The role of copeptin as a novel cardiovascular biomarker

  • Andy Kristyagita Departement of Cardiology and Vascular Medicine, Faculty of Medicine, Universitas Indonesia, Jakarta
  • Bambang B. Siswanto Departement of Cardiology and Vascular Medicine, Faculty of Medicine, Universitas Indonesia, Jakarta
Keywords: biomarker, copeptin, cardiovascular shock, heart failure, myocardial infarction, vasopressin
Abstract viewed: 2062 times
PDF downloaded: 827 times

Abstract

Copeptin is a provasopressin-derived peptide, the precursor for arginine vasopressin (AVP), which is an antidiuretic hormone from the hypothalamus. Copeptin is secreted together with AVP equally as a response of AVP stimulation. While AVP’s main function is water and blood volume regulation and maintaining electrolyte homeostasis, copeptin’s function is still not fully understood. AVP, copeptin, and other vasopressinergic neuropeptides’ levels are elevated in acute stress caused by pathological conditions. Clinical use of AVP levels has many weaknesses. Copeptin can act as a replacement because of its molecular stability, easier testing methods, and faster results. For example, combination of copeptin and cardiac troponins can eliminate myocardial infarction (MI) diagnosis faster, while combined with brain-type natriuretic peptide (BNP) or its precursor can predict heart failure (HF) outcome. In cardiovascular shock, copeptin levels are elevated. As such, copeptin is a potential biomarker for MI diagnosis and predictor for HF mortality and morbidity.

References

  1. Giannopoulos G, Deftereos S, Panagopoulou V, Kossyvakis C, Kaoukis A, Bouras G, et al. Copeptin as a biomarker in cardiac disease. Curr Top Med Chem. 2013;13(2):231-40. http://dx.doi.org/10.2174/15680266113139990088

  2. Voors AA, von Haehling S, Anker SD, Hillege HL, Struck J, Hartmann O, et al. C-terminal provasopressin (copeptin) is a strong prognostic marker in patients with heart failure after an acute myocardial infarction: results from the OPTIMAAL study. Eur Heart J. 2009;30(10):1187-94. http://dx.doi.org/10.1093/eurheartj/ehp098

  3. Nickel CH, Bingisser R, Morgenthaler NG. The role of copeptin as a diagnostic and prognostic biomarker for risk stratification in the emergency department. BMC Medicine. 2012;10:7. http://dx.doi.org/10.1186/1741-7015-10-7

  4. Elshafei A, Abdalla G, El-Motaal OA, Salman T. Copeptin: a neuroendocrine biomarker in acute myocardial infarction. Annual Review & Research in Biology. 2013;3(4):1040-54.

  5. Morgenthaler NG. Copeptin: a biomarker of cardiovascular and renal function. Congest Heart Fail. 2010;16Suppl1:S37-44. http://dx.doi.org/10.1111/j.1751-7133.2010.00177.x

  6. Morgenthaler NG, Struck J, Alonso C, Bergmann A. Assay for the measurement of copeptin, a stable peptide derived from the precursor of vasopressin. Clin Chem. 2006;52(1):112-9. http://dx.doi.org/10.1373/clinchem.2005.060038

  7. Rutishauser J. [Copeptin: diagnostic parameter, biomarker, or both?]. Ther Umsch. 2009;66(11):731-4. Germany. http://dx.doi.org/10.1024/0040-5930.66.11.731

  8. Khan SQ, Dhillon OS, O'Brien RJ, Struck J, Quinn PA, Morgenthaler NG, et al. C-terminal provasopressin (copeptin) as a novel and prognostic marker in acute myocardial infarction: Leicester Acute Myocardial Infarction Peptide (LAMP) study. Circulation. 2007;115(16):2103-10. http://dx.doi.org/10.1161/CIRCULATIONAHA.106.685503

  9. Struck J, Morgenthaler NG, Bergmann A. Copeptin, a stable peptide derived from the vasopressin precursor, is elevated in serum of sepsis patients. Peptides. 2005;26(12):2500-4. http://dx.doi.org/10.1016/j.peptides.2005.04.019

  10. Morgenthaler NG, Struck J, Jochberger S, Dünser MW. Copeptin: clinical use of a new biomarker. Trends Endocrinol Metab. 2008;19(2):43-9. http://dx.doi.org/10.1016/j.tem.2007.11.001

  11. Dobsa L, Edozien KC. Copeptin and its potential role in diagnosis and prognosis of various diseases. Biochem Med (Zagreb). 2013;23(2):172-90. http://dx.doi.org/10.11613/BM.2013.021

  12. Katan M, Christ-Crain M. The stress hormone copeptin: a new prognostic biomarker in acute illness. Swiss Med Wkly. 2010;140:w13101. http://dx.doi.org/10.4414/smw.2010.13101

  13. Seelig E, Bilz S, Keller U, Meienberg F, Christ-Crain M. Concentrations of the stress hormone copeptin increase upon hypoglycaemia in patients with type 1 diabetes dependent of hypoglycaemia awareness. PLoS One. 2013;8(8):e72876. http://dx.doi.org/10.1371/journal.pone.0072876

  14. Darzy KH, Dixit KC, Shalet SM, Morgenthaler NG, Brabant G. Circadian secretion pattern of copeptin, the C-terminal vasopressin precursor fragment. Clin Chem. 2010;56(7):1190-1. http://dx.doi.org/10.1373/clinchem.2009.141689

  15. Unić A, Rogić D, Rajsman G. Copeptin - is there a role for another cardiac biomarker? J Med Biochem. 2011;30(3):224-9. http://dx.doi.org/10.2478/v10011-011-0034-2

  16. Leeper B, Cyr AM, Lambert C, Martin K. Acute coronary syndrome. Crit Care Nurs Clin North Am. 2011;23(4):547-57. http://dx.doi.org/10.1016/j.ccell.2011.10.001

  17. Boden H, van der Hoeven BL, Karalis I, Schalij MJ, Jukema JW. Management of acute coronary syndrome: achievements and goals still to pursue. Novel developments in diagnosis and treatment. J Intern Med. 2012;271(6):521-36. http://dx.doi.org/10.1111/j.1365-2796.2012.02533.x

  18. Jneid H, Anderson JL, Wright RS, Adams CD, Bridges CR, Casey DE Jr, et al. 2012 ACCF/AHA focused update of the guideline for the management of patients with unstable angina/Non-ST-elevation myocardial infarction (updating the 2007 guideline and replacing the 2011 focused update): a report of the American College of Cardiology Foundation/American Heart Association Task Force on practice guidelines. Circulation. 2012;126(7):875-910. http://dx.doi.org/10.1161/CIR.0b013e318256f1e0

  19. Thygesen K, Alpert JS, Jaffe AS, Simoons ML, Chaitman BR, White HD. ESC/ACCF/AHA/WHF expert consensus document. Third universal definition of myocardial infarction. Circulation. 2012;126:2020-35. http://dx.doi.org/10.1161/CIR.0b013e31826e1058

  20. Mueller C. Detection of myocardial infarction - Is it all troponin? Role of new markers. Clin Chem. 2012;58(1):162-4. http://dx.doi.org/10.1373/clinchem.2011.168583

  21. Thygesen K, Mair J, Katus H, Plebani M, Venge P, Collinson P, et al. Recommendations for the use of cardiac troponin measurement in acute cardiac care. Eur Heart J. 2010;31(18):2197-204. http://dx.doi.org/10.1093/eurheartj/ehq251

  22. Gu YL, Voors AA, Zijlstra F, Hillege HL, Struck J, Masson S, et al. Comparison of the temporal release pattern of copeptin with conventional biomarkers in acute myocardial infarction. Clin Res Cardiol. 2011;100(12):1069-76. http://dx.doi.org/10.1007/s00392-011-0343-y

  23. Keller T, Tzikas S, Zeller T, Czyz E, Lillpopp L, Ojeda FM, et al. Copeptin improves early diagnosis of acute myocardial infarction. J Am Coll Cardiol. 2010;55(19):2096-106. http://dx.doi.org/10.1016/j.jacc.2010.01.029

  24. Reichlin T, Hochholzer W, Stelzig C, Laule K, Freidank H, Morgenthaler NG, et al. Incremental value of copeptin for rapid rule out of acute myocardial infarction. J Am Coll Cardiol. 2009;54(1):60-8. http://dx.doi.org/10.1016/j.jacc.2009.01.076

  25. Ray P, Charpentier S, Chenevier-Gobeaux C, Reichlin T, Twerenbold R, Claessens YE, et al. Combined copeptin and troponin to rule out myocardial infarction in patients with chest pain and a history of coronary artery disease. Am J Emerg Med. 2012;30(3):440-8. http://dx.doi.org/10.1016/j.ajem.2011.12.008

  26. Potocki M, Reichlin T, Thalmann S, Zellweger C, Twerenbold R, Reiter M, et al. Diagnostic and prognostic impact of copeptin and high-sensitivity cardiac troponin T in patients with pre-existing coronary artery disease and suspected acute myocardial infarction. Heart. 2012;98(7):558-65. http://dx.doi.org/10.1136/heartjnl-2011-301269

  27. Chenevier-Gobeaux C, Freund Y, Claessens YE, Guérin S, Bonnet P, Doumenc B, et al. Copeptin for rapid rule out of acute myocardial infarction in emergency department. Inter J Cardiol. 2013;166(1):198-204. http://dx.doi.org/10.1016/j.ijcard.2011.10.098

  28. Folli C, Consonni D, Spessot M, Salvini L, Velati M, Ranzani G, et al. Diagnostic role of copeptin in patients presenting with chest pain in the emergency room. Eur J Intern Med. 2013;24(2):189-93. http://dx.doi.org/10.1016/j.ejim.2012.09.006

  29. Kariz S, Petrovic D. Copeptin for discriminating two-year mortality in heart failure patients with moderate to severe systolic disfunction. J Clin Exp Cardiolog. 2012;S2:1-7. http://dx.doi.org/ doi: 10.4172/2155-9880.S2-006

  30. Uretsky BF, Verbalis JG, Generalovich T, Valdes A, Reddy PS. Plasma vasopressin response to osmotic and hemodynamic stimuli in heart failure. Am J Physiol. 1985;248:H396-402.

  31. Neuhold S, Huelsmann M, Strunk G, Stoiser B, Struck J, Morgenthaler NG, et al. Comparison of copeptin, B-type natriuretic peptide, and amino-terminal pro-B-type natriuretic peptide in patients with chronic heart failure: prediction of death at different stages of the disease. J Am Coll Cardiol. 2008;52(4):266-72. http://dx.doi.org/10.1016/j.jacc.2008.03.050

  32. Ebert TJ, Cowley AW Jr, Skelton M. Vasopressin reduces cardiac function and augments cardiopulmonary baroreflex resistance increases in man. J Clin Invest. 1986;77(4):1136-42. http://dx.doi.org/10.1172/JCI112413

  33. Escardio.org [Internet]. Germany: European Society of Cardiology 2012 Congress; [cited 2012 August 29]. Available from: http://spo.escardio.org/

  34. Alehagen U, Dahlström U, Rehfeld JF, Goetze JP. Association of copeptin and n-terminal proBNP concentrations with risk of cardiovascular death in older patients with symptoms of heart failure. JAMA. 2011;305(20):2088-95. http://dx.doi.org/10.1001/jama.2011.666

  35. Balling L, Kistorp C, Schou M, Egstrup M, Gustafsson I, Goetze JP, et al. Plasma copeptin levels and prediction of outcome in heart failure outpatients: relation to hyponatremia and loop diuretic doses. J Card Fail. 2012;18(5):351-8. http://dx.doi.org/10.1016/j.cardfail.2012.01.019

  36. Fan YH, Zhao LY, Zheng QS, Dong H, Wang HC, Yang XD.. Arginine vasopressin increases iNOS-NO system activity in cardiac fibroblasts through NF-kappaB activation and its relation with myocardial fibrosis. Life Sci. 2007;81(4):327-35. http://dx.doi.org/10.1016/j.lfs.2007.05.018

  37. Tentzeris I, Jarai R, Farhan S, Perkmann T, Schwarz MA, Jakl G, et al. Complementary role of copeptin and high-sensitivity troponin in predicting outcome in patients with stable chronic heart failure. Eur J Heart Fail. 2011;13(7):726-33. http://dx.doi.org/10.1093/eurjhf/hfr049

  38. Morawiec B, Kawecki D. Copeptin: a new marker in cardiology. J Cardiovasc Med (Hagerstown). 2013;14(1):19-25. http://dx.doi.org/10.2459/JCM.0b013e3283590d59

  39. Morgenthaler NG, Müller B, Struck J, Bergmann A, Redl H, Christ-Crain M. Copeptin, a stable peptide of the arginine vasopressin precursor, is elevated in hemorrhagic and septic shock. Shock. 2007;28(2):219-26. http://dx.doi.org/10.1097/SHK.0b013e318033e5da

  40. Lindner KH, Strohmenger HU, Ensinger H, Hetzel WD, Ahnefeld FW, Georgieff M. Stress hormone response during and after cardiopulmonary resuscitation. Anesthesiology. 1992;77(4):662-8. http://dx.doi.org/10.1097/00000542-199210000-00008

  41. Krismer AC, Wenzel V, Stadlbauer KH, Mayr VD, Lienhart HG, Arntz HR. Vasopressin during cardiopulmonary resuscitation: a progress report. Crit Care Med. 2004;32(9Suppl):S432-5. http://dx.doi.org/10.1097/01.CCM.0000134267.91520.C0

  42. Arnauld E, Czernichow P, Fumoux F, Vincent JD. The effects of hypotension and hypovolaemia on the liberation of vasopressin during haemorrhage in the unanaesthetized monkey (Macaca mulatta). Pflugers Arch. 1977;371(3):193-200. http://dx.doi.org/10.1007/BF00586258

Published
2015-03-18
How to Cite
1.
Kristyagita A, Siswanto BB. The role of copeptin as a novel cardiovascular biomarker. Med J Indones [Internet]. 2015Mar.18 [cited 2024Apr.20];24(1):59-6. Available from: http://mji.ui.ac.id/journal/index.php/mji/article/view/1208
Section
Review Article