PMID- 29737871 OWN - NLM STAT- MEDLINE DCOM- 20190306 LR - 20190306 IS - 1366-5804 (Electronic) IS - 1354-750X (Linking) VI - 23 IP - 7 DP - 2018 Nov TI - Circulating biomarkers of hypertrophy and fibrosis in patients with hypertrophic cardiomyopathy assessed by cardiac magnetic resonance. PG - 676-682 LID - 10.1080/1354750X.2018.1474261 [doi] AB - BACKGROUND: Myocardial fibrosis in hypertrophic cardiomyopathy (HCM) is associated with worse clinical outcomes. The availability of circulating biomarkers of myocardial fibrosis and hypertrophy would be helpful in clinical practice. OBJECTIVE: The aim of this study was to evaluate usefulness of various biomarkers of myocardial fibrosis and hypertrophy in HCM. METHODS: Levels of biomarkers: soluble ST2 (sST2), galectin-3 (Gal-3), growth differentiation factor-15 (GDF-15), NT-proBNP and high-sensitivity cardiac troponin T (hs-cTnT) were measured in 60 patients with HCM. All patients underwent cardiac magnetic resonance imaging to calculate parameters of hypertrophy and fibrosis. RESULTS: We observed positive correlations among sST2 levels and left ventricular mass (LVM) (r = 0.32, p = 0.012), LV mass indexed for the body surface area (LVMI) (r = 0.27, p = 0.036) and maximal wall thickness (MWT) (r = 0.31, p = 0.015). No correlation was found between Gal-3 and GDF-15 levels and hypertrophy and fibrosis parameters. We observed positive correlations among hs-cTnT levels and LVM (r = 0.58, p < 0.0001), LVMI (r = 0.48, p = 0.0001), MWT (r = 0.31, p = 0.015) and late gadolinium enhancement (LGE) mass (r = 0.37, p = 0.003). There were positive correlations between NT-proBNP levels and LVM (r = 0.33, p = 0.01), LVMI (r = 0.41, p = 0.001), MWT (r = 0.42, p < 0.001) and LGE mass (r = 0.44, p < 0.001). CONCLUSIONS: Although no correlation between sST2 levels and myocardial fibrosis was found, sST2 may provide some additional information about hypertrophy extension. NT-proBNP and hs-cTnT are useful biomarkers in assessment of hypertrophy and fibrosis in HCM. FAU - Gawor, Monika AU - Gawor M AD - a Department of Cardiomyopathy , Institute of Cardiology , Warsaw , Poland. FAU - Spiewak, Mateusz AU - Spiewak M AD - b Cardiac Magnetic Resonance Unit, Institute of Cardiology , Warsaw , Poland. FAU - Kubik, Agata AU - Kubik A AD - b Cardiac Magnetic Resonance Unit, Institute of Cardiology , Warsaw , Poland. FAU - Wrobel, Aleksandra AU - Wrobel A AD - c Department of Medical Biology , Institute of Cardiology , Warsaw , Poland. FAU - Lutynska, Anna AU - Lutynska A AD - c Department of Medical Biology , Institute of Cardiology , Warsaw , Poland. FAU - Marczak, Magdalena AU - Marczak M AD - b Cardiac Magnetic Resonance Unit, Institute of Cardiology , Warsaw , Poland. FAU - Grzybowski, Jacek AU - Grzybowski J AD - a Department of Cardiomyopathy , Institute of Cardiology , Warsaw , Poland. LA - eng PT - Journal Article DEP - 20180523 PL - England TA - Biomarkers JT - Biomarkers : biochemical indicators of exposure, response, and susceptibility to chemicals JID - 9606000 RN - 0 (Biomarkers) RN - 0 (Peptide Fragments) RN - 0 (Troponin T) RN - 0 (pro-brain natriuretic peptide (1-76)) RN - 114471-18-0 (Natriuretic Peptide, Brain) SB - IM MH - Adult MH - Aged MH - Biomarkers/*blood MH - Cardiomyopathy, Hypertrophic/blood/*diagnostic imaging/pathology MH - Fibrosis/blood/diagnosis MH - Humans MH - Hypertrophy/blood/diagnosis MH - Magnetic Resonance Imaging MH - Middle Aged MH - Natriuretic Peptide, Brain/*blood MH - Peptide Fragments/*blood MH - Troponin T/*blood OTO - NOTNLM OT - GDF-15 OT - Hypertrophic cardiomyopathy OT - galectin-3 OT - myocardial fibrosis OT - sST2 EDAT- 2018/05/09 06:00 MHDA- 2019/03/07 06:00 CRDT- 2018/05/09 06:00 PHST- 2018/05/09 06:00 [pubmed] PHST- 2019/03/07 06:00 [medline] PHST- 2018/05/09 06:00 [entrez] AID - 10.1080/1354750X.2018.1474261 [doi] PST - ppublish SO - Biomarkers. 2018 Nov;23(7):676-682. doi: 10.1080/1354750X.2018.1474261. Epub 2018 May 23.