Heart failure & cardiomyopathies

Proteomic Associations of NT-proBNP (N-Terminal Pro-B-Type Natriuretic Peptide) in Heart Failure With Preserved Ejection Fraction

Circ Heart FailPublished Mechanistic study

Authors' conclusion

Circulating NT-proBNP levels exhibit prominent proteomic associations in HFpEF. Our findings suggest that higher NT-proBNP levels in HFpEF are a marker of fibrosis and inflammation.

Study context

Population
Patients with heart failure with preserved ejection fraction (HFpEF)4,928 proteins measured
Participants
253 vs 218
Comparison
PHFS vs TOPCAT
  • PHFSn = 253
  • TOPCATn = 218
Outcome
Associations of SOMAScan-derived plasma NT-proBNP with levels of other proteins (robust linear regression, corrected for multiple comparisons)
Methodological details2 cohorts, aptamer-based proteomic assay (SOMAScan)
  • 2 cohorts
  • Aptamer-based proteomic assay (SOMAScan)

Main finding

As reported in the abstract

Proteins associated with NT-proBNP
GroupSVEP1 βANGPT2 β
TOPCAT0.5390.571
PHFS0.5160.459

SVEP1 β

TOPCAT0.539
PHFS0.516

ANGPT2 β

TOPCAT0.571
PHFS0.459
SVEP1 and ANGPT2 associations, each cohort
P < 0.0001

Further findings

Proteomic associations using NT-proBNP cut points of 360 pg/mL (480 pg/mL in AF)

Similar proteomic associations

Original publication

Proteomic Associations of NT-proBNP (N-Terminal Pro-B-Type Natriuretic Peptide) in Heart Failure With Preserved Ejection Fraction. Circ Heart Fail. Published 1 February 2024. doi:10.1161/circheartfailure.123.011146

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