PMID- 27179834 OWN - NLM STAT- MEDLINE DCOM- 20180105 LR - 20220321 IS - 2213-1787 (Electronic) IS - 2213-1779 (Linking) VI - 4 IP - 8 DP - 2016 Aug TI - Plasma Corin as a Predictor of Cardiovascular Events in Patients With Chronic Heart Failure. PG - 664-9 LID - S2213-1779(16)30064-6 [pii] LID - 10.1016/j.jchf.2016.03.006 [doi] AB - OBJECTIVES: The aim of this study was to determine the prognostic value of plasma corin in patients with chronic heart failure (CHF). BACKGROUND: In recent years, accumulating evidence has indicated that corin plays a critical role in regulating blood pressure and cardiac function. METHODS: We enrolled 1,148 consecutive CHF patients in a prospective cohort study and explored the association between plasma corin levels and clinical prognosis using multivariate Cox regression analysis. RESULTS: Patients with low corin levels (<458 pg/ml) were more likely to be women and to be hypertensive. Low corin was found to be associated with an increase in New York Heart Association (NYHA) functional class and N-terminal pro-B-type natriuretic peptide (NT-proBNP) levels, and a decrease in left ventricular ejection fraction (LVEF) and the estimated glomerular filtration rate (eGFR). Multivariate Cox regression analysis suggested that log corin was an independent predictor of major adverse cardiac event(s) (MACE) (hazard ratio: 0.62; 95% confidence interval: 0.39 to 0.95), together with age, diabetes, NYHA functional class, LVEF, eGFR, and log NT-proBNP. In addition, log corin was also a significant predictor for cardiovascular death (p = 0.041) and heart failure rehospitalization (p = 0.015) after adjustment for clinical variables and established biomarkers of adverse prognosis. The Kaplan-Meier survival curves showed that low corin was a significant predictor of MACE in patients with NT-proBNP levels above and below the median. CONCLUSIONS: Our study demonstrates that plasma corin is a valuable prognostic marker of MACE in patients with CHF, independent of established conventional risk factors. CI - Copyright (c) 2016 American College of Cardiology Foundation. Published by Elsevier Inc. All rights reserved. FAU - Zhou, Xiang AU - Zhou X AD - Department of Cardiology, The Second Affiliated Hospital of Soochow University, Suzhou, China. Electronic address: zhou-xiang@suda.edu.cn. FAU - Chen, Jian-Chang AU - Chen JC AD - Department of Cardiology, The Second Affiliated Hospital of Soochow University, Suzhou, China. FAU - Liu, Ying AU - Liu Y AD - Department of Cardiology, The First Affiliated Hospital of Nanjing Medical University, Nanjing, China. FAU - Yang, Hui AU - Yang H AD - Department of Cardiology, The First Affiliated Hospital of Nanjing Medical University, Nanjing, China. FAU - Du, Kang AU - Du K AD - Department of Cardiology, The Second Affiliated Hospital of Nanjing Medical University, Nanjing, China. FAU - Kong, Yuan AU - Kong Y AD - Department of Epidemiology and Biostatistics, Nanjing Medical University, Nanjing, China. FAU - Xu, Xiao-Hua AU - Xu XH AD - Department of Epidemiology and Biostatistics, Nanjing Medical University, Nanjing, China. LA - eng PT - Journal Article DEP - 20160511 PL - United States TA - JACC Heart Fail JT - JACC. Heart failure JID - 101598241 RN - 0 (Peptide Fragments) RN - 0 (pro-brain natriuretic peptide (1-76)) RN - 114471-18-0 (Natriuretic Peptide, Brain) RN - EC 3.4.21.- (CORIN protein, human) RN - EC 3.4.21.- (Serine Endopeptidases) SB - IM CIN - JACC Heart Fail. 2016 Aug;4(8):670-3. PMID: 27395344 MH - Aged MH - Aged, 80 and over MH - Cardiovascular Diseases/*mortality MH - Chronic Disease MH - Cohort Studies MH - Disease Progression MH - Female MH - Glomerular Filtration Rate MH - Heart Failure/*blood MH - Hospitalization/*statistics & numerical data MH - Humans MH - Male MH - Middle Aged MH - Multivariate Analysis MH - Natriuretic Peptide, Brain/blood MH - Peptide Fragments/blood MH - Prognosis MH - Proportional Hazards Models MH - Prospective Studies MH - Serine Endopeptidases/*blood MH - Stroke Volume OTO - NOTNLM OT - chronic heart failure OT - corin OT - major adverse cardiac events EDAT- 2016/05/18 06:00 MHDA- 2018/01/06 06:00 CRDT- 2016/05/16 06:00 PHST- 2016/02/03 00:00 [received] PHST- 2016/03/08 00:00 [revised] PHST- 2016/03/10 00:00 [accepted] PHST- 2016/05/16 06:00 [entrez] PHST- 2016/05/18 06:00 [pubmed] PHST- 2018/01/06 06:00 [medline] AID - S2213-1779(16)30064-6 [pii] AID - 10.1016/j.jchf.2016.03.006 [doi] PST - ppublish SO - JACC Heart Fail. 2016 Aug;4(8):664-9. doi: 10.1016/j.jchf.2016.03.006. Epub 2016 May 11.