Evidence map›Paper›PMID 31429530›Full record

ArticleESC heart failure2019

Fibroblast growth factor 21 in patients with cardiac cachexia: a possible role of chronic inflammation.

Maria Refsgaard Holm, Heidi Christensen, Jon Rasmussen, Marie Louise Johansen, Morten Schou, Jens Faber, Caroline Kistorp

Open access · goldAbstract read
In one paragraph

Article in ESC heart failure, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed, 1 pooled it
1.5field-weighted citation impact, top 18% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

25 citing papers in PubMed, 1 synthesis or guideline pooled it, 28 citations in OpenAlex.

  1. Cancer- and cardiac-induced cachexia: same fate through different inflammatory mediators?Inflammation research : official journal of the European Histamine Research Society ... [et al.] · 2022
    Pooled it
  2. Gut microbes · 2026
    Trial
  3. Trial
  4. Review
  5. Article
  6. Article
  7. Article
  8. Association of an impaired GH-IGF-I axis with cardiac wasting in patients with advanced cancer.Clinical research in cardiology : official journal of the German Cardiac Society · 2025
    Article
  9. Article
  10. Sex-specific impact ofTherapeutic advances in endocrinology and metabolism · 2024
    Article
  11. Review
  12. Review
  13. Article
  14. Mechanism of fibroblast growth factor 21 in cardiac remodeling.Frontiers in cardiovascular medicine · 2023
    Review
  15. Review
  16. Article
  17. Article
  18. Article
  19. Article
  20. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 5 institutions in 1 country.

Maria Refsgaard HolmCentre of Endocrinology and Metabolism, Department of Internal Medicine, Copenhagen University Hospitals, Herlev and Gentofte, Herlev Ringvej 75, 2730, Herlev, Denmark.
Heidi ChristensenCentre of Endocrinology and Metabolism, Department of Internal Medicine, Copenhagen University Hospitals, Herlev and Gentofte, Herlev Ringvej 75, 2730, Herlev, Denmark.
Jon RasmussenCentre of Endocrinology and Metabolism, Department of Internal Medicine, Copenhagen University Hospitals, Herlev and Gentofte, Herlev Ringvej 75, 2730, Herlev, Denmark.
Marie Louise JohansenCentre of Endocrinology and Metabolism, Department of Internal Medicine, Copenhagen University Hospitals, Herlev and Gentofte, Herlev Ringvej 75, 2730, Herlev, Denmark.
Morten SchouDepartment of Cardiology, Copenhagen University Hospitals, Herlev and Gentofte, Herlev, Denmark.
Jens FaberCentre of Endocrinology and Metabolism, Department of Internal Medicine, Copenhagen University Hospitals, Herlev and Gentofte, Herlev Ringvej 75, 2730, Herlev, Denmark.
Caroline KistorpDepartment of Endocrinology, Copenhagen University Hospitals, Rigshospitalet, Denmark.
Herlev Hospital · DKUniversity of Copenhagen · DKCopenhagen University Hospital · DKGentofte Hospital · DKRigshospitalet · DK

Funding

A.P. Moeller Foundation for the Advancement of Medical ScienceResearch Council of Copenhagen University Hospitals
6 · The paper itself

Abstract

aimsCardiac cachexia is a wasting syndrome characterized by chronic inflammation and high mortality. Fibroblast growth factor 21 (FGF-21) and monocyte chemoattractant protein 1 (MCP-1) are associated with cardiovascular disease and systemic inflammation. We investigated FGF-21 and MCP-1 in relations to cardiac function, inflammation, and wasting in patients with heart failure with reduced ejection fraction (HFrEF) and cardiac cachexia. METHODS AND

resultsPlasma FGF-21 and MCP-1 were measured in a cross-sectional study among the three study groups: 19 patients with HFrEF with cardiac cachexia, 19 patients with HFrEF without cachexia, and 19 patients with ischaemic heart disease and preserved ejection fraction. Patients with HFrEF and cardiac cachexia displayed higher FGF-21 levels median (inter quantile range) 381 (232-577) pg/mL than patients with HFrEF without cachexia 224 (179-309) pg/mL and ischaemic heart disease patients 221 (156-308) pg/mL (P = 0.0496). No difference in MCP-1 levels were found among the groups (P = 0.345). In a multivariable regression analysis, FGF-21 (logarithm 2) was independently associated with interleukin 6 (logarithm 2) (P = 0.015) and lower muscle mass (P = 0.043), while no relation with N-terminal pro-hormone brain natriuretic peptide was observed.

conclusionsFibroblast growth factor 21 (FGF-21) levels were elevated in patients with HFrEF and cardiac cachexia, which could be mediated by increased inflammation and muscle wasting rather than impaired cardiac function.

Indexed as

AgedAged, 80 and overBiomarkersCachexiaCardiovascular DiseasesCase-Control StudiesChemokine CCL2Chronic DiseaseCross-Sectional StudiesDenmarkFemaleFibroblast Growth FactorsHeart FailureHumansInflammationInterleukin-6BiomarkersChemokine CCL2fibroblast growth factor 21Fibroblast Growth FactorsInterleukin-6Natriuretic Peptide, BrainCardiac cachexiaFGF-21Fibroblast growth factor 21Heart failure with reduced ejection fractionMonocyte chemoattractant protein 1Muscle wasting

Identifiers

PMID31429530
PMCPMC6816069
OpenAlexW2969909918

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.