Serum SVEP1, derived from cardiac fibroblasts, correlated with extracellular volume fraction and outperformed BNP as an independent predictor of cardiac fibrosis in heart failure.
Observational
Does SVEP1 serve as a better circulating biomarker than BNP for detecting ECV-defined cardiac fibrosis in heart failure?
SVEP1 is a novel, fibroblast-derived circulating biomarker that outperforms BNP in detecting ECV-defined cardiac fibrosis in heart failure.
BACKGROUND: Cardiac fibrosis is a hallmark of heart failure and can be quantified by the extracellular volume fraction (ECV) derived from diagnostic imaging. However, noninvasive assessment is limited by the lack of specific circulating biomarkers. Recent large plasma proteome analyses have identified SVEP1 (Sushi, von Willebrand factor type A, EGF, and pentraxin domain containing 1) as candidate molecules reflecting cardiac fibrosis. This study aimed to evaluate SVEP1 as a biomarker for cardiac fibrosis. METHODS: . SVEP1 secretion was assessed in human cardiac fibroblasts after TGF-β (transforming growth factor-β) stimulation or small interfering RNA knockdown. Plasma Svep1 and cardiac hydroxyproline levels were measured in mice with angiotensin II- and phenylephrine-induced cardiac fibrosis. RESULTS: Serum SVEP1 correlated with ECV and outperformed BNP in detecting fibrosis. Multivariable analysis revealed SVEP1 as an independent predictor of ECV. In addition, snRNA-seq revealed fibroblast-specific expression, expanded in failing hearts consistent with activated fibroblast emergence. Furthermore, TGF-β increased SVEP1 secretion in human cardiac fibroblasts, whereas its knockdown reduced SVEP1 secretion. Plasma Svep1 and cardiac hydroxyproline levels were elevated and positively correlated in mice. CONCLUSIONS: Compared with BNP, SVEP1, derived from cardiac fibroblasts, is more strongly associated with ECV-defined fibrosis and may serve as a novel fibrosis-specific circulating biomarker in heart failure.
Kuwahara et al. (Mon,) conducted a observational in Cardiac fibrosis in heart failure. SVEP1 biomarker assessment vs. BNP was evaluated on Correlation of SVEP1 with extracellular volume fraction (ECV) and detection of fibrosis. Serum SVEP1, derived from cardiac fibroblasts, correlated with extracellular volume fraction and outperformed BNP as an independent predictor of cardiac fibrosis in heart failure.