†These authors contributed equally.
Background: Dynamin-related protein 1 (Drp1) has been demonstrated as a
crucial role in mediating the programed cell death and cardiac metabolism through
its regulatory of mitophagy in animal studies. However, the clinical values of
Drp1 for human cardiac disease remain unknown. This study is aimed to evaluate
the diagnostic and prognostic values of serum Drp1 in these patients with heart
failure (HF). Methods: The enzyme linked immunosorbent assay (ELISA) was
used for measuring serum Drp1 concentrations in 85 cases of HF with preserved
ejection fraction (HFpEF) and 86 cases of HF with reduced ejection fraction
(HFrEF). The diagnostic value of Drp1 was evaluated using the receiver operating
characteristic (ROC) analysis. The composite endpoint was consisted of cardiac
death and rehospitalization for HF, and the association between Drp1 and clinical
outcomes were further determined. Results: Serum Drp1 concentrations
were much higher in HFpEF than that in HFrEF (4.2