Elevated plasma levels of N-terminal pro-brain natriuretic peptide in patients with chronic hepatitis C during interferon-based antiviral therapy

AIM: To investigate plasma levels of N-terminal probrain natriuretic peptide (NT-proBNP), an established marker of cardiac function, in patients with chronic hepatitis C during interferon-based antiviral therapy.METHODS: Using a sandwich immunoassay, plasma levels of NT-proBNP were determined in 48...

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Veröffentlicht in:World journal of gastroenterology : WJG 2006-09, Vol.12 (36), p.5875-5877
Hauptverfasser: Bojunga, Jorg, Sarrazin, Christoph, Hess, Georg, Zeuzem, Stefan
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container_issue 36
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container_title World journal of gastroenterology : WJG
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creator Bojunga, Jorg
Sarrazin, Christoph
Hess, Georg
Zeuzem, Stefan
description AIM: To investigate plasma levels of N-terminal probrain natriuretic peptide (NT-proBNP), an established marker of cardiac function, in patients with chronic hepatitis C during interferon-based antiviral therapy.METHODS: Using a sandwich immunoassay, plasma levels of NT-proBNP were determined in 48 patients with chronic hepatitis C at baseline, wk 24 and 48 during antiviral therapy and at wk 72 during follow-up.RESULTS: Plasma NT-proBNP concentrations were significantly increased (P 〈 0.05) at wk 24, 48 and 72 compared to the baseline values. NT-proBNP concentrations at baseline and wk 24 were closely correlated (r = 0.8; P 〈 0.001). At wk 24, 7 (14.6%) patients had NT-proBNP concentrations above 200 ng/L compared to 1 (2%) patient at baseline (P = 0.059). Six of these 7 patients had been treated with high-dose IFN-α induction therapy. In multiple regression analysis, NT-proBNP was not related to other clinical parameters, biochemical parameters of liver disease or virus load and response to therapy. CONCLUSION: Elevated levels of NT-proBNP during and after interferon-based antiviral therapy of chronic hepatitis C may indicate the presence of cardiac dysfunction, which may contribute to the clinical symptoms observed in patients during therapy. Plasma levels of NT-proBNP may be used as a diagnostic tool and for guiding therapy in patients during interferon- based antiviral therapy.
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NT-proBNP concentrations at baseline and wk 24 were closely correlated (r = 0.8; P 〈 0.001). At wk 24, 7 (14.6%) patients had NT-proBNP concentrations above 200 ng/L compared to 1 (2%) patient at baseline (P = 0.059). Six of these 7 patients had been treated with high-dose IFN-α induction therapy. In multiple regression analysis, NT-proBNP was not related to other clinical parameters, biochemical parameters of liver disease or virus load and response to therapy. CONCLUSION: Elevated levels of NT-proBNP during and after interferon-based antiviral therapy of chronic hepatitis C may indicate the presence of cardiac dysfunction, which may contribute to the clinical symptoms observed in patients during therapy. Plasma levels of NT-proBNP may be used as a diagnostic tool and for guiding therapy in patients during interferon- based antiviral therapy.</description><identifier>ISSN: 1007-9327</identifier><identifier>EISSN: 2219-2840</identifier><identifier>DOI: 10.3748/wjg.v12.i36.5875</identifier><identifier>PMID: 17007056</identifier><language>eng</language><publisher>United States: Internal Medicine Ⅱ, Saarland University Hospital, 66421 Homburg/Saar,Germany%Roche Diagnostics, 68305 Mannheim, Germany</publisher><subject>Adult ; Aged ; Antiviral Agents - therapeutic use ; Biomarkers - blood ; Female ; Heart Diseases - chemically induced ; Heart Diseases - diagnosis ; Hepatitis C, Chronic - blood ; Hepatitis C, Chronic - drug therapy ; Humans ; Interferon alpha-2 ; Interferon-alpha - adverse effects ; Interferon-alpha - therapeutic use ; Male ; Middle Aged ; Natriuretic Peptide, Brain - blood ; Peptide Fragments - blood ; Polyethylene Glycols - adverse effects ; Polyethylene Glycols - therapeutic use ; Rapid Communication ; Recombinant Proteins ; Regression Analysis ; 尿钠排泄 ; 慢性丙型肝炎 ; 抗病毒治疗 ; 等离子体</subject><ispartof>World journal of gastroenterology : WJG, 2006-09, Vol.12 (36), p.5875-5877</ispartof><rights>Copyright © Wanfang Data Co. Ltd. All Rights Reserved.</rights><rights>2006 Baishideng Publishing Group Co., Limited. All rights reserved. 2006</rights><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c450t-2214d190b650f0874786eaf5a90d1b27a28f98facf079333afce18d40f6af38b3</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Uhttp://image.cqvip.com/vip1000/qk/84123X/84123X.jpg</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4100671/pdf/$$EPDF$$P50$$Gpubmedcentral$$H</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4100671/$$EHTML$$P50$$Gpubmedcentral$$H</linktohtml><link.rule.ids>230,314,723,776,780,881,27901,27902,53766,53768</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/17007056$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Bojunga, Jorg</creatorcontrib><creatorcontrib>Sarrazin, Christoph</creatorcontrib><creatorcontrib>Hess, Georg</creatorcontrib><creatorcontrib>Zeuzem, Stefan</creatorcontrib><title>Elevated plasma levels of N-terminal pro-brain natriuretic peptide in patients with chronic hepatitis C during interferon-based antiviral therapy</title><title>World journal of gastroenterology : WJG</title><addtitle>World Journal of Gastroenterology</addtitle><description>AIM: To investigate plasma levels of N-terminal probrain natriuretic peptide (NT-proBNP), an established marker of cardiac function, in patients with chronic hepatitis C during interferon-based antiviral therapy.METHODS: Using a sandwich immunoassay, plasma levels of NT-proBNP were determined in 48 patients with chronic hepatitis C at baseline, wk 24 and 48 during antiviral therapy and at wk 72 during follow-up.RESULTS: Plasma NT-proBNP concentrations were significantly increased (P 〈 0.05) at wk 24, 48 and 72 compared to the baseline values. NT-proBNP concentrations at baseline and wk 24 were closely correlated (r = 0.8; P 〈 0.001). At wk 24, 7 (14.6%) patients had NT-proBNP concentrations above 200 ng/L compared to 1 (2%) patient at baseline (P = 0.059). Six of these 7 patients had been treated with high-dose IFN-α induction therapy. In multiple regression analysis, NT-proBNP was not related to other clinical parameters, biochemical parameters of liver disease or virus load and response to therapy. CONCLUSION: Elevated levels of NT-proBNP during and after interferon-based antiviral therapy of chronic hepatitis C may indicate the presence of cardiac dysfunction, which may contribute to the clinical symptoms observed in patients during therapy. Plasma levels of NT-proBNP may be used as a diagnostic tool and for guiding therapy in patients during interferon- based antiviral therapy.</description><subject>Adult</subject><subject>Aged</subject><subject>Antiviral Agents - therapeutic use</subject><subject>Biomarkers - blood</subject><subject>Female</subject><subject>Heart Diseases - chemically induced</subject><subject>Heart Diseases - diagnosis</subject><subject>Hepatitis C, Chronic - blood</subject><subject>Hepatitis C, Chronic - drug therapy</subject><subject>Humans</subject><subject>Interferon alpha-2</subject><subject>Interferon-alpha - adverse effects</subject><subject>Interferon-alpha - therapeutic use</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Natriuretic Peptide, Brain - blood</subject><subject>Peptide Fragments - blood</subject><subject>Polyethylene Glycols - adverse effects</subject><subject>Polyethylene Glycols - therapeutic use</subject><subject>Rapid Communication</subject><subject>Recombinant Proteins</subject><subject>Regression Analysis</subject><subject>尿钠排泄</subject><subject>慢性丙型肝炎</subject><subject>抗病毒治疗</subject><subject>等离子体</subject><issn>1007-9327</issn><issn>2219-2840</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2006</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpVkU2P0zAQhi0EYrsLd07IQlxT_JHE8QUJVcuCtILL7tmaJHbikjrBdlvtz-AfM1UrPk6WZ5555-Ml5A1na6nK5sNxO6wPXKy9rNdVo6pnZCUE14VoSvacrDhjqtBSqCtyndKWMSFlJV6SK64ww6p6RX7dTvYA2fZ0mSDtgOLXTonOjn4rso07H2CiS5yLNoIPNECOfh9t9h1d7JJ9bymGF8jehpzo0eeRdmOcAwKjPcWzT3RD-330YUAWRZ3FfNFCwrYQsj_4iE3yaCMsT6_ICwdTsq8v7w15_Hz7sPlS3H-_-7r5dF90ZcVygXuWPdesrSvmWKNK1dQWXAWa9bwVCkTjdOOgc0xpKSW4zvKmL5mrwcmmlTfk41l32bc723c4Pk5hluh3EJ_MDN78nwl-NMN8MCWetVYcBd6fBY4QHITBbOd9xGslg7YIZGTNuEaMnbEuzilF6_604MycXDzhBl006KI5uYglb_8d7W_BxTYE3l00xzkMP_GwpoXuh_OTNUKystS6kr8BW0appQ</recordid><startdate>20060928</startdate><enddate>20060928</enddate><creator>Bojunga, Jorg</creator><creator>Sarrazin, Christoph</creator><creator>Hess, Georg</creator><creator>Zeuzem, Stefan</creator><general>Internal Medicine Ⅱ, Saarland University Hospital, 66421 Homburg/Saar,Germany%Roche Diagnostics, 68305 Mannheim, Germany</general><general>Baishideng Publishing Group Co., Limited</general><scope>2RA</scope><scope>92L</scope><scope>CQIGP</scope><scope>W91</scope><scope>~WA</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>2B.</scope><scope>4A8</scope><scope>92I</scope><scope>93N</scope><scope>PSX</scope><scope>TCJ</scope><scope>5PM</scope></search><sort><creationdate>20060928</creationdate><title>Elevated plasma levels of N-terminal pro-brain natriuretic peptide in patients with chronic hepatitis C during interferon-based antiviral therapy</title><author>Bojunga, Jorg ; 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NT-proBNP concentrations at baseline and wk 24 were closely correlated (r = 0.8; P 〈 0.001). At wk 24, 7 (14.6%) patients had NT-proBNP concentrations above 200 ng/L compared to 1 (2%) patient at baseline (P = 0.059). Six of these 7 patients had been treated with high-dose IFN-α induction therapy. In multiple regression analysis, NT-proBNP was not related to other clinical parameters, biochemical parameters of liver disease or virus load and response to therapy. CONCLUSION: Elevated levels of NT-proBNP during and after interferon-based antiviral therapy of chronic hepatitis C may indicate the presence of cardiac dysfunction, which may contribute to the clinical symptoms observed in patients during therapy. Plasma levels of NT-proBNP may be used as a diagnostic tool and for guiding therapy in patients during interferon- based antiviral therapy.</abstract><cop>United States</cop><pub>Internal Medicine Ⅱ, Saarland University Hospital, 66421 Homburg/Saar,Germany%Roche Diagnostics, 68305 Mannheim, Germany</pub><pmid>17007056</pmid><doi>10.3748/wjg.v12.i36.5875</doi><tpages>3</tpages><oa>free_for_read</oa></addata></record>
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source MEDLINE; PMC (PubMed Central); Alma/SFX Local Collection
subjects Adult
Aged
Antiviral Agents - therapeutic use
Biomarkers - blood
Female
Heart Diseases - chemically induced
Heart Diseases - diagnosis
Hepatitis C, Chronic - blood
Hepatitis C, Chronic - drug therapy
Humans
Interferon alpha-2
Interferon-alpha - adverse effects
Interferon-alpha - therapeutic use
Male
Middle Aged
Natriuretic Peptide, Brain - blood
Peptide Fragments - blood
Polyethylene Glycols - adverse effects
Polyethylene Glycols - therapeutic use
Rapid Communication
Recombinant Proteins
Regression Analysis
尿钠排泄
慢性丙型肝炎
抗病毒治疗
等离子体
title Elevated plasma levels of N-terminal pro-brain natriuretic peptide in patients with chronic hepatitis C during interferon-based antiviral therapy
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