已发表论文

血清 GSDMD 在心力衰竭患者中的诊断及预后价值:一项回顾性研究

 

Authors Wei C, Ding N , Liu X , Yu F, Huo L , Pei Y, Li X, Yang C 

Received 22 August 2025

Accepted for publication 27 November 2025

Published 10 December 2025 Volume 2025:18 Pages 7447—7457

DOI https://doi.org/10.2147/IJGM.S562238

Checked for plagiarism Yes

Review by Single anonymous peer review

Peer reviewer comments 2

Editor who approved publication: Dr Redoy Ranjan

Changmei Wei, Nan Ding, Xuexin Liu, Fang Yu, Lijing Huo, Yunli Pei, Xinxin Li, Chaoju Yang

Department of Medical Laboratory, Hebei General Hospital, Shijiazhuang, Hebei Province, People’s Republic of China

Correspondence: Lijing Huo, Department of Medical Laboratory, Hebei General Hospital, 348 Heping West Road, Xinhua District, Shijiazhuang, Hebei Province, People’s Republic of China, Email huolijing1979@126.com

Objective: This study analyzes the value of serum Gasdermin D (GSDMD) as a novel biomarker for the early diagnosis and disease progression of heart failure.
Methods: We conducted a retrospective analysis of clinical data and laboratory results to compare the GSDMD levels among the heart failure group, other cardiac disease group, and healthy control group. We investigates the correlation between GD and other indicators, as well as the independent risk factors for heart failure. Receiver operating characteristic (ROC) curve analysis was conducted to compare the diagnostic value of serum GSDMD, N-terminal pro-B-type natriuretic peptide (NT-ProBNP), ejection fraction (EF) in patients.
Results: There were statistically significant differences in serum GSDMD, EF and other laboratory tests among the three groups (P< 0.05). Among heart failure patients with different cardiac function classifications, the serum levels of NT-ProBNP, GSDMD increased with the increase in cardiac function classification. Serum GSDMD was correlated with all indicators (P< 0.05) in subjects. Serum GSDMD and NT-ProBNP were independent risk factors while EF was an independent protective factor for heart failure. The AUCs of serum GSDMD, NT ProBNP, and EF for diagnosing heart failure were 0.819, 0.970, and 0.831, respectively, while the AUC of their combined diagnosis of heart failure was 0.986.
Conclusion: This study suggests that Serum GSDMD, as a novel sensitive biomarker, has the potential for early diagnosis and disease progression assessment of heart failure.

Keywords: heart failure, serum GSDMD, diagnostic value