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Selenoprotein P-1 (SEPP1) As an Early Biomarker of Myocardial Injury in Patients Undergoing Cardiopulmonary Bypass

Abstract

: Biomarkers development for prognostication or prediction of perioperative myocardial disease is critical for the evolution of treatment options in patients undergoing cardiac surgery. The aim of our prospective monocentric study was to investigate the role of selenoprotein 1 (SEEP 1) as a potential biomarker for assessing the risk of myocardial injury after cardiac surgery. : Circulating SEPP1 was measured in the blood of 45 patients before surgery and at 4 h, 8 h and 12 h after CPB by enzyme-linked immunosorbent assay (ELISA); (3) : circulating SEPP-1 levels measured 4 h after surgery were strongly correlated with CK-MB levels measured at 48 h (R = 0.598, < 0.0001) and at 72 h (R = 0.308, = 0.05). Close correlations were also found between 4 h SEPP-1 and Hs-c troponin values measured at 24 h (R = 0.532, < 0.0001), 48 h (R = 0.348, = 0.01) and 72 h (R = 0.377, = 0.02), as well as with cardiopulmonary bypass (CPB) (R = 0.389, = 0.008) and cross-clamp time (R = 0.374, = 0.001); (4) : Early SEPP1 measurement after CPB may hold great potential for identifying cardiac surgery patients at risk of developing perioperative myocardial injury.

References
1.
Kuhn-Heid E, Kuhn E, Ney J, Wendt S, Seelig J, Schwiebert C . Selenium-Binding Protein 1 Indicates Myocardial Stress and Risk for Adverse Outcome in Cardiac Surgery. Nutrients. 2019; 11(9). PMC: 6769850. DOI: 10.3390/nu11092005. View

2.
Mangge H, Becker K, Fuchs D, Gostner J . Antioxidants, inflammation and cardiovascular disease. World J Cardiol. 2014; 6(6):462-77. PMC: 4072837. DOI: 10.4330/wjc.v6.i6.462. View

3.
Sies H, Berndt C, Jones D . Oxidative Stress. Annu Rev Biochem. 2017; 86:715-748. DOI: 10.1146/annurev-biochem-061516-045037. View

4.
Thygesen K, Alpert J, Jaffe A, Chaitman B, Bax J, Morrow D . Fourth universal definition of myocardial infarction (2018). Eur Heart J. 2018; 40(3):237-269. DOI: 10.1093/eurheartj/ehy462. View

5.
Thielmann M, Sharma V, Al-Attar N, Bulluck H, Bisleri G, Bunge J . ESC Joint Working Groups on Cardiovascular Surgery and the Cellular Biology of the Heart Position Paper: Perioperative myocardial injury and infarction in patients undergoing coronary artery bypass graft surgery. Eur Heart J. 2017; 38(31):2392-2407. PMC: 5808635. DOI: 10.1093/eurheartj/ehx383. View