Evidence map›Paper›PMID 36088651›Full record

ArticleESC heart failure2022

Insulin-like growth factor binding protein 7 (IGFBP7), a link between heart failure and senescence.

Valentina Bracun, Bart van Essen, Adriaan A Voors, Dirk J van Veldhuisen, Kenneth Dickstein, Faiez Zannad, Marco Metra, Stefan Anker, Nilesh J Samani, Piotr Ponikowski and 11 more

Open access · goldAbstract read
In one paragraph

Article in ESC heart failure, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 37 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
37citing papers in PubMed, 2 pooled it
7.7field-weighted citation impact, top 2% 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

37 citing papers in PubMed, 2 syntheses or guidelines pooled it, 49 citations in OpenAlex.

  1. Pooled it
  2. Dried Blood Spots to Assess Cardiovascular-Kidney-Metabolic Health.Journal of the American Heart Association · 2025
    Pooled it
  3. Article
  4. Review
  5. Article
  6. Multicellular senescence programs in the aged heart.Journal of molecular and cellular cardiology plus · 2026
    Review
  7. Review
  8. Review
  9. Article
  10. Review
  11. Review
  12. Dynamic landscape and regulation of mScience China. Life sciences · 2025
    Article
  13. Review
  14. Article
  15. Article
  16. Article
  17. Review
  18. Cellular senescence in adult pulmonary hypertension: current state and future challenges.European respiratory review : an official journal of the European Respiratory Society · 2025
    Review
  19. Review
  20. 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
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

21 authors at 11 institutions in 9 countries.

Valentina BracunDepartment of Cardiology, University Medical Center Groningen, Groningen, The Netherlands.
Bart van EssenDepartment of Cardiology, University Medical Center Groningen, Groningen, The Netherlands.
Adriaan A VoorsDepartment of Cardiology, University Medical Center Groningen, Groningen, The Netherlands.
Dirk J van VeldhuisenDepartment of Cardiology, University Medical Center Groningen, Groningen, The Netherlands.
Kenneth DicksteinStavanger University Hospital, University of Bergen, Bergen, Norway.
Faiez ZannadUniversite de Lorraine | Inserm, Centre d'Investigations Cliniques, Nancy, France.
Marco MetraDepartment of Medical and Surgical Specialties | Radiological Sciences and Public Health | Institute of Cardiology, University of Brescia, Brescia, Italy.
Stefan AnkerDepartment of Cardiology (CVK) and Berlin Institute of Health Center for Regenerative Therapies (BCRT) | German Centre for Cardiovascular Research (DZHK) partner site Berlin, Charité Universitätsmedizin, Berlin, Germany.
Nilesh J SamaniDepartment of Cardiovascular Sciences | University of Leicester | Glenfield Hospital | and NIHR Leicester Biomedical Research Centre, Glenfield Hospital, Leicester, United Kingdom.
Piotr PonikowskiDepartment of Heart Diseases, Wroclaw Medical University, Wrocław, Poland.
Gerasimos FilippatosNational and Kapodistrian University of Athens | School of Medicine, Attikon University Hospital, Athens, Greece.
John G F ClelandRobertson Centre for Biostatistics | Institute of Health and Wellbeing, University of Glasgow | Imperial College, London, United Kingdom.
Chim C LangDivision of Molecular and Clinical Medicine | Medical Research Institute | Ninewells Hospital & Medical School, University of Dundee, Dundee, United Kingdom.
Leong L NgDepartment of Cardiovascular Sciences | University of Leicester | Glenfield Hospital | and NIHR Leicester Biomedical Research Centre, Glenfield Hospital, Leicester, United Kingdom.
Canxia ShiDepartment of Cardiology, University Medical Center Groningen, Groningen, The Netherlands.
Sanne de WitDepartment of Cardiology, University Medical Center Groningen, Groningen, The Netherlands.
Joseph Pierre AboumsallemDepartment of Cardiology, University Medical Center Groningen, Groningen, The Netherlands.
Wouter C MeijersDepartment of Cardiology, University Medical Center Groningen, Groningen, The Netherlands.
IJsbrand T KlipDepartment of Cardiology, University Medical Center Groningen, Groningen, The Netherlands.
Peter van der MeerDepartment of Cardiology, University Medical Center Groningen, Groningen, The Netherlands.
Rudolf A de BoerDepartment of Cardiology, University Medical Center Groningen, Groningen, The Netherlands.
University Medical Center Groningen · NLCharité - Universitätsmedizin Berlin · DEFrench Clinical Research Infrastructure Network · FRGlenfield Hospital · GBImperial College London · GBNational and Kapodistrian University of Athens · GRNIHR Leicester Biomedical Research Centre · GBNinewells Hospital · GBUniversity of Bergen · NOUniversity of Brescia · ITWroclaw Medical University · PL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimsInsulin like growth factor binding protein 7 (IGFBP7) is a marker of senescence secretome and a novel biomarker in patients with heart failure (HF). We evaluated the prognostic value of IGFBP7 in patients with heart failure and examined associations to uncover potential new pathophysiological pathways related to increased plasma IGFBP7 concentrations. METHODS AND

resultsWe have measured plasma IGFBP7 concentrations in 2250 subjects with new-onset or worsening heart failure (BIOSTAT-CHF cohort). Higher IGFBP7 plasma concentrations were found in older subjects, those with worse kidney function, history of atrial fibrillation, and diabetes mellitus type 2, and in subjects with higher number of HF hospitalizations. Higher IGFBP7 levels also correlate with the levels of several circulating biomarkers, including higher NT-proBNP, hsTnT, and urea levels. Cox regression analyses showed that higher plasma IGFBP7 concentrations were strongly associated with increased risk of all three main endpoints (hospitalization, all-cause mortality, and combined hospitalization and mortality) (HR 1.75, 95% CI 1.25-2.46; HR 1.71, 95% CI 1.39-2.11; and HR 1.44, 95% CI 1.23-1.70, respectively). IGFBP7 remained a significant predictor of these endpoints in patients with both reduced and preserved ejection fraction. Likelihood ratio test showed significant improvement of all three risk prediction models, after adding IGFBP7 (P < 0.001). A biomarker network analysis showed that IGFBP7 levels activate different pathways involved in the regulation of the immune system. Results were externally validated in BIOSTAT-CHF validation cohort.

conclusionsIGFPB7 presents as an independent and robust prognostic biomarker in patients with HF, with both reduced and preserved ejection fraction. We validate the previously published data showing IGFBP7 has correlations with a number of echocardiographic markers. Lastly, IGFBP7 pathways are involved in different stages of immune system regulation, linking heart failure to senescence pathways.

Indexed as

Heart FailureAgedBiomarkersHumansInsulin-Like Growth Factor Binding ProteinsPrognosisStroke VolumeBiomarkersInsulin-Like Growth Factor Binding ProteinsBIOSTAT-CHFheart failureHFpEFHFrEFIGFBP7senescence

Identifiers

PMID36088651
PMCPMC9773704
OpenAlexW4295154783

What OpenQuestion holds

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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.