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. 2022 Aug 1;19(5):346–355. doi: 10.1007/s11897-022-00569-8

Table 1.

Summary of biomarkers for myocarditis

Biomarker Sample Type of biomarker Metrics/findings Diagnosis vs. prognosis vs. mechanistic
Hsa-miR-Chr8:96/mmu-miR-721

5 cohorts

Total: 321 patients

MicroRNA AUC = 0.927 Diagnostic
miR-4763-3p 20 patients MicroRNA AUC = 0.85 Diagnostic
miR-208b 8 patients MicroRNA Prognostic
Heparin binding protein 435 HBP genes Protein Aggregation coefficient for HBP interaction network in myocarditis = 0.631 Mechanistic
Immunoglobulin free light chain 111 patients Protein AUC = 0.87 Diagnostic
Serum alarmin S100A8/S100A9 227 patients Protein

Sensitivity = 90.6%

Specificity = 92%

PPV = 93.5

NPV = 88.5

AUC = 0.949

Diagnostic
LAP( +) Treg 15 mice Immune cell Diagnostic
Galectin-3 115 patients Lectin

Correlation between Galectin-3 expression and inflammatory cell count r = 0.56 and − 0.59 in DCM and inflammatory cardiomyopathy respectively

Correlation between Galectin and cardiac fibrosis: r = 0.63 in DCM

Diagnostic, prognostic
Soluble VCAM-1 Protein Significant increase in expression in EAM model, but not correlated with infiltration of leukocytes Diagnostic, mechanistic
Gelsolin 61 patients Protein Significantly lower in children with acute rheumatic carditis p = 0.039. Correlation between gelsolin levels and grade of mitral regurgitation (p = 0.03), LVED diameter (p = 0.017), and LVES diameter (p = 0.028) Diagnostic, prognostic
Procollagen type III 39 patients Protein Positive correlation with LV dilation, LVED diameter index (p < 0.0001), and LVED diameter z-score (p = 0.0003). Negative correlation with shortening fraction changes over time (p = 0.001) Diagnostic, prognostic
High-sensitivity cardiac Troponin I

Study 1: 214 patients on ICIs

Study 2: 83 patients with fulminant myocarditis in the hospital

Protein

Study 1: PPV = 12.5% for threshold of 55 ng/L

NNT = 72

Study 2: Absolute and relative changes within 24 and 48 h were predictive of mortality since survivors had a significant decline in levels p = 0.003

Diagnostic, prognostic