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Proteomics of plaques and novel sources of potential biomarkers for atherosclerosis
Onno B Bleijerveld1, Ya-Nan Zhang, Serap Beldar
1Laboratory of Experimental Cardiology, University Medical Center Utrecht, Utrecht, the Netherlands.
Insights
Proteomics offers new hope for identifying biomarkers to detect cardiovascular disease (CVD) and atherosclerosis early. Research explores plaque proteomes, circulating cells, and extracellular vesicles for personalized risk assessment and treatment.
Area of Science:
- Cardiovascular research
- Biomarker discovery
- Proteomics
Background:
- Cardiovascular disease (CVD) is a leading global cause of mortality.
- Atherosclerosis, the underlying pathology of CVD, involves complex interactions of lipid metabolism, inflammation, and immunity.
- Current risk factors inadequately predict disease onset, necessitating novel biomarkers.
Purpose of the Study:
- To review advancements in proteomic profiling for identifying cardiovascular disease biomarkers.
- To explore novel biomarker sources like atherosclerotic plaques, circulating cells, and extracellular vesicles.
- To highlight the role of protein post-translational modifications (PTMs) in atherosclerosis.
Main Methods:
- Proteome profiling of atherosclerotic plaques.
- Analysis of circulating cells and plasma extracellular vesicles.
- Utilizing longitudinal biobanking data (e.g., Athero-Express study).
Main Results:
- Progress in identifying potential protein biomarkers from plaque proteomes.
- Identification of novel biomarker sources beyond traditional methods.
- Demonstration of plaque proteins discovered through biobanking studies.
Conclusions:
- Proteomics is crucial for discovering novel biomarkers for early CVD and atherosclerosis detection.
- Circulating cells and extracellular vesicles represent promising sources for biomarker development.
- Investigating protein PTMs in atherosclerosis holds potential for future biomarker strategies.
Abstract:
Cardiovascular disease (CVD) is the leading cause of death and loss of productive life years in the world. The underlying syndrome of CVD, atherosclerosis, is a complex disease process, which involves lipid metabolism, inflammation, innate and adaptive immunity, and many other pathophysiological aspects. Furthermore, CVD is influenced by genetic as well as environmental factors. Early detection of CVD and identification of patients at risk are crucial to reduce the burden of disease and to allow personalized treatment. As established risk factors fail to accurately predict which part of the population is likely to suffer from the disease, novel biomarkers are urgently needed. Proteomics can play a significant role in identifying these biomarkers. In this review, we describe the progress made in proteome profiling of the atherosclerotic plaque and several novel sources of potential biomarkers, including circulating cells and plasma extracellular vesicles. The importance of longitudinal biobanking in biomarker discovery is highlighted and exemplified by several plaque proteins identified in the biobank study Athero-Express. Finally, we discuss the PTMs of proteins that are involved in atherosclerosis, which may become one of the foci in the ongoing quest for biomarkers through proteomics of plaque and other matrices relevant to the progression of atherosclerosis.
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