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Updated: Aug 25, 2025

Author Spotlight: Advancing the Analysis of Plasma Extracellular Vesicle Proteome for Cardiovascular Biomarker Studies
Published on: January 31, 2025
Quantitative Data-Independent Acquisition Mass Spectrometry Proteomics and Weighted Correlation Network Analysis of
Daopeng Dai1, Zhiwei Cheng2, Shuo Feng1
1Department of Cardiovascular Medicine, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China.
Insights
This study identified novel protein biomarkers linked to atherosclerosis in chronic kidney disease (CKD) patients. These findings illuminate CKD-specific risk factors, potentially guiding new therapeutic strategies for cardiovascular complications.
Area of Science:
- Cardiovascular Medicine
- Nephrology
- Proteomics
Background:
- Chronic kidney disease (CKD) significantly accelerates atherosclerosis.
- CKD introduces unique risk factors beyond traditional ones like hypertension and diabetes.
- Understanding these CKD-specific factors is crucial for managing cardiovascular complications.
Purpose of the Study:
- To identify novel, CKD-specific risk factors for atherosclerosis.
- To elucidate the molecular mechanisms underlying CKD-accelerated atherosclerosis.
- To discover potential protein biomarkers for CKD-related cardiovascular disease.
Main Methods:
- Enrolled 62 patients with varying kidney function and assessed coronary atherosclerosis severity using SYNTAX scores.
- Utilized data-independent acquisition mass spectrometry to identify differentially expressed proteins (DEPs) in plasma.
- Applied weighted gene co-expression network analysis (WGCNA) to find protein modules and hub proteins associated with CKD and atherosclerosis.
Main Results:
- Identified 10 DEPs associated with atherosclerosis in patients with moderate to severe CKD.
- WGCNA revealed 1768 proteins and 8 significant protein modules.
- Enrichment analysis highlighted inflammation, complement, and coagulation cascades as key pathways in CKD-related atherosclerosis.
Conclusions:
- The study identified specific protein signatures and pathways involved in CKD-accelerated atherosclerosis.
- Findings provide insights into the complex mechanisms of atherosclerosis in CKD patients.
- Results may inform the development of targeted treatments for cardiovascular disease in CKD.
Abstract:
Chronic kidney disease (CKD) accelerates atherosclerosis. The mechanism of CKD-related atherosclerosis is complex, and CKD-specific risk factors may contribute to this process in addition to traditional risk factors such as hypertension, diabetes, and hypercholesterolemia. In the present study, to discover CKD-specific atherosclerosis risk factors, a total of 62 patients with different stages of kidney function were enrolled. All patients underwent coronary angiographies and the severity of coronary atherosclerosis was defined by the SYNTAX score. Patients were divided into different groups according to their kidney function levels and coronary atherosclerosis severity. Data-independent acquisition mass spectrometry was used to identify differentially expressed proteins (DEPs) in the plasma samples, and weighted correlation network analysis (WGCNA) was employed to identify significant protein modules and hub proteins related to CKD-specific atherosclerosis. The results showed that 10 DEPs associated with atherosclerosis were found in the comparative groups with modest and severe CKD. Through WGCNA, 1768 proteins were identified and 8 protein modules were established. Enrichment analyses of protein modules revealed functional clusters mainly associated with inflammation and the complement and coagulation cascade as atherosclerosis developed under CKD conditions. The results may help to better understand the mechanisms of CKD-related atherosclerosis and guide future research on developing treatments for CKD-related atherosclerosis.
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