Novel Approaches for BAV Aortopathy Prediction-Is There a Need for Cohort Studies and Biomarkers?
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Novel Approaches for BAV Aortopathy Prediction-Is There a Need for Cohort Studies and Biomarkers? / Girdauskas, Evaldas; Petersen, Johannes; Neumann, Niklas; Naito, Shiho; Gross, Tatiana; Jagodzinski, Annika; Reichenspurner, Hermann; Zeller, Tanja.
In: BIOMOLECULES, Vol. 8, No. 3, 19.07.2018.Research output: SCORING: Contribution to journal › SCORING: Review article › Research
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TY - JOUR
T1 - Novel Approaches for BAV Aortopathy Prediction-Is There a Need for Cohort Studies and Biomarkers?
AU - Girdauskas, Evaldas
AU - Petersen, Johannes
AU - Neumann, Niklas
AU - Naito, Shiho
AU - Gross, Tatiana
AU - Jagodzinski, Annika
AU - Reichenspurner, Hermann
AU - Zeller, Tanja
PY - 2018/7/19
Y1 - 2018/7/19
N2 - Bicuspid aortic valve (BAV) disease is the most common congenital malformation of the human heart with a prevalence of 1⁻2% in the general population. More than half of patients with a BAV present with a dilated proximal aorta (so-called bicuspid aortopathy) which is associated with an enhanced risk of life-threatening aortic complications. Up to now, the pathogenesis of bicuspid aortopathy as well as the risk stratification of aortic complications has not yet been sufficiently clarified. Recent findings have shown that bicuspid aortopathy features phenotypic heterogeneity. Two distinct valvulo-aortic phenotypes, the so-called root phenotype, as well as a dilation of the tubular ascending aorta, coincide with a significantly different risk for aortal complications. However, the phenotype-based classification that is only based on these two clinical forms is not sufficient to estimate the risk of aortal complications in a prognostically relevant way. Therefore, there is growing clinical interest to assess novel approaches in BAV research and to introduce circulating biomarkers as an elegant diagnostic tool to improve risk stratification in BAV aortopathy. A large scale epidemiological cohort study, ranking from apparently healthy individuals to disease patients, and comprehensive biobanks provide the opportunity to study BAV disease and its complications and to identify novel biomarkers for BAV aortopathy surveillance and prognosis. Firstly, the data indicate that several protein-based biomarkers and non-coding RNA molecules, in particular circulating microRNAs, can serve as relevant molecular biomarkers to predict the course of BAV-associated aortopathy. Here, we review the current literature and knowledge about BAV from a clinical point of view, and report about novel approaches in BAV biomarker research.
AB - Bicuspid aortic valve (BAV) disease is the most common congenital malformation of the human heart with a prevalence of 1⁻2% in the general population. More than half of patients with a BAV present with a dilated proximal aorta (so-called bicuspid aortopathy) which is associated with an enhanced risk of life-threatening aortic complications. Up to now, the pathogenesis of bicuspid aortopathy as well as the risk stratification of aortic complications has not yet been sufficiently clarified. Recent findings have shown that bicuspid aortopathy features phenotypic heterogeneity. Two distinct valvulo-aortic phenotypes, the so-called root phenotype, as well as a dilation of the tubular ascending aorta, coincide with a significantly different risk for aortal complications. However, the phenotype-based classification that is only based on these two clinical forms is not sufficient to estimate the risk of aortal complications in a prognostically relevant way. Therefore, there is growing clinical interest to assess novel approaches in BAV research and to introduce circulating biomarkers as an elegant diagnostic tool to improve risk stratification in BAV aortopathy. A large scale epidemiological cohort study, ranking from apparently healthy individuals to disease patients, and comprehensive biobanks provide the opportunity to study BAV disease and its complications and to identify novel biomarkers for BAV aortopathy surveillance and prognosis. Firstly, the data indicate that several protein-based biomarkers and non-coding RNA molecules, in particular circulating microRNAs, can serve as relevant molecular biomarkers to predict the course of BAV-associated aortopathy. Here, we review the current literature and knowledge about BAV from a clinical point of view, and report about novel approaches in BAV biomarker research.
KW - Aortic Diseases/diagnosis
KW - Aortic Valve/abnormalities
KW - Bicuspid Aortic Valve Disease
KW - Biomarkers/blood
KW - Early Diagnosis
KW - Heart Valve Diseases/pathology
KW - Humans
KW - MicroRNAs/blood
KW - Phenotype
KW - Population Surveillance
KW - Prognosis
U2 - 10.3390/biom8030058
DO - 10.3390/biom8030058
M3 - SCORING: Review article
C2 - 30029528
VL - 8
JO - BIOMOLECULES
JF - BIOMOLECULES
SN - 2218-273X
IS - 3
ER -