PMID- 24755035 OWN - NLM STAT- MEDLINE DCOM- 20141031 LR - 20220409 IS - 1475-2840 (Electronic) IS - 1475-2840 (Linking) VI - 13 DP - 2014 Apr 23 TI - Impact of serum omentin-1 levels on cardiac prognosis in patients with heart failure. PG - 84 LID - 10.1186/1475-2840-13-84 [doi] AB - BACKGROUND: Various adipokines are reported to be associated with the development of heart failure (HF) through insulin resistance and chronic inflammation. Omentin-1 is a novel adipokine and is associated with incident coronary artery disease. However, it remains unclear whether serum omentin-1 levels are associated with cardiac prognosis in patients with HF. METHODS: We measured serum omentin-1 levels at admission in 136 consecutive patients with HF, and 20 control subjects without signs of significant heart disease. We prospectively followed patients with HF to endpoints of cardiac death or re-hospitalization for worsening HF. RESULTS: Serum omentin-1 levels were markedly lower in HF patients with cardiac events compared with to without. The patients who were in New York Heart Association (NYHA) functional class IV showed significantly lower serum omentin-1 levels compared to those in class II and III, whereas serum omentin-1 levels did not correlate with serum brain natriuretic peptide levels (r = 0.217, P = 0.011). We divided the HF patients into three groups based on the tertiles of serum omentin-1 level (low T1, middle T2, and high T3). Multivariate Cox hazard analysis showed that the lowest serum omentin-1 level (T1) was independently associated with cardiac events after adjustment for confounding factors (hazard ratio 5.78, 95% confidence interval 1.20-12.79). We divided the HF patients into two groups according to the median serum omentin-1 levels. Kaplan-Meier analysis revealed that the patients with low serum omentin-1 levels had a higher risk of cardiac events compared with those with high serum omentin-1 levels (log-rank test p < 0.001). CONCLUSION: Decreased serum omentin-1 levels were associated with a poor cardiac outcome in patients with HF. FAU - Narumi, Taro AU - Narumi T FAU - Watanabe, Tetsu AU - Watanabe T AD - Department of Cardiology, Pulmonology, and Nephrology, Yamagata University School of Medicine, 2-2-2 Iida-nishi, Yamagata 990-9585, Japan. tewatana@med.id.yamagata-u.ac.jp. FAU - Kadowaki, Shinpei AU - Kadowaki S FAU - Kinoshita, Daisuke AU - Kinoshita D FAU - Yokoyama, Miyuki AU - Yokoyama M FAU - Honda, Yuki AU - Honda Y FAU - Otaki, Yoichiro AU - Otaki Y FAU - Nishiyama, Satoshi AU - Nishiyama S FAU - Takahashi, Hiroki AU - Takahashi H FAU - Arimoto, Takanori AU - Arimoto T FAU - Shishido, Tetsuro AU - Shishido T FAU - Miyamoto, Takuya AU - Miyamoto T FAU - Kubota, Isao AU - Kubota I LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20140423 PL - England TA - Cardiovasc Diabetol JT - Cardiovascular diabetology JID - 101147637 RN - 0 (Biomarkers) RN - 0 (Cytokines) RN - 0 (GPI-Linked Proteins) RN - 0 (ITLN1 protein, human) RN - 0 (Lectins) SB - IM MH - Aged MH - Aged, 80 and over MH - Biomarkers/blood MH - Cytokines/*blood MH - Female MH - Follow-Up Studies MH - GPI-Linked Proteins/blood MH - Heart Failure/*blood/*diagnosis MH - Humans MH - Lectins/*blood MH - Male MH - Middle Aged MH - Prognosis MH - Prospective Studies MH - Risk Factors PMC - PMC4006671 EDAT- 2014/04/24 06:00 MHDA- 2014/11/02 06:00 PMCR- 2014/04/23 CRDT- 2014/04/24 06:00 PHST- 2014/03/04 00:00 [received] PHST- 2014/04/15 00:00 [accepted] PHST- 2014/04/24 06:00 [entrez] PHST- 2014/04/24 06:00 [pubmed] PHST- 2014/11/02 06:00 [medline] PHST- 2014/04/23 00:00 [pmc-release] AID - 1475-2840-13-84 [pii] AID - 10.1186/1475-2840-13-84 [doi] PST - epublish SO - Cardiovasc Diabetol. 2014 Apr 23;13:84. doi: 10.1186/1475-2840-13-84.