PMID- 21261617 OWN - NLM STAT- MEDLINE DCOM- 20110909 LR - 20191210 IS - 1365-2362 (Electronic) IS - 0014-2972 (Linking) VI - 41 IP - 7 DP - 2011 Jul TI - 8-Hydroxy-2'-deoxyguanosine is a prognostic mediator for cardiac event. PG - 759-66 LID - 10.1111/j.1365-2362.2010.02465.x [doi] AB - BACKGROUND: DNA in the nucleus is one of the major targets of reactive oxygen species (ROS), and oxidative DNA damage has been implicated in the pathogenesis of chronic heart failure. 8-Hydroxy-2'-deoxyguanosine (8-OHdG) is produced from deoxyguanosine in DNA by ROS. The purpose of this present study was to examine the clinical significance of serum 8-OHdG levels in patients with heart failure. METHODS: We measured serum 8-OHdG levels in 230 patients with chronic heart failure and 42 control subjects without heart failure by sandwich enzyme-linked immunosorbent assay. Patients were prospectively followed during a median follow-up period of 472 days with the end points of cardiac death or progressive heart failure requiring re-hospitalization. RESULTS: Serum 8-OHdG concentrations were higher in patients with heart failure than in control subjects (P < 0.001) and increased with advancing New York Heart Association (NYHA) functional class (P < 0.001). Normal upper limit of 8-OHdG level was determined as mean +/- 2SD value from 42 control subjects (0.40 ng mL(-1)). Abnormally high serum 8-OHdG levels (> 0.40 ng mL(-1)) were observed in 21.2%, 43.1%, 42.6% and 69.4% through NYHA I to IV (P < 0.001). A total of 66 cardiac events occurred during a follow-up period, and Kaplan-Meier survival curves demonstrated that cardiac event rate was markedly higher in patients with high 8-OHdG levels than in those with normal 8-OHdG levels (62.4% vs. 29.6%, P = 0.0007). CONCLUSIONS: Serum 8-OHdG levels provide important prognostic information for the risk stratification of patients with heart failure. CI - (c) 2011 The Authors. European Journal of Clinical Investigation (c) 2011 Stichting European Society for Clinical Investigation Journal Foundation. FAU - Suzuki, Satoshi AU - Suzuki S AD - Department of Cardiology, Pulmonology, and Nephrology, Yamagata University School of Medicine, Yamagata, Japan. FAU - Shishido, Tetsuro AU - Shishido T FAU - Ishino, Mitsunori AU - Ishino M FAU - Katoh, Shigehiko AU - Katoh S FAU - Sasaki, Toshiki AU - Sasaki T FAU - Nishiyama, Satoshi AU - Nishiyama S FAU - Miyashita, Takehiko AU - Miyashita T FAU - Miyamoto, Takuya AU - Miyamoto T FAU - Nitobe, Joji AU - Nitobe J FAU - Watanabe, Tetsu AU - Watanabe T FAU - Takeishi, Yasuchika AU - Takeishi Y FAU - Kubota, Isao AU - Kubota I LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20110125 PL - England TA - Eur J Clin Invest JT - European journal of clinical investigation JID - 0245331 RN - 0 (Biomarkers) RN - 88847-89-6 (8-Hydroxy-2'-Deoxyguanosine) RN - G9481N71RO (Deoxyguanosine) SB - IM MH - 8-Hydroxy-2'-Deoxyguanosine MH - Aged MH - Aged, 80 and over MH - Biomarkers/blood MH - Deoxyguanosine/*analogs & derivatives/blood MH - Disease Progression MH - Epidemiologic Methods MH - Female MH - Heart Failure/*blood/diagnostic imaging/etiology MH - Humans MH - Male MH - Middle Aged MH - Prognosis MH - Ultrasonography EDAT- 2011/01/26 06:00 MHDA- 2011/09/10 06:00 CRDT- 2011/01/26 06:00 PHST- 2011/01/26 06:00 [entrez] PHST- 2011/01/26 06:00 [pubmed] PHST- 2011/09/10 06:00 [medline] AID - 10.1111/j.1365-2362.2010.02465.x [doi] PST - ppublish SO - Eur J Clin Invest. 2011 Jul;41(7):759-66. doi: 10.1111/j.1365-2362.2010.02465.x. Epub 2011 Jan 25.