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The value of N-terminal fragment of brain natriuretic peptide and tissue inhibitor of metalloproteinase-1 levels as predictors of cardiovascular outcome in the LIPID study. Commentary

Identifieur interne : 008966 ( Main/Exploration ); précédent : 008965; suivant : 008967

The value of N-terminal fragment of brain natriuretic peptide and tissue inhibitor of metalloproteinase-1 levels as predictors of cardiovascular outcome in the LIPID study. Commentary

Auteurs : Robert J. Macfadyen [Royaume-Uni] ; M. Jennyfer Ng Kam Chuen [Royaume-Uni] ; Malcolm J. West [Australie] ; Paul J. Nestel [Australie] ; Adrienne C. Kirby [Australie] ; Renate Schnabel [Allemagne] ; David Sullivan [Australie] ; R. John Simes [Australie] ; Christine Pollicino [Australie] ; Edith Lubos [Allemagne] ; Thomas F. Münzel [Allemagne] ; Harvey D. White [Nouvelle-Zélande] ; Andrew M. Tonkin [Australie] ; Christoph Bickel [Allemagne] ; Laurence Tiret [France] ; Stefan Blankenberg [Allemagne]

Source :

RBID : Pascal:08-0183087

Descripteurs français

English descriptors

Abstract

Aims We sought to determine the association between two major biomarkers, the inactive N-terminal fragment of brain natriuretic peptide (NT-proBNP) and tissue inhibitor of metalloproteinase-1 (TIMP-1) and long-term cardiovascular outcomes in a cohort of subjects who had a myocardial infarction or unstable angina 3-36 months previously. Methods Plasma NT-proBNP and TIMP-1 were measured in a nested case control study of 250 randomly matched subject and results pairs enrolled in the long-term intervention with pravastatin in ischaemic disease (LIPID) and LIPID extended follow-up studies. Cases (n = 250) were defined as those who had a cardiovascular death, non-fatal myocardial infarction or stroke during the studies. Controls (n = 250) remained event-free for the same follow-up duration (average 2.5 years) as the matched cases. The relationships between cases and plasma NT-proBNP and TIMP-1 were adjusted for the LIPID risk score, treatment allocation and other biomarkers (CRP, IL-6 and white cell count), and examined using a multivariable conditional logistic regression model. NT-proBNP levels were significantly higher in the cases than in the controls [389 (152-864) vs. 198 (93-416) pg/mL, median (25%-75% percentiles), P< 0.001]. The odds ratio (OR) of recurrent cardiovascular events in individuals in the highest quartile was three times higher than those in the lowest quartile (95% confidence interval (Cl) 1.8-5.1; P < 0.001). Similarly, TIMP-1 levels were significantly higher among cases compared with controls (806 vs. 736 pg/mL, median: highest vs. lowest quartile: OR 2.8, 95% Cl 1.6-4.7; P < 0.001). After adjustment for the LIPID risk score, treatment with pravastatin and other biomarkers, both NT-proBNP and TIMP-1 predicted cardiovascular events significantly and independently of each other. Conclusion The study suggests that in subjects with stable ischaemic disease, NT-proBNP and TIMP-1 are independent predictive markers of coronary heart disease outcome.


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<name sortKey="Bickel, Christoph" sort="Bickel, Christoph" uniqKey="Bickel C" first="Christoph" last="Bickel">Christoph Bickel</name>
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<title xml:lang="en" level="a">The value of N-terminal fragment of brain natriuretic peptide and tissue inhibitor of metalloproteinase-1 levels as predictors of cardiovascular outcome in the LIPID study. Commentary</title>
<author>
<name sortKey="Macfadyen, Robert J" sort="Macfadyen, Robert J" uniqKey="Macfadyen R" first="Robert J." last="Macfadyen">Robert J. Macfadyen</name>
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<s1>University Department of Medicine and Department of Cardiology, City Hospital, Dudley Road</s1>
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<s3>GBR</s3>
<sZ>1 aut.</sZ>
<sZ>2 aut.</sZ>
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<country>Royaume-Uni</country>
<wicri:noRegion>Birmingham B18 7QH</wicri:noRegion>
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<name sortKey="Ng Kam Chuen, M Jennyfer" sort="Ng Kam Chuen, M Jennyfer" uniqKey="Ng Kam Chuen M" first="M. Jennyfer" last="Ng Kam Chuen">M. Jennyfer Ng Kam Chuen</name>
<affiliation wicri:level="1">
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<s1>University Department of Medicine and Department of Cardiology, City Hospital, Dudley Road</s1>
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<name sortKey="West, Malcolm J" sort="West, Malcolm J" uniqKey="West M" first="Malcolm J." last="West">Malcolm J. West</name>
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<name sortKey="Pollicino, Christine" sort="Pollicino, Christine" uniqKey="Pollicino C" first="Christine" last="Pollicino">Christine Pollicino</name>
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<name sortKey="Lubos, Edith" sort="Lubos, Edith" uniqKey="Lubos E" first="Edith" last="Lubos">Edith Lubos</name>
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<s1>Department of Medicine II, Johannes Gutenberg University, Langenbeckstr. 1</s1>
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<name sortKey="Munzel, Thomas F" sort="Munzel, Thomas F" uniqKey="Munzel T" first="Thomas F." last="Münzel">Thomas F. Münzel</name>
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</author>
<author>
<name sortKey="Tonkin, Andrew M" sort="Tonkin, Andrew M" uniqKey="Tonkin A" first="Andrew M." last="Tonkin">Andrew M. Tonkin</name>
<affiliation wicri:level="3">
<inist:fA14 i1="08">
<s1>National Heart Foundation</s1>
<s2>Melbourne</s2>
<s3>AUS</s3>
<sZ>13 aut.</sZ>
</inist:fA14>
<country>Australie</country>
<placeName>
<settlement type="city">Melbourne</settlement>
<region type="état">Victoria (État)</region>
</placeName>
</affiliation>
</author>
<author>
<name sortKey="Bickel, Christoph" sort="Bickel, Christoph" uniqKey="Bickel C" first="Christoph" last="Bickel">Christoph Bickel</name>
<affiliation wicri:level="1">
<inist:fA14 i1="09">
<s1>Innere Abteilung, Bundeswehrzentralkrankenhaus</s1>
<s2>Koblenz</s2>
<s3>DEU</s3>
<sZ>14 aut.</sZ>
</inist:fA14>
<country>Allemagne</country>
<wicri:noRegion>Koblenz</wicri:noRegion>
<wicri:noRegion>Bundeswehrzentralkrankenhaus</wicri:noRegion>
<wicri:noRegion>Koblenz</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Tiret, Laurence" sort="Tiret, Laurence" uniqKey="Tiret L" first="Laurence" last="Tiret">Laurence Tiret</name>
<affiliation wicri:level="3">
<inist:fA14 i1="10">
<s1>INSERM U525, Faculte de Medecin Pitie-Salpetriere</s1>
<s2>Paris</s2>
<s3>FRA</s3>
<sZ>15 aut.</sZ>
</inist:fA14>
<country>France</country>
<placeName>
<region type="region">Île-de-France</region>
<region type="old region">Île-de-France</region>
<settlement type="city">Paris</settlement>
</placeName>
</affiliation>
</author>
<author>
<name sortKey="Blankenberg, Stefan" sort="Blankenberg, Stefan" uniqKey="Blankenberg S" first="Stefan" last="Blankenberg">Stefan Blankenberg</name>
<affiliation wicri:level="1">
<inist:fA14 i1="05">
<s1>Department of Medicine II, Johannes Gutenberg University, Langenbeckstr. 1</s1>
<s2>Mainz 55131</s2>
<s3>DEU</s3>
<sZ>6 aut.</sZ>
<sZ>10 aut.</sZ>
<sZ>11 aut.</sZ>
<sZ>16 aut.</sZ>
</inist:fA14>
<country>Allemagne</country>
<wicri:noRegion>55131</wicri:noRegion>
<wicri:noRegion>Langenbeckstr. 1</wicri:noRegion>
<wicri:noRegion>Mainz 55131</wicri:noRegion>
</affiliation>
</author>
</analytic>
<series>
<title level="j" type="main">European heart journal</title>
<title level="j" type="abbreviated">Eur. heart j.</title>
<idno type="ISSN">0195-668X</idno>
<imprint>
<date when="2008">2008</date>
</imprint>
</series>
</biblStruct>
</sourceDesc>
<seriesStmt>
<title level="j" type="main">European heart journal</title>
<title level="j" type="abbreviated">Eur. heart j.</title>
<idno type="ISSN">0195-668X</idno>
</seriesStmt>
</fileDesc>
<profileDesc>
<textClass>
<keywords scheme="KwdEn" xml:lang="en">
<term>Atherosclerosis</term>
<term>Brain natriuretic peptide</term>
<term>Cardiology</term>
<term>Cardiovascular disease</term>
<term>Circulatory system</term>
<term>Evolution</term>
<term>Fragment</term>
<term>Inhibitor</term>
<term>Level</term>
<term>Lipids</term>
<term>Metalloendopeptidases</term>
<term>Metalloproteinase</term>
<term>N terminal-Sequence</term>
<term>Pravastatin</term>
<term>Prediction</term>
<term>Predictive factor</term>
<term>Predictor</term>
<term>Prognosis</term>
<term>Risk</term>
<term>Risk factor</term>
<term>Tissue</term>
</keywords>
<keywords scheme="Pascal" xml:lang="fr">
<term>Pathologie de l'appareil circulatoire</term>
<term>Athérosclérose</term>
<term>Séquence N terminale</term>
<term>Fragment</term>
<term>Peptide BNP</term>
<term>Tissu</term>
<term>Inhibiteur</term>
<term>Metalloendopeptidases</term>
<term>Métalloprotéinase</term>
<term>Niveau</term>
<term>Prédicteur</term>
<term>Facteur prédictif</term>
<term>Prédiction</term>
<term>Pronostic</term>
<term>Evolution</term>
<term>Lipide</term>
<term>Facteur risque</term>
<term>Risque</term>
<term>Pravastatine</term>
<term>Appareil circulatoire</term>
<term>Cardiologie</term>
</keywords>
</textClass>
</profileDesc>
</teiHeader>
<front>
<div type="abstract" xml:lang="en">Aims We sought to determine the association between two major biomarkers, the inactive N-terminal fragment of brain natriuretic peptide (NT-proBNP) and tissue inhibitor of metalloproteinase-1 (TIMP-1) and long-term cardiovascular outcomes in a cohort of subjects who had a myocardial infarction or unstable angina 3-36 months previously. Methods Plasma NT-proBNP and TIMP-1 were measured in a nested case control study of 250 randomly matched subject and results pairs enrolled in the long-term intervention with pravastatin in ischaemic disease (LIPID) and LIPID extended follow-up studies. Cases (n = 250) were defined as those who had a cardiovascular death, non-fatal myocardial infarction or stroke during the studies. Controls (n = 250) remained event-free for the same follow-up duration (average 2.5 years) as the matched cases. The relationships between cases and plasma NT-proBNP and TIMP-1 were adjusted for the LIPID risk score, treatment allocation and other biomarkers (CRP, IL-6 and white cell count), and examined using a multivariable conditional logistic regression model. NT-proBNP levels were significantly higher in the cases than in the controls [389 (152-864) vs. 198 (93-416) pg/mL, median (25%-75% percentiles), P< 0.001]. The odds ratio (OR) of recurrent cardiovascular events in individuals in the highest quartile was three times higher than those in the lowest quartile (95% confidence interval (Cl) 1.8-5.1; P < 0.001). Similarly, TIMP-1 levels were significantly higher among cases compared with controls (806 vs. 736 pg/mL, median: highest vs. lowest quartile: OR 2.8, 95% Cl 1.6-4.7; P < 0.001). After adjustment for the LIPID risk score, treatment with pravastatin and other biomarkers, both NT-proBNP and TIMP-1 predicted cardiovascular events significantly and independently of each other. Conclusion The study suggests that in subjects with stable ischaemic disease, NT-proBNP and TIMP-1 are independent predictive markers of coronary heart disease outcome.</div>
</front>
</TEI>
<affiliations>
<list>
<country>
<li>Allemagne</li>
<li>Australie</li>
<li>France</li>
<li>Nouvelle-Zélande</li>
<li>Royaume-Uni</li>
</country>
<region>
<li>Nouvelle-Galles du Sud</li>
<li>Victoria (État)</li>
<li>Île-de-France</li>
</region>
<settlement>
<li>Melbourne</li>
<li>Paris</li>
<li>Sydney</li>
</settlement>
<orgName>
<li>Université de Sydney</li>
</orgName>
</list>
<tree>
<country name="Royaume-Uni">
<noRegion>
<name sortKey="Macfadyen, Robert J" sort="Macfadyen, Robert J" uniqKey="Macfadyen R" first="Robert J." last="Macfadyen">Robert J. Macfadyen</name>
</noRegion>
<name sortKey="Ng Kam Chuen, M Jennyfer" sort="Ng Kam Chuen, M Jennyfer" uniqKey="Ng Kam Chuen M" first="M. Jennyfer" last="Ng Kam Chuen">M. Jennyfer Ng Kam Chuen</name>
</country>
<country name="Australie">
<noRegion>
<name sortKey="West, Malcolm J" sort="West, Malcolm J" uniqKey="West M" first="Malcolm J." last="West">Malcolm J. West</name>
</noRegion>
<name sortKey="Kirby, Adrienne C" sort="Kirby, Adrienne C" uniqKey="Kirby A" first="Adrienne C." last="Kirby">Adrienne C. Kirby</name>
<name sortKey="Nestel, Paul J" sort="Nestel, Paul J" uniqKey="Nestel P" first="Paul J." last="Nestel">Paul J. Nestel</name>
<name sortKey="Pollicino, Christine" sort="Pollicino, Christine" uniqKey="Pollicino C" first="Christine" last="Pollicino">Christine Pollicino</name>
<name sortKey="Simes, R John" sort="Simes, R John" uniqKey="Simes R" first="R. John" last="Simes">R. John Simes</name>
<name sortKey="Sullivan, David" sort="Sullivan, David" uniqKey="Sullivan D" first="David" last="Sullivan">David Sullivan</name>
<name sortKey="Tonkin, Andrew M" sort="Tonkin, Andrew M" uniqKey="Tonkin A" first="Andrew M." last="Tonkin">Andrew M. Tonkin</name>
</country>
<country name="Allemagne">
<noRegion>
<name sortKey="Schnabel, Renate" sort="Schnabel, Renate" uniqKey="Schnabel R" first="Renate" last="Schnabel">Renate Schnabel</name>
</noRegion>
<name sortKey="Bickel, Christoph" sort="Bickel, Christoph" uniqKey="Bickel C" first="Christoph" last="Bickel">Christoph Bickel</name>
<name sortKey="Blankenberg, Stefan" sort="Blankenberg, Stefan" uniqKey="Blankenberg S" first="Stefan" last="Blankenberg">Stefan Blankenberg</name>
<name sortKey="Lubos, Edith" sort="Lubos, Edith" uniqKey="Lubos E" first="Edith" last="Lubos">Edith Lubos</name>
<name sortKey="Munzel, Thomas F" sort="Munzel, Thomas F" uniqKey="Munzel T" first="Thomas F." last="Münzel">Thomas F. Münzel</name>
</country>
<country name="Nouvelle-Zélande">
<noRegion>
<name sortKey="White, Harvey D" sort="White, Harvey D" uniqKey="White H" first="Harvey D." last="White">Harvey D. White</name>
</noRegion>
</country>
<country name="France">
<region name="Île-de-France">
<name sortKey="Tiret, Laurence" sort="Tiret, Laurence" uniqKey="Tiret L" first="Laurence" last="Tiret">Laurence Tiret</name>
</region>
</country>
</tree>
</affiliations>
</record>

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