Heart failure & cardiomyopathies

Myocardial Posttranscriptional Landscape in Peripartum Cardiomyopathy

Circ Heart FailPublished Mechanistic study

Authors' conclusion

The present study reveals unique posttranslational molecular features of the PPCM myocardium, which mediates cellular and metabolic remodeling, and holds promise as potential targets for therapeutic intervention.

Study context

Population
LV tissue from end-stage PPCM patients, dilated cardiomyopathy (DCM) patients and nonfailing donors (Sydney Heart Bank)
Comparison
End-stage PPCM vs DCM vs nonfailing donors
  • PPCMn = 6-7
  • DCMn = 5-6
  • Nonfailing donorsn = 7-18reference
Outcome
LV proteomic and metabolomic profiles
Methodological detailsunbiased quantitative mass spectrometry, Sydney Heart Bank samples
  • Unbiased quantitative mass spectrometry
  • Sydney Heart Bank samples

Main finding

As reported in the abstract

  • SBSPON and TNS3 uniquely downregulated in PPCM
  • Elevated homogentisate and deoxycholate and reduced lactate and alanine in PPCM
  • PPCM and DCM shared pathways related to inflammation, immune responses and signal transduction
  • Thyroid hormone signaling notably reduced in PPCM, with altered PLN and Sarcoendoplasmic Reticulum Calcium ATPase (SERCA) expression
  • Enhanced endoplasmic reticulum stress and altered endocytosis pathways in PPCM

Original publication

Myocardial Posttranscriptional Landscape in Peripartum Cardiomyopathy. Circ Heart Fail. Published 8 November 2024. doi:10.1161/circheartfailure.124.011725

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