PMID- 18037740 OWN - NLM STAT- MEDLINE DCOM- 20080212 LR - 20190819 IS - 1346-9843 (Print) IS - 1346-9843 (Linking) VI - 71 IP - 12 DP - 2007 Dec TI - Osteopontin expression of circulating T cells and plasma osteopontin levels are increased in relation to severity of heart failure. PG - 1879-84 AB - BACKGROUND: T cells in peripheral blood reflect the systemic inflammatory response in patients with heart failure (HF). In a rat model of HF, osteopontin is dramatically increased in the left ventricular myocardium, so the association between osteopontin and HF was examined in the present study. METHODS AND RESULTS: Peripheral blood was collected from 93 patients with heart disease and 38 controls. Left ventricular ejection fraction (LVEF) was calculated using a modified Simpson's rule. The 93 patients were classified into 3 classes according to the New York Heart Association (NYHA) functional classification. Osteopontin-expressing CD4+ T cells were quantified by flow cytometry. Plasma osteopontin levels (ng/ml) and the frequencies of osteopontin-expressing CD4+ T cells (%) were higher in patients with HF than in controls (800+/-554, 575+/-229, p=0.016 and 27.3+/-12.2, 16.7+/-10.0, p<0.001). Furthermore, the plasma osteopontin levels and the frequencies of osteopontin-expressing CD4+ T cells increased in proportion to the severity of the NYHA functional class. The frequencies of osteopontin-expressing CD4+ T cells were significantly correlated with LVEF (r=-0.336, p=0.0048) and log plasma brain natriuretic peptide levels (r=0.305, p=0.0025). CONCLUSIONS: Osteopontin expression of circulating CD4+ T cells and plasma osteopontin levels reflect the severity of HF. Osteopontin could be a new target in the assessment of HF. FAU - Soejima, Hirofumi AU - Soejima H AD - Department of Cardiovascular Medicine, Graduate School of Medical Sciences, Kumamoto University, Japan. yuuki@gpo.kumamoto-u.ac.jp FAU - Irie, Atsushi AU - Irie A FAU - Fukunaga, Takashi AU - Fukunaga T FAU - Oe, Yoko AU - Oe Y FAU - Kojima, Sunao AU - Kojima S FAU - Kaikita, Koichi AU - Kaikita K FAU - Kawano, Hiroaki AU - Kawano H FAU - Sugiyama, Seigo AU - Sugiyama S FAU - Yoshimura, Michihiro AU - Yoshimura M FAU - Kishikawa, Hideki AU - Kishikawa H FAU - Nishimura, Yasuharu AU - Nishimura Y FAU - Ogawa, Hisao AU - Ogawa H LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - Japan TA - Circ J JT - Circulation journal : official journal of the Japanese Circulation Society JID - 101137683 RN - 0 (Biomarkers) RN - 106441-73-0 (Osteopontin) RN - 9007-41-4 (C-Reactive Protein) SB - IM MH - Aged MH - Biomarkers/blood MH - C-Reactive Protein/metabolism MH - CD4-Positive T-Lymphocytes/*metabolism MH - Case-Control Studies MH - Female MH - Heart Failure/*blood/classification/*metabolism MH - Humans MH - Male MH - Middle Aged MH - Osteopontin/blood/*metabolism MH - Prognosis MH - Severity of Illness Index MH - Stroke Volume/physiology EDAT- 2007/11/27 09:00 MHDA- 2008/02/13 09:00 CRDT- 2007/11/27 09:00 PHST- 2007/11/27 09:00 [pubmed] PHST- 2008/02/13 09:00 [medline] PHST- 2007/11/27 09:00 [entrez] AID - JST.JSTAGE/circj/71.1879 [pii] AID - 10.1253/circj.71.1879 [doi] PST - ppublish SO - Circ J. 2007 Dec;71(12):1879-84. doi: 10.1253/circj.71.1879.