück zum Zitat Jougasaki M, Burnett Jr JC. Adrenomedullin: potential in physiology and pathophysiology. Life Sci. 2000;66:855–72.CrossRefPubMed Jougasaki M, Burnett Jr JC. Adrenomedullin: potential in physiology and pathophysiology. Life Sci. 2000;66:855–72.CrossRefPubMed
22.
32.•
Zurück zum Zitat Januzzi Jr JL, Filippatos G, Nieminen M, Gheorghiade M. Troponin elevation in patients with heart failure: on behalf of the third Universal Definition of Myocardial Infarction Global Task Force: Heart Failure Section. Eur Heart J. 2012;33:2265–71. doi:10.1093/eurheartj/ehs191. This paper explains the use of troponin in heart failure and discusses the various etiologies of troponin release in heart failure. CrossRefPubMed Januzzi Jr JL, Filippatos G, Nieminen M, Gheorghiade M. Troponin elevation in patients with heart failure: on behalf of the third Universal Definition of Myocardial Infarction Global Task Force: Heart Failure Section. Eur Heart J. 2012;33:2265–71. doi:10.​1093/​eurheartj/​ehs191. This paper explains the use of troponin in heart failure and discusses the various etiologies of troponin release in heart failure. CrossRefPubMed
35.
Zurück zum Zitat Motiwala SR et al. Concentrations of highly sensitive cardiac troponin-I predict poor cardiovascular outcomes and adverse remodeling in chronic heart failure. J Cardiovasc Transl Res. 2015;8:164–72. doi:10.1007/s12265-015-9618-4.CrossRefPubMed Motiwala SR et al. Concentrations of highly sensitive cardiac troponin-I predict poor cardiovascular outcomes and adverse remodeling in chronic heart failure. J Cardiovasc Transl Res. 2015;8:164–72. doi:10.​1007/​s12265-015-9618-4.CrossRefPubMed
38.
Zurück zum Zitat Rauchhaus M et al. Plasma cytokine parameters and mortality in patients with chronic heart failure. Circulation. 2000;102:3060–7.CrossRefPubMed Rauchhaus M et al. Plasma cytokine parameters and mortality in patients with chronic heart failure. Circulation. 2000;102:3060–7.CrossRefPubMed
39.
Zurück zum Zitat Chung ES et al. Randomized, double-blind, placebo-controlled, pilot trial of infliximab, a chimeric monoclonal antibody to tumor necrosis factor-alpha, in patients with moderate-to-severe heart failure: results of the anti-TNF Therapy Against Congestive Heart Failure (ATTACH) trial. Circulation. 2003;107:3133–40. doi:10.1161/01.CIR.0000077913.60364.D2.CrossRefPubMed Chung ES et al. Randomized, double-blind, placebo-controlled, pilot trial of infliximab, a chimeric monoclonal antibody to tumor necrosis factor-alpha, in patients with moderate-to-severe heart failure: results of the anti-TNF Therapy Against Congestive Heart Failure (ATTACH) trial. Circulation. 2003;107:3133–40. doi:10.​1161/​01.​CIR.​0000077913.​60364.​D2.CrossRefPubMed
41.
Zurück zum Zitat Petersen JW, Felker GM. Inflammatory biomarkers in heart failure. Congest Heart Fail. 2006;12:324–8.CrossRefPubMed Petersen JW, Felker GM. Inflammatory biomarkers in heart failure. Congest Heart Fail. 2006;12:324–8.CrossRefPubMed
42.
Zurück zum Zitat Kempf T et al. Prognostic utility of growth differentiation factor-15 in patients with chronic heart failure. J Am Coll Cardiol. 2007;50:1054–60.CrossRefPubMed Kempf T et al. Prognostic utility of growth differentiation factor-15 in patients with chronic heart failure. J Am Coll Cardiol. 2007;50:1054–60.CrossRefPubMed
44.
45.
Zurück zum Zitat Sharma UC et al. Galectin-3 marks activated macrophages in failure-prone hypertrophied hearts and contributes to cardiac dysfunction. Circulation. 2004;110:3121–8.CrossRefPubMed Sharma UC et al. Galectin-3 marks activated macrophages in failure-prone hypertrophied hearts and contributes to cardiac dysfunction. Circulation. 2004;110:3121–8.CrossRefPubMed
46.
Zurück zum Zitat van Kimmenade RR et al. Utility of amino-terminal pro-brain natriuretic peptide, galectin-3, and apelin for the evaluation of patients with acute heart failure. J Am Coll Cardiol. 2006;48:1217–24.CrossRefPubMed van Kimmenade RR et al. Utility of amino-terminal pro-brain natriuretic peptide, galectin-3, and apelin for the evaluation of patients with acute heart failure. J Am Coll Cardiol. 2006;48:1217–24.CrossRefPubMed
49.
Zurück zum Zitat Anand IS et al. Baseline and serial measurements of galectin-3 in patients with heart failure: relationship to prognosis and effect of treatment with valsartan in the Val-HeFT. Eur J Heart Fail. 2013;15:511–8. doi:10.1093/eurjhf/hfs205.CrossRefPubMed Anand IS et al. Baseline and serial measurements of galectin-3 in patients with heart failure: relationship to prognosis and effect of treatment with valsartan in the Val-HeFT. Eur J Heart Fail. 2013;15:511–8. doi:10.​1093/​eurjhf/​hfs205.CrossRefPubMed
57.•
Zurück zum Zitat Damman K, Testani JM. The kidney in heart failure: an update. Eur Heart J. 2015;36:1437–44. doi:10.1093/eurheartj/ehv010. This paper provides a comprehensive overview of the intricate relationship between the heart and kidney in heart failure. CrossRefPubMed Damman K, Testani JM. The kidney in heart failure: an update. Eur Heart J. 2015;36:1437–44. doi:10.​1093/​eurheartj/​ehv010. This paper provides a comprehensive overview of the intricate relationship between the heart and kidney in heart failure. CrossRefPubMed
61.
Zurück zum Zitat 61 Damman, K., Voors, A. A., Navis, G., van Veldhuisen, D. J. & Hillege, H. L. Current and novel renal biomarkers in heart failure. Heart Fail Rev. 61 Damman, K., Voors, A. A., Navis, G., van Veldhuisen, D. J. & Hillege, H. L. Current and novel renal biomarkers in heart failure. Heart Fail Rev.
62.
Zurück zum Zitat Troughton RW, Richards AM, Nicholls MG. Individualized treatment of heart failure. Intern Med J. 2001;31:138–41.CrossRefPubMed Troughton RW, Richards AM, Nicholls MG. Individualized treatment of heart failure. Intern Med J. 2001;31:138–41.CrossRefPubMed
Metadaten
Titel
The Current and Potential Clinical Relevance of Heart Failure Biomarkers
verfasst von
Parul U. Gandhi
Jeffrey M. Testani
Tariq Ahmad
Publikationsdatum
01.10.2015
Verlag
Springer US
Erschienen in
Current Heart Failure Reports / Ausgabe 5/2015
Print ISSN: 1546-9530
Elektronische ISSN: 1546-9549
DOI
https://doi.org/10.1007/s11897-015-0268-2

Weitere Artikel der Ausgabe 5/2015

Current Heart Failure Reports 5/2015 Zur Ausgabe

Comorbidities of Heart Failure (C. Angermann, Section Editor)

Determined to Fail—the Role of Genetic Mechanisms in Heart Failure

Biomarkers of Heart Failure (W.H.W. Tang, Section Editor

Novel Biomarker Approaches for Managing Patients With Cardiac Transplantation

Screening-Mammografie offenbart erhöhtes Herz-Kreislauf-Risiko

26.04.2024 Mammografie Nachrichten

Routinemäßige Mammografien helfen, Brustkrebs frühzeitig zu erkennen. Anhand der Röntgenuntersuchung lassen sich aber auch kardiovaskuläre Risikopatientinnen identifizieren. Als zuverlässiger Anhaltspunkt gilt die Verkalkung der Brustarterien.

Niedriger diastolischer Blutdruck erhöht Risiko für schwere kardiovaskuläre Komplikationen

25.04.2024 Hypotonie Nachrichten

Wenn unter einer medikamentösen Hochdrucktherapie der diastolische Blutdruck in den Keller geht, steigt das Risiko für schwere kardiovaskuläre Ereignisse: Darauf deutet eine Sekundäranalyse der SPRINT-Studie hin.

Therapiestart mit Blutdrucksenkern erhöht Frakturrisiko

25.04.2024 Hypertonie Nachrichten

Beginnen ältere Männer im Pflegeheim eine Antihypertensiva-Therapie, dann ist die Frakturrate in den folgenden 30 Tagen mehr als verdoppelt. Besonders häufig stürzen Demenzkranke und Männer, die erstmals Blutdrucksenker nehmen. Dafür spricht eine Analyse unter US-Veteranen.

Adipositas-Medikament auch gegen Schlafapnoe wirksam

24.04.2024 Adipositas Nachrichten

Der als Antidiabetikum sowie zum Gewichtsmanagement zugelassene Wirkstoff Tirzepatid hat in Studien bei adipösen Patienten auch schlafbezogene Atmungsstörungen deutlich reduziert, informiert der Hersteller in einer Vorab-Meldung zum Studienausgang.

Update Kardiologie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.