PMID- 34435138 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20220426 IS - 2391-5463 (Print) IS - 2391-5463 (Electronic) VI - 16 IP - 1 DP - 2021 TI - Phosphoglycerate mutase 2 is elevated in serum of patients with heart failure and correlates with the disease severity and patient's prognosis. PG - 1134-1142 LID - 10.1515/med-2021-0324 [doi] AB - BACKGROUND: Heart failure (HF) is a serious and advanced stage of various cardiac diseases with high mortality and rehospitalization rates. Phosphoglycerate mutase 2 (PGAM2) overexpression was identified in the serum of patients with HF. MATERIAL/METHODS: One hundred and fifty-three cases of HF were included in the present work. According to New York Heart Association (NYHA) classification, 22 were grade II, 84 were grade III, and 47 were grade IV. Serum PGAM2, NT-proBNP, B-type natriuretic peptide (BNP), troponin T (TNT), and Cys-C of HF patients were detected using ELISA assay. Left ventricular ejection fraction, left ventricular end-diastolic inner diameter, and left atrium (LA) inner diameter of the included cases were also detected by the cardiac color Doppler. RESULTS: The number of patients with atrial fibrillation was significantly higher in NYHA IV group than in groups II and III with statistical difference (p < 0.05). The serum PGAM2, NT-proBNP, and Cys-C were significantly higher in NYHA IV group than in NYHA II and NYHA III groups (p (all) < 0.05). NT-proBNP had the highest prediction efficacy of HF severity and PGAM2 was also a potential biomarker for HF severity evaluation with relatively high sensitivity, specificity, and area under the ROC. The overall survival among NYHA II, III, and IV groups were statistically different (p = 0.04) with the median survival time of 25 months for NYHA III and IV groups. CONCLUSION: PGAM2 is a new promising biomarker for evaluation of the severity of HF. Combination detection using multiple serum factors such as PGAM2, NT-proBNP, BNP, TNT, and Cys-C can improve the HF severity differential diagnosis performance. CI - (c) 2021 Min Li et al., published by De Gruyter. FAU - Li, Min AU - Li M AD - Department of Emergency, Jinan Central Hospital, Cheeloo College of Medicine, Shandong University, Jinan 250100, China. FAU - Gao, Xiaoyuan AU - Gao X AD - Department of Cardiovascular Medicine, Jinan Central Hospital, Cheeloo College of Medicine, Shandong University, Jinan 250100, China. FAU - Wang, Huiyun AU - Wang H AD - Research Center of Translational Medicine, Jinan Central Hospital, Cheeloo College of Medicine, Shandong University, Jinan 250100, China. FAU - Zhang, Mingli AU - Zhang M AD - Department of Emergency, Jinan Central Hospital, Cheeloo College of Medicine, Shandong University, Jinan 250100, China. FAU - Li, Xiaoying AU - Li X AD - Department of Emergency, Jinan Central Hospital, Cheeloo College of Medicine, Shandong University, Jinan 250100, China. FAU - Wang, Shuya AU - Wang S AD - Department of Cardiovascular Medicine, Jinan Central Hospital, Cheeloo College of Medicine, Shandong University, Jinan 250100, China. FAU - Wang, Shaoqin AU - Wang S AD - Department of Emergency, Jinan Central Hospital, Cheeloo College of Medicine, Shandong University, Jinan 250100, China. FAU - Cao, Chongfeng AU - Cao C AD - Department of Intensive Care Unit, Jinan Central Hospital, Cheeloo College of Medicine, Shandong University, Jinan 250100, China. FAU - Li, Ying AU - Li Y AD - Research Center of Translational Medicine, Jinan Central Hospital, Cheeloo College of Medicine, Shandong University, No. 105 Jiefang Road, Lixia District, Shandong Province, Jinan 250100, China. FAU - Su, Guohai AU - Su G AD - Department of Cardiovascular Medicine, Jinan Central Hospital, Cheeloo College of Medicine, Shandong University, No. 105 Jiefang Road, Lixia District, Shandong Province, Jinan 250100, China. LA - eng PT - Journal Article DEP - 20210811 PL - Poland TA - Open Med (Wars) JT - Open medicine (Warsaw, Poland) JID - 101672167 PMC - PMC8359905 OTO - NOTNLM OT - HF OT - NYHA OT - PGAM2 OT - biomarker OT - cardiac function grading COIS- Conflict of interest: Authors state no conflict of interest. EDAT- 2021/08/27 06:00 MHDA- 2021/08/27 06:01 PMCR- 2021/08/11 CRDT- 2021/08/26 06:18 PHST- 2021/02/20 00:00 [received] PHST- 2021/06/23 00:00 [revised] PHST- 2021/07/02 00:00 [accepted] PHST- 2021/08/26 06:18 [entrez] PHST- 2021/08/27 06:00 [pubmed] PHST- 2021/08/27 06:01 [medline] PHST- 2021/08/11 00:00 [pmc-release] AID - med-2021-0324 [pii] AID - 10.1515/med-2021-0324 [doi] PST - epublish SO - Open Med (Wars). 2021 Aug 11;16(1):1134-1142. doi: 10.1515/med-2021-0324. eCollection 2021.