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Cited by 559

The DOI matches its Crossref record; 78 of the 78 references it cites were found in a registry or an index.

Growth Differentiation Factor 15 as a Biomarker in Cardiovascular Disease

Wollert, Kai C, Kempf, Tibor, Wallentin, Lars·2017·Clinical Chemistry

Abstract

BACKGROUND: Growth differentiation factor 15 (GDF-15) is expressed and secreted in response to inflammation, oxidative stress, hypoxia, telomere erosion, and oncogene activation. Cardiovascular (CV) disease is a major driver of GDF-15 production. GDF-15 has favorable preanalytic characteristics and can be measured in serum and plasma by immunoassay. CONTENT: In community-dwelling individuals higher concentrations of GDF-15 are associated with increased risks of developing CV disease, chronic kidney disease, and cancer, independent of traditional CV risk factors, renal function, and other biomarkers (C-reactive protein, B-type natriuretic peptide, cardiac troponin). Low concentrations of GDF-15 are closely associated with longevity. GDF-15 is as an independent marker of all-cause mortality and CV events in patients with coronary artery disease, and may help select patients with non–ST-elevation acute coronary syndrome for early revascularization and more intensive medical therapies. GDF-15 is independently associated with mortality and nonfatal events in atrial fibrillation and heart failure (HF) with preserved or reduced ejection fraction. GDF-15 reflects chronic disease burden and acute perturbations in HF and responds to improvements in hemodynamic status. GDF-15 is independently associated with major bleeding in patients receiving antithrombotic therapies and has been included in a new bleeding risk score, which may become useful for decision support. SUMMARY: GDF-15 captures distinct aspects of CV disease development, progression, and prognosis, which are not represented by clinical risk predictors and other biomarkers. The usefulness of GDF-15 to guide management decisions and discover new treatment targets should be further explored.

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Metadata

Authors
Wollert, K. C., Kempf, T., & Wallentin, L.
Venue
Clinical Chemistry
Published
2017-01-01
Volume
63
Issue
1
Pages
140-151
ISSN
  • 0009-9147 (ISSN-L)
  • 1530-8561
OpenAlex
W2545266774
Cited by
559
References
78
FWCI
35.21
Type
journal article
Language
en
Open access
closed

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CoChat. (2026). Citation check: Growth Differentiation Factor 15 as a Biomarker in Cardiovascular Disease. https://app.cochat.ai/papers/10.1373/clinchem.2016.255174
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Wollert, K. C., Kempf, T., & Wallentin, L. (2017). Growth Differentiation Factor 15 as a Biomarker in Cardiovascular Disease. Clinical Chemistry. https://doi.org/10.1373/clinchem.2016.255174

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