Evidence mapPaperPMID 41225469Full record

ArticleCardiovascular diabetology2025

Proteome organ aging and cardiometabolic risk in a population at risk for heart failure.

Kaiyong Qu, Elisa Dal Canto, Anne-Mar L N van Ommen, Sabrina Abou Kamar, Arco J Teske, Maarten Jan Cramer, Marianne C Verhaar, Dirk J Duncker, Frans H Rutten, Isabella Kardys and 7 more

Abstract readMulticenter StudyComparative Study
In one paragraph

Article in Cardiovascular diabetology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

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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

17 authors.

Kaiyong Qu *Laboratory of Experimental Cardiology, University Medical Center Utrecht, Room Number G02-404, Utrecht University, Utrecht, The Netherlands. qukaiyong821@163.com.ORCID http://orcid.org/0000-0002-5295-0361
Elisa Dal Canto *Laboratory of Experimental Cardiology, University Medical Center Utrecht, Room Number G02-404, Utrecht University, Utrecht, The Netherlands.
Anne-Mar L N van OmmenLaboratory of Experimental Cardiology, University Medical Center Utrecht, Room Number G02-404, Utrecht University, Utrecht, The Netherlands.
Sabrina Abou KamarDepartment of Cardiology, Thorax Center, Cardiovascular Institute, Erasmus University Medical Center, Rotterdam, The Netherlands.
Arco J TeskeDepartment of Cardiology, University Medical Center Utrecht, Utrecht University, Utrecht, The Netherlands.
Maarten Jan CramerDepartment of Cardiology, University Medical Center Utrecht, Utrecht University, Utrecht, The Netherlands.
Marianne C VerhaarDepartment of Nephrology and Hypertension, University Medical Center Utrecht, Utrecht University, Utrecht, The Netherlands.
Dirk J DunckerDivision of Experimental Cardiology, Department of Cardiology, Thorax Center, Erasmus University Medical Center, Rotterdam, The Netherlands.
Frans H RuttenDepartment of General Practice and Nursing Science, Julius Center for Health Sciences and Primary Care, University Medical Center Utrecht, Utrecht University, Utrecht, The Netherlands.
Isabella KardysDepartment of Cardiology, Thorax Center, Cardiovascular Institute, Erasmus University Medical Center, Rotterdam, The Netherlands.
Roxana MenkenCardiology Centers of the Netherlands, Utrecht, The Netherlands.
Leonard HofstraCardiology Centers of the Netherlands, Utrecht, The Netherlands.
Igor I TulevskiCardiology Centers of the Netherlands, Utrecht, The Netherlands.
G Aernout SomsenDepartment of Cardiology, Amsterdam University Medical Center, University of Amsterdam, Amsterdam, The Netherlands.
N Charlotte Onland-MoretDepartment of General Practice and Nursing Science, Julius Center for Health Sciences and Primary Care, University Medical Center Utrecht, Utrecht University, Utrecht, The Netherlands.
Ernest Diez Benavente *Laboratory of Experimental Cardiology, University Medical Center Utrecht, Room Number G02-404, Utrecht University, Utrecht, The Netherlands.
Hester M den Ruijter *Laboratory of Experimental Cardiology, University Medical Center Utrecht, Room Number G02-404, Utrecht University, Utrecht, The Netherlands.

Funding

Dutch Cardiovascular Alliance grant 2020B008 RECONNEXT and 2020B004 IMPRESS
6 · The paper itself

Abstract

backgroundBiological aging varies across individuals and tissues, influencing chronic diseases, including heart failure (HF). Emerging proteome techniques enable quantification of organ-specific aging acceleration (OAA), but whether OAA relates to HF severity and differs by sex remains unclear. We aim to assess the sex-related association between OAA of heart, artery and kidneys and HF severity, and to investigate relevant cardiometabolic risk factors of organ aging.

methodsIn 556 participants from the HELPFul cohort, we estimated predicted biological age for heart, artery, and kidneys using plasma proteomics and calculated OAA as the deviation from chronological age. Associations between OAA and HF stage, echocardiographic parameters, and cardiometabolic risk factors were evaluated using regression models. Composite indices, including triglyceride-glucose body mass index (TyG-BMI), c-reactive protein-triglyceride glucose index and triglyceride-to-HDL cholesterol ratio were assessed for associations with advanced OAA.

resultsMean age was 63 ± 9 years; 65% were women. Patients were classified as HF stage A (35%), B (29%) and C/D (36%). Heart OAA was significantly associated with advanced HF (Stage C/D) in both sexes (OR = 1.12, 95% CI 1.03 to 1.23 in women; OR = 1.18, 95% CI 1.05 to 1.32 in men), while artery OAA was linked to HF only in women (OR = 1.10, 95% CI 1.01 to 1.18). Multi-organ aging (≥ 2 organs with advanced OAA) conferred over three-fold higher odds of being in Stage C/D. Heart OAA correlated with impaired cardiac structure and function, particularly reduced ejection fraction in men and increased left ventricular mass index in both sexes. Diabetes emerged as the most relevant factor of artery and kidney OAA. TyG-BMI was significantly associated with advanced kidney OAA, only in women (z-scored OR = 1.88, 95% CI 1.45 to 2.45).

conclusionsProteome-derived organ aging correlates with HF severity, with possible sex-related patterns. Diabetes and higher TyG-BMI are associated with faster organ aging, which may reflect shared aging mechanisms between metabolic dysfunction and HF.

Indexed as

AgingHeart FailureKidneyProteomeProteomicsAgedAge FactorsBiomarkersCardiometabolic Risk FactorsCross-Sectional StudiesFemaleHumansMaleMiddle AgedPrognosisRisk AssessmentBiomarkersProteomeHeart failureMetabolic dysfunctionOrgan biological ageProteomeSex difference

Identifiers

PMID41225469
PMCPMC12613572

What Socratic holds

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LicenceCC BY-NC-ND
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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.