CA125, Galectin-3 and FGF-23 are interrelated in heart failure with reduced ejection fraction.

Q2 Medicine
Damien Gruson, Diane Maisin, Anne-Catherine Pouleur, Sylvie A Ann, Michel F Rousseau
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Abstract

Background: Carbohydrate Antigen 125 (CA125) is the most widely used biomarker in ovarian cancer screening. In patients with heart failure (HF), increased levels of CA125 have been observed and related to disease severity. Our objective was to determine the association of CA125 levels with two biomarkers of adverse remodeling in HF patients with reduced ejection fraction (HFrEF).

Methods: CA125 circulating levels were determined with an electrochemiluminscent immunoassay. Concentrations of B-type natriuretic peptide (BNP), N-terminal proBNP (Nt-proBNP), Galectin-3 and Fibroblast Growth Factor 23 (FGF23) were also measured by immunoassays.

Results: CA125 levels were increased in HFrEF, were associated to disease severity according NYHA classes. Median CA125 concentration was also significantly related to cardiovascular mortality. CA125 concentrations were positively and significantly associated to Galectin-3 and FGF23.

Conclusions: Concentrations of CA125 are increased in patients with HFrEF, associated to disease severity and adverse cardiovascular outcomes. CA125 levels are also correlated to Galectin-3 and FGF-23, two biomarkers related to fibrosis and cardiovascular remodeling.

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CA125、Galectin-3 和 FGF-23 在射血分数降低的心力衰竭中相互关联。
背景:碳水化合物抗原 125 (CA125) 是卵巢癌筛查中使用最广泛的生物标志物。在心力衰竭(HF)患者中,已观察到 CA125 水平升高并与疾病严重程度相关。我们的目的是确定 CA125 水平与射血分数降低的心力衰竭(HFrEF)患者不良重塑的两种生物标志物之间的关系:用电化学发光免疫测定法测定CA125循环水平。方法:用电化学发光免疫测定法测定 CA125 的循环水平,同时用免疫测定法测定 B 型利钠肽 (BNP)、N 端 proBNP (Nt-proBNP)、Galectin-3 和成纤维细胞生长因子 23 (FGF23) 的浓度:结果:CA125水平在HFrEF中升高,并与NYHA分级中的疾病严重程度相关。CA125浓度中位数与心血管死亡率也有显著关系。CA125 浓度与 Galectin-3 和 FGF23 呈显著正相关:结论:CA125浓度在HFrEF患者中升高,与疾病严重程度和不良心血管结局有关。CA125水平还与Galectin-3和FGF-23这两种与纤维化和心血管重塑有关的生物标志物相关。
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CiteScore
2.30
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