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Updated: Sep 9, 2025
Author Spotlight: Advancing the Analysis of Plasma Extracellular Vesicle Proteome for Cardiovascular Biomarker Studies
Published on: January 31, 2025
Ethnic differences in protein biomarkers of peripartum cardiomyopathy: a proteomic study on the EORP cohort
Vitaris Kodogo1,2, Karen Sliwa1,3, Alice M Jackson4
1Cape Heart Institute, Faculty of Health Sciences, University of Cape Town, Cape Town, South Africa.
Aims:
The diagnosis of peripartum cardiomyopathy (PPCM) is often delayed due to the absence of disease-specific biomarkers. Recently, serum proteins-QSOX1, adiponectin (ADIPOQ) and ITIH3-have shown potential for improving diagnostic accuracy, especially when used with NT-proBNP. However, the influence of ethnicity on their expression remains unclear. We aimed to assess whether serum biomarker profiles differ among ethnic groups in a multinational PPCM cohort.
Methods And Results:
Eighty-two PPCM patients from seven countries in the EURObservational Research Programme (EORP) provided demographic data and serum samples. Ethnicity was self-reported. Proteomic profiling at diagnosis was performed using DIA-based label-free LC-MS, and data were analysed with Spectronaut v15. Ethnic variation was evaluated through principal component analysis (PCA). Participants had a mean age of 30.5 ± 6.7 years; 75% had no hypertension during pregnancy. Median LVEF was 35% (IQR 27.0-41.1), with no ethnic differences. Middle Eastern women showed more severe LV dilatation. PCA revealed no significant clustering by ethnicity; PC1 and PC2 explained 15.2% and 12.0% of variance, respectively.
Conclusions:
QSOX1, ADIPOQ and ITIH3 exhibited consistent expressions across ethnic groups, supporting their use as universal PPCM biomarkers.
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