PMID- 20685687 OWN - NLM STAT- MEDLINE DCOM- 20110621 LR - 20171116 IS - 1879-0844 (Electronic) IS - 1388-9842 (Linking) VI - 12 IP - 10 DP - 2010 Oct TI - Soluble receptor of advanced glycation end products levels are related to ischaemic aetiology and extent of coronary disease in chronic heart failure patients, independent of advanced glycation end products levels: New Roles for Soluble RAGE. PG - 1092-100 LID - 10.1093/eurjhf/hfq117 [doi] AB - AIMS: Knowledge of the role of advanced glycation end products (AGE), their receptor (RAGE), and the receptor's soluble form (sRAGE), in heart failure (HF) is very limited. We evaluated the clinical role of the AGE-RAGE system in HF and in particular any association it might have with ischaemic aetiology. METHODS AND RESULTS: We measured fluorescent AGE, glycated albumin and sRAGE in 103 patients with chronic HF. We showed that sRAGE but not AGE was related to ischaemic aetiology (1638.3 +/- 207.4 ischaemic vs. 1065.1 +/- 94.2 pg/mL non-ischaemic group; P =0.016) independent of age, sex, diabetes, renal function, clinical severity, or other variables (OR: 1.091; 95% CI (confidence interval): 1.032-1.153; P =0.007). Moreover, sRAGE was directly associated with extent of coronary disease (OR for three vessel disease compared with non-coronary lesions: 1.186; 95% CI: 1.065-1.322; P =0.002). We also found a correlation between sRAGE and severity of HF, which increased with New York Heart Association (NYHA) class (741.9 +/- 88.9 pg/mL in class 1, 1195.9 +/- 113.2 pg/mL in class II, and 1724.8 +/- 245.7 pg/mL in class III (P < 0.05)) and brain natriuretic peptide (BNP) levels (667.4 +/- 68.0 vs. 1344.5 +/- 126.0 pg/mL for BNP < and >/=400 pg/mL, respectively). CONCLUSION: sRAGE is an indicator of chronic heart failure severity and an independent marker of coronary artery disease and its severity in patients with CHF. FAU - Raposeiras-Roubin, Sergio AU - Raposeiras-Roubin S AD - Cardiology Department and Coronary Unit, Clinical Hospital of Santiago de Compostela, Santiago, Spain. FAU - Rodino-Janeiro, Bruno K AU - Rodino-Janeiro BK FAU - Grigorian-Shamagian, Lilian AU - Grigorian-Shamagian L FAU - Moure-Gonzalez, Maria AU - Moure-Gonzalez M FAU - Seoane-Blanco, Ana AU - Seoane-Blanco A FAU - Varela-Roman, Alfonso AU - Varela-Roman A FAU - Alvarez, Ezequiel AU - Alvarez E FAU - Gonzalez-Juanatey, Jose R AU - Gonzalez-Juanatey JR LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20100803 PL - England TA - Eur J Heart Fail JT - European journal of heart failure JID - 100887595 RN - 0 (Albumins) RN - 0 (Glycation End Products, Advanced) SB - IM MH - Aged MH - Albumins MH - Chronic Disease MH - Confidence Intervals MH - Coronary Artery Disease/blood/metabolism/*pathology MH - Enzyme-Linked Immunosorbent Assay MH - Female MH - Glomerular Filtration Rate MH - Glycation End Products, Advanced/*blood MH - Heart Failure/blood/metabolism/*pathology MH - Humans MH - Logistic Models MH - Male MH - Multivariate Analysis MH - Odds Ratio MH - ROC Curve MH - Severity of Illness Index MH - Statistics as Topic EDAT- 2010/08/06 06:00 MHDA- 2011/06/22 06:00 CRDT- 2010/08/06 06:00 PHST- 2010/08/06 06:00 [entrez] PHST- 2010/08/06 06:00 [pubmed] PHST- 2011/06/22 06:00 [medline] AID - hfq117 [pii] AID - 10.1093/eurjhf/hfq117 [doi] PST - ppublish SO - Eur J Heart Fail. 2010 Oct;12(10):1092-100. doi: 10.1093/eurjhf/hfq117. Epub 2010 Aug 3.