Novel method of expressing serum biomarkers profiling in COPD patients: The heatmap-clinical pattern profile

H. Müllerova, V. Pinto-Plata, C. Casanova, J. P. de Torres, H. Corado, N. Varo, E. Cordoba, S. Zeineldine, F. Cortopassi, B. Celli (Uxbridge, United Kingdom; Boston, United States Of America; Santa Cruz de Tenerife, Pamplona, Spain)

Source: Annual Congress 2010 - COPD: treatment and monitoring
Session: COPD: treatment and monitoring
Session type: Thematic Poster Session
Number: 1336
Disease area: Airway diseases

Congress or journal article abstract

Abstract

We tested a novel way of visualizing relationships between serum biomarkers and clinical outcomes using heat-map colors in 253 COPD and 92 non-COPD subjects over 3 years.
Using high sensitivity ELISA testing, we measured IL-6, IL-8, IL-16, TNF- as indicators of inflammation, VEGF, MMP-9 as indicators of injury and repair and, PARC, MCP-1 as novel markers. We explored differences in clinical descriptors between the highest and lowest quartiles of biomarkers‘ levels. We assessed the importance of differences in clinical variables using known MICD and expressed using heatmap colors. Differences associated with good outcomes are shown in green, poor outcomes in red and no differences in yellow.
COPD patients had a specific biomarker profile where upper quartiles of inflammatory cytokines and injury&repair cytokines were associated with poor and good outcomes, resp. This pattern replicated in all biomarkers, but IL-8 and PARC at subsequent annual visits. No specific profile was observed in non-COPD subjects.
We describe a new method to express COPD specific serum biomarkers profile that replicates during 3 year follow-up. The profile is not seen in non-COPD controls. The Heatmap-Clinical profile pattern is associated with several clinical expressions of COPD.
Data analysis support provided by GlaxoSmithKline R&D.
Figure: Heatmap-Clinical Pattern Profile of Serum Biomarkers in COPD Patients (Year2 Follow-Up Visit)



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H. Müllerova, V. Pinto-Plata, C. Casanova, J. P. de Torres, H. Corado, N. Varo, E. Cordoba, S. Zeineldine, F. Cortopassi, B. Celli (Uxbridge, United Kingdom; Boston, United States Of America; Santa Cruz de Tenerife, Pamplona, Spain). Novel method of expressing serum biomarkers profiling in COPD patients: The heatmap-clinical pattern profile. Eur Respir J 2010; 36: Suppl. 54, 1336

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