PMID- 27349571 OWN - NLM STAT- MEDLINE DCOM- 20171102 LR - 20171102 IS - 1532-8414 (Electronic) IS - 1071-9164 (Linking) VI - 22 IP - 10 DP - 2016 Oct TI - Low Circulating Levels of Mitochondrial and High Levels of Nuclear DNA Predict Mortality in Chronic Heart Failure. PG - 823-8 LID - S1071-9164(16)30138-5 [pii] LID - 10.1016/j.cardfail.2016.06.013 [doi] AB - BACKGROUND: Mitochondrial DNA (mtDNA) and possibly nuclear DNA (nDNA) are released as danger-associated molecular patterns during cardiac stress, and may activate several innate immune receptors. The purpose of this study was to investigate the regulation of these danger-associated molecular patterns during human heart failure (HF). METHODS AND RESULTS: Plasma levels of mtDNA and nDNA from HF patients (n = 84) were analyzed by reverse transcriptase-polymerase chain reaction and compared with controls (n = 72). Increased levels of mtDNA were found in New York Heart Association (NYHA) I-II and NYHA III-IV. There was evidence of increased nDNA in NYHA III-IV compared with controls and NYHA I-II. Kaplan-Meier analysis revealed higher mortality in patients with high nDNA levels, whereas high levels of mtDNA were associated with survival. CONCLUSIONS: Plasma levels of mtDNA and nDNA are elevated in human HF associated with increased and decreased mortality, respectively. This study may suggest a rationale for exploring interventions within inflammatory signaling pathways activated by nucleic acids as novel targets in treatment of HF. CI - Copyright (c) 2016 Elsevier Inc. All rights reserved. FAU - Dhondup, Yangchen AU - Dhondup Y AD - Research Institute of Internal Medicine, Oslo University Hospital, Rikshospitalet, Oslo, Norway; Center for Heart failure Research, University of Oslo, Oslo, Norway; K.G. Jebsen Inflammation Research Center, University of Oslo, Oslo, Norway; Faculty of Medicine, University of Oslo, Norway. Electronic address: yangched@gmail.com. FAU - Ueland, Thor AU - Ueland T AD - Research Institute of Internal Medicine, Oslo University Hospital, Rikshospitalet, Oslo, Norway; Faculty of Medicine, University of Oslo, Norway. FAU - Dahl, Christen Peder AU - Dahl CP AD - Research Institute of Internal Medicine, Oslo University Hospital, Rikshospitalet, Oslo, Norway; Center for Heart failure Research, University of Oslo, Oslo, Norway; Department of Cardiology, Oslo University Hospital, Rikshospitalet, Oslo, Norway. FAU - Askevold, Erik Tandberg AU - Askevold ET AD - Research Institute of Internal Medicine, Oslo University Hospital, Rikshospitalet, Oslo, Norway; Center for Heart failure Research, University of Oslo, Oslo, Norway. FAU - Sandanger, Oystein AU - Sandanger O AD - Research Institute of Internal Medicine, Oslo University Hospital, Rikshospitalet, Oslo, Norway; Center for Heart failure Research, University of Oslo, Oslo, Norway; K.G. Jebsen Inflammation Research Center, University of Oslo, Oslo, Norway; Faculty of Medicine, University of Oslo, Norway. FAU - Fiane, Arnt AU - Fiane A AD - Faculty of Medicine, University of Oslo, Norway; Department of Cardiothoracic Surgery, Oslo University Hospital Rikshospitalet, Oslo, Norway. FAU - Ohm, Ingrid Kristine AU - Ohm IK AD - Research Institute of Internal Medicine, Oslo University Hospital, Rikshospitalet, Oslo, Norway; Center for Heart failure Research, University of Oslo, Oslo, Norway; K.G. Jebsen Inflammation Research Center, University of Oslo, Oslo, Norway. FAU - Sjaastad, Ivar AU - Sjaastad I AD - Center for Heart failure Research, University of Oslo, Oslo, Norway; Institute for Experimental Research, Oslo University Hospital, Ulleval, Oslo, Norway. FAU - Finsen, Alexandra Vanessa AU - Finsen AV AD - Research Institute of Internal Medicine, Oslo University Hospital, Rikshospitalet, Oslo, Norway; Center for Heart failure Research, University of Oslo, Oslo, Norway; K.G. Jebsen Inflammation Research Center, University of Oslo, Oslo, Norway. FAU - Waehre, Anne AU - Waehre A AD - Center for Heart failure Research, University of Oslo, Oslo, Norway; Institute for Experimental Research, Oslo University Hospital, Ulleval, Oslo, Norway. FAU - Gullestad, Lars AU - Gullestad L AD - Center for Heart failure Research, University of Oslo, Oslo, Norway; Faculty of Medicine, University of Oslo, Norway; Department of Cardiology, Oslo University Hospital, Rikshospitalet, Oslo, Norway; K.G. Jebsen Cardiovascular Research Center, University of Oslo, Oslo, Norway. FAU - Aukrust, Pal AU - Aukrust P AD - Research Institute of Internal Medicine, Oslo University Hospital, Rikshospitalet, Oslo, Norway; K.G. Jebsen Inflammation Research Center, University of Oslo, Oslo, Norway; Faculty of Medicine, University of Oslo, Norway; Section of Clinical Immunology and Infectious Diseases, Oslo University Hospital, Rikshospitalet, Oslo, Norway. FAU - Yndestad, Arne AU - Yndestad A AD - Research Institute of Internal Medicine, Oslo University Hospital, Rikshospitalet, Oslo, Norway; Center for Heart failure Research, University of Oslo, Oslo, Norway; K.G. Jebsen Inflammation Research Center, University of Oslo, Oslo, Norway; Faculty of Medicine, University of Oslo, Norway. FAU - Vinge, Leif Erik AU - Vinge LE AD - Research Institute of Internal Medicine, Oslo University Hospital, Rikshospitalet, Oslo, Norway; Center for Heart failure Research, University of Oslo, Oslo, Norway; Department of Cardiology, Oslo University Hospital, Rikshospitalet, Oslo, Norway; Department of Internal Medicine, Diakonhjemmet Hospital, Oslo, Norway. LA - eng PT - Journal Article DEP - 20160624 PL - United States TA - J Card Fail JT - Journal of cardiac failure JID - 9442138 RN - 0 (Biomarkers) RN - 0 (C1D protein, human) RN - 0 (Co-Repressor Proteins) SB - IM MH - Aged MH - Biomarkers/blood MH - Case-Control Studies MH - Co-Repressor Proteins/*metabolism MH - Female MH - Heart Failure/*blood/*mortality/physiopathology MH - Humans MH - Kaplan-Meier Estimate MH - Male MH - Middle Aged MH - Mitochondria/*metabolism MH - Predictive Value of Tests MH - Prognosis MH - Reference Values MH - Severity of Illness Index MH - Statistics, Nonparametric MH - Survival Analysis OTO - NOTNLM OT - DNA OT - innate immunity OT - mitochondria OT - toll-like receptor 9 EDAT- 2016/06/29 06:00 MHDA- 2017/11/03 06:00 CRDT- 2016/06/29 06:00 PHST- 2015/10/02 00:00 [received] PHST- 2016/06/08 00:00 [revised] PHST- 2016/06/23 00:00 [accepted] PHST- 2016/06/29 06:00 [entrez] PHST- 2016/06/29 06:00 [pubmed] PHST- 2017/11/03 06:00 [medline] AID - S1071-9164(16)30138-5 [pii] AID - 10.1016/j.cardfail.2016.06.013 [doi] PST - ppublish SO - J Card Fail. 2016 Oct;22(10):823-8. doi: 10.1016/j.cardfail.2016.06.013. Epub 2016 Jun 24.