Heart failure & cardiomyopathies

Circulating Immune Checkpoints Predict Heart Failure Outcomes

ESC Heart FailPublished Mechanistic study

Authors' conclusion

IC ligands are expressed in cardiac disease models, and serum levels of IC ligands are elevated in HF patients, are associated with disease severity, and significantly predict prognosis.

Study context

Population
Heart failure (HF) mouse models; healthy individuals, stable HF and worsening HF patients
Participants
101 / 58 / 2,032
Comparison
Serum immune checkpoint (IC) ligands and HF severity and outcomes
  • Vitamin D Chronic Heart Failure (VitD-CHF)n = 101
  • PREVENDn = 58reference
  • Worsening HFn = 2,032
Outcome
HF hospitalization and all-cause mortality (stable HF cohort)
Methodological details3 HF mouse models, 3 human cohorts
  • 3 HF mouse models
  • 3 human cohorts

Main finding

As reported in the abstract

VitD-CHF
Hazard ratio (CI)
Higher sPD-L1
1.69(1.09–2.59)
Higher galectin-9
1.50(1.06–2.12)

Further findings

Association with galectin-3 (multivariate linear regression)

sPD-L1 β
0.230
sPD-L2 β
0.283
galectin-9 β
0.304

Association with hs-troponin-T

sPD-L1 β
0.386
galectin-9 β
0.314

Outcome in worsening HF cohort (BIOSTAT-CHF)

sPD-L2 increased relative risk
15%
galectin-9 increased relative risk
20%
sPD-L2 and galectin-9 associated with NYHA class
  • After multivariable adjustment

Original publication

Circulating Immune Checkpoints Predict Heart Failure Outcomes. ESC Heart Fail. Published 25 April 2023. doi:10.1002/ehf2.14304

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