The association among biomarkers of renal and heart function in patients with heart failure: the role of NGAL

Biomark Med. 2018 Dec;12(12):1323-1330. doi: 10.2217/bmm-2018-0100. Epub 2018 Dec 4.

Abstract

Aim: The NGAL is a biomarker of renal injury associated with the progression of heart failure (HF). We examine the association of NGAL with galectin-3 in patients with chronic HF.

Methods: We consecutively enrolled 115 subjects with stable ischemic HF of reduced ejection fraction. Serum levels of galectin-3, b-type natriuretic peptide and NGAL were measured.

Results: NGAL levels were positively correlated with galectin-3 (rho = 0.26; p = 0.04) and b-type natriuretic peptide levels (rho = 0.30; p = 0.005) and inversely correlated with ejection fraction (rho = -0.31; p = 0.02) and creatinine clearance levels. The NGAL was independently associated with galectin-3 levels.

Conclusion: A positive correlation between NGAL and galectin-3 in HF patients was found, revealing a potential association between renal injury and myocardial fibrosis and remodeling in HF.

Keywords: fibrosis; galectin-3; neutrophil gelatinase-associated lipocalin; renal function.

MeSH terms

  • Aged
  • Biomarkers / blood
  • Blood Proteins
  • Female
  • Fibrosis
  • Galectin 3 / blood
  • Galectins
  • Heart / physiopathology*
  • Heart Failure / blood*
  • Heart Failure / pathology
  • Heart Failure / physiopathology*
  • Humans
  • Kidney / physiopathology*
  • Lipocalin-2 / blood*
  • Male
  • Myocardium / pathology
  • Natriuretic Peptide, Brain / blood

Substances

  • Biomarkers
  • Blood Proteins
  • Galectin 3
  • Galectins
  • LGALS3 protein, human
  • Lipocalin-2
  • Natriuretic Peptide, Brain