Myostatin Is Elevated in Congenital Heart Disease and After Mechanical Unloading
2011

Myostatin Levels in Congenital Heart Disease

Sample size: 18 publication Evidence: moderate

Author Information

Author(s): Bish Lawrence T., George Isaac, Maybaum Simon, Yang Jonathan, Chen Jonathan M., Sweeney H. Lee

Primary Institution: University of Pennsylvania School of Medicine

Hypothesis

The study aims to quantify myostatin expression in congenital heart disease (CHD) patients with varying degrees of myocardial dysfunction.

Conclusion

Myostatin expression is increased in congenital heart disease, and its ratio with IGF-1 rises as ventricular function deteriorates.

Supporting Evidence

  • Myostatin expression was significantly increased in LV-OHT compared to RV-OHT and RVOT.
  • Myostatin levels were more than double in decompensated biventricular heart failure compared to both OHT and RVOT.
  • The myostatin/IGF-1 ratio was associated with ventricular dysfunction.

Takeaway

Myostatin, a protein that controls muscle growth, is found in higher amounts in children with heart problems, especially when their heart isn't working well.

Methodology

Myocardial biopsies were collected from four patient cohorts and analyzed for myostatin and IGF-1 expression using Western blot.

Potential Biases

Potential bias due to the small cohort and the nature of the patient selection.

Limitations

The study has a small sample size and is limited to pediatric patients.

Participant Demographics

Participants included adults and pediatric patients with congenital heart disease, with ages ranging from infants to adults.

Statistical Information

P-Value

p<0.05

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.1371/journal.pone.0023818

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