Heart failure & cardiomyopathies

Role of Serum Cytokines in the Prediction of Heart Failure in Patients with Coronary Artery Disease

ESC Heart FailPublished Diagnostic accuracy study

Authors' conclusion

The combination of VEGFR2, FLRG, IL-23, and FGF-21 can be used as a candidate biomarker for the prediction and prevention of HF in patients with CAD.

Study context

Population
Patients with coronary artery disease (CAD), with or without heart failure (HF), and healthy controlstraining dataset
Participants
12 / 12 / 12
Comparison
Complicated with HF (CAD-HF) vs CAD-non HF vs healthy controls
  • CAD-non HFn = 12
  • CAD-HFn = 12
  • Healthy controlsn = 12reference
Outcome
Cytokine biomarkers for predicting HF in CAD (SVM diagnostic model AUC)
Methodological detailsbiomarker discovery with external validation datasets, Human Cytokine Antibody Array; LASSO, recursive feature elimination and random forest feature selection; Support vector machine (SVM) model with ROC analysis; validation in GSE20681 and GSE59867 and by ELISA
  • Biomarker discovery with external validation datasets
  • Human Cytokine Antibody Array; LASSO, recursive feature elimination and random forest feature selection; SVM model with ROC analysis; validation in GSE20681 and GSE59867 and by ELISA

Performance

As reported in the abstract

SVM model (VEGFR2, FLRG, IL-23, FGF-21) diagnostic performance
Differentially expressed proteins overlapping in the three comparison groups
12
Optimal characteristic proteins identified (VEGFR2, FLRG, IL-23, FGF-21)
4
AUC, training dataset
0.944
AUC, GSE20681 validation dataset
0.773
AUC, GSE59867 validation dataset
0.745

Further findings

Expression trends of the 4 crucial proteins

Training dataset trends consistent with validation dataset and ELISA

Original publication

Role of Serum Cytokines in the Prediction of Heart Failure in Patients with Coronary Artery Disease. ESC Heart Fail. Published 22 August 2023. doi:10.1002/ehf2.14491

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