Heart failure & cardiomyopathies

Comprehensive Proteomic Profiling of Human Myocardium Reveals Signaling Pathways Dysregulated in Hypertrophic Cardiomyopathy

J Am Coll CardiolPublished Case-control study

Authors' conclusion

Proteomic profiling and confirmatory transcriptomic profiling elucidate dysregulation of both newly recognized (eg, Ras-mitogen-activated protein kinase) and known pathways associated with pathogenesis and progression to severe forms of HCM.

Study context

Population
Human myocardial samples from hypertrophic cardiomyopathy (HCM) cases and nonfailing-heart controls
Participants
99 vs 15
Comparison
HCM vs nonfailing control myocardium
  • HCMn = 99
  • Controlsn = 15reference
Outcome
Signaling pathways differentially regulated in HCM (proteomic profiling of 7,289 proteins, SomaScan; FDR <0.05), confirmed by transcriptomic profiling
Methodological detailsmulticentre
  • Multicentre

Main finding

As reported in the abstract

Pathway analysis of differentially expressed proteins
  • Dysregulation of Ras-MAPK, ubiquitin-mediated proteolysis, angiogenesis-related (eg, HIF-1, VEGF) and Hippo pathways
  • Known HCM pathways (metabolic, inflammatory, extracellular matrix) also dysregulated

Observational data: associations, not effects.

Further findings

Proteins associated with clinical indicators of severe HCM (reduced LVEF, AF, ventricular tachyarrhythmias) and differentially expressed genes

Pathway analyses supported the proteomic findings

Original publication

Comprehensive Proteomic Profiling of Human Myocardium Reveals Signaling Pathways Dysregulated in Hypertrophic Cardiomyopathy. J Am Coll Cardiol. Published 2 October 2024. doi:10.1016/j.jacc.2024.07.043

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