Peer-Reviewed Publication
Clin Chim Acta2027;592121229.January 1, 2027Journal Article

NT-IGFBP-4: A novel biomarker for risk prediction in acute heart failure.

Ling Li1, Jing Wang2, Chen Chen1, Yu Wu1, Juan Yang1, Xin Shu3, Litao Zhang3, Yi Zhang4, Zhenlu Zhang5
1Clinical Laboratory, Wuhan Asia Heart Hospital, Wuhan 430022, China.
2Immunoassay Reagent R&D Department, Shenzhen Mindray Bio-Medical Electronics Co., Ltd, Shenzhen 518107, China.
3Clinical Laboratory, Wuhan Asia General Hospital, Wuhan 430022, China.
4Immunoassay Reagent R&D Department, Shenzhen Mindray Bio-Medical Electronics Co., Ltd, Shenzhen 518107, China. Electronic address: zhangyi_b@mindray.com.
5Clinical Laboratory, Wuhan Asia Heart Hospital, Wuhan 430022, China. Electronic address: zhenluzhangwh@163.com.

Abstract

OBJECTIVES: Insulin-like growth factor binding protein-4 (IGFBP-4) fragments generated by PAPP-A-mediated proteolysis are emerging biomarkers of myocardial stress and remodeling. Although elevated N-terminal IGFBP-4 (NT-IGFBP-4) has been associated with heart failure (HF), its prognostic value remains unclear. This study evaluated the prognostic performance of NT-IGFBP-4, measured using a validate…

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