Skip to main content
Top
Published in: Respiratory Research 1/2016

Open Access 01-12-2016 | Review

Novel biomarkers for pulmonary arterial hypertension

Authors: Anjum Anwar, Gregoire Ruffenach, Aman Mahajan, Mansoureh Eghbali, Soban Umar

Published in: Respiratory Research | Issue 1/2016

Login to get access

Abstract

Pulmonary arterial hypertension is a deadly disease characterized by elevated pulmonary arterial pressures leading to right ventricular hypertrophy and failure. The confirmatory gold standard test is the invasive right heart catheterization. The disease course is monitored by pulmonary artery systolic pressure measurement via transthoracic echocardiography. A simple non-invasive test to frequently monitor the patients is much needed. Search for a novel biomarker that can be detected by a simple test is ongoing and many different options are being studied. Here we review some of the new and unique pre-clinical options for potential pulmonary hypertension biomarkers. These biomarkers can be broadly categorized based on their association with endothelial cell dysfunction, inflammation, epigenetics, cardiac function, oxidative stress, metabolism,extracellular matrix, and volatile compounds in exhaled breath condensate. A biomarker that can be detected in blood, urine or breath condensate and correlates with disease severity, progression and response to therapy may result in significant cost reduction and improved patient outcomes.
Literature
1.
go back to reference Akın A, Alehan D, Aykan HH, Özkutlu S, Özer S, Karagöz T. Serum Bcl-2 values in children with pulmonary hypertension. Pediatr Cardiol. 2015;36:579–83.CrossRefPubMed Akın A, Alehan D, Aykan HH, Özkutlu S, Özer S, Karagöz T. Serum Bcl-2 values in children with pulmonary hypertension. Pediatr Cardiol. 2015;36:579–83.CrossRefPubMed
2.
go back to reference Al-Naamani N, Palevsky HI, Lederer DJ, Horn EM, Mathai SC, Roberts KE, Tracy RP, Hassoun PM, Girgis RE, Shimbo D, et al. Prognostic significance of biomarkers in pulmonary arterial hypertension. Ann Am Thorac Soc. 2016;13:25–30.CrossRefPubMed Al-Naamani N, Palevsky HI, Lederer DJ, Horn EM, Mathai SC, Roberts KE, Tracy RP, Hassoun PM, Girgis RE, Shimbo D, et al. Prognostic significance of biomarkers in pulmonary arterial hypertension. Ann Am Thorac Soc. 2016;13:25–30.CrossRefPubMed
3.
go back to reference Andreassen AK, Wergeland R, Simonsen S, Geiran O, Guevara C, Ueland T. N-terminal pro-B-type natriuretic peptide as an indicator of disease severity in a heterogeneous group of patients with chronic precapillary pulmonary hypertension. Am J Cardiol. 2006;98:525–9.CrossRefPubMed Andreassen AK, Wergeland R, Simonsen S, Geiran O, Guevara C, Ueland T. N-terminal pro-B-type natriuretic peptide as an indicator of disease severity in a heterogeneous group of patients with chronic precapillary pulmonary hypertension. Am J Cardiol. 2006;98:525–9.CrossRefPubMed
4.
go back to reference Cracowski J-L, Degano B, Chabot F, Labarère J, Schwedhelm E, Monneret D, Iuliano L, Schwebel C, Chaouat A, Reynaud-Gaubert M, et al. Independent association of urinary F2-isoprostanes with survival in pulmonary arterial hypertension. Chest. 2012;142:869–76.CrossRefPubMed Cracowski J-L, Degano B, Chabot F, Labarère J, Schwedhelm E, Monneret D, Iuliano L, Schwebel C, Chaouat A, Reynaud-Gaubert M, et al. Independent association of urinary F2-isoprostanes with survival in pulmonary arterial hypertension. Chest. 2012;142:869–76.CrossRefPubMed
5.
go back to reference Damico R, Kolb TM, Valera L, Wang L, Housten T, Tedford RJ, Kass, DA, Rafaels N, Gao L, Barnes, KC, et al. Serum endostatin is a genetically determined predictor of survival in pulmonary arterial hypertension. Am J Respir Crit Care Med. 2015;191:208–18.CrossRefPubMedPubMedCentral Damico R, Kolb TM, Valera L, Wang L, Housten T, Tedford RJ, Kass, DA, Rafaels N, Gao L, Barnes, KC, et al. Serum endostatin is a genetically determined predictor of survival in pulmonary arterial hypertension. Am J Respir Crit Care Med. 2015;191:208–18.CrossRefPubMedPubMedCentral
6.
go back to reference Felker GM, Allen LA, Pocock SJ, Shaw LK, McMurray JJV, Pfeffer MA, Swedberg K, Wang D, Yusuf S, Michelson EL, et al. Red cell distribution width as a novel prognostic marker in heart failure data from the CHARM program and the duke databank. J Am Coll Cardiol. 2007;50:40–7.CrossRefPubMed Felker GM, Allen LA, Pocock SJ, Shaw LK, McMurray JJV, Pfeffer MA, Swedberg K, Wang D, Yusuf S, Michelson EL, et al. Red cell distribution width as a novel prognostic marker in heart failure data from the CHARM program and the duke databank. J Am Coll Cardiol. 2007;50:40–7.CrossRefPubMed
7.
go back to reference Fenster BE, Lasalvia L, Schroeder JD, Smyser J, Silveira LJ, Buckner JK, and Brown KK. Cystatin C: a potential biomarker for pulmonary arterial hypertension. Respirol Carlton Vic. 2014;19:583–9.CrossRef Fenster BE, Lasalvia L, Schroeder JD, Smyser J, Silveira LJ, Buckner JK, and Brown KK. Cystatin C: a potential biomarker for pulmonary arterial hypertension. Respirol Carlton Vic. 2014;19:583–9.CrossRef
8.
go back to reference Fenster BE, Lasalvia L, Schroeder JD, Smyser J, Silveira LJ, Buckner JK, and Brown KK. Galectin-3 levels are associated with right ventricular functional and morphologic changes in pulmonary arterial hypertension. Heart Vessels. 2016;31:939–46.CrossRefPubMed Fenster BE, Lasalvia L, Schroeder JD, Smyser J, Silveira LJ, Buckner JK, and Brown KK. Galectin-3 levels are associated with right ventricular functional and morphologic changes in pulmonary arterial hypertension. Heart Vessels. 2016;31:939–46.CrossRefPubMed
9.
go back to reference Giannakoulas G, Mouratoglou S-A, Gatzoulis MA, Karvounis H. Blood biomarkers and their potential role in pulmonary arterial hypertension associated with congenital heart disease. a systematic review. Int J Cardiol. 2014;174:618–23.CrossRefPubMed Giannakoulas G, Mouratoglou S-A, Gatzoulis MA, Karvounis H. Blood biomarkers and their potential role in pulmonary arterial hypertension associated with congenital heart disease. a systematic review. Int J Cardiol. 2014;174:618–23.CrossRefPubMed
10.
go back to reference Heresi GA, Aytekin M, Newman J, DiDonato J, Dweik RA. Plasma levels of high-density lipoprotein cholesterol and outcomes in pulmonary arterial hypertension. Am J Respir Crit Care Med. 2010;182:661–8.CrossRefPubMedPubMedCentral Heresi GA, Aytekin M, Newman J, DiDonato J, Dweik RA. Plasma levels of high-density lipoprotein cholesterol and outcomes in pulmonary arterial hypertension. Am J Respir Crit Care Med. 2010;182:661–8.CrossRefPubMedPubMedCentral
11.
go back to reference Hessel M, Steendijk P, den Adel B, Schutte C, van der Laarse A. Pressure overload-induced right ventricular failure is associated with re-expression of myocardial tenascin-C and elevated plasma tenascin-C levels. Cell Physiol Biochem Int J Exp Cell Physiol Biochem Pharmacol. 2009;24:201–10.CrossRef Hessel M, Steendijk P, den Adel B, Schutte C, van der Laarse A. Pressure overload-induced right ventricular failure is associated with re-expression of myocardial tenascin-C and elevated plasma tenascin-C levels. Cell Physiol Biochem Int J Exp Cell Physiol Biochem Pharmacol. 2009;24:201–10.CrossRef
12.
go back to reference Ho JE, Liu C, Lyass A, Courchesne P, Pencina MJ, Vasan RS, Larson MG, and Levy D. Galectin-3, a marker of cardiac fibrosis, predicts incident heart failure in the community. J Am Coll Cardiol. 2012;60:1249–56.CrossRefPubMedPubMedCentral Ho JE, Liu C, Lyass A, Courchesne P, Pencina MJ, Vasan RS, Larson MG, and Levy D. Galectin-3, a marker of cardiac fibrosis, predicts incident heart failure in the community. J Am Coll Cardiol. 2012;60:1249–56.CrossRefPubMedPubMedCentral
13.
go back to reference Khan SQ, O’Brien RJ, Struck J, Quinn P, Morgenthaler N, Squire I, Davies J, Bergmann A, and Ng LL. Prognostic value of midregional pro-adrenomedullin in patients with acute myocardial infarction: the LAMP (Leicester Acute Myocardial Infarction Peptide) study. J Am Coll Cardiol. 2007;49:1525–32.CrossRefPubMed Khan SQ, O’Brien RJ, Struck J, Quinn P, Morgenthaler N, Squire I, Davies J, Bergmann A, and Ng LL. Prognostic value of midregional pro-adrenomedullin in patients with acute myocardial infarction: the LAMP (Leicester Acute Myocardial Infarction Peptide) study. J Am Coll Cardiol. 2007;49:1525–32.CrossRefPubMed
14.
go back to reference Kolditz M, Seyfarth H-J, Wilkens H, Ewert R, Bollmann T, Dinter C, Hertel S, Klose H, Opitz C, Grünig E, et al. MR-proADM predicts exercise capacity and survival superior to other biomarkers in PH. Lung. 2015;193:901–10.CrossRefPubMed Kolditz M, Seyfarth H-J, Wilkens H, Ewert R, Bollmann T, Dinter C, Hertel S, Klose H, Opitz C, Grünig E, et al. MR-proADM predicts exercise capacity and survival superior to other biomarkers in PH. Lung. 2015;193:901–10.CrossRefPubMed
15.
go back to reference Krüger S, Ewig S, Giersdorf S, Hartmann O, Suttorp N, Welte T, and German Competence Network for the Study of Community Acquired Pneumonia (CAPNETZ) Study Group. Cardiovascular and inflammatory biomarkers to predict short- and long-term survival in community-acquired pneumonia: Results from the German Competence Network, CAPNETZ. Am J Respir Crit Care Med. 2010;182:1426–34.CrossRefPubMed Krüger S, Ewig S, Giersdorf S, Hartmann O, Suttorp N, Welte T, and German Competence Network for the Study of Community Acquired Pneumonia (CAPNETZ) Study Group. Cardiovascular and inflammatory biomarkers to predict short- and long-term survival in community-acquired pneumonia: Results from the German Competence Network, CAPNETZ. Am J Respir Crit Care Med. 2010;182:1426–34.CrossRefPubMed
16.
go back to reference Kümpers P, Nickel N, Lukasz A, Golpon H, Westerkamp V, Olsson KM, Jonigk D, Maegel L, Bockmeyer CL, David S, et al. Circulating angiopoietins in idiopathic pulmonary arterial hypertension. Eur Heart J. 2010;31:2291–300.CrossRefPubMed Kümpers P, Nickel N, Lukasz A, Golpon H, Westerkamp V, Olsson KM, Jonigk D, Maegel L, Bockmeyer CL, David S, et al. Circulating angiopoietins in idiopathic pulmonary arterial hypertension. Eur Heart J. 2010;31:2291–300.CrossRefPubMed
17.
go back to reference Langleben D, Orfanos SE, Giovinazzo M, Hirsch A, Baron M, Senécal J-L, Armaganidis A, and Catravas JD. Pulmonary capillary endothelial metabolic dysfunction: severity in pulmonary arterial hypertension related to connective tissue disease versus idiopathic pulmonary arterial hypertension. Arthritis Rheum. 2008;58:1156–64.CrossRefPubMed Langleben D, Orfanos SE, Giovinazzo M, Hirsch A, Baron M, Senécal J-L, Armaganidis A, and Catravas JD. Pulmonary capillary endothelial metabolic dysfunction: severity in pulmonary arterial hypertension related to connective tissue disease versus idiopathic pulmonary arterial hypertension. Arthritis Rheum. 2008;58:1156–64.CrossRefPubMed
18.
go back to reference Langleben D, Orfanos SE, Giovinazzo M, Schlesinger RD, Hirsch AM, Blenkhorn F, Lesenko L, Armaganidis A, and Catravas JD. Acute vasodilator responsiveness and microvascular recruitment in idiopathic pulmonary arterial hypertension. Ann Intern Med. 2015;162:154–6.CrossRefPubMed Langleben D, Orfanos SE, Giovinazzo M, Schlesinger RD, Hirsch AM, Blenkhorn F, Lesenko L, Armaganidis A, and Catravas JD. Acute vasodilator responsiveness and microvascular recruitment in idiopathic pulmonary arterial hypertension. Ann Intern Med. 2015;162:154–6.CrossRefPubMed
19.
go back to reference Le Hiress M, Tu L, Ricard N, Phan C, Thuillet R, Fadel E, Dorfmüller P, Montani D, de Man F, Humbert M, et al. Proinflammatory signature of the dysfunctional endothelium in pulmonary hypertension. Role of the macrophage migration inhibitory factor/CD74 complex. Am J Respir Crit Care Med. 2015;192:983–97.CrossRefPubMed Le Hiress M, Tu L, Ricard N, Phan C, Thuillet R, Fadel E, Dorfmüller P, Montani D, de Man F, Humbert M, et al. Proinflammatory signature of the dysfunctional endothelium in pulmonary hypertension. Role of the macrophage migration inhibitory factor/CD74 complex. Am J Respir Crit Care Med. 2015;192:983–97.CrossRefPubMed
20.
go back to reference Lewis GD. The emerging role of metabolomics in the development of biomarkers for pulmonary hypertension and other cardiovascular diseases (2013 Grover Conference series). Pulm Circ. 2014;4:417–23.CrossRefPubMedPubMedCentral Lewis GD. The emerging role of metabolomics in the development of biomarkers for pulmonary hypertension and other cardiovascular diseases (2013 Grover Conference series). Pulm Circ. 2014;4:417–23.CrossRefPubMedPubMedCentral
21.
go back to reference Lewis GD, Ngo D, Hemnes AR, Farrell L, Domos C, Pappagianopoulos PP, Dhakal BP, Souza A, Shi X, Pugh ME, et al. Metabolic profiling of right ventricular-pulmonary vascular function reveals circulating biomarkers of pulmonary hypertension. J Am Coll Cardiol. 2016;67:174–89.CrossRefPubMed Lewis GD, Ngo D, Hemnes AR, Farrell L, Domos C, Pappagianopoulos PP, Dhakal BP, Souza A, Shi X, Pugh ME, et al. Metabolic profiling of right ventricular-pulmonary vascular function reveals circulating biomarkers of pulmonary hypertension. J Am Coll Cardiol. 2016;67:174–89.CrossRefPubMed
22.
go back to reference Li L, Li J, Gao J. Functions of galectin-3 and its role in fibrotic diseases. J Pharmacol Exp Ther. 2014;351:336–43.CrossRefPubMed Li L, Li J, Gao J. Functions of galectin-3 and its role in fibrotic diseases. J Pharmacol Exp Ther. 2014;351:336–43.CrossRefPubMed
23.
go back to reference Lorenzen JM, Nickel N, Krämer R, Golpon H, Westerkamp V, Olsson KM, Haller H, and Hoeper MM. Osteopontin in patients with idiopathic pulmonary hypertension. Chest. 2011;139:1010–7.CrossRefPubMed Lorenzen JM, Nickel N, Krämer R, Golpon H, Westerkamp V, Olsson KM, Haller H, and Hoeper MM. Osteopontin in patients with idiopathic pulmonary hypertension. Chest. 2011;139:1010–7.CrossRefPubMed
24.
go back to reference Maisel A, Mueller C, Nowak R, Peacock WF, Landsberg JW, Ponikowski P, Mockel M, Hogan C, Wu AHB, Richards M, et al. Mid-region pro-hormone markers for diagnosis and prognosis in acute dyspnea: results from the BACH (Biomarkers in Acute Heart Failure) trial. J Am Coll Cardiol. 2010;55:2062–76.CrossRefPubMed Maisel A, Mueller C, Nowak R, Peacock WF, Landsberg JW, Ponikowski P, Mockel M, Hogan C, Wu AHB, Richards M, et al. Mid-region pro-hormone markers for diagnosis and prognosis in acute dyspnea: results from the BACH (Biomarkers in Acute Heart Failure) trial. J Am Coll Cardiol. 2010;55:2062–76.CrossRefPubMed
25.
go back to reference Malhotra R, Paskin-Flerlage S, Zamanian RT, Zimmerman P, Schmidt JW, Deng DY, Southwood M, Spencer R, Lai CS, Parker W, et al. Circulating angiogenic modulatory factors predict survival and functional class in pulmonary arterial hypertension. Pulm Circ. 2013;3:369–80.CrossRefPubMedPubMedCentral Malhotra R, Paskin-Flerlage S, Zamanian RT, Zimmerman P, Schmidt JW, Deng DY, Southwood M, Spencer R, Lai CS, Parker W, et al. Circulating angiogenic modulatory factors predict survival and functional class in pulmonary arterial hypertension. Pulm Circ. 2013;3:369–80.CrossRefPubMedPubMedCentral
26.
go back to reference Mansoor JK, Schelegle ES, Davis CE, Walby WF, Zhao W, Aksenov AA, Pasamontes A, Figueroa J, and Allen R. Analysis of volatile compounds in exhaled breath condensate in patients with severe pulmonary arterial hypertension. PLoS One. 2014;9:e95331.CrossRefPubMedPubMedCentral Mansoor JK, Schelegle ES, Davis CE, Walby WF, Zhao W, Aksenov AA, Pasamontes A, Figueroa J, and Allen R. Analysis of volatile compounds in exhaled breath condensate in patients with severe pulmonary arterial hypertension. PLoS One. 2014;9:e95331.CrossRefPubMedPubMedCentral
27.
go back to reference Mauritz G-J, Rizopoulos D, Groepenhoff H, Tiede H, Felix J, Eilers P, Bosboom J, Postmus PE, Westerhof N, and Vonk-Noordegraaf A.. Usefulness of serial N-terminal pro-B-type natriuretic peptide measurements for determining prognosis in patients with pulmonary arterial hypertension. Am J Cardiol. 2011;108:1645–50.CrossRefPubMed Mauritz G-J, Rizopoulos D, Groepenhoff H, Tiede H, Felix J, Eilers P, Bosboom J, Postmus PE, Westerhof N, and Vonk-Noordegraaf A.. Usefulness of serial N-terminal pro-B-type natriuretic peptide measurements for determining prognosis in patients with pulmonary arterial hypertension. Am J Cardiol. 2011;108:1645–50.CrossRefPubMed
28.
go back to reference Nadadur RD, Umar S, Wong G, Eghbali M, Iorga A, Matori H, Partow-Navid R, and Eghbali M. Reverse right ventricular structural and extracellular matrix remodeling by estrogen in severe pulmonary hypertension. J Appl Physiol Bethesda Md 1985. 2012;113:149–58. Nadadur RD, Umar S, Wong G, Eghbali M, Iorga A, Matori H, Partow-Navid R, and Eghbali M. Reverse right ventricular structural and extracellular matrix remodeling by estrogen in severe pulmonary hypertension. J Appl Physiol Bethesda Md 1985. 2012;113:149–58.
29.
go back to reference Nagaya N, Nishikimi T, Uematsu M, Satoh T, Kyotani S, Sakamaki F, Kakishita M, Fukushima K, Okano Y, Nakanishi N, et al. Plasma brain natriuretic peptide as a prognostic indicator in patients with primary pulmonary hypertension. Circulation. 2000;102:865–70.CrossRefPubMed Nagaya N, Nishikimi T, Uematsu M, Satoh T, Kyotani S, Sakamaki F, Kakishita M, Fukushima K, Okano Y, Nakanishi N, et al. Plasma brain natriuretic peptide as a prognostic indicator in patients with primary pulmonary hypertension. Circulation. 2000;102:865–70.CrossRefPubMed
30.
go back to reference Nickel N, Kempf T, Tapken H, Tongers J, Laenger F, Lehmann U, Golpon H, Olsson K, Wilkins MR, Gibbs JSR, et al. Growth differentiation factor-15 in idiopathic pulmonary arterial hypertension. Am J Respir Crit Care Med. 2008;178:534–41.CrossRefPubMed Nickel N, Kempf T, Tapken H, Tongers J, Laenger F, Lehmann U, Golpon H, Olsson K, Wilkins MR, Gibbs JSR, et al. Growth differentiation factor-15 in idiopathic pulmonary arterial hypertension. Am J Respir Crit Care Med. 2008;178:534–41.CrossRefPubMed
31.
go back to reference Olsson KM, Olle S, Fuge J, Welte T, Hoeper MM, Lerch C, Maegel L, Haller H, Jonigk D, Schiffer L. CXCL13 in idiopathic pulmonary arterial hypertension and chronic thromboembolic pulmonary hypertension. Respir Res. 2016;17:21. Olsson KM, Olle S, Fuge J, Welte T, Hoeper MM, Lerch C, Maegel L, Haller H, Jonigk D, Schiffer L. CXCL13 in idiopathic pulmonary arterial hypertension and chronic thromboembolic pulmonary hypertension. Respir Res. 2016;17:21.
32.
go back to reference Orfanos SE, Psevdi E, Stratigis N, Langleben D, Catravas JD, Kyriakidis M, Moutsopoulos HM, Roussos C, and Vlachoyiannopoulos PG. Pulmonary capillary endothelial dysfunction in early systemic sclerosis. Arthritis Rheum. 2001;44:902–11.CrossRefPubMed Orfanos SE, Psevdi E, Stratigis N, Langleben D, Catravas JD, Kyriakidis M, Moutsopoulos HM, Roussos C, and Vlachoyiannopoulos PG. Pulmonary capillary endothelial dysfunction in early systemic sclerosis. Arthritis Rheum. 2001;44:902–11.CrossRefPubMed
33.
go back to reference Ozerol IH, Pac FA, Ozerol E, Ege E, Yologlu S, Temel I, and Pac M. Plasma endothelin-1, homocysteine and serum nitric oxide values in patients with left-to-right shunt. Indian Heart J. 2004;56:653–7.PubMed Ozerol IH, Pac FA, Ozerol E, Ege E, Yologlu S, Temel I, and Pac M. Plasma endothelin-1, homocysteine and serum nitric oxide values in patients with left-to-right shunt. Indian Heart J. 2004;56:653–7.PubMed
34.
go back to reference Özpelit E, Akdeniz B, Özpelit ME, Tas S, Bozkurt S, Tertemiz KC, Sevinç C, and Badak Ö. Prognostic value of neutrophil-to-lymphocyte ratio in pulmonary arterial hypertension. J Int Med Res. 2015;43:661–71.CrossRefPubMed Özpelit E, Akdeniz B, Özpelit ME, Tas S, Bozkurt S, Tertemiz KC, Sevinç C, and Badak Ö. Prognostic value of neutrophil-to-lymphocyte ratio in pulmonary arterial hypertension. J Int Med Res. 2015;43:661–71.CrossRefPubMed
35.
go back to reference Paulin R, Sutendra G, Gurtu V, Dromparis P, Haromy A, Provencher S, Bonnet S, and Michelakis ED. A miR-208-Mef2 axis drives the decompensation of right ventricular function in pulmonary hypertension. Circ Res. 2015;116:56–69.CrossRefPubMed Paulin R, Sutendra G, Gurtu V, Dromparis P, Haromy A, Provencher S, Bonnet S, and Michelakis ED. A miR-208-Mef2 axis drives the decompensation of right ventricular function in pulmonary hypertension. Circ Res. 2015;116:56–69.CrossRefPubMed
36.
go back to reference Reis GS, Augusto VS, Silveira APC, Jordão AA, Baddini-Martinez J, Poli Neto O, Rodrigues AJ, and Evora PRB. Oxidative-stress biomarkers in patients with pulmonary hypertension. Pulm Circ. 2013;3:856–61.CrossRefPubMedPubMedCentral Reis GS, Augusto VS, Silveira APC, Jordão AA, Baddini-Martinez J, Poli Neto O, Rodrigues AJ, and Evora PRB. Oxidative-stress biomarkers in patients with pulmonary hypertension. Pulm Circ. 2013;3:856–61.CrossRefPubMedPubMedCentral
37.
go back to reference Rhodes CJ, Wharton J, Howard LS, Gibbs JSR, Wilkins MR. Red cell distribution width outperforms other potential circulating biomarkers in predicting survival in idiopathic pulmonary arterial hypertension. Heart Br Card Soc. 2011;97:1054–60.CrossRef Rhodes CJ, Wharton J, Howard LS, Gibbs JSR, Wilkins MR. Red cell distribution width outperforms other potential circulating biomarkers in predicting survival in idiopathic pulmonary arterial hypertension. Heart Br Card Soc. 2011;97:1054–60.CrossRef
38.
go back to reference Ross DJ, Hough G, Hama S, Aboulhosn J, Belperio JA, Saggar R, Van Lenten BJ, Ardehali A, Eghbali M, Reddy S, et al. Proinflammatory high-density lipoprotein results from oxidized lipid mediators in the pathogenesis of both idiopathic and associated types of pulmonary arterial hypertension. Pulm Circ. 2015;5:640–8.CrossRefPubMedPubMedCentral Ross DJ, Hough G, Hama S, Aboulhosn J, Belperio JA, Saggar R, Van Lenten BJ, Ardehali A, Eghbali M, Reddy S, et al. Proinflammatory high-density lipoprotein results from oxidized lipid mediators in the pathogenesis of both idiopathic and associated types of pulmonary arterial hypertension. Pulm Circ. 2015;5:640–8.CrossRefPubMedPubMedCentral
39.
go back to reference Sanli C, Oguz D, Olgunturk R, Tunaoglu FS, Kula S, Pasaoglu H, Gulbahar O, and Cevik A. Elevated homocysteine and asymmetric dimethyl arginine levels in pulmonary hypertension associated with congenital heart disease. Pediatr Cardiol. 2012;33:1323–31.CrossRefPubMed Sanli C, Oguz D, Olgunturk R, Tunaoglu FS, Kula S, Pasaoglu H, Gulbahar O, and Cevik A. Elevated homocysteine and asymmetric dimethyl arginine levels in pulmonary hypertension associated with congenital heart disease. Pediatr Cardiol. 2012;33:1323–31.CrossRefPubMed
40.
go back to reference Sarrion I, Milian L, Juan G, Ramon M, Furest I, Carda C, Cortijo Gimeno J, Mata Roig M. Role of circulating miRNAs as biomarkers in idiopathic pulmonary arterial hypertension: possible relevance ofmiR-23a. Oxid Med Cell Longev. 2015;2015:792846.CrossRefPubMedPubMedCentral Sarrion I, Milian L, Juan G, Ramon M, Furest I, Carda C, Cortijo Gimeno J, Mata Roig M. Role of circulating miRNAs as biomarkers in idiopathic pulmonary arterial hypertension: possible relevance ofmiR-23a. Oxid Med Cell Longev. 2015;2015:792846.CrossRefPubMedPubMedCentral
41.
go back to reference Schumann C, Lepper PM, Frank H, Schneiderbauer R, Wibmer T, Kropf C, Stoiber KM, Rüdiger S, Kruska L, Krahn T, et al. Circulating biomarkers of tissue remodelling in pulmonary hypertension. Biomark Biochem Indic Expo Response Susceptibility Chem. 2010;15:523–32. Schumann C, Lepper PM, Frank H, Schneiderbauer R, Wibmer T, Kropf C, Stoiber KM, Rüdiger S, Kruska L, Krahn T, et al. Circulating biomarkers of tissue remodelling in pulmonary hypertension. Biomark Biochem Indic Expo Response Susceptibility Chem. 2010;15:523–32.
42.
go back to reference Sharma S, Umar S, Potus F, Iorga A, Wong G, Meriwether D, Breuils-Bonnet S, Mai D, Navab K, Ross D, et al. Apolipoprotein A-I mimetic peptide 4 F rescues pulmonary hypertension by inducing microRNA-193-3p. Circulation. 2014;130:776–85.CrossRefPubMedPubMedCentral Sharma S, Umar S, Potus F, Iorga A, Wong G, Meriwether D, Breuils-Bonnet S, Mai D, Navab K, Ross D, et al. Apolipoprotein A-I mimetic peptide 4 F rescues pulmonary hypertension by inducing microRNA-193-3p. Circulation. 2014;130:776–85.CrossRefPubMedPubMedCentral
43.
go back to reference Silva Marques J, Martins SR, Calisto C, Gonçalves S, Almeida AG, de Sousa JC, Pinto FJ, and Diogo AN. An exploratory panel of biomarkers for risk prediction in pulmonary hypertension: emerging role of CT-proET-1. J Heart Lung Transplant Off Publ Int Soc Heart Transplant. 2013;32:1214–21.CrossRef Silva Marques J, Martins SR, Calisto C, Gonçalves S, Almeida AG, de Sousa JC, Pinto FJ, and Diogo AN. An exploratory panel of biomarkers for risk prediction in pulmonary hypertension: emerging role of CT-proET-1. J Heart Lung Transplant Off Publ Int Soc Heart Transplant. 2013;32:1214–21.CrossRef
44.
go back to reference Stefanantoni K, Sciarra I, Vasile M, Badagliacca R, Poscia R, Pendolino M, Alessandri C, Vizza CD, Valesini G, and Riccieri V. Elevated serum levels of macrophage migration inhibitory factor and stem cell growth factor β in patients with idiopathic and systemic sclerosis associated pulmonary arterial hypertension. Reumatismo. 2015;66:270–6.CrossRefPubMed Stefanantoni K, Sciarra I, Vasile M, Badagliacca R, Poscia R, Pendolino M, Alessandri C, Vizza CD, Valesini G, and Riccieri V. Elevated serum levels of macrophage migration inhibitory factor and stem cell growth factor β in patients with idiopathic and systemic sclerosis associated pulmonary arterial hypertension. Reumatismo. 2015;66:270–6.CrossRefPubMed
45.
go back to reference Takatsuki S, Wagner BD, Ivy DD. B-type natriuretic peptide and amino-terminal pro-B-type natriuretic peptide in pediatric patients with pulmonary arterial hypertension. Congenit Heart Dis. 2012;7(3):259–67.CrossRefPubMedPubMedCentral Takatsuki S, Wagner BD, Ivy DD. B-type natriuretic peptide and amino-terminal pro-B-type natriuretic peptide in pediatric patients with pulmonary arterial hypertension. Congenit Heart Dis. 2012;7(3):259–67.CrossRefPubMedPubMedCentral
46.
go back to reference Tiede SL, Gall H, Dörr O, Troidl C, Liebetrau C, Voss S, Voswinckel R, Schermuly RT, Seeger W, Grimminger F, et al. New potential diagnostic biomarkers for pulmonary hypertension. Eur Respir J. 2015;46:1390–6.CrossRefPubMed Tiede SL, Gall H, Dörr O, Troidl C, Liebetrau C, Voss S, Voswinckel R, Schermuly RT, Seeger W, Grimminger F, et al. New potential diagnostic biomarkers for pulmonary hypertension. Eur Respir J. 2015;46:1390–6.CrossRefPubMed
47.
go back to reference Tonelli M, Sacks F, Arnold M, Moye L, Davis B, Pfeffer M, and for the Cholesterol and Recurrent Events (CARE) Trial Investigators. Relation between Red blood cell distribution width and cardiovascular event rate in people with coronary disease. Circulation. 2008;117:163–8.CrossRefPubMed Tonelli M, Sacks F, Arnold M, Moye L, Davis B, Pfeffer M, and for the Cholesterol and Recurrent Events (CARE) Trial Investigators. Relation between Red blood cell distribution width and cardiovascular event rate in people with coronary disease. Circulation. 2008;117:163–8.CrossRefPubMed
48.
go back to reference Vélez-Martínez M, Ayers C, Mishkin JD, Bartolome SB, García CK, Torres F, Drazner MH, de Lemos JA, Turer AT, and Chin KM. Association of cardiac troponin I with disease severity and outcomes in patients with pulmonary hypertension. Am J Cardiol. 2013;111:1812–7.CrossRefPubMed Vélez-Martínez M, Ayers C, Mishkin JD, Bartolome SB, García CK, Torres F, Drazner MH, de Lemos JA, Turer AT, and Chin KM. Association of cardiac troponin I with disease severity and outcomes in patients with pulmonary hypertension. Am J Cardiol. 2013;111:1812–7.CrossRefPubMed
49.
go back to reference Völkers M, Rohde D, Zelniker T, Weiss CS, Giannitsis E, Katus HA, and Meyer FJ. High-sensitive Troponin T increase after exercise in patients with pulmonary arterial hypertension. BMC Pulm Med. 2013;13:28.CrossRefPubMedPubMedCentral Völkers M, Rohde D, Zelniker T, Weiss CS, Giannitsis E, Katus HA, and Meyer FJ. High-sensitive Troponin T increase after exercise in patients with pulmonary arterial hypertension. BMC Pulm Med. 2013;13:28.CrossRefPubMedPubMedCentral
50.
go back to reference Wen Y. High red blood cell distribution width is closely associated with risk of carotid artery atherosclerosis in patients with hypertension. Exp Clin Cardiol. 2010;15:37–40.PubMedPubMedCentral Wen Y. High red blood cell distribution width is closely associated with risk of carotid artery atherosclerosis in patients with hypertension. Exp Clin Cardiol. 2010;15:37–40.PubMedPubMedCentral
51.
go back to reference Williams MH, Handler CE, Akram R, Smith CJ, Das C, Smee J, Nair D, Denton CP, Black CM, and Coghlan JG. Role of N-terminal brain natriuretic peptide (N-TproBNP) in scleroderma-associated pulmonary arterial hypertension. Eur Heart J. 2006;27:1485–94.CrossRefPubMed Williams MH, Handler CE, Akram R, Smith CJ, Das C, Smee J, Nair D, Denton CP, Black CM, and Coghlan JG. Role of N-terminal brain natriuretic peptide (N-TproBNP) in scleroderma-associated pulmonary arterial hypertension. Eur Heart J. 2006;27:1485–94.CrossRefPubMed
52.
go back to reference Yanagisawa R, Kataoka M, Inami T, Momose Y, Kawakami T, Takei M, Kimura M, Isobe S, Yamakado M, Fukuda K, et al. Usefulness of circulating amino acid profile and Fischer ratio to predict severity of pulmonary hypertension. Am J Cardiol. 2015;115:831–6.CrossRefPubMed Yanagisawa R, Kataoka M, Inami T, Momose Y, Kawakami T, Takei M, Kimura M, Isobe S, Yamakado M, Fukuda K, et al. Usefulness of circulating amino acid profile and Fischer ratio to predict severity of pulmonary hypertension. Am J Cardiol. 2015;115:831–6.CrossRefPubMed
53.
go back to reference Yang D, Liu Z, Yang Z. Ghrelin and its relation with N-terminal brain natriuretic peptide, endothelin-1 and nitric oxide in patients with idiopathic pulmonary hypertension. Cardiology. 2013;124:241–5.CrossRefPubMed Yang D, Liu Z, Yang Z. Ghrelin and its relation with N-terminal brain natriuretic peptide, endothelin-1 and nitric oxide in patients with idiopathic pulmonary hypertension. Cardiology. 2013;124:241–5.CrossRefPubMed
54.
go back to reference Zhang S, Yang T, Xu X, Wang M, Zhong L, Yang Y, Zhai Z, Xiao F, and Wang C. Oxidative stress and nitric oxide signaling related biomarkers in patients with pulmonary hypertension: a case control study. BMC Pulm Med. 2015;15:50.CrossRefPubMedPubMedCentral Zhang S, Yang T, Xu X, Wang M, Zhong L, Yang Y, Zhai Z, Xiao F, and Wang C. Oxidative stress and nitric oxide signaling related biomarkers in patients with pulmonary hypertension: a case control study. BMC Pulm Med. 2015;15:50.CrossRefPubMedPubMedCentral
55.
go back to reference Zhao Q-H, Peng F-H, Wei H, He J, Chen F-D, Di R-M, Jiang X, Jiang R, Chen Y-J, Heresi GA, et al. Serum high-density lipoprotein cholesterol levels as a prognostic indicator in patients with idiopathic pulmonary arterial hypertension. Am J Cardiol. 2012;110:433–9.CrossRefPubMed Zhao Q-H, Peng F-H, Wei H, He J, Chen F-D, Di R-M, Jiang X, Jiang R, Chen Y-J, Heresi GA, et al. Serum high-density lipoprotein cholesterol levels as a prognostic indicator in patients with idiopathic pulmonary arterial hypertension. Am J Cardiol. 2012;110:433–9.CrossRefPubMed
Metadata
Title
Novel biomarkers for pulmonary arterial hypertension
Authors
Anjum Anwar
Gregoire Ruffenach
Aman Mahajan
Mansoureh Eghbali
Soban Umar
Publication date
01-12-2016
Publisher
BioMed Central
Published in
Respiratory Research / Issue 1/2016
Electronic ISSN: 1465-993X
DOI
https://doi.org/10.1186/s12931-016-0396-6

Other articles of this Issue 1/2016

Respiratory Research 1/2016 Go to the issue
Live Webinar | 27-06-2024 | 18:00 (CEST)

Keynote webinar | Spotlight on medication adherence

Live: Thursday 27th June 2024, 18:00-19:30 (CEST)

WHO estimates that half of all patients worldwide are non-adherent to their prescribed medication. The consequences of poor adherence can be catastrophic, on both the individual and population level.

Join our expert panel to discover why you need to understand the drivers of non-adherence in your patients, and how you can optimize medication adherence in your clinics to drastically improve patient outcomes.

Prof. Kevin Dolgin
Prof. Florian Limbourg
Prof. Anoop Chauhan
Developed by: Springer Medicine
Obesity Clinical Trial Summary

At a glance: The STEP trials

A round-up of the STEP phase 3 clinical trials evaluating semaglutide for weight loss in people with overweight or obesity.

Developed by: Springer Medicine

Highlights from the ACC 2024 Congress

Year in Review: Pediatric cardiology

Watch Dr. Anne Marie Valente present the last year's highlights in pediatric and congenital heart disease in the official ACC.24 Year in Review session.

Year in Review: Pulmonary vascular disease

The last year's highlights in pulmonary vascular disease are presented by Dr. Jane Leopold in this official video from ACC.24.

Year in Review: Valvular heart disease

Watch Prof. William Zoghbi present the last year's highlights in valvular heart disease from the official ACC.24 Year in Review session.

Year in Review: Heart failure and cardiomyopathies

Watch this official video from ACC.24. Dr. Biykem Bozkurt discusses last year's major advances in heart failure and cardiomyopathies.