The value of IGF-1 and IGFBP-1 in patients with heart failure with reduced, mid-range, and preserved ejection fraction
Journal article
Guo, Shaohua, Gong, Mengqi, Tse, Gary, Li, Guangping, Chen, Kang-Yin and Liu, Tong 2022. The value of IGF-1 and IGFBP-1 in patients with heart failure with reduced, mid-range, and preserved ejection fraction. Frontiers in Cardiovascular Medicine. 8, p. 772105. https://doi.org/10.3389/fcvm.2021.772105
| Authors | Guo, Shaohua, Gong, Mengqi, Tse, Gary, Li, Guangping, Chen, Kang-Yin and Liu, Tong |
|---|---|
| Abstract | Background: Previous studies have reported inconsistent results regarding the implications of deranged insulin-like growth factor 1 (IGF-1)/insulin-like growth factor-binding protein 1 (IGFBP-1) axis in patients with heart failure (HF). This study evaluates the roles of IGF1/IGFBP-1 axis in patients with HF with reduced ejection fraction (HFrEF), mid-range ejection fraction (HFmrEF), or preserved ejection fraction (HFpEF). Methods: Consecutive patients with HFrEF, HFmrEF, and HFpEF who underwent comprehensive cardiac assessment were included. The primary endpoint was the composite endpoint of all-cause death and HF rehospitalization at one year. Results: A total of 151 patients with HF (HFrEF: n = 51; HFmrEF: n = 30; HFpEF: n = 70) and 50 control subjects were included. The concentrations of IGFBP-1 (p < 0.001) and IGFBP-1/IGF-1 ratio (p < 0.001) were significantly lower in patients with HF compared to controls and can readily distinguish patients with and without HF (IGFBP-1: areas under the curve (AUC): 0.725, p < 0.001; IGFBP-1/IGF-1 ratio: AUC:0.755, p < 0.001; respectively). The concentrations of IGF-1, IGFBP-1, and IGFBP-1/IGF-1 ratio were similar among HFpEF, HFmrEF, and HFrEF patients. IGFBP-1 and IGFBP-1/IGF-1 ratio positively correlated with N-terminal probrain natriuretic peptide (NT-proBNP) levels (r = 0.255, p = 0.002; r = 0.224, p = 0.007, respectively). IGF-1, IGFBP-1, and IGFBP-1/IGF-1 ratio did not predict the primary endpoint at 1 year for the whole patients with HF and HF subtypes on both univariable and multivariable Cox regression. Conclusion: The concentrations of plasma IGFBP-1 and IGFBP-1/IGF-1 ratio can distinguish patients with and without HF. In HF, IGFBP-1 and IGFBP-1/IGF-1 ratio positively correlated with NT-proBNP levels. |
| Keywords | Cardiovascular medicine; IGF-1; IGFBP 1; Heart failure; HFrEF—heart failure with reduced ejection fraction; HFpEF—heart failure with preserved ejection fraction; HFmrEF—heart failure with mid-range ejection fraction |
| Year | 2022 |
| Journal | Frontiers in Cardiovascular Medicine |
| Journal citation | 8, p. 772105 |
| Publisher | Frontiers |
| ISSN | 2297-055X |
| Digital Object Identifier (DOI) | https://doi.org/10.3389/fcvm.2021.772105 |
| Official URL | https://www.frontiersin.org/articles/10.3389/fcvm.2021.772105/full |
| Publication dates | |
| Online | 21 Jan 2022 |
| Publication process dates | |
| Accepted | 20 Dec 2021 |
| Deposited | 17 Feb 2022 |
| Publisher's version | License |
| Output status | Published |
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https://repository.canterbury.ac.uk/item/906zq/the-value-of-igf-1-and-igfbp-1-in-patients-with-heart-failure-with-reduced-mid-range-and-preserved-ejection-fraction
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