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Cardiovascular proteomics: translational studies to develop novel biomarkers in heart failure and left ventricular
Emilie Dubois1, Marie Fertin, Justine Burdese
1INSERM, Lille, France.
Insights
Identifying novel heart failure (HF) biomarkers through proteomics is crucial. Proteomic analysis of blood samples aids in discovering new HF biomarkers for personalized medicine, though standardization and validation remain challenges.
Area of Science:
- Biochemistry
- Cardiology
- Proteomics
Background:
- Heart failure (HF) is a serious condition with a poor prognosis.
- Biomarkers for HF are essential for diagnosis, risk stratification, and therapy selection.
- Circulating analytes in serum or plasma are commonly referred to as HF biomarkers.
Purpose of the Study:
- To explore the role of proteomics in discovering novel heart failure biomarkers.
- To highlight the clinical applications of HF biomarkers.
- To address challenges in biomarker discovery using proteomic approaches.
Main Methods:
- Proteomic studies utilizing case/control designs with clinical or surrogate endpoints.
- Analysis of various sample types, with a focus on easily accessible serum and plasma.
- Investigating methods to overcome challenges in accessing low-abundance proteins.
Main Results:
- Proteomics plays a significant role in the discovery phase of HF biomarkers.
- Plasma and serum samples are frequently used due to accessibility.
- Standardization of sampling and detection of low-abundance proteins are key challenges.
Conclusions:
- Proteomic research holds promise for identifying new circulating HF biomarkers.
- Validation of discovered biomarkers using specific methods in independent populations is necessary.
- Advancements in HF biomarker discovery can lead to more personalized medicine approaches.
Abstract:
Heart failure (HF) remains a severe disease with a poor prognosis. HF biomarkers may include demographic features, cardiac imaging, or genetic polymorphisms but this term is commonly applied to circulating serum or plasma analytes. Biomarkers may have at least three clinical uses in the context of HF: diagnosis, risk stratification, and guidance in the selection of therapy. Proteomic studies on HF biomarkers can be designed as case/control using clinical endpoints; alternatively, left ventricular remodeling can be used as a surrogate endpoint. The type of samples (tissue, cells, serum or plasma) used for proteomic analysis is a key factor in the research of biomarkers. Since the final aim is the discovery of circulating biomarkers, and since plasma and serum samples are easily accessible, proteomic analysis is frequently used for blood samples. However, standardization of sampling and access to low-abundance proteins remains problematic. Although, proteomics is playing a major role in the discovery phase of biomarkers, validation in independent populations is necessary by using more specific methods. The knowledge of new HF biomarkers may allow a more personalized medicine in the future.
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