Skip to main content
Log in

Utility of Hepatocyte Growth Factor as a Biomarker for Early Diagnosis of Pulmonary Artery Hypertension

  • Original Research Article
  • Published:
Molecular Diagnosis & Therapy Aims and scope Submit manuscript

Abstract

Objective

The goal of this study was to determine plasma levels of hepatocyte growth factor (HGF) in patients with pulmonary artery hypertension (PAH), and to explore the diagnostic value of plasma HGF for PAH.

Methods

Sixty subjects were divided into a control group of healthy individuals (N = 15) and a PAH group (N = 45). The PAH group was divided into three groups (N = 15 each) according to disease severity: mild PAH (group L), moderate PAH (group M), and severe PAH (group H). Plasma HGF levels in PAH patients were collected on the morning after admission to the hospital. Mean pulmonary arterial pressure was measured by right heart catheterization.

Results

Plasma HGF levels were significantly higher in the PAH group than in the control group (P < 0.001), and significantly higher in group H than in group M (P < 0.001) and group L (P < 0.001). There was no statistically significant difference in plasma HGF levels between patients with PAH of idiopathic etiology and those with PAH of secondary etiology (P = 0.595). The HGF level was positively correlated with mean pulmonary arterial pressure (Pearson correlation coefficient 0.967, P < 0.001).

Conclusion

Plasma levels of HGF in PAH patients with mild disease were significantly higher than those in healthy controls, suggesting that plasma HGF has potential utility as a diagnostic biomarker for early PAH.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2

Similar content being viewed by others

References

  1. Budhiraja R, Tuder RM, Hassoun PM. Endothelial dysfunction in pulmonary hypertension. Circulation. 2004;109(2):159–65.

    Article  PubMed  Google Scholar 

  2. McLaughlin VV, Archer SL, Badesch DB, et al. ACCF/AHA 2009 expert consensus document on pulmonary hypertension: a report of the American College of Cardiology Foundation Task Force on Expert Consensus Documents and the American Heart Association developed in collaboration with the American College of Chest Physicians; American Thoracic Society, Inc; and the Pulmonary Hypertension Association. Circulation. 2009;119(16):2250–94.

    Article  PubMed  Google Scholar 

  3. Bazan IS, Fares WH. Pulmonary hypertension: diagnostic and therapeutic challenges. Ther Clin Risk Manag. 2015;11:1221–33.

    PubMed  PubMed Central  Google Scholar 

  4. Cordier JF, Chabot F, Dromer C, et al. Pulmonary arterial hypertension in France: results from a national registry. Am J Respir Crit Care Med. 2006;173:1023–30.

    Article  PubMed  Google Scholar 

  5. Simonneau G, Gatzoulis MA, Adatia I, et al. Updated clinical classification of pulmonary hypertension. J Am Coll Cardiol. 2013;62:34–41.

    Article  Google Scholar 

  6. Kiatchoosakun S, Wongvipaporn C, Nanagara R, Hoit BD. Right ventricular systolic pressure assessed by echocardiography: a predictive factor of mortality in patients with scleroderma. Clin Cardiol. 2011;34:488–93.

    Article  PubMed  Google Scholar 

  7. Fisher MR, Forfia PR, Chamera E, et al. Accuracy of Doppler echocardiography in the hemodynamic assessment of pulmonary hypertension. Am J Respir Crit Care Med. 2009;179:615–21.

    Article  PubMed  PubMed Central  Google Scholar 

  8. Giannakoulas G, Dimopoulos K, Bolger AP, et al. Usefulness of natriuretic peptide levels to predict mortality in adults with congenital heart disease. Am J Cardiol. 2010;105:869–73.

    Article  CAS  PubMed  Google Scholar 

  9. Takatsuki S, Wagner BD, Ivy DD. B-type natriuretic peptide and amino-terminal pro-B-type natriuretic peptide in pediatric patients with pulmonary arterial hypertension. Congenit Heart Dis. 2012;7:259–67.

    Article  PubMed  PubMed Central  Google Scholar 

  10. Dimitri Y, Chirgadze JH, Byrd Andrew, et al. Insights into the structur of hepatocyte growth factor/scatter factor (HGF/SF) and implications for receptor activation. FEBS Lett. 1998;430:126–9.

    Article  Google Scholar 

  11. Ware LB, Matthay MA. Keratinocyte and hepatocyte growth factors in the lung: roles in lung development, inflammation, and repair. Am J Physiol Lung Cell Mol Physiol. 2002;282(5):924–40.

    Article  Google Scholar 

  12. Yanagita Kimihiko, Matsumoto Kunio, Sekiguchin Kiyoshi, et al. Hepatocyte growth factor may act as a pulmotrophic factor on lung regeneration after acute lung injury. J Biol Chem. 1993;268:212–7.

    Google Scholar 

  13. Traniyama Y, Morishita R, Aoki M, et al. Therepeutic angiogenesis induced by human hepatocyte growth factor gene in rat and rabbit hindlimb ischemia models preclinical study for treatment of peripheral arterial disease. Gene Ther. 2001;8:181–9.

    Article  Google Scholar 

  14. Michalopoulos GK, Zarnegav R. Hepatocyte growth factor. Hepatology. 1992;15(1):149–55.

    Article  CAS  PubMed  Google Scholar 

  15. Comoglio PM. Structure, biosynthesis and biochemical properties of the HGF receptor in normal and malignant cells. EXS. 1993;65:131–65.

    CAS  PubMed  Google Scholar 

  16. Ono K, Matsumori A, Shioi T, et al. Enhanced expression of hepatocyte growth factor/c-Met by myocardial ischemia and reperfusion in a rat model. Circulation. 1997;95:2552–8.

    Article  CAS  PubMed  Google Scholar 

  17. Ramadori G, Neubauer K, Odenthal M, et al. The gene of hepatocyte growth factor is expressed in fat-storing cells of rat liver and is downregulated during cell growth and by transforming growth factor-beta. Biochem Biophys Res Commun. 1992;183:739–42.

    Article  CAS  PubMed  Google Scholar 

  18. Miyazawa K, Kitamura A, Kitamura N. Structural organization and the transcription ination site of the human hepatocyte growth factor gene. Biochemistry. 1991;30:9170–6.

    Article  CAS  PubMed  Google Scholar 

  19. Price LC, Caramori G, Perros F, et al. Nuclear factor κ-B is activated in the pulmonary vessels of patients with end-stage idiopathic pulmonary arterial hypertension. PloS One. 2013;8:e75415.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  20. Bigatto V, De Bacco F, Casanova E, et al. TNF-α promotes invasive growth through the MET signaling pathway. Mol Oncol. 2015;9:377–88.

    Article  CAS  PubMed  Google Scholar 

  21. Rychli K, Richter B, Hohensinner PJ, et al. Hepatocyte growth factor is a strong predictor of mortality in patients with advanced heart failure. Heart. 2011;97:1158–63.

    Article  PubMed  Google Scholar 

  22. Karabulut S, Tas F, Akyüz F, et al. Clinical significance of serum hepatocyte growth factor (HGF) levels in hepatocellular carcinoma. Tumour Biol. 2014;35:2327–33.

    Article  CAS  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Mei Zhang.

Ethics declarations

Conflict of interest

Mingting Liang, Ying Pang, Shuguang Zhang, and Mei Zhang declare that they have no conflicts of interest.

Funding

The authors have no funding to declare.

Ethical approval and informed consent

All patients provided informed consent, and the studies were approved by the local ethics committee at Liaocheng City People’s Hospital.

Additional information

M. Liang and Y. Pang contributed equally to this work and should be considered as co-first authors.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Liang, M., Pang, Y., Zhang, S. et al. Utility of Hepatocyte Growth Factor as a Biomarker for Early Diagnosis of Pulmonary Artery Hypertension. Mol Diagn Ther 20, 463–468 (2016). https://doi.org/10.1007/s40291-016-0214-3

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s40291-016-0214-3

Keywords

Navigation