Evidence map›Paper›PMID 39344657›Full record

ArticleJournal of the American Heart Association2024

Circulating Plasma Proteins in Aortic Stenosis: Associations With Severity, Myocardial Response, and Clinical Outcomes.

Eugene S J Tan, Hyungwon Choi, Christopher R DeFilippi, Yen-Yee Oon, Siew-Pang Chan, Lingli Gong, Josephine B Lunaria, Oi-Wah Liew, Jenny Pek-Ching Chong, Edgar Lik-Wui Tay and 15 more

Abstract read
In one paragraph

Article in Journal of the American Heart Association, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Article
  2. Article
  3. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

25 authors.

Eugene S J TanNational University Heart Centre Singapore Singapore.ORCID 0000-0001-7273-6883
Hyungwon ChoiYong Loo Lin School of Medicine National University of Singapore Singapore Singapore.ORCID 0000-0002-6687-3088
Christopher R DeFilippiInova Heart and Vascular Institute Falls Church VA.ORCID 0000-0002-0660-4943
Yen-Yee OonSarawak Heart Centre Kota Samarahan Sarawak Malaysia.ORCID 0000-0002-7670-1810
Siew-Pang ChanNational University Heart Centre Singapore Singapore.ORCID 0000-0001-6239-6483
Lingli GongYong Loo Lin School of Medicine National University of Singapore Singapore Singapore.
Josephine B LunariaYong Loo Lin School of Medicine National University of Singapore Singapore Singapore.
Oi-Wah LiewYong Loo Lin School of Medicine National University of Singapore Singapore Singapore.ORCID 0000-0001-5729-2700
Jenny Pek-Ching ChongYong Loo Lin School of Medicine National University of Singapore Singapore Singapore.ORCID 0000-0002-4182-188X
Edgar Lik-Wui TayNational University Heart Centre Singapore Singapore.
Wern-Miin SooNational University Heart Centre Singapore Singapore.ORCID 0009-0008-0096-1107
James Wei-Luen YipNational University Heart Centre Singapore Singapore.ORCID 0000-0001-5470-4554
Quek Wei YongTan Tock Seng Hospital Singapore Singapore.ORCID 0000-0003-0707-809X
Evelyn Min LeeTan Tock Seng Hospital Singapore Singapore.
Poh Shuan Daniel YeoTan Tock Seng Hospital Singapore Singapore.ORCID 0000-0002-6947-1068
Zee Pin DingNational Heart Centre Singapore Singapore.ORCID 0000-0002-3349-8509
Hak Chiaw TangNational Heart Centre Singapore Singapore.
See Hooi EweNational Heart Centre Singapore Singapore.
Calvin W L ChinNational Heart Centre Singapore Singapore.ORCID 0000-0002-9867-4390
Siang Chew ChaiChangi General Hospital Singapore Singapore.ORCID 0000-0002-9471-6311
Ping Ping GohAsian Heart and Vascular Centre Singapore Singapore.
Lee Fong LingKhoo Teck Puat Hospital Singapore Singapore.ORCID 0009-0005-5203-4303
Hean Yee OngKhoo Teck Puat Hospital Singapore Singapore.ORCID 0000-0003-0566-5901
A Mark RichardsNational University Heart Centre Singapore Singapore.ORCID 0000-0002-2023-8177
Lieng-Hsi LingNational University Heart Centre Singapore Singapore.ORCID 0000-0001-6063-8530

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundEchocardiographic indexes of aortic stenosis may not comprehensively reflect disease morbidity. Plasma proteomic profiling may add prognostic value in these patients. METHODS AND

resultsProximity extension assays (Olink) of 183 circulating cardiovascular and inflammatory proteins were performed in a prospective follow-up study of 122 asymptomatic/minimally symptomatic patients (mean±SD age, 69.1±10.9 years; 61% men) with moderate to severe aortic stenosis and preserved left ventricular ejection fraction. Protein signatures of higher-risk echocardiographic subgroups were determined. Associations of proteins with the primary composite outcome (heart failure hospitalization, progression to New York Heart Association class III-IV, or all-cause mortality) were evaluated using competing risk analyses, with aortic valve replacement being the competing risk. Network analysis unveiled mutually exclusive communities of proteins and echocardiographic parameters, connected only through NT-proBNP (N-terminal pro-B-type natriuretic peptide). Members of the tumor necrosis factor receptor superfamily (TNFRSF1A, TNFRSF1B, and TNFRSF14), and trefoil factor-3 were major hub proteins among the circulating biomarkers. Left ventricular global longitudinal strain >-15% was associated with higher levels of proteins, primarily of inflammation and immune regulation, whereas aortic valve area <1 cm

conclusionsPlasma proteins involved in inflammation and immune regulation were differentially expressed in patients with aortic stenosis with reduced left ventricular global longitudinal strain, and associated with adverse clinical outcomes. Their incorporation into aortic stenosis risk stratification warrants further assessment.

Indexed as

Aortic Valve StenosisBiomarkersBlood ProteinsSeverity of Illness IndexAgedDisease ProgressionEchocardiographyFemaleFollow-Up StudiesHeart FailureHumansMaleMiddle AgedPrognosisProspective StudiesProteomicsBiomarkersBlood Proteinsaortic stenosisbiomarkersinflammationproteomics

Identifiers

PMID39344657
PMCPMC11681473

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.