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Published on: August 8, 2022
Proteomic Analysis of the Myocardium in Hypertrophic Obstructive Cardiomyopathy
Caroline J Coats1,2, Wendy E Heywood2, Alex Virasami3
1University College London Institute of Cardiovascular Science, London, United Kingdom (C.J.C., P.S., T.A.T., J.C.M., L.R.L., C.G.A.M., W.J.M., P.M.E.).
Insights
This study explored the protein profiles in hypertrophic cardiomyopathy (HCM) hearts, revealing altered metabolism and structural proteins. Lumican, a protein found at higher levels in HCM, may contribute to myocardial fibrosis in this complex heart disease.
Area of Science:
- Cardiology
- Proteomics
- Genetics
Background:
- Hypertrophic cardiomyopathy (HCM) presents a complex phenotype not fully explained by genetic variants alone.
- Exploring the post-genomic phenotype through myocardial tissue proteomic analysis is crucial for understanding HCM.
- This study investigates the proteomic landscape of HCM to uncover underlying molecular mechanisms.
Purpose of the Study:
- To utilize proteomic analysis of myocardial tissue to explore the post-genomic phenotype of hypertrophic cardiomyopathy (HCM).
- To identify differentially expressed proteins in HCM myocardial samples compared to controls.
- To correlate protein expression with clinical and genetic characteristics of HCM.
Main Methods:
- Label-free proteomic analysis was performed on myocardial samples from HCM patients and healthy controls.
- Differentially expressed proteins were validated using targeted multiple reaction monitoring-based mass spectrometry.
- A cohort of 65 individuals (51 HCM, 7 controls, 7 aortic stenosis) was used for validation.
Main Results:
- 1586 proteins were identified, with 151 proteins showing differential expression in HCM versus controls (P<0.05).
- Proteins involved in metabolism, muscle contraction, calcium regulation, and oxidative stress were identified.
- Upregulated proteins in HCM included lumican, carbonic anhydrase 3, desmin, α-actin skeletal, and FHL1; downregulated proteins included creatine kinase M-type, fructose-bisphosphate aldolase A, and phosphoglycerate mutase.
Conclusions:
- The myocardial proteome in HCM supports the dysregulation of metabolic and structural proteins.
- Elevated lumican levels in HCM hearts offer insights into the myocardial fibrosis characteristic of the disease.
- Proteomic profiling provides a deeper understanding of the complex molecular pathology in hypertrophic cardiomyopathy.
Background:
Hypertrophic cardiomyopathy (HCM) is characterized by a complex phenotype that is only partly explained by the biological effects of individual genetic variants. The aim of this study was to use proteomic analysis of myocardial tissue to explore the postgenomic phenotype.
Methods:
Label-free proteomic analysis was used initially to compare protein profiles in myocardial samples from 11 patients with HCM undergoing surgical myectomy with control samples from 6 healthy unused donor hearts. Differentially expressed proteins of interest were validated in myocardial samples from 65 unrelated individuals (HCM [n=51], controls [n=7], and aortic stenosis [n=7]) by the development and use of targeted multiple reaction monitoring-based triple quadrupole mass spectrometry.
Results:
In this exploratory study, 1586 proteins were identified with 151 proteins differentially expressed in HCM samples compared with controls ( P<0.05). Protein expression profiling showed that many proteins identified in the initial discovery study were associated with metabolism, muscle contraction, calcium regulation, and oxidative stress. Proteins downregulated in HCM versus controls included creatine kinase M-type, fructose-bisphosphate aldolase A, and phosphoglycerate mutase ( P<0.001). Proteins upregulated in HCM included lumican, carbonic anhydrase 3, desmin, α-actin skeletal, and FHL1 (four and a half LIM domain protein 1; P<0.01). Myocardial lumican concentration correlated with the left atrial area (ρ=0.34, P=0.015), late gadolinium enhancement on cardiac magnetic resonance imaging ( P=0.03) and the presence of a pathogenic sarcomere mutation ( P=0.04).
Conclusions:
The myocardial proteome of HCM provides supporting evidence for dysregulation of metabolic and structural proteins. The finding that lumican is raised in HCM hearts provides insight into the myocardial fibrosis that characterizes this disease.
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