The abnormal status of uncarboxylated matrix Gla protein species represents an additional mortality risk in heart failure patients with vascular disease

Otto, Jr. Mayer*, Jitka Seidlerova, Jiri Vanek, Petra Karnosova, Jan Bruthans, Jan Filipovsky, Peter Wohlfahrt, Renata Cifkova, Jindra Windrichova, Maria Knapen, Nadja E. A. Drummen, Cees Vermeer

*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review

Abstract

Background: Matrix Gla protein (MGP) is a natural inhibitor of tissue calcification. In a previous study, we observed the positive association between abnormal concentrations of uncarboxylatedMGP species and increased mortality risk in stable vascular patients. We explore whether co-incidence of abnormal status of uncarboxylated MPG and heart failure (HF) affects the mortality risk. Methods: We examined 799 patients (mean age 65.1 years) with stable vascular disease and followed them in a prospective study. Both, desphospho-uncarboxylated and total uncarboxylated MGP (dp-ucMGP or t-ucMGP) were quantified by pre-commercial ELISA assays. Results: Elevated (>100 ng/L) circulating brain natriuretic peptide (BNP) and abnormal status of plasma uncarboxylated MGP species (i.e.: dp-ucMGP >= 977 pmol/L or t-ucMGP
Original languageEnglish
Pages (from-to)916-922
JournalInternational Journal of Cardiology
Volume203
DOIs
Publication statusPublished - 15 Jan 2016

Keywords

  • Matrix gamma-carboxyl glutamate protein (MGP)
  • Heart failure
  • dp-ucMGP
  • t-ucMGP
  • Mortality
  • Atherovascular disease

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