Congenital heart diseaseResearch article

The Proteomic Profile of Adults With a Fontan Circulation

JACC AdvPublication date not resolved

  • Proteomic profiling study
  • age/sex-matched control participants

Authors' conclusion

The plasma proteome in adults with a Fontan circulation is markedly different from the proteome of biventricular controls, with widespread perturbations across metabolic, inflammatory, and organ-specific pathways. This hypothesis-generating, foundational work suggests that broad-based proteomics may help identify mechanisms of compensation and deterioration in this poorly understood population.

Study context

Population
Adults with a Fontan circulation and control participants without known cardiovascular disease162 adults with a Fontan circulation and 36 age/sex-matched controls enrolled · Fontan (enrolled) 162 · Control (enrolled) 36 · Olink platform 192 · SomaLogic platform 85
Participants
162 vs 36
Comparison
Plasma proteome between the Fontan and control groups
  • Fontann = 162
  • Controln = 36

Main finding

As reported in the abstract

Differentially expressed proteins (age- and sex-adjusted P < 0.05)

Olink proteomics platform (975 proteins)

331 (33.9%)

SomaLogic proteomics platform (1,265 proteins)

501 (39.6%)

Further findings

Proteins consistently among the 30 most differentially expressed on both platforms (491 proteins measured by both)

angiopoietin-2, contactin-5, insulin-like growth factor-binding protein 7, thrombospondin-2, and tartrate-resistant acid phosphatase type 5
5

Association of proteomic signatures with organ perturbations

Proteomic signatures in the Fontan circulation were associated with cardiac and renal perturbations, even before clinical evidence of end-organ failure

Original publication

The Proteomic Profile of Adults With a Fontan Circulation. JACC Adv. doi:10.1016/j.jacadv.2026.102810

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