Эпидемия сердечной недостаточности (СН) – одна из проблем, с которыми мировая система здравоохранения сталкивается уже не первое десятилетие. СН является многокомпонентным клиническим синдромом, обусловленным нарушением функции сердца и его патологическим ремоделированием. Кроме широко известных натрийуретических пептидов в настоящее время идентифицирован ряд сердечно-сосудистых биологических маркеров, которые дают клиницистам возможность получить дополнительные возможности в диагностировании, классификации, прогнозировании, а также мониторинге эффективности лечения пациентов с СН. С позиции установления симпатической нагрузки у пациентов с СН представляется весьма перспективной оценка концентраций катестатина. Представленные данные нашего литературного обзора свидетельствуют в пользу того, что катестатин, вероятно, является надежным биологическим маркером активности симпатического отдела вегетативной нервной системы, а его повышенные концентрации у больных с СН отражают тяжесть патологического процесса. Однако, несмотря на достоверные результаты исследований, клиническая значимость оценки значений данного маркера как отдельно, так и в рамках многомаркерной модели требует дальнейшего изучения в более крупных проспективных клинических исследованиях.
The epidemic of heart failure (HF) is one of the problems that the global health system has been facing for decades. HF is a multicomponent clinical syndrome caused by dysfunction of the heart and its pathological remodeling. In addition to the well-known natriuretic peptides, a number of cardiovascular biological markers have now been identified that provide clinicians with additional opportunities in diagnosing, classifying, predicting, and monitoring the effectiveness of treating patients with HF. From the position of establishing the sympathetic load in patients with HF, it seems very promising to assess the concentrations of catestatin. The presented data of our literature review suggest that catestatin is probably a reliable biological marker of the activity of the sympathetic division of the autonomic nervous system, and its elevated concentrations in patients with HF reflect the severity of the pathological process. However, despite the reliable results of studies, the clinical significance of assessing the values of this marker both separately and in the framework of a multimarker model requires further study in larger prospective clinical studies.
1. Piepoli M, Adamo M, Barison A, et al. Preventing heart failure: a position paper of the Heart Failure Association in collaboration with the European Association of Preventive Cardiology. Eur J Heart Fail. 2022;24(1):143-68. DOI:10.1002/ejhf.2351
2. Mohananey D, Mewhort H, Shekhar S, et al. Heart Failure Trial Update-Analysis of Recent Data. J Cardiothorac Vasc Anesth. 2021;35(9):2792-800. DOI:10.1053/j.jvca.2020.09.085
3. Braunwald E. Heart failure. JACC Heart Fail. US National Institutes of Health. 2013;1(1):1-20. DOI:10.1016/j.jchf.2012.10.002
4. Фомин И.В. Хроническая сердечная недостаточность в Российской Федерации: что сегодня мы знаем и что должны делать. Российский кардиологический журнал. 2016;8:7-13 [Fomin IV. Chronic heart failure in Russian Federation: what do we know and what to do. Russian Journal of Cardiology. 2016;8:7-13 (in Russian)].
DOI:10.15829/1560-4071-2016-8-7-13
5. Minatoguchi S. Heart failure and its treatment from the perspective of sympathetic nerve activity. J Cardiol. 2022;79(6):691-7. DOI:10.1016/j.jjcc.2021.11.016
6. Li L, Hu Z, Xiong Y, Yao Y. Device-Based Sympathetic Nerve Regulation for Cardiovascular Diseases. Front Cardiovasc Med. 2021;8:803984. DOI:10.3389/fcvm.2021.803984
7. Swedberg K, Viquerat C, Rouleau JL, et al. Comparison of myocardial catecholamine balance in chronic congestive heart failure and in angina pectoris without failure. Am J Cardiol. 1984;54(7):783‑6. DOI:10.1016/S0002-9149(84)80208-8
8. Viquerat CE, Daly P, Swedberg K, et al. Endogenous catecholamine levels in chronic heart failure. Relation to the severity of hemodynamic abnormalities. Am J Med. 1985;78(3):455-60. DOI:10.1016/0002-9343(85)90338-9
9. Kaye DM, Lambert GW, Lefkovits J, et al. Neurochemical evidence of cardiac sympathetic activation and increased central nervous system norepinephrine turnover in severe congestive heart failure. J Am Coll Cardiol. 1994;23(3):570-8.
DOI:10.1016/0735-1097(94)90738-2.
10. Aggarwal A, Esler MD, Lambert GW, et al. Norepinephrine turnover is increased in suprabulbar subcortical brain regions and is related to whole-body sympathetic activity in human heart failure. Circulation. 2002;105(9):1031-3. DOI:10.1161/hc0902.105724
11. Zucker IH, Schultz HD, Patel KP, et al. Regulation of central angiotensin type 1 receptors and sympathetic outflow in heart failure. Am J Physiol Hear Circ Physiol. 2009;297(5):H1557-66. DOI:10.1152/ajpheart.00073.2009
12. Chidsey CA, Braunwald E, Morrow AG. Catecholamine excretion and cardiac stores of norepinephrine in congestive heart failure. Am J Med. 1965;39(3):442-51.
DOI:10.1016/0002-9343(65)90211-1
13. Katsuumi G, Shimizu I, Yoshida Y, et al. Catecholamine-induced senescence of endothelial cells and bone marrow cells promotes cardiac dysfunction in mice. Int Heart J. 2018;59(4):837-44. DOI:10.1536/ihj.17-313
14. Santos JRU, Brofferio A, Viana B, Pacak K. Catecholamine-Induced Cardiomyopathy in Pheochromocytoma: How to Manage a Rare Complication in a Rare Disease? Horm Metab Res. 2019;51(7):458-69. DOI:10.1055/a-0669-9556
15. Алиева А.М., Резник Е.В., Гасанова Э.Т., и др. Клиническое значение определения биомаркеров крови у больных с хронической сердечной недостаточностью. Архивъ внутренней медицины. 2018;8(5):333-45 [Aliyeva AM, Reznik EV, Hasanova ET, et al. Clinical value of blood biomarkers in patients with chronic heart failure. The Russian Archives of Internal Medicine. 2018;8(5):333-45 (in Russian)]. DOI:10.20514/2226-6704-2018-8-5-333-345
16. Гаспарян А.Ж., Шлевков Н.Б., Скворцов А.А. Возможности современных биомаркеров для оценки риска развития желудочковых тахиаритмий и внезапной сердечной смерти у больных хронической сердечной недостаточностью. Кардиология. 2020;60(4):101-8 [Gasparyan AZ, Shlevkov NB, Skvortsov AA. Possibilities of modern biomarkers for assessing the risk of developing ventricular tachyarrhythmias and sudden cardiac death in patients with chronic heart failure]. Kardiologiia. 2020;60(4):101-8 (in Russian)]. DOI:10.18087/cardio.2020.4.n487
17. Алиева А.М., Пинчук Т.В., Алмазова И.И., и др. Клиническое значение определения биомаркера крови ST2 у больных с хронической сердечной недостаточностью. Consilium Medicum. 2021;23(6):522-6 [Alieva AM, Pinchuk TV, Almazova II, et al. Сlinical value of blood biomarker ST2 in patients with chronic heart failure. Consilium Medicum. 2021;23(6):522-6 (in Russian)]. DOI:10.26442/20751753.2021.6.200606
18. Алиева А.М., Алмазова И.И., Пинчук Т.В., и др. Фракталкин и сердечно-сосудистые заболевания. Consilium Medicum. 2020;22(5):83-6 [Alieva AM, Almazova II, Pinchuk TV, et al. Fractalkin and cardiovascular disease. Consilium Medicum. 2020;22(5):83-6 (in Russian)]. DOI:10.26442/20751753.2020.5.200186
19. Ларина В.Н., Лунев В.И. Значение биомаркеров в диагностике и прогнозировании сердечной недостаточности в старшем возрасте. Архивъ внутренней медицины. 2021;11(2):98‑110 [Larina VN, Lunev VI. The Value of Biomarkers in the Diagnosis and Prognosis of Heart Failure in Older Age. The Russian Archives of Internal Medicine. 2021;11(2):98-110 (in Russian)]. DOI:10.20514/2226-6704-2021-11-2-98-110
20. Mahata SK, O’Connor DT, Mahata M, et al. Novel autocrine feedback control of catecholamine release: A discrete chromogranin a fragment is a noncompetitive nicotinic cholinergic antagonist. J Clin Invest. 1997;100(6):1623-33. DOI:10.1172/JCI119686
21. Mahata SK, Kiranmayi M, Mahapatra NR. Catestatin: A Master Regulator of Cardiovascular Functions. Curr Med Chem. 2018;25:1352-74. DOI:10.2174/0929867324666170425100416
22. Biswas N, Rodriguez-Flores JL, Courel M, et al. Cathepsin L colocalizes with chromogranin a in chromaffin vesicles to generate active peptides. Endocrinology. 2009;150:3547-57. DOI:10.1210/en.2008-1613
23. Bianco M, Gasparri AM, Colombo B, et al. Chromogranin A Is Preferentially Cleaved into Proangiogenic Peptides in the Bone Marrow of Multiple Myeloma Patients. Cancer Res. 2016;76:1781-91. DOI:10.1158/0008-5472.CAN-15-1637
24. Pasqua T, Angelone T, Spena A, Cerra MC. Biological Roles of the Eclectic Chromogranin-A-derived Peptide Catestatin. Curr Med Chem. 2017;24(31):3356-72. DOI:10.2174/0929867324666170616104759
25. Kraszewski S, Drabik D, Langner M, et al. A molecular dynamics study of catestatin docked on nicotinic acetylcholine receptors to identify amino acids potentially involved in the binding of chromogranin A fragments. Phys Chem Chem Phys. 2015;17(26):17454-60. DOI:10.1039/c4cp02491e
26. Sahu BS, Mohan J, Sahu G, et al. Molecular interactions of the physiological anti-hypertensive peptide catestatin with the neuronal nicotinic acetylcholine receptor. J Cell Sci. 2012;125(Pt. 9):2323-37. DOI:10.1242/jcs.103176. Erratum in: J Cell Sci. 2012;125(Pt. 11):2787. Obbineni, Jagan M [corrected to Mohan, Jagan].
27. Taupenot L, Mahata SK, Mahata M, et al. Interaction of the catecholamine releaseinhibitory peptide catestatin (human chromogranin A (352372)) with the chromaffin cell surface and Torpedo electroplax: Implications for nicotinic cholinergic antagonism. Regul Pept. 2000;95:9717. DOI:10.1016/S0167-0115(00)00135-X
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1. Piepoli M, Adamo M, Barison A, et al. Preventing heart failure: a position paper of the Heart Failure Association in collaboration with the European Association of Preventive Cardiology. Eur J Heart Fail. 2022;24(1):143-68. DOI:10.1002/ejhf.2351
2. Mohananey D, Mewhort H, Shekhar S, et al. Heart Failure Trial Update-Analysis of Recent Data. J Cardiothorac Vasc Anesth. 2021;35(9):2792-800. DOI:10.1053/j.jvca.2020.09.085
3. Braunwald E. Heart failure. JACC Heart Fail. US National Institutes of Health. 2013;1(1):1-20. DOI:10.1016/j.jchf.2012.10.002
4. Fomin IV. Chronic heart failure in Russian Federation: what do we know and what to do. Russian Journal of Cardiology. 2016;8:7-13 (in Russian).
DOI:10.15829/1560-4071-2016-8-7-13
5. Minatoguchi S. Heart failure and its treatment from the perspective of sympathetic nerve activity. J Cardiol. 2022;79(6):691-7. DOI:10.1016/j.jjcc.2021.11.016
6. Li L, Hu Z, Xiong Y, Yao Y. Device-Based Sympathetic Nerve Regulation for Cardiovascular Diseases. Front Cardiovasc Med. 2021;8:803984. DOI:10.3389/fcvm.2021.803984
7. Swedberg K, Viquerat C, Rouleau JL, et al. Comparison of myocardial catecholamine balance in chronic congestive heart failure and in angina pectoris without failure. Am J Cardiol. 1984;54(7):783‑6. DOI:10.1016/S0002-9149(84)80208-8
8. Viquerat CE, Daly P, Swedberg K, et al. Endogenous catecholamine levels in chronic heart failure. Relation to the severity of hemodynamic abnormalities. Am J Med. 1985;78(3):455-60. DOI:10.1016/0002-9343(85)90338-9
9. Kaye DM, Lambert GW, Lefkovits J, et al. Neurochemical evidence of cardiac sympathetic activation and increased central nervous system norepinephrine turnover in severe congestive heart failure. J Am Coll Cardiol. 1994;23(3):570-8. DOI:10.1016/0735-1097(94)90738-2.
10. Aggarwal A, Esler MD, Lambert GW, et al. Norepinephrine turnover is increased in suprabulbar subcortical brain regions and is related to whole-body sympathetic activity in human heart failure. Circulation. 2002;105(9):1031-3. DOI:10.1161/hc0902.105724
11. Zucker IH, Schultz HD, Patel KP, et al. Regulation of central angiotensin type 1 receptors and sympathetic outflow in heart failure. Am J Physiol Hear Circ Physiol. 2009;297(5):H1557-66. DOI:10.1152/ajpheart.00073.2009
12. Chidsey CA, Braunwald E, Morrow AG. Catecholamine excretion and cardiac stores of norepinephrine in congestive heart failure. Am J Med. 1965;39(3):442-51.
DOI:10.1016/0002-9343(65)90211-1
13. Katsuumi G, Shimizu I, Yoshida Y, et al. Catecholamine-induced senescence of endothelial cells and bone marrow cells promotes cardiac dysfunction in mice. Int Heart J. 2018;59(4):837-44. DOI:10.1536/ihj.17-313
14. Santos JRU, Brofferio A, Viana B, Pacak K. Catecholamine-Induced Cardiomyopathy in Pheochromocytoma: How to Manage a Rare Complication in a Rare Disease? Horm Metab Res. 2019;51(7):458-69. DOI:10.1055/a-0669-9556
15. Aliyeva AM, Reznik EV, Hasanova ET, et al. Clinical value of blood biomarkers in patients with chronic heart failure. The Russian Archives of Internal Medicine. 2018;8(5):333-45 (in Russian). DOI:10.20514/2226-6704-2018-8-5-333-345
16. Gasparyan AZ, Shlevkov NB, Skvortsov AA. Possibilities of modern biomarkers for assessing the risk of developing ventricular tachyarrhythmias and sudden cardiac death in patients with chronic heart failure. Kardiologiia. 2020;60(4):101-8 (in Russian). DOI:10.18087/cardio.2020.4.n487
17. Alieva AM, Pinchuk TV, Almazova II, et al. Сlinical value of blood biomarker ST2 in patients with chronic heart failure. Consilium Medicum. 2021;23(6):522-6 (in Russian). DOI:10.26442/20751753.2021.6.200606
18. Alieva AM, Almazova II, Pinchuk TV, et al. Fractalkin and cardiovascular disease. Consilium Medicum. 2020;22(5):83-6 (in Russian).
DOI:10.26442/20751753.2020.5.200186
19. Larina VN, Lunev VI. The Value of Biomarkers in the Diagnosis and Prognosis of Heart Failure in Older Age. The Russian Archives of Internal Medicine. 2021;11(2):98-110 (in Russian). DOI:10.20514/2226-6704-2021-11-2-98-110
20. Mahata SK, O’Connor DT, Mahata M, et al. Novel autocrine feedback control of catecholamine release: A discrete chromogranin a fragment is a noncompetitive nicotinic cholinergic antagonist. J Clin Invest. 1997;100(6):1623-33. DOI:10.1172/JCI119686
21. Mahata SK, Kiranmayi M, Mahapatra NR. Catestatin: A Master Regulator of Cardiovascular Functions. Curr Med Chem. 2018;25:1352-74. DOI:10.2174/0929867324666170425100416
22. Biswas N, Rodriguez-Flores JL, Courel M, et al. Cathepsin L colocalizes with chromogranin a in chromaffin vesicles to generate active peptides. Endocrinology. 2009;150:3547-57. DOI:10.1210/en.2008-1613
23. Bianco M, Gasparri AM, Colombo B, et al. Chromogranin A Is Preferentially Cleaved into Proangiogenic Peptides in the Bone Marrow of Multiple Myeloma Patients. Cancer Res. 2016;76:1781-91. DOI:10.1158/0008-5472.CAN-15-1637
24. Pasqua T, Angelone T, Spena A, Cerra MC. Biological Roles of the Eclectic Chromogranin-A-derived Peptide Catestatin. Curr Med Chem. 2017;24(31):3356-72. DOI:10.2174/0929867324666170616104759
25. Kraszewski S, Drabik D, Langner M, et al. A molecular dynamics study of catestatin docked on nicotinic acetylcholine receptors to identify amino acids potentially involved in the binding of chromogranin A fragments. Phys Chem Chem Phys. 2015;17(26):17454-60. DOI:10.1039/c4cp02491e
26. Sahu BS, Mohan J, Sahu G, et al. Molecular interactions of the physiological anti-hypertensive peptide catestatin with the neuronal nicotinic acetylcholine receptor. J Cell Sci. 2012;125(Pt. 9):2323-37. DOI:10.1242/jcs.103176. Erratum in: J Cell Sci. 2012;125(Pt. 11):2787. Obbineni, Jagan M [corrected to Mohan, Jagan].
27. Taupenot L, Mahata SK, Mahata M, et al. Interaction of the catecholamine releaseinhibitory peptide catestatin (human chromogranin A (352372)) with the chromaffin cell surface and Torpedo electroplax: Implications for nicotinic cholinergic antagonism. Regul Pept. 2000;95:9717. DOI:10.1016/S0167-0115(00)00135-X
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1 ФГАОУ ВО «Российский национальный исследовательский медицинский университет им. Н.И. Пирогова» Минздрава России, Москва, Россия;
2 ГБУЗ «Городская клиническая больница №31» Департамента здравоохранения города Москвы», Москва, Россия;
3 НКЦ №2 ФГБНУ «Российский научный центр хирургии им. акад. им. Петровского» (ЦКБ РАН), Москва, Россия
*amisha_alieva@mail.ru
________________________________________________
Amina M. Alieva*1, Natalia V. Teplova1, Elena V. Reznik1,2, Olga A. Ettinger1, Rashad A. Faradzhov1, Elvira A. Khachirova1, Irina V. Kovtiukh1,3, Irina A. Kotikova1, Diana A. Sysoeva1, Il'dar R. Bigushev1, Igor G. Nikitin1
1 Pirogov Russian National Research Medical University, Moscow, Russia;
2 City Clinical Hospital No. 31, Moscow, Russia;
3 Scientific Clinical Center No. 2 of Petrovsky Russian Scientific Center of Surgery, Moscow, Russia
*amisha_alieva@mail.ru