Circulating Biomarkers to Identify Responders in Cardiac Cell therapy

Abstract Bone marrow mononuclear cell (BM-MNC) therapy in ST-elevation acute myocardial infarction (STEMI) has no biological inclusion criteria. Here, we analyzed 63 biomarkers and cytokines in baseline plasma samples from 77 STEMI patients treated with BM-MNCs in the TIME and Late-TIME trials as we...

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Autores principales: Jesse V. Jokerst, Nicholas Cauwenberghs, Tatiana Kuznetsova, Francois Haddad, Timothy Sweeney, Jiayi Hou, Yael Rosenberg-Hasson, Eric Zhao, Robert Schutt, Roberto Bolli, Jay H. Traverse, Carl J. Pepine, Timothy D. Henry, Ivonne H. Schulman, Lem Moyé, Doris A. Taylor, Phillip C. Yang
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Publicado: Nature Portfolio 2017
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Acceso en línea:https://doaj.org/article/47663ea787eb4f74b71588c098542657
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spelling oai:doaj.org-article:47663ea787eb4f74b71588c0985426572021-12-02T12:30:53ZCirculating Biomarkers to Identify Responders in Cardiac Cell therapy10.1038/s41598-017-04801-72045-2322https://doaj.org/article/47663ea787eb4f74b71588c0985426572017-06-01T00:00:00Zhttps://doi.org/10.1038/s41598-017-04801-7https://doaj.org/toc/2045-2322Abstract Bone marrow mononuclear cell (BM-MNC) therapy in ST-elevation acute myocardial infarction (STEMI) has no biological inclusion criteria. Here, we analyzed 63 biomarkers and cytokines in baseline plasma samples from 77 STEMI patients treated with BM-MNCs in the TIME and Late-TIME trials as well as 61 STEMI patients treated with placebo. Response to cell therapy was defined by changes in left ventricular ejection fraction, systolic/diastolic volumes, and wall motion indexes. We investigated the clinical value of circulating proteins in outcome prediction using significance testing, partial least squares discriminant analysis, and receiver operating characteristic (ROC) analysis. Responders had higher biomarker levels (76–94% elevated) than non-responders. Several biomarkers had values that differed significantly (P < 0.05) between responders and non-responders including stem cell factor, platelet-derived growth factor, and interleukin-15. We then used these lead candidates for ROC analysis and found multiple biomarkers with values areas under the curve >0.70 including interleukin 15. These biomarkers were not involved in the placebo-treated subjects suggesting that they may have predictive power. We conclude that plasma profiling after STEMI may help identify patients with a greater likelihood of response to cell-based treatment. Prospective trials are needed to assess the predictive value of the circulating biomarkers.Jesse V. JokerstNicholas CauwenberghsTatiana KuznetsovaFrancois HaddadTimothy SweeneyJiayi HouYael Rosenberg-HassonEric ZhaoRobert SchuttRoberto BolliJay H. TraverseCarl J. PepineTimothy D. HenryIvonne H. SchulmanLem MoyéDoris A. TaylorPhillip C. YangNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 7, Iss 1, Pp 1-9 (2017)
institution DOAJ
collection DOAJ
language EN
topic Medicine
R
Science
Q
spellingShingle Medicine
R
Science
Q
Jesse V. Jokerst
Nicholas Cauwenberghs
Tatiana Kuznetsova
Francois Haddad
Timothy Sweeney
Jiayi Hou
Yael Rosenberg-Hasson
Eric Zhao
Robert Schutt
Roberto Bolli
Jay H. Traverse
Carl J. Pepine
Timothy D. Henry
Ivonne H. Schulman
Lem Moyé
Doris A. Taylor
Phillip C. Yang
Circulating Biomarkers to Identify Responders in Cardiac Cell therapy
description Abstract Bone marrow mononuclear cell (BM-MNC) therapy in ST-elevation acute myocardial infarction (STEMI) has no biological inclusion criteria. Here, we analyzed 63 biomarkers and cytokines in baseline plasma samples from 77 STEMI patients treated with BM-MNCs in the TIME and Late-TIME trials as well as 61 STEMI patients treated with placebo. Response to cell therapy was defined by changes in left ventricular ejection fraction, systolic/diastolic volumes, and wall motion indexes. We investigated the clinical value of circulating proteins in outcome prediction using significance testing, partial least squares discriminant analysis, and receiver operating characteristic (ROC) analysis. Responders had higher biomarker levels (76–94% elevated) than non-responders. Several biomarkers had values that differed significantly (P < 0.05) between responders and non-responders including stem cell factor, platelet-derived growth factor, and interleukin-15. We then used these lead candidates for ROC analysis and found multiple biomarkers with values areas under the curve >0.70 including interleukin 15. These biomarkers were not involved in the placebo-treated subjects suggesting that they may have predictive power. We conclude that plasma profiling after STEMI may help identify patients with a greater likelihood of response to cell-based treatment. Prospective trials are needed to assess the predictive value of the circulating biomarkers.
format article
author Jesse V. Jokerst
Nicholas Cauwenberghs
Tatiana Kuznetsova
Francois Haddad
Timothy Sweeney
Jiayi Hou
Yael Rosenberg-Hasson
Eric Zhao
Robert Schutt
Roberto Bolli
Jay H. Traverse
Carl J. Pepine
Timothy D. Henry
Ivonne H. Schulman
Lem Moyé
Doris A. Taylor
Phillip C. Yang
author_facet Jesse V. Jokerst
Nicholas Cauwenberghs
Tatiana Kuznetsova
Francois Haddad
Timothy Sweeney
Jiayi Hou
Yael Rosenberg-Hasson
Eric Zhao
Robert Schutt
Roberto Bolli
Jay H. Traverse
Carl J. Pepine
Timothy D. Henry
Ivonne H. Schulman
Lem Moyé
Doris A. Taylor
Phillip C. Yang
author_sort Jesse V. Jokerst
title Circulating Biomarkers to Identify Responders in Cardiac Cell therapy
title_short Circulating Biomarkers to Identify Responders in Cardiac Cell therapy
title_full Circulating Biomarkers to Identify Responders in Cardiac Cell therapy
title_fullStr Circulating Biomarkers to Identify Responders in Cardiac Cell therapy
title_full_unstemmed Circulating Biomarkers to Identify Responders in Cardiac Cell therapy
title_sort circulating biomarkers to identify responders in cardiac cell therapy
publisher Nature Portfolio
publishDate 2017
url https://doaj.org/article/47663ea787eb4f74b71588c098542657
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