PMID- 21804276 OWN - NLM STAT- MEDLINE DCOM- 20111209 LR - 20201209 IS - 1349-7235 (Electronic) IS - 0918-2918 (Linking) VI - 50 IP - 15 DP - 2011 TI - Elevated plasma levels of adropin in heart failure patients. PG - 1523-7 AB - BACKGROUND: Recent studies have suggested that a higher body mass index (BMI) is associated with an improved prognosis in heart failure (HF). Adropin is a recently identified protein that has been implicated in the maintenance of energy homeostasis. In the present study, we investigated plasma adropin levels in patients with HF and evaluated the relationship between the levels and the severity of HF. METHODS AND RESULTS: The study group comprised 56 patients with HF and 20 control subjects, who were divided into 4 subgroups according to New York Heart Association (NYHA) functional classification. Plasma levels of adropin, brain natriuretic peptide (BNP) and cardiac hemodynamics were determined. Plasma adropin levels were significantly increased according to the severity of NYHA class in the patients with HF; control: 6.0 +/- 0.3; NYHA functional Class II: 7.6 +/- 0.4; NYHA functional Class III: 9.8 +/- 0.5; NYHA functional Class IV: 12.4 +/- 0.6 ng/mL (p<0.01). Similarly, plasma BNP levels were significantly increased in accordance with the NYHA class. Plasma adropin levels were correlated positively with BNP (r=0.723, p<0.001), interleukin-6 (IL-6) (r=0.326, p=0.007) and body mass index (BMI) (r=0.295, p=0.014), and negatively with left ventricular ejection fraction (LVEF) (r=-0.710, p<0.001). CONCLUSION: Plasma adropin levels were significantly increased according to the severity of HF, and BNP and BMI had independent impact on the plasma adropin level. These findings suggest that the augmented release of adropin may be involved in the pathogenesis of HF and further study is necessary to explain the precise role of adropin in HF. FAU - Lian, Wenlin AU - Lian W AD - Department of Cardiovascular Diseases, Changhai Hospital, Second Military Medical University, China. FAU - Gu, Xiaosong AU - Gu X FAU - Qin, Yongwen AU - Qin Y FAU - Zheng, Xing AU - Zheng X LA - eng PT - Journal Article DEP - 20110801 PL - Japan TA - Intern Med JT - Internal medicine (Tokyo, Japan) JID - 9204241 RN - 0 (Blood Proteins) RN - 0 (Enho protein, human) RN - 0 (Intercellular Signaling Peptides and Proteins) RN - 0 (Peptides) RN - 0 (Proteins) RN - 114471-18-0 (Natriuretic Peptide, Brain) SB - IM MH - Aged MH - Aged, 80 and over MH - Blood Proteins/*metabolism MH - Case-Control Studies MH - Female MH - Heart Failure/*blood/classification/diagnosis MH - Humans MH - Intercellular Signaling Peptides and Proteins MH - Male MH - Middle Aged MH - Natriuretic Peptide, Brain/blood MH - Peptides MH - Proteins/*metabolism MH - ROC Curve MH - Regression Analysis EDAT- 2011/08/02 06:00 MHDA- 2011/12/14 06:00 CRDT- 2011/08/02 06:00 PHST- 2011/08/02 06:00 [entrez] PHST- 2011/08/02 06:00 [pubmed] PHST- 2011/12/14 06:00 [medline] AID - JST.JSTAGE/internalmedicine/50.5163 [pii] AID - 10.2169/internalmedicine.50.5163 [doi] PST - ppublish SO - Intern Med. 2011;50(15):1523-7. doi: 10.2169/internalmedicine.50.5163. Epub 2011 Aug 1.