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Published on: January 9, 2026
Genomics and proteomics: a new approach for assessing thrombotic risk in autoimmune diseases
C López-Pedrera1, N Barbarroja, M A Aguirre
1Unidad de Investigación, Hospital Universitario Reina Sofía, Cordoba, Spain. rosario.lopez.exts@juntadeandalucia.es
Insights
Systemic autoimmune diseases like rheumatoid arthritis increase cardiovascular risk due to enhanced atherosclerosis. Genomic and proteomic insights reveal shared mechanisms, aiding in assessing thrombotic risk.
Area of Science:
- Immunology
- Cardiovascular Medicine
- Genomics & Proteomics
Background:
- Systemic autoimmune conditions (e.g., rheumatoid arthritis, lupus) are linked to increased atherosclerosis and cardiovascular disease (CVD) risk.
- Shared pathogenic mechanisms between autoimmune diseases and atherosclerosis are suggested by genomic and proteomic profiles in plaques.
- Auto-antibodies and deregulated protein expression in body fluids offer potential diagnostic markers for autoimmune-related CVD.
Purpose of the Study:
- To review novel genomic and proteomic approaches for assessing thrombotic risk in systemic autoimmune diseases.
- To explore the underlying mechanisms of vascular involvement in systemic autoimmune conditions.
- To highlight the importance of considering cardiovascular risk in managing patients with autoimmune disorders.
Main Methods:
- Analysis of genomic and proteomic data from atherosclerotic plaques.
- Identification of auto-antibodies in human sera and body fluids.
- Proteomic fingerprinting of blood cells, tissues, and body fluids to detect deregulated protein expression.
Main Results:
- Genomic and proteomic studies reveal shared profiles between atherosclerotic plaques and autoimmune diseases.
- Identification of auto-antibodies as potential diagnostic markers for specific autoimmune diseases.
- Proteomic analysis highlights deregulated protein expression patterns linked to vascular involvement.
Conclusions:
- Genomic and proteomic methods offer valuable insights into vascular complications of autoimmune diseases.
- Understanding these mechanisms is crucial for accurate thrombotic risk assessment.
- Integrated management of autoimmune disorders must prioritize cardiovascular health due to elevated CVD risk.
Abstract:
Several systemic autoimmune conditions, including rheumatoid arthritis, systemic lupus erythematosus and antiphospholipid syndrome, are characterised by enhanced atherosclerosis and, consequently, higher cardiovascular morbidity and mortality rates. The association of these diseases with atherosclerosis suggests a common pathogenic mechanism. Genomic and proteomic studies performed on atherosclerotic plaques have further confirmed the presence of a gene and protein profile similar to that observed in autoimmune diseases with cardiovascular risks. Human sera and body fluids have been analysed and have resulted in the identification of auto-antibodies that can be used as diagnostic markers in specific autoimmune diseases, and proteomic fingerprints of blood cells, tissues and body fluids have resulted in the identification of individual proteins or patterns of protein expression that are deregulated. The information provided by these proteomic studies is of diagnostic and therapeutic potential. In this review, we discuss new approaches available for assessing thrombotic risk in autoimmune diseases, focusing in the genomic and proteomic methods now available to deep into the origin of the mechanisms associated with vascular involvement in systemic autoimmune diseases. The increasing data available suggests that when treating patients with these autoimmune disorders, paying attention to the increased risk of cardiovascular disease is essential.
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