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Combining biomarkers of clot resolution and alveolar basement membrane destruction predicts mortality in the ECLIPSE COPD cohort

BACKGROUND: Chronic obstructive pulmonary disease (COPD) is characterized by abnormal epithelial repair resulting in a hypercoagulable state with intra-alveolar accumulation of fibrin and alveolar basement membrane destruction. This study aimed to investigate if the combination of two serological bi...

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Autores principales: Sand, Jannie M.B., Rønnow, Sarah R., Langholm, Lasse L., Karsdal, Morten A., Manon-Jensen, Tina, Tal-Singer, Ruth, Miller, Bruce E., Vestbo, Jørgen, Leeming, Diana J.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier Ltd. 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7530580/
https://www.ncbi.nlm.nih.gov/pubmed/33035747
http://dx.doi.org/10.1016/j.rmed.2020.106185
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author Sand, Jannie M.B.
Rønnow, Sarah R.
Langholm, Lasse L.
Karsdal, Morten A.
Manon-Jensen, Tina
Tal-Singer, Ruth
Miller, Bruce E.
Vestbo, Jørgen
Leeming, Diana J.
author_facet Sand, Jannie M.B.
Rønnow, Sarah R.
Langholm, Lasse L.
Karsdal, Morten A.
Manon-Jensen, Tina
Tal-Singer, Ruth
Miller, Bruce E.
Vestbo, Jørgen
Leeming, Diana J.
author_sort Sand, Jannie M.B.
collection PubMed
description BACKGROUND: Chronic obstructive pulmonary disease (COPD) is characterized by abnormal epithelial repair resulting in a hypercoagulable state with intra-alveolar accumulation of fibrin and alveolar basement membrane destruction. This study aimed to investigate if the combination of two serological biomarkers evaluating these pathological processes could improve the prediction of mortality risk compared to single biomarkers. METHODS: Matrix metalloproteinase-mediated degradation of the type IV collagen α3 chain (C4Ma3), located in the alveolar basement membrane, and plasmin-mediated degradation of crosslinked fibrin (X-FIB), an end-product of fibrinogen, were assessed serologically in a subset of the ECLIPSE cohort (n = 982). Biomarker data were dichotomized into high versus low at the median. Cox regression and Kaplan-Meier curves were used to analyze the predictive value of having one or two high biomarkers for all-cause mortality over two years. RESULTS: COPD participants with high levels of two biomarkers were at significantly higher risk of all-cause mortality with a hazard ratio of 7.66 (95% CI 1.75–33.48; p = 0.007) while participants with one high biomarker were not at significantly higher risk (HR 3.79 [95% CI 0.85–16.94]; p = 0.08). CONCLUSIONS: A combination of serological biomarkers of alveolar basement membrane destruction and clot resolution was predictive of all-cause mortality in COPD. The combination of two different pathological aspects may strengthen prognostic accuracy and could be used in conjunction with clinical assessment to guide treatment decisions.
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spelling pubmed-75305802020-10-02 Combining biomarkers of clot resolution and alveolar basement membrane destruction predicts mortality in the ECLIPSE COPD cohort Sand, Jannie M.B. Rønnow, Sarah R. Langholm, Lasse L. Karsdal, Morten A. Manon-Jensen, Tina Tal-Singer, Ruth Miller, Bruce E. Vestbo, Jørgen Leeming, Diana J. Respir Med Short Communication BACKGROUND: Chronic obstructive pulmonary disease (COPD) is characterized by abnormal epithelial repair resulting in a hypercoagulable state with intra-alveolar accumulation of fibrin and alveolar basement membrane destruction. This study aimed to investigate if the combination of two serological biomarkers evaluating these pathological processes could improve the prediction of mortality risk compared to single biomarkers. METHODS: Matrix metalloproteinase-mediated degradation of the type IV collagen α3 chain (C4Ma3), located in the alveolar basement membrane, and plasmin-mediated degradation of crosslinked fibrin (X-FIB), an end-product of fibrinogen, were assessed serologically in a subset of the ECLIPSE cohort (n = 982). Biomarker data were dichotomized into high versus low at the median. Cox regression and Kaplan-Meier curves were used to analyze the predictive value of having one or two high biomarkers for all-cause mortality over two years. RESULTS: COPD participants with high levels of two biomarkers were at significantly higher risk of all-cause mortality with a hazard ratio of 7.66 (95% CI 1.75–33.48; p = 0.007) while participants with one high biomarker were not at significantly higher risk (HR 3.79 [95% CI 0.85–16.94]; p = 0.08). CONCLUSIONS: A combination of serological biomarkers of alveolar basement membrane destruction and clot resolution was predictive of all-cause mortality in COPD. The combination of two different pathological aspects may strengthen prognostic accuracy and could be used in conjunction with clinical assessment to guide treatment decisions. Elsevier Ltd. 2020-11 2020-10-02 /pmc/articles/PMC7530580/ /pubmed/33035747 http://dx.doi.org/10.1016/j.rmed.2020.106185 Text en © 2020 Elsevier Ltd. Since January 2020 Elsevier has created a COVID-19 resource centre with free information in English and Mandarin on the novel coronavirus COVID-19. The COVID-19 resource centre is hosted on Elsevier Connect, the company's public news and information website. Elsevier hereby grants permission to make all its COVID-19-related research that is available on the COVID-19 resource centre - including this research content - immediately available in PubMed Central and other publicly funded repositories, such as the WHO COVID database with rights for unrestricted research re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for free by Elsevier for as long as the COVID-19 resource centre remains active.
spellingShingle Short Communication
Sand, Jannie M.B.
Rønnow, Sarah R.
Langholm, Lasse L.
Karsdal, Morten A.
Manon-Jensen, Tina
Tal-Singer, Ruth
Miller, Bruce E.
Vestbo, Jørgen
Leeming, Diana J.
Combining biomarkers of clot resolution and alveolar basement membrane destruction predicts mortality in the ECLIPSE COPD cohort
title Combining biomarkers of clot resolution and alveolar basement membrane destruction predicts mortality in the ECLIPSE COPD cohort
title_full Combining biomarkers of clot resolution and alveolar basement membrane destruction predicts mortality in the ECLIPSE COPD cohort
title_fullStr Combining biomarkers of clot resolution and alveolar basement membrane destruction predicts mortality in the ECLIPSE COPD cohort
title_full_unstemmed Combining biomarkers of clot resolution and alveolar basement membrane destruction predicts mortality in the ECLIPSE COPD cohort
title_short Combining biomarkers of clot resolution and alveolar basement membrane destruction predicts mortality in the ECLIPSE COPD cohort
title_sort combining biomarkers of clot resolution and alveolar basement membrane destruction predicts mortality in the eclipse copd cohort
topic Short Communication
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7530580/
https://www.ncbi.nlm.nih.gov/pubmed/33035747
http://dx.doi.org/10.1016/j.rmed.2020.106185
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