Heart failure & cardiomyopathies

Multiomics Analysis Provides Novel Pathways Related to Progression of Heart Failure

J Am Coll CardiolPublished Mechanistic study

Authors' conclusion

A systems biology approach integrating genomic, transcriptomic, and proteomic data identified 4 major pathways related to mortality.

Study context

Population
Patients with HF in the BIOSTAT-CHF studyvalidation cohort n = 1,738
Participants
2,516 patients
Outcome
All-cause mortality
Follow-up
Median 21 months
Methodological detailsmachine learning (stacked generalization, gradient boosting), independent validation cohort
  • Machine learning (stacked generalization, gradient boosting)
  • Independent validation cohort

Main finding

As reported in the abstract

Major pathways associated with all-cause mortality
  • PI3K/Akt pathway
  • MAPK pathway
  • Ras signaling pathway
  • Epidermal growth factor receptor tyrosine kinase inhibitor resistance
  • Validated in an independent cohort of 1,738 patients

Further findings

Deaths during follow-up · median follow-up 21 months

Patients who died
657 (26%)

Original publication

Multiomics Analysis Provides Novel Pathways Related to Progression of Heart Failure. J Am Coll Cardiol. Published 14 November 2023. doi:10.1016/j.jacc.2023.08.053

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