Heart failure & cardiomyopathies

Left Ventricular Gene Expression in Heart Failure With Preserved Ejection Fraction—Profibrotic and Proinflammatory Pathways and Genes

Circ Heart FailPublished Mechanistic study

Authors' conclusion

The transcriptome analysis of left ventricular myocardial samples from patients with HFpEF confirms an overabundant extracellular matrix gene expression, the basis of myocardial fibrosis, without a signature of activated proinflammatory pathways or genes.

Study context

Population
Patients undergoing aortocoronary bypass surgery with epicardial LV biopsies
Participants
16 vs 14
Comparison
Heart failure with preserved ejection fraction (HFpEF) vs referent controls
  • HFpEFn = 16
  • CTRn = 14reference
Outcome
LV transcriptome (RNA sequencing)

Main finding

As reported in the abstract

Differentially expressed genes, many in profibrotic pathways (extracellular matrix production, posttranslational modification)
477

Further findings

BMI · HFpEF patients were hypertensive

P < 0.01

NT-proBNP

P < 0.001

Original publication

Left Ventricular Gene Expression in Heart Failure With Preserved Ejection Fraction—Profibrotic and Proinflammatory Pathways and Genes. Circ Heart Fail. Published 27 July 2023. doi:10.1161/circheartfailure.123.010395

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