Exploration of the Potential Biomarker FNDC5 for Discriminating Heart Failure in Patients with Coronary Atherosclerosis

J Cardiovasc Transl Res. 2024 Aug;17(4):795-802. doi: 10.1007/s12265-024-10489-8. Epub 2024 Feb 20.

Abstract

Coronary atherosclerosis leading to ischemic artery disease is one of the etiological factors to develop heart failure (HF). This study aimed to investigate potential biomarkers for discriminating HF in atherosclerotic patients. This study included 40 consecutive atherosclerotic patients who underwent angiography. Concentrations of B-type natriuretic peptide (BNP), fibronectin type III domain containing 5 (FNDC5), and Phosphodiesterase 9A (PDE9A) were measured in 20 atherosclerotic patients with HF symptoms/signs and 20 without HF symptoms/signs. Circulating BNP levels were elevated, while FNDC5 levels were reduced in atherosclerotic patients with HF symptoms/signs compared to those without HF symptoms/signs. Pearson correlation analysis showed a significant correlation between FNDC5 and BNP. Receiver Operating Characteristics analysis indicated that both FNDC5 and BNP were able to discriminate HF in atherosclerotic patients. Our findings suggest that FNDC5, along with BNP, has independent value as a biomarker for discriminating HF in patients with coronary atherosclerosis.

Keywords: BNP; Biomarker; Coronary atherosclerosis; FNDC5; Heart failure.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • 3',5'-Cyclic-AMP Phosphodiesterases / blood
  • Aged
  • Biomarkers* / blood
  • Case-Control Studies
  • Coronary Artery Disease* / blood
  • Coronary Artery Disease* / complications
  • Coronary Artery Disease* / diagnosis
  • Coronary Artery Disease* / diagnostic imaging
  • Female
  • Fibronectins* / blood
  • Heart Failure* / blood
  • Heart Failure* / diagnosis
  • Heart Failure* / etiology
  • Humans
  • Male
  • Middle Aged
  • Natriuretic Peptide, Brain* / blood
  • Predictive Value of Tests*
  • Prognosis

Substances

  • Biomarkers
  • Fibronectins
  • FNDC5 protein, human
  • Natriuretic Peptide, Brain
  • 3',5'-Cyclic-AMP Phosphodiesterases