PMID- 32598878 OWN - NLM STAT- MEDLINE DCOM- 20210621 LR - 20210621 IS - 1873-3492 (Electronic) IS - 0009-8981 (Linking) VI - 509 DP - 2020 Oct TI - Plasma concentration of receptor-interacting protein kinase-3 as a potential biomarker for diagnosis and prognosis in heart failure. PG - 273-279 LID - S0009-8981(20)30301-6 [pii] LID - 10.1016/j.cca.2020.06.039 [doi] AB - BACKGROUND: Receptor-interacting serine-threonine kinase 3 (RIP3) is a key mediator of programmed necrosis (necroptosis), and is implicated in cardiac remodeling and heart failure (HF) triggered by ischemia-reperfusion or oxidative stress in animal study. However, its value in the diagnosis and prognosis of human HF remains unclear. METHODS: Plasma RIP3 concentrations in 91 HF patients and 95 healthy volunteers were detected by enzyme-linked immunosorbent assay (ELISA). A receiver operating characteristic (ROC) curve was generated to evaluate the diagnostic value of RIP3. Follow-up was conducted, and the composite endpoint was defined as all-cause mortality/readmission due to decompensated HF/worse New York Heart Association (NYHA) functional class. The relationship between RIP3 and patient outcome was examined. RESULTS: Plasma concentrations of RIP3 were significantly increased in patients with HF compared to controls (P < 0.001). ROC analysis supported plasma RIP3 as a good diagnostic marker for HF, with an optimal cutoff value of 357 pg/ml (AUC = 0.934, sensitivity = 0.846, specificity = 0.905). Kaplan-Meier survival analysis also supported increased plasma RIP3 as a predictor for a poor prognosis in HF (cutoff value = 622.2 pg/ml, P < 0.05). Additionally, binary logistic regression analysis revealed RIP3 to be an independent risk factor for all-cause mortality (OR = 11.844, P = 0.02), worse NYHA (OR = 9.013, P = 0.009) and a composite endpoint (OR = 5.065, P = 0.013). CONCLUSIONS: Plasma concentration of RIP3 is significantly elevated in HF and associated with the prognosis. Plasma RIP3 possibly constitutes a valuable diagnostic and prognostic biomarker for HF. CI - Copyright (c) 2020 The Author(s). Published by Elsevier B.V. All rights reserved. FAU - Hu, Xiaomin AU - Hu X AD - Department of Medical Research Center, Peking Union Medical College Hospital, Chinese Academy of Medical Science & Peking Union Medical College, 100730 Beijing, China. FAU - Li, Hanyu AU - Li H AD - Department of Cardiology, Peking Union Medical College Hospital, Chinese Academy of Medical Science & Peking Union Medical College, 100730 Beijing, China. FAU - Chen, Xi AU - Chen X AD - Department of Cardiology, Peking Union Medical College Hospital, Chinese Academy of Medical Science & Peking Union Medical College, 100730 Beijing, China. FAU - Liu, Honghong AU - Liu H AD - Department of Cardiology, Peking Union Medical College Hospital, Chinese Academy of Medical Science & Peking Union Medical College, 100730 Beijing, China. FAU - Zuo, Wei AU - Zuo W AD - Department of Pharmacy, Peking Union Medical College Hospital, Chinese Academy of Medical Science & Peking Union Medical College, 100730 Beijing, China. FAU - Zhang, Yan AU - Zhang Y AD - Institute of Cardiovascular Sciences, Ministry of Education, Peking University Health Science Center, 100083 Beijing, China; Key Laboratory of Molecular Cardiovascular Sciences, Ministry of Education, Peking University Health Science Center, 100083 Beijing, China. FAU - Zhang, Shuyang AU - Zhang S AD - Department of Cardiology, Peking Union Medical College Hospital, Chinese Academy of Medical Science & Peking Union Medical College, 100730 Beijing, China. Electronic address: shuyangzhang103@nrdrs.org. LA - eng PT - Journal Article DEP - 20200626 PL - Netherlands TA - Clin Chim Acta JT - Clinica chimica acta; international journal of clinical chemistry JID - 1302422 RN - 0 (Biomarkers) SB - IM MH - Animals MH - Biomarkers MH - *Heart Failure/diagnosis MH - Humans MH - New York MH - Prognosis MH - ROC Curve OTO - NOTNLM OT - Diagnosis OT - Heart failure OT - Necroptosis OT - Prognosis OT - Receptor-interacting protein kinase-3 (RIP3) OT - Risk factor COIS- Declaration of Competing Interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper. EDAT- 2020/07/01 06:00 MHDA- 2021/06/22 06:00 CRDT- 2020/06/30 06:00 PHST- 2020/04/08 00:00 [received] PHST- 2020/06/21 00:00 [revised] PHST- 2020/06/22 00:00 [accepted] PHST- 2020/07/01 06:00 [pubmed] PHST- 2021/06/22 06:00 [medline] PHST- 2020/06/30 06:00 [entrez] AID - S0009-8981(20)30301-6 [pii] AID - 10.1016/j.cca.2020.06.039 [doi] PST - ppublish SO - Clin Chim Acta. 2020 Oct;509:273-279. doi: 10.1016/j.cca.2020.06.039. Epub 2020 Jun 26.