PMID- 19173749 OWN - NLM STAT- MEDLINE DCOM- 20090318 LR - 20211020 IS - 1475-2840 (Electronic) IS - 1475-2840 (Linking) VI - 8 DP - 2009 Jan 28 TI - Long-term effects of peroxisome proliferator-activated receptor ligand bezafibrate on N-terminal pro-B type natriuretic peptide in patients with advanced functional capacity impairment. PG - 5 LID - 10.1186/1475-2840-8-5 [doi] AB - BACKGROUND: The effects of pan-peroxisome proliferator-activated receptor (PPAR) ligand bezafibrate on N-terminal pro-B type natriuretic peptide (ProBNP) level in patients with coronary artery disease (CAD) is unknown. The current study aimed to investigate the long-term effects of bezafibrate on ProBNP level in patients with pre-existing CAD and advanced functional capacity impairment. METHODS: Metabolic and inflammatory parameters were analyzed from stored frozen serum samples obtained from 108 patients enrolled in the Bezafibrate Infarction Prevention (BIP) Study. They presented with New York Heart Association (NYHA) functional class III, comprising 58 patients in the bezafibrate group and 50 in the placebo groups, and completed a 2-year prospective, double-blind, placebo-controlled follow-up. RESULTS: During follow-up ProBNP level did not change significantly in the placebo group, whereas it increased slightly in the bezafibrate group, which was older and with lower baseline ProBNP values. No significant differences between the groups were found for ProBNP levels after 2 year of follow-up. Analysis-of-covariance (ANCOVA) -taking into account age and baseline ProBNP level- showed that bezafibrate was not associated with longitudinal ProBNP changes during the follow-up period (p = 0.3). CONCLUSION: Long-term treatment by bezafibrate was not associated with longitudinal ProBNP changes in patients with pre-existing CAD and advanced functional capacity impairment. FAU - Node, Koichi AU - Node K AD - Department of Cardiovascular and Renal Medicine, Saga University Faculty of Medicine, Saga, Japan. node@cc.saga-u.ac.jp FAU - Inoue, Teruo AU - Inoue T FAU - Boyko, Valentin AU - Boyko V FAU - Goldberg, Ilan AU - Goldberg I FAU - Fisman, Enrique Z AU - Fisman EZ FAU - Adler, Yehuda AU - Adler Y FAU - Schwammenthal, Ehud AU - Schwammenthal E FAU - Matas, Zipora AU - Matas Z FAU - Behar, Solomon AU - Behar S FAU - Tenenbaum, Alexander AU - Tenenbaum A LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20090128 PL - England TA - Cardiovasc Diabetol JT - Cardiovascular diabetology JID - 101147637 RN - 0 (Hypolipidemic Agents) RN - 0 (PPAR gamma) RN - 0 (Peptide Fragments) RN - 0 (Peroxisome Proliferator-Activated Receptors) RN - 0 (pro-brain natriuretic peptide (1-76)) RN - 114471-18-0 (Natriuretic Peptide, Brain) RN - Y9449Q51XH (Bezafibrate) SB - IM MH - Aged MH - Bezafibrate/adverse effects/*pharmacology/therapeutic use MH - Coronary Artery Disease/*blood/complications/drug therapy MH - Double-Blind Method MH - Female MH - Follow-Up Studies MH - Heart Failure/*blood/etiology MH - Humans MH - Hypolipidemic Agents/adverse effects/*pharmacology/therapeutic use MH - Insulin Resistance MH - Male MH - Middle Aged MH - Myocardial Infarction/blood/drug therapy/etiology MH - Natriuretic Peptide, Brain/*blood MH - PPAR gamma/agonists/physiology MH - Peptide Fragments/*blood MH - Peroxisome Proliferator-Activated Receptors/*agonists MH - Randomized Controlled Trials as Topic/statistics & numerical data MH - Severity of Illness Index PMC - PMC2645368 EDAT- 2009/01/29 09:00 MHDA- 2009/03/19 09:00 PMCR- 2009/01/28 CRDT- 2009/01/29 09:00 PHST- 2008/12/04 00:00 [received] PHST- 2009/01/28 00:00 [accepted] PHST- 2009/01/29 09:00 [entrez] PHST- 2009/01/29 09:00 [pubmed] PHST- 2009/03/19 09:00 [medline] PHST- 2009/01/28 00:00 [pmc-release] AID - 1475-2840-8-5 [pii] AID - 10.1186/1475-2840-8-5 [doi] PST - epublish SO - Cardiovasc Diabetol. 2009 Jan 28;8:5. doi: 10.1186/1475-2840-8-5.