SHIMADA ERIKO
Department School of Medicine(Tokyo Women's Medical University Hospital), School of Medicine Position Assistant Professor |
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Language | English |
Title | Clinical Implication of Serum TGF-b Levels in Patients with Fontan Physiology |
Conference | The 79th Annual Scientific Meeting of the Japanese Circulation Society |
Promoters | Japanese Circulation Society |
Conference Type | Nationwide Conferences |
Presentation Type | Poster notice |
Lecture Type | General |
Publisher and common publisher | ◎INAI Kei, TSUDA Takeshi, SHIMADA Eriko, NAKANISHI Toshio |
Date | 2015/04/25 |
Venue (city and name of the country) |
Osaka, JAPAN |
Society abstract | PROGRAM JCS 2015 441 |
Summary | Background and Aim: Transforming growth factor (TGF)-b is a growth factor that has a pivotal role in the regulation of cell growth and inflammation. TGF-b is also known as a downstream growth factor of angiotensin II. The aim of this study is to investigate whether the Fontan operation enhances RAA axis that induces upregulation of systemic TGF-b a possible cause of multiple complications after the Fontan operation. Subjects and Methods: We measured active and total TGF-b levels in the serum by a bioassay using mink lung epithelial cells. Twenty three patients after the Fontan operation and 10 age-matched normal control subjects were recruited. We examined the correlation between serum TGF-b levels and the clinical profiles and sought to elucidate whether there is an association between serum TGF-b levels and the complications related to the Fontan operation. Results: Total and active TGF-b levels in Fontan patients are higher than those in controls, 1.8+/-0.9 vs 0.7+/-0.2 ng/ml, 155.6+/-38.7 vs 59.8+/-16.7 ng/ml, respectively. Active TGF-b levels demonstrated a negative correlation with the cardiac index(p = 0.011), serum creatinine(p = 0.025), and estimated glomerular filtration rate(p = 0.03). Cirrhosis discriminant scores, which indicate the severity of liver fibrosis, were significantly associated with total TGF-b levels. Conclusions: The serum TGF-b levels are associated with the cardiac output and renal /liver dysfunction in Fontan patients. |