Evidence map›Paper›PMID 34217226›Full record

ArticleBMC cardiovascular disorders2021

IGFBP7 and GDF-15, but not P1NP, are associated with cardiac alterations and 10-year outcome in an elderly community-based study.

Jennifer M T A Meessen, Giulia Cesaroni, Gian F Mureddu, Alessandro Boccanelli, Ursula-Henrike Wienhues-Thelen, Peter Kastner, Luisa Ojeda-Fernandez, Deborah Novelli, Gianfranco Bazzoni, Maurizio Mangiavacchi and 5 more

Open access · goldAbstract readComparative StudyMulticenter Study
In one paragraph

Article in BMC cardiovascular disorders, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
2.4field-weighted citation impact, top 11% 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

18 citing papers in PubMed, 22 citations in OpenAlex.

  1. Trial
  2. Article
  3. Comprehensive assessment of novel cardiovascular biomarkers in AF.Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology · 2026
    Article
  4. Review
  5. Review
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  7. Plasma Insulin-like Growth Factor-Binding Protein-7 Is Positively Associated with Age, Obesity, Mortality, and Cancer in Postmenopausal Women.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2025
    Article
  8. Article
  9. Review
  10. Article
  11. Article
  12. Article
  13. Review
  14. Article
  15. Metabolic Changes in Cardiac Aging.Reviews in cardiovascular medicine · 2023
    Review
  16. Article
  17. Article
  18. Article
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

15 authors at 6 institutions in 3 countries.

Jennifer M T A MeessenDepartment of Cardiovascular Medicine, Istituto di Ricerche Farmacologiche Mario Negri IRCCS, Milan, Italy.
Giulia CesaroniDepartment of Epidemiology, Lazio Regional Health Service, ASL Roma 1, Rome, Italy.
Gian F MuredduDepartment of Cardiovascular Diseases, S Giovanni-Addolorata Hospital, Rome, Italy.
Alessandro BoccanelliCasa di Cura Quisisana, Rome, Italy.
Ursula-Henrike Wienhues-ThelenRoche Diagnostics GmbH, Penzberg, Germany.
Peter KastnerRoche Diagnostics GmbH, Penzberg, Germany.
Luisa Ojeda-FernandezDepartment of Cardiovascular Medicine, Istituto di Ricerche Farmacologiche Mario Negri IRCCS, Milan, Italy.
Deborah NovelliDepartment of Cardiovascular Medicine, Istituto di Ricerche Farmacologiche Mario Negri IRCCS, Milan, Italy.
Gianfranco BazzoniDepartment of Biochemistry and Molecular Pharmacology, Istituto di Ricerche Farmacologiche Mario Negri IRCCS, Milan, Italy.
Maurizio MangiavacchiCentro Medico Specialistico UniSalus, Milan, Italy.
Nera AgabitiDepartment of Epidemiology, Lazio Regional Health Service, ASL Roma 1, Rome, Italy.
Serge MassonRoche Diagnostics International, Rotkreuz, Switzerland.
Lidia StaszewskyDepartment of Cardiovascular Medicine, Istituto di Ricerche Farmacologiche Mario Negri IRCCS, Milan, Italy.
Roberto LatiniDepartment of Cardiovascular Medicine, Istituto di Ricerche Farmacologiche Mario Negri IRCCS, Milan, Italy. roberto.latini@marionegri.it.ORCID 0000-0002-3729-4650
PREDICTOR Investigators
Mario Negri Institute for Pharmacological Research · ITASL Roma · ITRoche Pharma AG (Germany) · DEAzienda Ospedaliera San Giovanni Addolorata · ITCasa di Cura Città di Roma · ITRoche (Switzerland) · CH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundLittle is known about the clinical value of Insulin-like growth factor-binding protein-7 (IGFBP7), a cellular senescence marker, in an elderly general population with multiple co-morbidities and high prevalence of asymptomatic cardiovascular ventricular dysfunction. Inflammation and fibrosis are hallmarks of cardiac aging and remodelling. Therefore, we assessed the clinical performance of IGFBP7 and two other biomarkers reflecting these pathogenic pathways, the growth differentiation factor-15 (GFD-15) and amino-terminal propeptide of type I procollagen (P1NP), for their association with cardiac phenotypes and outcomes in the PREDICTOR study.

methods2001 community-dwelling subjects aged 65-84 years who had undergone centrally-read echocardiography, were selected through administrative registries. Atrial fibrillation (AF) and 4 echocardiographic patterns were assessed: E/e' (> 8), enlarged left atrial area, left ventricular hypertrophy (LVH) and reduced midwall circumference shortening (MFS). All-cause and cardiovascular mortality and hospitalization were recorded over a median follow-up of 10.6 years.

resultsIGFBP7 and GDF-15, but not P1NP, were independently associated with prevalent AF and echocardiographic variables after adjusting for age and sex. After adjustment for clinical risk factors and cardiac patterns or NT-proBNP and hsTnT, both IGFBP7 and GDF-15 independently predicted all-cause mortality, hazard ratios 2.13[1.08-4.22] and 2.03[1.62-2.56] per unit increase of Ln-transformed markers, respectively.

conclusionsIn a community-based elderly cohort, IGFBP7 and GDF-15 appear associated to cardiac alterations as well as to 10-year risk of all-cause mortality.

Indexed as

AgedAged, 80 and overAge FactorsBiomarkersCause of DeathCross-Sectional StudiesFemaleGrowth Differentiation Factor 15Heart FailureHumansInsulin-Like Growth Factor Binding ProteinsItalyMalePeptide FragmentsPrevalenceProcollagenBiomarkersGDF15 protein, humanGrowth Differentiation Factor 15insulin-like growth factor binding protein-related protein 1Insulin-Like Growth Factor Binding ProteinsPeptide FragmentsProcollagenprocollagen Type I N-terminal peptideCardiac remodellingCommunity-dwelling elderlyGDF-15IGFBP7P1NP

Identifiers

PMID34217226
PMCPMC8254994
OpenAlexW3180769659

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Registered trials

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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.