PMID- 29098408 OWN - NLM STAT- MEDLINE DCOM- 20180727 LR - 20220410 IS - 1615-2573 (Electronic) IS - 0910-8327 (Linking) VI - 33 IP - 4 DP - 2018 Apr TI - Increased serum Wisteria floribunda agglutinin positive Mac-2 binding protein (Mac-2 binding protein glycosylation isomer) in chronic heart failure: a pilot study. PG - 385-392 LID - 10.1007/s00380-017-1071-7 [doi] AB - BACKGROUND: Serum Wisteria floribunda agglutinin positive Mac-2 binding protein (WFA(+)-M2BP) or Mac-2 Binding Protein Glycosylation Isomer (M2BPGi) is a novel biomarker currently applied for evaluating hepatic fibrosis. The aim of this study was to evaluate the utility of serum WFA(+)-M2BP level as a biomarker in chronic heart failure (HF) patients with abnormal liver function. METHODS AND RESULTS: Fifty chronic HF patients who underwent measurement of serum WFA(+)-M2BP were evaluated. The median value of serum WFA(+)-M2BP was 0.88 (interquartile range 0.48-1.29) cut-off index, and positive WFA(+)-M2BP (>/= 1.00 cut-off index) was observed in 22 (44%). Elevated WFA + -M2BP was associated with longer HF history, older age, female sex, valvular heart disease, decreased estimated glomerular filtration rate (eGFR), albumin, and cholinesterase. Stepwise multiple regression analysis showed that HF history, eGFR, and albumin were independent determinants of serum WFA(+)-M2BP values. Repeated measurements of serum WFA(+)-M2BP suggested association between the decrease of WFA(+)-M2BP and improvement of New York Heart Association (NYHA) functional class. CONCLUSIONS: Elevation of serum WFA(+)-M2BP showed a high prevalence in chronic HF patients with abnormal liver function with relation to HF history, decreased hepatic protein synthesis, and renal dysfunction. Our results suggest that serum WFA(+)-M2BP may be a novel biomarker of chronic HF. FAU - Okada, Atsushi AU - Okada A AD - Department of Cardiovascular Medicine, National Cerebral and Cardiovascular Center, 5-7-1, Fujishiro-dai, Suita, Osaka, 565-8565, Japan. AD - Department of Advanced Cardiovascular Medicine, Graduate School of Medical Sciences, Kumamoto University, 1-1-1, Honjo, Chuo-ku, Kumamoto, 860-8556, Japan. FAU - Kanzaki, Hideaki AU - Kanzaki H AD - Department of Cardiovascular Medicine, National Cerebral and Cardiovascular Center, 5-7-1, Fujishiro-dai, Suita, Osaka, 565-8565, Japan. kanzakih@ncvc.go.jp. FAU - Hamatani, Yasuhiro AU - Hamatani Y AD - Department of Cardiovascular Medicine, National Cerebral and Cardiovascular Center, 5-7-1, Fujishiro-dai, Suita, Osaka, 565-8565, Japan. FAU - Takashio, Seiji AU - Takashio S AD - Department of Cardiovascular Medicine, National Cerebral and Cardiovascular Center, 5-7-1, Fujishiro-dai, Suita, Osaka, 565-8565, Japan. FAU - Takahama, Hiroyuki AU - Takahama H AD - Department of Cardiovascular Medicine, National Cerebral and Cardiovascular Center, 5-7-1, Fujishiro-dai, Suita, Osaka, 565-8565, Japan. FAU - Amaki, Makoto AU - Amaki M AD - Department of Cardiovascular Medicine, National Cerebral and Cardiovascular Center, 5-7-1, Fujishiro-dai, Suita, Osaka, 565-8565, Japan. FAU - Hasegawa, Takuya AU - Hasegawa T AD - Department of Cardiovascular Medicine, National Cerebral and Cardiovascular Center, 5-7-1, Fujishiro-dai, Suita, Osaka, 565-8565, Japan. FAU - Sugano, Yasuo AU - Sugano Y AD - Department of Cardiovascular Medicine, National Cerebral and Cardiovascular Center, 5-7-1, Fujishiro-dai, Suita, Osaka, 565-8565, Japan. FAU - Yasuda, Satoshi AU - Yasuda S AD - Department of Cardiovascular Medicine, National Cerebral and Cardiovascular Center, 5-7-1, Fujishiro-dai, Suita, Osaka, 565-8565, Japan. AD - Department of Advanced Cardiovascular Medicine, Graduate School of Medical Sciences, Kumamoto University, 1-1-1, Honjo, Chuo-ku, Kumamoto, 860-8556, Japan. FAU - Anzai, Toshihisa AU - Anzai T AD - Department of Cardiovascular Medicine, National Cerebral and Cardiovascular Center, 5-7-1, Fujishiro-dai, Suita, Osaka, 565-8565, Japan. AD - Department of Advanced Cardiovascular Medicine, Graduate School of Medical Sciences, Kumamoto University, 1-1-1, Honjo, Chuo-ku, Kumamoto, 860-8556, Japan. LA - eng GR - 28-6-18/National Cerebral and Cardiovascular Center/ PT - Journal Article DEP - 20171102 PL - Japan TA - Heart Vessels JT - Heart and vessels JID - 8511258 RN - 0 (Antigens, Neoplasm) RN - 0 (Biomarkers) RN - 0 (Membrane Glycoproteins) RN - 0 (Plant Lectins) RN - 0 (Receptors, N-Acetylglucosamine) RN - 0 (TAA90K protein, human) RN - 0 (wisteria lectin) SB - IM MH - Aged MH - Aged, 80 and over MH - Antigens, Neoplasm/*blood MH - Biomarkers/blood MH - Echocardiography MH - Female MH - Glycosylation MH - Heart Failure/*blood/diagnosis MH - Humans MH - Immunoenzyme Techniques MH - Male MH - Membrane Glycoproteins/*blood MH - Middle Aged MH - Pilot Projects MH - Plant Lectins/*blood MH - Receptors, N-Acetylglucosamine/*blood MH - Severity of Illness Index OTO - NOTNLM OT - Fibrosis OT - Heart failure OT - Liver function OT - Mac-2 Binding Protein Glycosylation Isomer (M2BPGi) OT - Wisteria floribunda agglutinin positive Mac-2 binding protein EDAT- 2017/11/04 06:00 MHDA- 2018/07/28 06:00 CRDT- 2017/11/04 06:00 PHST- 2017/02/20 00:00 [received] PHST- 2017/10/20 00:00 [accepted] PHST- 2017/11/04 06:00 [pubmed] PHST- 2018/07/28 06:00 [medline] PHST- 2017/11/04 06:00 [entrez] AID - 10.1007/s00380-017-1071-7 [pii] AID - 10.1007/s00380-017-1071-7 [doi] PST - ppublish SO - Heart Vessels. 2018 Apr;33(4):385-392. doi: 10.1007/s00380-017-1071-7. Epub 2017 Nov 2.