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Utilizing proteomics to understand and define hypertension: where are we and where do we go?
Christian Delles1, Emma Carrick1, Delyth Graham1
1a Institute of Cardiovascular and Medical Sciences , University of Glasgow , Glasgow , UK.
Insights
Proteomics offers insights into hypertension mechanisms and organ damage, but progress is moderate. Large-scale, standardized studies are needed to fully leverage proteomics for cardiovascular disease precision medicine.
Area of Science:
- Cardiovascular Science
- Proteomics
- Hypertension Research
Background:
- Hypertension is a complex cardiovascular disorder with unmet needs in prevention and therapy.
- Discovering novel pathogenetic principles is challenging due to multifactorial mechanisms.
- Reducing the global burden of hypertension-related diseases requires improved detection and treatment.
Purpose of the Study:
- To review the application of proteomic techniques in understanding hypertension.
- To explore proteomic studies in experimental models and human subjects.
- To discuss the implications of proteomics for precision medicine in hypertension.
Main Methods:
- Proteomic techniques applied to experimental hypertension models (rodents).
- Proteomic studies in humans focusing on prediction and detection of organ damage (heart failure, renal disease).
- Analysis of proteomic data in primary hypertension and hypertensive disorders of pregnancy (preeclampsia).
Main Results:
- Proteomics has been used in experimental models to unravel blood pressure control and end-organ damage mechanisms.
- Human proteomic studies primarily focus on predicting and detecting organ damage.
- Few studies address primary human hypertension, with more data available for preeclampsia.
Conclusions:
- Proteomics holds potential for understanding hypertension and guiding precision medicine.
- Progress in applying proteomics to hypertension research has been moderate.
- Standardized, large-scale studies are essential for maximizing proteomics' potential in cardiovascular diseases.
Introduction:
Hypertension is a complex and multifactorial cardiovascular disorder. With different mechanisms contributing to a different extent to an individual's blood pressure, the discovery of novel pathogenetic principles of hypertension is challenging. However, there is an urgent and unmet clinical need to improve prevention, detection, and therapy of hypertension in order to reduce the global burden associated with hypertension-related cardiovascular diseases. Areas covered: Proteomic techniques have been applied in reductionist experimental models including angiotensin II infusion models in rodents and the spontaneously hypertensive rat in order to unravel mechanisms involved in blood pressure control and end organ damage. In humans proteomic studies mainly focus on prediction and detection of organ damage, particularly of heart failure and renal disease. While there are only few proteomic studies specifically addressing human primary hypertension, there are more data available in hypertensive disorders in pregnancy, such as preeclampsia. We will review these studies and discuss implications of proteomics on precision medicine approaches. Expert commentary: Despite the potential of proteomic studies in hypertension there has been moderate progress in this area of research. Standardized large-scale studies are required in order to make best use of the potential that proteomics offers in hypertension and other cardiovascular diseases.
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