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Evaluating Serum Heat Shock Protein Levels as Novel Biomarkers for Atrial Fibrillation

Authors :
Denise M. S. van Marion
Eva A. H. Lanters
Kennedy S. Ramos
Jin Li
Marit Wiersma
Luciƫnne Baks-te Bulte
Agnes J. Q. M. Muskens
Eric Boersma
Natasja M. S. de Groot
Bianca J. J. M. Brundel
Source :
Cells, Vol 9, Iss 9, p 2105 (2020)
Publication Year :
2020
Publisher :
MDPI AG, 2020.

Abstract

Background: Staging of atrial fibrillation (AF) is essential to understanding disease progression and the accompanied increase in therapy failure. Blood-based heat shock protein (HSP) levels may enable staging of AF and the identification of patients with higher risk for AF recurrence after treatment. Objective: This study evaluates the relationship between serum HSP levels, presence of AF, AF stage and AF recurrence following electrocardioversion (ECV) or pulmonary vein isolation (PVI). Methods: To determine HSP27, HSP70, cardiovascular (cv)HSP and HSP60 levels, serum samples were collected from control patients without AF and patients with paroxysmal atrial fibrillation (PAF), persistent (PeAF) and longstanding persistent (LSPeAF) AF, presenting for ECV or PVI, prior to intervention and at 3-, 6- and 12-months post-PVI. Results: The study population (n = 297) consisted of 98 control and 199 AF patients admitted for ECV (n = 98) or PVI (n = 101). HSP27, HSP70, cvHSP and HSP60 serum levels did not differ between patients without or with PAF, PeAF or LSPeAF. Additionally, baseline HSP levels did not correlate with AF recurrence after ECV or PVI. However, in AF patients with AF recurrence, HSP27 levels were significantly elevated post-PVI relative to baseline, compared to patients without recurrence. Conclusions: No association was observed between baseline HSP levels and the presence of AF, AF stage or AF recurrence. However, HSP27 levels were increased in serum samples of patients with AF recurrence within one year after PVI, suggesting that HSP27 levels may predict recurrence of AF after ablative therapy.

Details

Language :
English
ISSN :
20734409
Volume :
9
Issue :
9
Database :
Directory of Open Access Journals
Journal :
Cells
Publication Type :
Academic Journal
Accession number :
edsdoj.315355a42ced4d5ebf984b89169584bf
Document Type :
article
Full Text :
https://doi.org/10.3390/cells9092105