Midregional pro-atrial natriuretic peptide in the general population/Insights from the Gutenberg Health Study
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Midregional pro-atrial natriuretic peptide in the general population/Insights from the Gutenberg Health Study. / Tzikas, Stergios; Keller, Till; Wild, Philipp S; Schulz, Andreas; Zwiener, Isabella; Zeller, Tanja; Schnabel, Renate B; Sinning, Christoph; Lubos, Edith; Kunde, Jan; Münzel, Thomas; Lackner, Karl J; Blankenberg, Stefan.
in: CLIN CHEM LAB MED, Jahrgang 51, Nr. 5, 05.2013, S. 1125-1133.Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › SCORING: Zeitschriftenaufsatz › Forschung › Begutachtung
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TY - JOUR
T1 - Midregional pro-atrial natriuretic peptide in the general population/Insights from the Gutenberg Health Study
AU - Tzikas, Stergios
AU - Keller, Till
AU - Wild, Philipp S
AU - Schulz, Andreas
AU - Zwiener, Isabella
AU - Zeller, Tanja
AU - Schnabel, Renate B
AU - Sinning, Christoph
AU - Lubos, Edith
AU - Kunde, Jan
AU - Münzel, Thomas
AU - Lackner, Karl J
AU - Blankenberg, Stefan
PY - 2013/5
Y1 - 2013/5
N2 - BACKGROUND: The use of biomarkers is firmly established for the assessment of cardiovascular disease. Emerging biomarkers such as midregional pro-atrial natriuretic peptide (MR-proANP) challenge established markers regarding risk prediction and stratification ability. The aim of the present study was to describe the distribution of a contemporary MR-proANP assay in a large population-representative sample and to evaluate the association with prevalent cardiac diseases and cardiovascular risk factors.METHODS: MR-proANP was determined by the use of a contemporary commercially available assay (BRAHMS GmbH, Hennigsdorf, Germany) in a representative sample of 5000 participants from the large population-based Gutenberg Health Study. N-terminal pro B-type natriuretic peptide (NT-proBNP) was used as a comparator.RESULTS: Mean age was 55.5 ± 10.9 years. Coronary artery disease (CAD) was documented in 4.6%, heart failure (HF) in 1.5% of the study participants. We observed a moderate to strong correlation of the biomarkers with age, diabetes, hypertension, smoking, renal function, prevalence of CAD and HF. Males showed lower MR-proANP concentrations than females. MR-proANP showed no relevant correlation with BMI (ρ=-0.030) and CRP (ρ=0.039). Reference limits for MR-proANP representing the 95th/97.5th/99th percentile were determined for healthy individuals with 116/132/169 pmol/mL.CONCLUSIONS: The current analysis in a large population-based sample elucidates the correlations and distribution of MR-proANP. Its concentration in healthy individuals depends on prevalent cardiovascular diseases and classical risk factors. The reported population-based reference values might be useful for distinguishing between healthy and diseased individuals, thus improving risk stratification and triaging in various clinical settings.
AB - BACKGROUND: The use of biomarkers is firmly established for the assessment of cardiovascular disease. Emerging biomarkers such as midregional pro-atrial natriuretic peptide (MR-proANP) challenge established markers regarding risk prediction and stratification ability. The aim of the present study was to describe the distribution of a contemporary MR-proANP assay in a large population-representative sample and to evaluate the association with prevalent cardiac diseases and cardiovascular risk factors.METHODS: MR-proANP was determined by the use of a contemporary commercially available assay (BRAHMS GmbH, Hennigsdorf, Germany) in a representative sample of 5000 participants from the large population-based Gutenberg Health Study. N-terminal pro B-type natriuretic peptide (NT-proBNP) was used as a comparator.RESULTS: Mean age was 55.5 ± 10.9 years. Coronary artery disease (CAD) was documented in 4.6%, heart failure (HF) in 1.5% of the study participants. We observed a moderate to strong correlation of the biomarkers with age, diabetes, hypertension, smoking, renal function, prevalence of CAD and HF. Males showed lower MR-proANP concentrations than females. MR-proANP showed no relevant correlation with BMI (ρ=-0.030) and CRP (ρ=0.039). Reference limits for MR-proANP representing the 95th/97.5th/99th percentile were determined for healthy individuals with 116/132/169 pmol/mL.CONCLUSIONS: The current analysis in a large population-based sample elucidates the correlations and distribution of MR-proANP. Its concentration in healthy individuals depends on prevalent cardiovascular diseases and classical risk factors. The reported population-based reference values might be useful for distinguishing between healthy and diseased individuals, thus improving risk stratification and triaging in various clinical settings.
KW - Adult
KW - Aged
KW - Atrial Natriuretic Factor/blood
KW - Biomarkers/blood
KW - Blood Chemical Analysis
KW - Cohort Studies
KW - Cross-Sectional Studies
KW - Female
KW - Germany/epidemiology
KW - Humans
KW - Male
KW - Middle Aged
U2 - 10.1515/cclm-2012-0541
DO - 10.1515/cclm-2012-0541
M3 - SCORING: Journal article
C2 - 23183754
VL - 51
SP - 1125
EP - 1133
JO - CLIN CHEM LAB MED
JF - CLIN CHEM LAB MED
SN - 1434-6621
IS - 5
ER -