| Title: | Serum myostatin levels are independently associated with skeletal muscle wasting in patients with heart failure |
| Authors: | Furihata, Takaaki Browse this author →KAKEN DB |
| Kinugawa, Shintaro Browse this author →KAKEN DB |
| Fukushima, Arata Browse this author →KAKEN DB |
| Takada, Shingo Browse this author →KAKEN DB |
| Homma, Tsuneaki Browse this author |
| Masaki, Yoshihiro Browse this author |
| Abe, Takahiro Browse this author |
| Yokota, Takashi Browse this author →KAKEN DB |
| Oba, Koji Browse this author →KAKEN DB |
| Okita, Koichi Browse this author →KAKEN DB |
| Tsutsui, Hiroyuki Browse this author →KAKEN DB |
| Keywords: | Heart failure |
| Myostatin |
| Muscle wasting |
| Issue Date: | 1-Oct-2016 |
| Publisher: | Elsevier |
| Journal Title: | International journal of cardiology |
| Volume: | 220 |
| Start Page: | 483 |
| End Page: | 487 |
| Publisher DOI: | 10.1016/j.ijcard.2016.06.231 |
| PMID: | 27390974 |
| Abstract: | Background: It has been reported that skeletal muscle mass and strength are decreased in patients with heart failure (HF), and HF is associated with both reduced exercise capacity and adverse clinical outcomes. Myostatin has been known as a negative regulator of muscle growth, follistatin as the myostatin antagonist, maintaining tissue homeostasis. We thus determined serum myostatin levels in HF patients and whether they are associated with skeletal muscle wasting. Methods and results: Forty one consecutive HF patients (58 +/- 15 years old, New York Heart Association class I-III) and 30 age-matched healthy subjects as controls (53 +/- 8 years old) were studied. Serum myostatin levels were significantly lower in HF patients than controls (18.7 +/- 7.4 vs. 23.6 +/- 5.2 ng/mL, P < 0.001). Circumference of the thickest part of the right thigh was significantly small (468 +/- 72 vs. 559 +/- 37 mm, P = 0.001) and lower extremity muscular strength was lower in patients with HF (129 +/- 55 vs. 219 +/- 52 N × m, P < 0.001). Fourteen HF patients (34%) had muscle wasting. By univariate analysis, higher age, higher serum follistatin, and lower serum myostatin were significantly associated with the presence of muscle wasting. By multivariate analysis, serum myostatin levels were independently associated with muscle wasting (OR = 0.77, 95% CI [0.58, 0.93], P = 0.02). Conclusion: Serum myostatin levels were significantly decreased in HF patients and associated with lower extremity muscle wasting, suggesting that myostatin may be an important factor for maintaining skeletal muscle mass and strength in HF. |
| Rights: | © 2016. This manuscript version is made available under the CC-BY-NC-ND 4.0 license http://creativecommons.org/licenses/by-nc-nd/4.0/ |
| https://creativecommons.org/licenses/by-nc-nd/4.0/ |
| Type: | article (author version) |
| URI: | http://hdl.handle.net/2115/67234 |
| Appears in Collections: | 北海道大学病院 (Hokkaido University Hospital) > 雑誌発表論文等 (Peer-reviewed Journal Articles, etc)
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