TY - JOUR

T1 - Apelin

T2 - A new plasma marker of cardiopulmonary disease

AU - Goetze, Jens Peter

AU - Rehfeld, Jens F.

AU - Carlsen, Jørn

AU - Videbaek, Regitze

AU - Andersen, Claus B.

AU - Boesgaard, Soeren

AU - Friis-Hansen, Lennart

PY - 2006/1/15

Y1 - 2006/1/15

N2 - Objectives: Dyspnea is a major symptom of both parenchymal lung disease and chronic heart failure. Underlying cardiac dysfunction can be assessed by measurement of cardiac-derived B-type natriuretic peptide or its precursor in plasma. However, no specific endocrine marker of the lung parenchyma has so far been identified. We therefore examined whether plasma concentrations of apelin, a novel inotropic hormone, is affected in patients with chronic parenchymal lung disease without cardiac dysfunction. Methods and results: Patients with severe chronic parenchymal lung disease and normal cardiac function (n = 53), idiopathic pulmonary hypertension with increased right ventricular pressure (n = 10), and patients with severe left ventricular systolic dysfunction (n = 22) were enrolled. Plasma apelin-36 and proBNP concentrations were measured with radioimmunoassays. While proBNP plasma concentrations were unaffected in chronic parenchymal lung disease patients compared to normal subjects, the apelin-36 concentration was reduced 3.3-fold (median 35 pmol/l (0-162 pmol/l) vs. 117 pmol/l (55-232 pmol/l), P < 0.001). Moreover, the apelin-36 concentration was decreased in chronic heart failure patients (2.1-fold, P < 0.01) and in patients with idiopathic pulmonary hypertension (4.0-fold, P < 0.001). In contrast, the proBNP concentration was highly increased in both chronic heart failure and idiopathic pulmonary hypertension patients. Conclusion: Plasma concentrations of apelin-36, a novel inotropic peptide, are decreased in patients with chronic parenchymal lung disease and preserved cardiac function. Combined measurement of apelin-36 and proBNP may be a new diagnostic approach in distinguishing pulmonary from cardiovascular causes of dyspnea.

AB - Objectives: Dyspnea is a major symptom of both parenchymal lung disease and chronic heart failure. Underlying cardiac dysfunction can be assessed by measurement of cardiac-derived B-type natriuretic peptide or its precursor in plasma. However, no specific endocrine marker of the lung parenchyma has so far been identified. We therefore examined whether plasma concentrations of apelin, a novel inotropic hormone, is affected in patients with chronic parenchymal lung disease without cardiac dysfunction. Methods and results: Patients with severe chronic parenchymal lung disease and normal cardiac function (n = 53), idiopathic pulmonary hypertension with increased right ventricular pressure (n = 10), and patients with severe left ventricular systolic dysfunction (n = 22) were enrolled. Plasma apelin-36 and proBNP concentrations were measured with radioimmunoassays. While proBNP plasma concentrations were unaffected in chronic parenchymal lung disease patients compared to normal subjects, the apelin-36 concentration was reduced 3.3-fold (median 35 pmol/l (0-162 pmol/l) vs. 117 pmol/l (55-232 pmol/l), P < 0.001). Moreover, the apelin-36 concentration was decreased in chronic heart failure patients (2.1-fold, P < 0.01) and in patients with idiopathic pulmonary hypertension (4.0-fold, P < 0.001). In contrast, the proBNP concentration was highly increased in both chronic heart failure and idiopathic pulmonary hypertension patients. Conclusion: Plasma concentrations of apelin-36, a novel inotropic peptide, are decreased in patients with chronic parenchymal lung disease and preserved cardiac function. Combined measurement of apelin-36 and proBNP may be a new diagnostic approach in distinguishing pulmonary from cardiovascular causes of dyspnea.

KW - Apelin

KW - BNP

KW - Dyspnea

KW - Heart failure

KW - proBNP

UR - http://www.scopus.com/inward/record.url?scp=29244471763&partnerID=8YFLogxK

U2 - 10.1016/j.regpep.2005.09.032

DO - 10.1016/j.regpep.2005.09.032

M3 - Journal article

C2 - 16263185

AN - SCOPUS:29244471763

VL - 133

SP - 134

EP - 138

JO - Regulatory Peptides

JF - Regulatory Peptides

SN - 0167-0115

IS - 1-3

ER -