Heart failure & cardiomyopathiesCase-control study

Proteomic Profiling in Patients With Peripartum Cardiomyopathy

JACC Heart FailPublished

  • Case-control proteomic study
  • untargeted serum proteome profiling
  • matched healthy controls
  • 10-fold cross-validation

Authors' conclusion

Salient biologic themes related to immune response proteins, inflammation, fibrosis, angiogenesis, apoptosis, and coagulation were predominant in patients with PPCM compared with HCs.

Study context

Population
Patients with newly diagnosed peripartum cardiomyopathy and matched healthy postpartum mothers
Participants
84 vs 29
Comparison
PPCM vs postpartum healthy controls
  • PPCMn = 84
  • Healthy controls (HCs)n = 29reference
Outcome
Serum proteome profile and diagnostic performance (AUC) of protein biomarkers to distinguish PPCM from HCs

Main finding

As reported in the abstract

Differentially expressed proteins and diagnostic performance

Differentially up-regulated proteins in PPCM vs HCs

15

Differentially down-regulated proteins in PPCM vs HCs

14

Proteins significant by Boruta algorithm

7

AUC of adiponectin + quiescin sulfhydryl oxidase 1 + inter-α-trypsin inhibitor heavy chain + NT-proBNP (best diagnostic precision), 95% CI 0.84-0.96

0.90

Observational data: associations, not effects.

Further findings

Mean

OutcomePPCMHCsP value
LVEF33.5% (SD 9.3%)57.0% (SD 8.8%)P < 0.001

Original publication

Proteomic Profiling in Patients With Peripartum Cardiomyopathy. JACC Heart Fail. Published 4 October 2023. doi:10.1016/j.jchf.2023.07.028

Summarised from the published abstract; every number is checked against it