Key result
Elevated levels of sTNFR2 at admission and both sTNFR1 and sTNFR2 at 1-3 days after percutaneous coronary intervention were significantly associated with decreased long-term survival in STEMI patients.
Why the study?
Soluble tumor necrosis factor receptors may play dual roles in TNF-alpha actions, motivating an investigation into their dynamic changes in STEMI patients.
Are levels of sTNFR1 and sTNFR2 associated with survival in patients with STEMI after PCI?
Observational (n=165)
Blinded to clinical information for laboratory assays
No
Are levels of sTNFR1 and sTNFR2 associated with survival in patients with STEMI after PCI?
Elevated levels of sTNFR1 and sTNFR2 in the acute phase and 1-3 days post-PCI are associated with decreased survival in STEMI patients, suggesting their potential as prognostic biomarkers.
The soluble tumor necrosis factor receptors (sTNFR1 and sTNFR2) are suggested to play dual roles on physiological and pathophysiological actions of TNF-α. The aim of this study was to investigate the dynamic changes of these biomarkers in patients with ST-segment elevation myocardial infarction (STEMI). Blood was collected from 165 STEMI patients at admission, 1-3 days and 3 months after percutaneous coronary intervention (PCI) and from 40 healthy blood donors. sTNFR1 and sTNFR2 were measured with ELISA. The plasma levels of both sTNFR1 and sTNFR2 were significantly higher than in healthy donors at all three time points. We found no significant differences in sTNFR1 or sTNFR2 when comparing patients with patent versus occluded culprit vessels, or between patients having a thrombus aspiration or not. Survival analysis was performed comparing patients with levels of biomarkers above and below the median values at that time point. We found significant differences in survival for sTNFR2 in acute samples (p = 0.0151) and for both sTNFR1 and sTNFR2 in samples 1-3 days after PCI (p = 0.0054 and p = 0.0003, respectively). Survival analyses suggest that sTNFR1 or sTNFR2 could be promising markers to predict mortality in STEMI patients after PCI.
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Befekadu et al. (2022) conducted an observational in ST-segment elevation myocardial infarction (STEMI) (n=165). Elevated levels of sTNFR1 and sTNFR2 (above median) vs. Levels below median was evaluated on Survival (all-cause mortality) (p=0.0003). Elevated levels of sTNFR2 at admission and both sTNFR1 and sTNFR2 at 1-3 days after percutaneous coronary intervention were significantly associated with decreased long-term survival in STEMI patients.
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