Title The biomarker N-terminal pro-brain natriuretic peptide and liver diseases
Authors Wang, Ling
Geng, Jiabao
Li, Jie
Li, Tong
Matsumori, Akira
Chang, Yibin
Lu, Fengmin
Zhuang, Hui
Affiliation Peking Univ, Hlth Sci Ctr, Dept Microbiol, Beijing 100191, Peoples R China.
Kyoto Univ, Dept Cardiovasc Med, Kyoto 6068501, Japan.
81st Hosp PLA, Inst Hepatol, Nanjing, Jiangsu Prov, Peoples R China.
Keywords LEFT-VENTRICULAR DYSFUNCTION
ACUTE PULMONARY-EMBOLISM
HEART-FAILURE
SYSTOLIC DYSFUNCTION
PROGNOSTIC ROLE
CHILDREN
INFANTS
SECRETION
MORTALITY
MARKER
Issue Date 2011
Publisher clinical and investigative medicine
Citation CLINICAL AND INVESTIGATIVE MEDICINE.2011,34,(1),E30-E37.
Abstract Purpose: NT-proBNP has emerged as a powerful diagnostic and prognostic biomarker in heart disease. Studies showed that NT-proBNP is a sensitive biomarker for identifying patients with heart failure caused by hepatitis C virus (HCV) related myocarditis. The purpose of this study was to evaluate the correlation between the serum concentration of NT-proBNP and hepatitis virus infection/liver disease. Methods: 223 serum samples from blood donors (aged 19 similar to 50 years old) were collected as a control group, and 644 samples were obtained from patients infected by hepatitis viruses including 493 HBV: 364 chronic hepatitis (CH), 86 hepatocellular carcinoma (HCC) and 43 liver cirrhosis (LC) and 151 HCV (85 CH, 14 HCC, 52 LC). All samples were assayed with an Elecsys immunoassay analyzer for NT-proBNP concentration. Results: The mean concentration of NT-proBNP in the control group was 21.77 pg/ml and showed no significant variation with either age or gender. Both the mean value and the rate of abnormality of NT-proBNP were significantly higher for the HBV-and HCV-infected groups in comparison with the control group. The mean NT-proBNP value (380.24 pg/ml) and abnormality rate (38.41%) in the HCV group were higher than that of the HBV group. For samples from patients with HBV/HCV-related hepatic disease/pathology, the mean NT-proBNP value (517.19 pg/ml/597.18 pg/ml) were the highest in the liver cirrhosis group. Conclusions: Hepatic pathologic lesions, particularly cirrhosis, may contribute to the elevation of NT-proBNP in subjects with HBV/HCV infection.
URI http://hdl.handle.net/20.500.11897/395089
ISSN 0147-958X
Indexed SCI(E)
Appears in Collections: 医学部待认领

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