PMID- 34751777 OWN - NLM STAT- MEDLINE DCOM- 20220413 LR - 20220531 IS - 1530-8561 (Electronic) IS - 0009-9147 (Linking) VI - 67 IP - 12 DP - 2021 Nov 26 TI - LIPCAR Is Increased in Chronic Symptomatic HF Patients. A Sub-Study of the GISSI-HF Trial. PG - 1721-1731 LID - 10.1093/clinchem/hvab197 [doi] AB - BACKGROUND: The long noncoding RNA LIPCAR (Long Intergenic noncoding RNA Predicting CARdiac remodeling) has emerged as a promising biomarker in cardiac disease and cardiac remodeling. To determine whether LIPCAR levels help for a molecular phenotyping of chronic heart failure (HF) patients, this study assessed the association of LIPCAR with severity of the disease and its progression, and with risk of death or hospitalization in HF patients. METHODS: LIPCAR was measured in plasma of 967 HF patients with symptomatic heart failure participating in the Gruppo Italiano per lo Studio della Sopravvivenza nell'Insufficienza Cardiaca - Heart Failure (GISSI-HF) biohumoral sub-study. RESULTS: Plasma levels of LIPCAR were significantly associated with functional impairment as assessed by the New York Heart Association (NYHA) class, kidney function as reflected by estimated glomerular filtration rate, and creatinine, hemoglobin and mitral insufficiency. In females, these associations were more marked as compared to males. LIPCAR plasma levels were significantly related to the two cardiac markers, N-terminal pro-B type natriuretic peptide and high-sensitivity cardiac troponin T, but not to inflammatory markers such as high sensitivity C-reactive protein and pentraxin-3, nor to patient reported outcomes such as depression and quality of life. HF patients with high LIPCAR levels univariately showed significantly higher incidence of cardiovascular hospitalizations but not of death; after adjusting for covariates, no significant effects of LIPCAR were found for cardiovascular hospitalizations. CONCLUSION: The circulating long noncoding RNA LIPCAR was increased in HF patients with higher NYHA class, impaired kidney function, and lower hemoglobin, which are indicators of patients' overall state. CI - (c) American Association for Clinical Chemistry 2021. All rights reserved. For permissions, please email: journals.permissions@oup.com. FAU - Meessen, Jennifer M T A AU - Meessen JMTA AD - Department of Cardiovascular Medicine, Mario Negri Institute for Pharmacological Research IRCCS, Milan, Italy. FAU - Bar, Christian AU - Bar C AD - Institute of Molecular and Translational Therapeutic Strategies, Hannover Medical School, Hannover, Germany. AD - REBIRTH Center for Translational Regenerative Medicine, Hannover Medical School, Hannover, Germany. FAU - di Dona, Filippo M AU - di Dona FM AD - Department of Cardiovascular Medicine, Mario Negri Institute for Pharmacological Research IRCCS, Milan, Italy. FAU - Staszewsky, Lidia I AU - Staszewsky LI AD - Department of Cardiovascular Medicine, Mario Negri Institute for Pharmacological Research IRCCS, Milan, Italy. FAU - Di Giulio, Paola AU - Di Giulio P AD - Department of Public Health and Pediatrics, University of Turin, Turin, Italy. FAU - Di Tano, Giuseppe AU - Di Tano G AD - Cardiology Department, ASST of Cremona, Cremona, Italy. FAU - Costa, Alessia AU - Costa A AD - Institute of Molecular and Translational Therapeutic Strategies, Hannover Medical School, Hannover, Germany. AD - REBIRTH Center for Translational Regenerative Medicine, Hannover Medical School, Hannover, Germany. FAU - Leonardy, Julia AU - Leonardy J AD - Institute of Molecular and Translational Therapeutic Strategies, Hannover Medical School, Hannover, Germany. AD - REBIRTH Center for Translational Regenerative Medicine, Hannover Medical School, Hannover, Germany. FAU - Novelli, Deborah AU - Novelli D AD - Department of Cardiovascular Medicine, Mario Negri Institute for Pharmacological Research IRCCS, Milan, Italy. FAU - Nicolis, Enrico B AU - Nicolis EB AD - Department of Cardiovascular Medicine, Mario Negri Institute for Pharmacological Research IRCCS, Milan, Italy. FAU - Masson, Serge AU - Masson S AD - Department of Cardiovascular Medicine, Mario Negri Institute for Pharmacological Research IRCCS, Milan, Italy. FAU - Pinet, Florence AU - Pinet F AD - Univ. Lille, Inserm, CHU Lille, Institut Pasteur de Lille, U1167 - RID-AGE-Facteurs de Risque et Determinants Moleculaires des Maladies Liees au Vieillissement, Lille, France. FAU - Thum, Thomas AU - Thum T AD - Institute of Molecular and Translational Therapeutic Strategies, Hannover Medical School, Hannover, Germany. AD - REBIRTH Center for Translational Regenerative Medicine, Hannover Medical School, Hannover, Germany. FAU - Latini, Roberto AU - Latini R AD - Department of Cardiovascular Medicine, Mario Negri Institute for Pharmacological Research IRCCS, Milan, Italy. LA - eng PT - Journal Article PT - Randomized Controlled Trial PT - Research Support, Non-U.S. Gov't PL - England TA - Clin Chem JT - Clinical chemistry JID - 9421549 RN - 0 (Biomarkers) RN - 0 (RNA, Long Noncoding) SB - IM MH - Biomarkers MH - Chronic Disease MH - Female MH - *Heart Failure MH - Humans MH - Male MH - Quality of Life MH - *RNA, Long Noncoding MH - Ventricular Remodeling OTO - NOTNLM OT - *LIPCAR OT - *NYHA class OT - *biomarker OT - *cardiovascular hospitalization OT - *eGFR OT - *heart failure OT - *long noncoding RNA EDAT- 2021/11/10 06:00 MHDA- 2022/04/14 06:00 CRDT- 2021/11/09 12:23 PHST- 2021/02/10 00:00 [received] PHST- 2021/08/26 00:00 [accepted] PHST- 2021/11/10 06:00 [pubmed] PHST- 2022/04/14 06:00 [medline] PHST- 2021/11/09 12:23 [entrez] AID - 6424137 [pii] AID - 10.1093/clinchem/hvab197 [doi] PST - ppublish SO - Clin Chem. 2021 Nov 26;67(12):1721-1731. doi: 10.1093/clinchem/hvab197.