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European Heart Journal Advance Access originally published online on August 16, 2005
European Heart Journal 2005 26(22):2387-2395; doi:10.1093/eurheartj/ehi436
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© The European Society of Cardiology 2005. All rights reserved. For Permissions, please e-mail: journals.permissions@oxfordjournals.org

Serum hepatocyte growth factor levels predict long-term clinical outcome after percutaneous coronary revascularization

Sophie Susen2,4,{dagger}, Karine Sautière1,4,{dagger}, Frédéric Mouquet1,4, François Cuilleret1, Akram Chmaït1, Eugène P. McFadden1, Bernadette Hennache3, Florence Richard5, Pascal de Groote1, Jean-Marc Lablanche1, Jean Dallongeville5, Christophe Bauters1,5, Brigitte Jude2,4 and Eric Van Belle1,4,*

1Department of Cardiology, University Hospital, Lille, France
2Department of Hematology, University Hospital, Lille, France
3Department of Biochemistry, University Hospital, Lille, France
4INSERM-ESPRI 2004–EA 2693, Lille II University, Lille, France
5INSERM-U508, Institut Pasteur, Lille, France

Received 9 May 2005; revised 18 June 2005; accepted 7 July 2005; online publish-ahead-of-print 16 August 2005.

* Corresponding author: Service de Cardiologie B et Hémodynamique, Hôpital Cardiologique, Centre Hospitalier Régional, 59037 Lille Cedex, France. Tel: +33 3 20 44 50 08; fax: +33 3 20 44 51 30. E-mail address: ericvanbelle{at}aol.com

Aims To evaluate, in patients referred for elective percutaneous coronary revascularization (PCR) without heparin pre-treatment, the relationship between baseline serum levels of the angiogenic growth factors, vascular endothelial growth factor (VEGF) and hepatocyte growth factor (HGF), and clinical outcome.

Methods and results In 488 consecutive patients undergoing elective coronary angioplasty, hsC-reactive protein, HGF, and VEGF levels were measured before heparin administration. The primary endpoint, a composite of death and myocardial infarction, occurred in 44 patients at a median follow-up of 14.9 months. At baseline, VEGF levels were related to C-reactive protein levels and inversely related to age; HGF levels were related to C-reactive protein levels, diabetes, and recent clinical instability. In the univariate analysis, HGF had a significant positive relationship (P=0.003) with the primary endpoint. A similar trend was observed for VEGF (P=0.11). The only three variables significantly associated with the primary endpoint in the multivariable Cox model were HGF (P=0.004), C-reactive protein (P=0.007), and diabetes (P=0.04).

Conclusion Our results demonstrate that in patients, without heparin pre-treatment, referred for PCR, a high serum level of HGF is an independent predictor of clinical events during follow-up and is correlated with other surrogate measures of the activity of atherosclerosis.

Key Words: Angioplasty • Growth factors • Diabetes mellitus • C-reactive protein • Clinical outcome


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