Prognostic value of sST2 and galectin-3 for death relative to renal function in patients hospitalized for heart failure

Biomark Med. 2015;9(5):433-41. doi: 10.2217/bmm.15.12.

Abstract

Aim: To evaluate the associations of soluble ST2 (sST2) and galectin-3 with death relative to renal function in patients with heart failure (HF).

Methods: Eleven-hundred-and-sixty-one patients hospitalized for HF with 1-year follow up were enrolled for biomarkers analysis.

Results: Patients were divided into two groups based on eGFR of either > or ≤60 ml/min/1.73 m(2). sST2 was independently associated with death in both categories of renal function, while galectin-3 lost this significance after addition of NT-proBNP to the model of patients with eGFR ≤60 ml/min/1.73 m(2).

Conclusion: In patients with HF, sST2 improved prediction for death beyond risk factors without being influenced by renal function, however, the prognostic value of galectin-3 is less clear below an eGFR of 60 ml/min/1.73 m(2).

Keywords: NT-proBNP; biomarker; cardiac remodeling; death; eGFR; galectin-3; heart failure; prognosis; renal function; sST2.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Aged
  • Biomarkers / blood
  • Female
  • Galectin 3 / blood*
  • Glomerular Filtration Rate / physiology
  • Heart Failure / blood*
  • Heart Failure / mortality
  • Heart Failure / pathology
  • Heart Failure / physiopathology
  • Humans
  • Interleukin-1 Receptor-Like 1 Protein
  • Kidney / physiology*
  • Kidney Function Tests
  • Male
  • Middle Aged
  • Prognosis
  • Receptors, Cell Surface / blood*

Substances

  • Biomarkers
  • Galectin 3
  • IL1RL1 protein, human
  • Interleukin-1 Receptor-Like 1 Protein
  • Receptors, Cell Surface