Cited by 62Acute Myocardial Infarction ResearchCardiomyopathy and Myosin StudiesBiomarkers in Disease Mechanisms

Developing the next generation of cardiac markers: Disease-induced modifications of troponin I

McDonough, Jason L., Van Eyk, Jennifer E.·2004·Progress in Cardiovascular Diseases

Abstract

Troponin I (TnI) and Troponin T (TnT) have evolved into arguably the two most important diagnostic markers for acute myocardial injury. Part of their diagnostic utility lies in the uniquely important roles that both TnI and TnT play in the calcium-dependent regulation of cardiac muscle contraction. Both proteins undergo extensive physiologic regulation, principally through phosphorylation, as well as specific disease-induced pathologic modifications, including phosphorylation, oxidation, and proteolysis. Many, if not all, of these protein modifications in some way modulate contractility, and when detected in serum may therefore provide important information about both the disease state and functional status of the heart. However, the complexity of the TnI (and TnT) forms in the serum is large, which leads to difficulty in detecting all of the Tn subunits in serum, and hence interpreting the biologic significance of each modified product. But, as diagnostic tools and modalities improve, our ability to monitor and detect specific disease-induced modified forms of proteins will inevitably lead to better and more specific diagnoses and therapies.

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Crossref · 10.1016/j.pcad.2004.07.001

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  • The PTM profiles of cTnI can function as molecular fingerprints of cellular signaling pathway activity with the potential to serve as next-generation biomarkers.

    “The PTM profiles of cTnI can function as molecular fingerprints of cellular signaling pathway activity with the potential to serve as the next-generation biomarkers27,32,33.”

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Authors
McDonough, J. L., & Van Eyk, J. E.
Affiliations
Johns Hopkins University (US)
Venue
Progress in Cardiovascular Diseases
Publisher
Elsevier BV
Published
2004-11
Volume
47
Issue
3
Pages
207-216
ISSN
0033-0620 (ISSN-L)
OpenAlex
W2040518216
Cited by
62
References
55
Citations by year
2025: 3 · 2024: 1 · 2020: 3 · 2017: 5 · 2016: 2 · 2015: 1 · 2014: 2 · 2013: 5 · 2012: 4
FWCI
5.01
Type
journal article
Language
en
Open access
closed
Locations
  • Progress in Cardiovascular Diseases (publishedVersion)
  • PubMed (publishedVersion)
Funders
  • National Institutes of Health (n01hv28180-13-0-0)
  • National Heart, Lung, and Blood Institute (N01 HV-28180)
Topics
  • Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Acute Myocardial Infarction Research
  • Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiomyopathy and Myosin Studies
  • Life Sciences › Immunology and Microbiology › Immunology › Biomarkers in Disease Mechanisms
Keywords
troponin I, troponin T, cardiac biomarkers, acute myocardial injury, protein phosphorylation, protein oxidation, proteolysis, cardiac contractility
MeSH terms
Female, Forecasting, Humans, Male, Myocardial Contraction, Myocardial Infarction, Prognosis, Sarcomeres, Sensitivity and Specificity, Severity of Illness Index, Biomarkers, Troponin I

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