Circulating FABP4 Is a prognostic biomarker in patients with acute coronary syndrome but not in asymptomatic individuals.

Details

Serval ID
serval:BIB_282B25129649
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Circulating FABP4 Is a prognostic biomarker in patients with acute coronary syndrome but not in asymptomatic individuals.
Journal
Arteriosclerosis, Thrombosis, and Vascular Biology
Author(s)
Reiser H., Klingenberg R., Hof D., Cooksley-Decasper S., Fuchs N., Akhmedov A., Zoller S., Marques-Vidal P., Marti Soler H., Heg D., Landmesser U., Rodondi N., Mach F., Windecker S., Vollenweider P., Matter C.M., Lüscher T.F., von Eckardstein A., Gawinecka J., Rodondi N.
ISSN
1524-4636 (Electronic)
ISSN-L
1079-5642
Publication state
Published
Issued date
2015
Peer-reviewed
Oui
Volume
35
Number
8
Pages
1872-1879
Language
english
Abstract
OBJECTIVE: Blood-borne biomarkers reflecting atherosclerotic plaque burden have great potential to improve clinical management of atherosclerotic coronary artery disease and acute coronary syndrome (ACS).
APPROACH AND RESULTS: Using data integration from gene expression profiling of coronary thrombi versus peripheral blood mononuclear cells and proteomic analysis of atherosclerotic plaque-derived secretomes versus healthy tissue secretomes, we identified fatty acid-binding protein 4 (FABP4) as a biomarker candidate for coronary artery disease. Its diagnostic and prognostic performance was validated in 3 different clinical settings: (1) in a cross-sectional cohort of patients with stable coronary artery disease, ACS, and healthy individuals (n=820), (2) in a nested case-control cohort of patients with ACS with 30-day follow-up (n=200), and (3) in a population-based nested case-control cohort of asymptomatic individuals with 5-year follow-up (n=414). Circulating FABP4 was marginally higher in patients with ST-segment-elevation myocardial infarction (24.9 ng/mL) compared with controls (23.4 ng/mL; P=0.01). However, elevated FABP4 was associated with adverse secondary cerebrovascular or cardiovascular events during 30-day follow-up after index ACS, independent of age, sex, renal function, and body mass index (odds ratio, 1.7; 95% confidence interval, 1.1-2.5; P=0.02). Circulating FABP4 predicted adverse events with similar prognostic performance as the GRACE in-hospital risk score or N-terminal pro-brain natriuretic peptide. Finally, no significant difference between baseline FABP4 was found in asymptomatic individuals with or without coronary events during 5-year follow-up.
CONCLUSIONS: Circulating FABP4 may prove useful as a prognostic biomarker in risk stratification of patients with ACS.
Pubmed
Web of science
Open Access
Yes
Create date
16/07/2015 16:14
Last modification date
20/08/2019 13:07
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