Modest Elevation in BNP in Asymptomatic Hypertensive Patients Reflects Sub-Clinical Cardiac Remodeling, Inflammation and Extracellular Matrix Changes
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{"title"=>"Modest Elevation in BNP in Asymptomatic Hypertensive Patients Reflects Sub-Clinical Cardiac Remodeling, Inflammation and Extracellular Matrix Changes", "type"=>"journal", "authors"=>[{"first_name"=>"Dermot", "last_name"=>"Phelan", "scopus_author_id"=>"57196567800"}, {"first_name"=>"Chris", "last_name"=>"Watson", "scopus_author_id"=>"57195919663"}, {"first_name"=>"Ramon", "last_name"=>"Martos", "scopus_author_id"=>"23005132900"}, {"first_name"=>"Patrick", "last_name"=>"Collier", "scopus_author_id"=>"38662358200"}, {"first_name"=>"Anil", "last_name"=>"Patle", "scopus_author_id"=>"15923804600"}, {"first_name"=>"Seamas", "last_name"=>"Donnelly", "scopus_author_id"=>"7101661432"}, {"first_name"=>"Mark", "last_name"=>"Ledwidge", "scopus_author_id"=>"6602597150"}, {"first_name"=>"John", "last_name"=>"Baugh", "scopus_author_id"=>"7006675357"}, {"first_name"=>"Ken", "last_name"=>"McDonald", "scopus_author_id"=>"7202491379"}], "year"=>2012, "source"=>"PLoS ONE", "identifiers"=>{"scopus"=>"2-s2.0-84869048064", "sgr"=>"84869048064", "issn"=>"19326203", "doi"=>"10.1371/journal.pone.0049259", "pmid"=>"23152884", "isbn"=>"1932-6203 (Electronic)\\r1932-6203 (Linking)", "pui"=>"366043176"}, "id"=>"0027f9d9-79d9-3518-83c2-2a2f9f3c7942", "abstract"=>"In asymptomatic subjects B-type natriuretic peptide (BNP) is associated with adverse cardiovascular outcomes even at levels well below contemporary thresholds used for the diagnosis of heart failure. The mechanisms behind these observations are unclear. We examined the hypothesis that in an asymptomatic hypertensive population BNP would be associated with sub-clinical evidence of cardiac remodeling, inflammation and extracellular matrix (ECM) alterations. We performed transthoracic echocardiography and sampled coronary sinus (CS) and peripheral serum from patients with low (n = 14) and high BNP (n = 27). Peripheral BNP was closely associated with CS levels (r = 0.92, p<0.001). CS BNP correlated significantly with CS levels of markers of collagen type I and III turnover including: PINP (r = 0.44, p = 0.008), CITP (r = 0.35, p = 0.03) and PIIINP (r = 0.35, p = 0.001), and with CS levels of inflammatory cytokines including: TNF-α (r = 0.49, p = 0.002), IL-6 (r = 0.35, p = 0.04), and IL-8 (r = 0.54, p<0.001). The high BNP group had greater CS expression of fibro-inflammatory biomarkers including: CITP (3.8±0.7 versus 5.1±1.9, p = 0.007), TNF-α (3.2±0.5 versus 3.7±1.1, p = 003), IL-6 (1.9±1.3 versus 3.4±2.7, p = 0.02) and hsCRP (1.2±1.1 versus 2.4±1.1, p = 0.04), and greater left ventricular mass index (97±20 versus 118±26 g/m2, p = 0.03) and left atrial volume index (18±2 versus 21±4, p = 0.008). Our data provide insight into the mechanisms behind the observed negative prognostic impact of modest elevations in BNP and suggest that in an asymptomatic hypertensive cohort a peripheral BNP measurement may be a useful marker of an early, sub-clinical pathological process characterized by cardiac remodeling, inflammation and ECM alterations.", "link"=>"http://www.mendeley.com/research/modest-elevation-bnp-asymptomatic-hypertensive-patients-reflects-subclinical-cardiac-remodeling-infl", "reader_count"=>18, "reader_count_by_academic_status"=>{"Professor > Associate Professor"=>2, "Researcher"=>6, "Student > Ph. D. Student"=>3, "Student > Postgraduate"=>1, "Student > Master"=>1, "Other"=>1, "Student > Bachelor"=>1, "Lecturer"=>1, "Professor"=>2}, "reader_count_by_user_role"=>{"Professor > Associate Professor"=>2, "Researcher"=>6, "Student > Ph. D. Student"=>3, "Student > Postgraduate"=>1, "Student > Master"=>1, "Other"=>1, "Student > Bachelor"=>1, "Lecturer"=>1, "Professor"=>2}, "reader_count_by_subject_area"=>{"Engineering"=>2, "Agricultural and Biological Sciences"=>3, "Medicine and Dentistry"=>11, "Business, Management and Accounting"=>1, "Psychology"=>1}, "reader_count_by_subdiscipline"=>{"Engineering"=>{"Engineering"=>2}, "Medicine and Dentistry"=>{"Medicine and Dentistry"=>11}, "Psychology"=>{"Psychology"=>1}, "Agricultural and Biological Sciences"=>{"Agricultural and Biological Sciences"=>3}, "Business, Management and Accounting"=>{"Business, Management and Accounting"=>1}}, "reader_count_by_country"=>{"United States"=>1, "Brazil"=>1}, "group_count"=>3}

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Figshare

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  • {"files"=>["https://ndownloader.figshare.com/files/544983"], "description"=>"<p>Scatter plots showing significant correlations between CS levels of BNP (log transformed) and structural changes in the heart including LAVI and LVMI.</p>", "links"=>[], "tags"=>["plots", "correlations", "cs", "levels", "bnp", "changes", "lavi"], "article_id"=>215460, "categories"=>["Biochemistry", "Immunology"], "users"=>["Dermot Phelan", "Chris Watson", "Ramon Martos", "Patrick Collier", "Anil Patle", "Seamas Donnelly", "Mark Ledwidge", "John Baugh", "Ken McDonald"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0049259.g003", "stats"=>{"downloads"=>0, "page_views"=>17, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Scatter_plots_showing_significant_correlations_between_CS_levels_of_BNP_log_transformed_and_structural_changes_in_the_heart_including_LAVI_and_LVMI_/215460", "title"=>"Scatter plots showing significant correlations between CS levels of BNP (log transformed) and structural changes in the heart including LAVI and LVMI.", "pos_in_sequence"=>0, "defined_type"=>1, "published_date"=>"2013-02-19 20:29:33"}
  • {"files"=>["https://ndownloader.figshare.com/files/545147"], "description"=>"<p>Data are presented as mean ± SD.</p><p>LVMI = left ventricular mass index; IVS = intraventricular septum; PW = posterior wall; LVIDd = left ventricular internal dimension in diastole; DT = E-wave deceleration time; IVRT = isovolumic relaxation time; LAVI = LA volume index.</p>", "links"=>[], "tags"=>["immunology", "Biochemistry"], "article_id"=>215638, "categories"=>["Biochemistry", "Immunology"], "users"=>["Dermot Phelan", "Chris Watson", "Ramon Martos", "Patrick Collier", "Anil Patle", "Seamas Donnelly", "Mark Ledwidge", "John Baugh", "Ken McDonald"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0049259.t002", "stats"=>{"downloads"=>1, "page_views"=>47, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Echocardiographic_measurements_/215638", "title"=>"Echocardiographic measurements.", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2013-02-19 20:30:35"}
  • {"files"=>["https://ndownloader.figshare.com/files/544892"], "description"=>"<p>Scatter plots showing significant correlations between levels of BNP (log transformed) in serum from both the coronary sinus and periphery and the inflammatory cytokines TNF-α, IL-6 and IL-8 in serum from the coronary sinus.</p>", "links"=>[], "tags"=>["plots", "correlations", "levels", "bnp", "serum", "coronary", "sinus", "periphery", "inflammatory", "cytokines", "il-6", "il-8"], "article_id"=>215367, "categories"=>["Biochemistry", "Immunology"], "users"=>["Dermot Phelan", "Chris Watson", "Ramon Martos", "Patrick Collier", "Anil Patle", "Seamas Donnelly", "Mark Ledwidge", "John Baugh", "Ken McDonald"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0049259.g002", "stats"=>{"downloads"=>1, "page_views"=>14, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Scatter_plots_showing_significant_correlations_between_levels_of_BNP_log_transformed_in_serum_from_both_the_coronary_sinus_and_periphery_and_the_inflammatory_cytokines_TNF_945_IL_6_and_IL_8_in_serum_from_the_coronary_sinus_/215367", "title"=>"Scatter plots showing significant correlations between levels of BNP (log transformed) in serum from both the coronary sinus and periphery and the inflammatory cytokines TNF-α, IL-6 and IL-8 in serum from the coronary sinus.", "pos_in_sequence"=>0, "defined_type"=>1, "published_date"=>"2013-02-19 20:29:00"}
  • {"files"=>["https://ndownloader.figshare.com/files/545102"], "description"=>"<p>Data are presented mean ± standard deviation or as median and 25th and 75th percentiles in parenthesis. BNP = B-type natriuretic peptide; IL = interleukin; hsCRP high sensitivity C-reactive protein; TNFα = tumor necrosis factor-α; PICP = carboxy-terminal; PINP = amino-terminal; CITP = carboxy-terminal telopeptide of procollagen type I; PIIINP = amino-terminal propeptide of procollagen type III.</p>", "links"=>[], "tags"=>["biomarker", "levels", "peripheral", "coronary", "sinus", "samples", "bnp"], "article_id"=>215581, "categories"=>["Biochemistry", "Immunology"], "users"=>["Dermot Phelan", "Chris Watson", "Ramon Martos", "Patrick Collier", "Anil Patle", "Seamas Donnelly", "Mark Ledwidge", "John Baugh", "Ken McDonald"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0049259.t003", "stats"=>{"downloads"=>0, "page_views"=>5, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Comparison_of_biomarker_levels_from_peripheral_and_coronary_sinus_samples_in_low_and_high_BNP_groups_/215581", "title"=>"Comparison of biomarker levels from peripheral and coronary sinus samples in low and high BNP groups.", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2013-02-19 20:30:19"}
  • {"files"=>["https://ndownloader.figshare.com/files/544773"], "description"=>"<p>Scatter plots showing significant correlations between levels of BNP (log transformed) in serum from both the coronary sinus and periphery and levels of markers of collagen type I and type III turnover including PINP, CITP and PIIINP in serum from the coronary sinus.</p>", "links"=>[], "tags"=>["plots", "correlations", "levels", "bnp", "serum", "coronary", "sinus", "periphery", "markers", "collagen", "iii", "turnover", "citp", "piiinp"], "article_id"=>215230, "categories"=>["Biochemistry", "Immunology"], "users"=>["Dermot Phelan", "Chris Watson", "Ramon Martos", "Patrick Collier", "Anil Patle", "Seamas Donnelly", "Mark Ledwidge", "John Baugh", "Ken McDonald"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0049259.g001", "stats"=>{"downloads"=>0, "page_views"=>2, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Scatter_plots_showing_significant_correlations_between_levels_of_BNP_log_transformed_in_serum_from_both_the_coronary_sinus_and_periphery_and_levels_of_markers_of_collagen_type_I_and_type_III_turnover_including_PINP_CITP_and_PIIINP_in_serum_from_the_coron/215230", "title"=>"Scatter plots showing significant correlations between levels of BNP (log transformed) in serum from both the coronary sinus and periphery and levels of markers of collagen type I and type III turnover including PINP, CITP and PIIINP in serum from the coronary sinus.", "pos_in_sequence"=>0, "defined_type"=>1, "published_date"=>"2013-02-19 20:28:10"}

PMC Usage Stats | Further Information

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Relative Metric

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