Calbindin 2 as a Novel Biomarker and Therapeutic Target for Abdominal Aortic Aneurysm: Integrative Analysis of Human

Yulin Bao1, Jiayi Chen1, Xudong Han1

  • 1Department of Cardiology The First Affiliated Hospital with Nanjing Medical University Nanjing Jiangsu China.

Abstract

Insights

Calbindin 2 (CALB2) is a novel biomarker and therapeutic target for abdominal aortic aneurysm (AAA). Inhibiting CALB2 and using lenalidomide or genistein shows promise in preventing AAA development.

Area of Science:

  • Genetics
  • Proteomics
  • Cardiovascular Research

Background:

  • Abdominal aortic aneurysm (AAA) is a life-threatening condition with no approved pharmacological treatments.
  • Identifying novel biomarkers and therapeutic targets is critical for improving AAA management and patient outcomes.

Purpose of the Study:

  • To identify plasma proteins with potential causal effects on AAA using integrated genetic analyses.
  • To explore the role of identified proteins in AAA pathogenesis and validate therapeutic targets.

Main Methods:

  • Proteome-wide Mendelian randomization, genetic correlation, and colocalization analyses were used to identify causal proteins.
  • Multiomics data (RNA sequencing, spatial transcriptomics) and phenome-wide association studies characterized protein expression and function.
  • Experimental validation in an AAA mouse model and druggability analysis identified therapeutic candidates.

Main Results:

  • Calbindin 2 (CALB2) was identified as a protein causally linked to AAA, potentially regulating lipid metabolism.
  • CALB2 is primarily expressed in mesothelial cells of adipose tissue; its inhibition alleviated AAA progression in mice.
  • Lenalidomide and genistein were identified as druggable candidates and showed efficacy in preventing AAA development in preclinical models.

Conclusions:

  • CALB2 is a potential novel biomarker and therapeutic target for abdominal aortic aneurysm (AAA).
  • Lenalidomide and genistein demonstrate promising therapeutic potential for AAA treatment.