Heart failure & cardiomyopathies

The Transcriptional Profile of Iron Deficiency in Patients with Heart Failure: Heme-Sparing and Reduced Immune Processes

Eur J Heart FailPublished Mechanistic study

Authors' conclusion

Iron deficiency is associated with the preservation of heme-related processes at the cost of iron-sulfur clusters. Immune processes are downregulated, uncovering another high energy demand system affected.

Study context

Population
Patients with heart failure (HF) from the BIOSTAT-CHF cohort
Participants
881 patients
Comparison
Iron deficiency (ID) vs non-ID
  • IDn = 554
Outcome
Differentially expressed genes, ID vs non-ID
Methodological detailstranscriptome profiling in whole blood, in vitro stem cell-derived cardiomyocyte ID model
  • Transcriptome profiling in whole blood
  • In vitro stem cell-derived cardiomyocyte ID model

Main finding

As reported in the abstract

ID

62.9%

554

Differentially expressed genes between ID and non-ID
89
Upregulated genes
60
Downregulated genes
29

Further findings

Mortality in HF by SIAH2 and CLIC4 expression

HR (95% CI)P value
SIAH22.40 (1.86–3.11)P < 0.001
CLIC41.78 (1.53–2.07)P < 0.001

Original publication

The Transcriptional Profile of Iron Deficiency in Patients with Heart Failure: Heme-Sparing and Reduced Immune Processes. Eur J Heart Fail. Published 26 December 2024. doi:10.1002/ejhf.3562

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