Serum Angiopoietin-Like Protein 2 Concentrations Are Independently Associated with Heart Failure.
Angiopoietin-like protein 2 (ANGPTL2), which is mainly expressed from adipose tissue, is demonstrated to be involved in obesity, metabolic syndrome, and atherosclerosis. Because several adipocytokines are known to be associated with heart failure (HF), here we investigated the association of ANGPTL2...
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doaj-441807ab5cb147b3adcf18cd8d68c5dd2020-11-25T00:41:48ZengPublic Library of Science (PLoS)PLoS ONE1932-62032015-01-01109e013867810.1371/journal.pone.0138678Serum Angiopoietin-Like Protein 2 Concentrations Are Independently Associated with Heart Failure.Chi-Lun HuangYen-Wen WuChih-Cheng WuJuey-Jen HwangWei-Shiung YangAngiopoietin-like protein 2 (ANGPTL2), which is mainly expressed from adipose tissue, is demonstrated to be involved in obesity, metabolic syndrome, and atherosclerosis. Because several adipocytokines are known to be associated with heart failure (HF), here we investigated the association of ANGPTL2 and HF in Taiwanese subjects.A total of 170 symptomatic HF patients and 130 age- and sex-matched controls were enrolled from clinic. The echocardiography was analyzed in each patient, and stress myocardial perfusion study was performed for clinical suspicion of coronary artery disease. Detailed demographic information, medications, and biochemical data were recorded. Circulating adipocytokines, including tumor necrosis factor-alpha (TNF-α), adiponectin, adipocyte fatty acid-binding protein (A-FABP) and ANGPTL2, were analyzed. Compared with the control group subjects, serum ANGPTL2 concentrations were significantly higher in HF group patients. In correlation analyses, ANGPTL2 level was positively correlated to creatinine, fasting glucose, triglyceride, hsCRP, TNF-α, NT-proBNP and A-FABP levels, and negatively correlated with HDL-C and left ventricular ejection fraction. In multiple regression analysis, A-FABP, hsCRP, and HDL-C levels remained as independent predictors for ANGPTL2 level. To determine the association between serum ANGPTL2 concentrations and HF, multivariate logistic regression analyses were performed with subjects divided into tertiles by ANGPTL2 levels. For the subjects with ANGPTL2 levels in the highest tertile, their risk of HF was about 2.97 fold (95% CI = 1.24-7.08, P = 0.01) higher than those in the lowest tertile.Our results demonstrate a higher circulating ANGPTL2 level in patients with HF, and the upregulating ANGPTL2 levels might be associated with metabolic derangements and inflammation.http://europepmc.org/articles/PMC4580406?pdf=render |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Chi-Lun Huang Yen-Wen Wu Chih-Cheng Wu Juey-Jen Hwang Wei-Shiung Yang |
spellingShingle |
Chi-Lun Huang Yen-Wen Wu Chih-Cheng Wu Juey-Jen Hwang Wei-Shiung Yang Serum Angiopoietin-Like Protein 2 Concentrations Are Independently Associated with Heart Failure. PLoS ONE |
author_facet |
Chi-Lun Huang Yen-Wen Wu Chih-Cheng Wu Juey-Jen Hwang Wei-Shiung Yang |
author_sort |
Chi-Lun Huang |
title |
Serum Angiopoietin-Like Protein 2 Concentrations Are Independently Associated with Heart Failure. |
title_short |
Serum Angiopoietin-Like Protein 2 Concentrations Are Independently Associated with Heart Failure. |
title_full |
Serum Angiopoietin-Like Protein 2 Concentrations Are Independently Associated with Heart Failure. |
title_fullStr |
Serum Angiopoietin-Like Protein 2 Concentrations Are Independently Associated with Heart Failure. |
title_full_unstemmed |
Serum Angiopoietin-Like Protein 2 Concentrations Are Independently Associated with Heart Failure. |
title_sort |
serum angiopoietin-like protein 2 concentrations are independently associated with heart failure. |
publisher |
Public Library of Science (PLoS) |
series |
PLoS ONE |
issn |
1932-6203 |
publishDate |
2015-01-01 |
description |
Angiopoietin-like protein 2 (ANGPTL2), which is mainly expressed from adipose tissue, is demonstrated to be involved in obesity, metabolic syndrome, and atherosclerosis. Because several adipocytokines are known to be associated with heart failure (HF), here we investigated the association of ANGPTL2 and HF in Taiwanese subjects.A total of 170 symptomatic HF patients and 130 age- and sex-matched controls were enrolled from clinic. The echocardiography was analyzed in each patient, and stress myocardial perfusion study was performed for clinical suspicion of coronary artery disease. Detailed demographic information, medications, and biochemical data were recorded. Circulating adipocytokines, including tumor necrosis factor-alpha (TNF-α), adiponectin, adipocyte fatty acid-binding protein (A-FABP) and ANGPTL2, were analyzed. Compared with the control group subjects, serum ANGPTL2 concentrations were significantly higher in HF group patients. In correlation analyses, ANGPTL2 level was positively correlated to creatinine, fasting glucose, triglyceride, hsCRP, TNF-α, NT-proBNP and A-FABP levels, and negatively correlated with HDL-C and left ventricular ejection fraction. In multiple regression analysis, A-FABP, hsCRP, and HDL-C levels remained as independent predictors for ANGPTL2 level. To determine the association between serum ANGPTL2 concentrations and HF, multivariate logistic regression analyses were performed with subjects divided into tertiles by ANGPTL2 levels. For the subjects with ANGPTL2 levels in the highest tertile, their risk of HF was about 2.97 fold (95% CI = 1.24-7.08, P = 0.01) higher than those in the lowest tertile.Our results demonstrate a higher circulating ANGPTL2 level in patients with HF, and the upregulating ANGPTL2 levels might be associated with metabolic derangements and inflammation. |
url |
http://europepmc.org/articles/PMC4580406?pdf=render |
work_keys_str_mv |
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