Evidence map›Paper›PMID 33511353›Full record

ArticleJACC. CardioOncology2020

A Proteomic Atlas of Cardiac Amyloid Plaques.

Taxiarchis V Kourelis, Surendra S Dasari, Angela Dispenzieri, Joseph J Maleszewski, Margaret M Redfield, Ahmed U Fayyaz, Martha Grogan, Marina Ramirez-Alvarado, Omar F Abou Ezzeddine, Ellen D McPhail

Open access · goldAbstract read
In one paragraph

Article in JACC. CardioOncology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed
1.6field-weighted citation impact, top 16% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

30 citing papers in PubMed, 50 citations in OpenAlex.

  1. Article
  2. Review
  3. Review
  4. Article
  5. Mechanisms of damage and therapies for cardiac amyloidosis: a role for inflammation?Clinical research in cardiology : official journal of the German Cardiac Society · 2026
    Review
  6. Review
  7. Review
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. The molecular landscape of AL amyloidosis.British journal of haematology · 2025
    Review
  14. Review
  15. Whole tissue proteomic analyses of cardiac ATTR and AL unveil mechanisms of tissue damage.Amyloid : the international journal of experimental and clinical investigation : the official journal of the International Society of Amyloidosis · 2025
    Article
  16. Article
  17. Observational
  18. Article
  19. Article
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

10 authors at 2 institutions in 1 country.

Taxiarchis V KourelisDivision of Hematology, Department of Medicine, Mayo Clinic, Rochester, Minnesota, USA.
Surendra S DasariDepartment of Health Sciences Research, Mayo Clinic, Rochester, Minnesota, USA.
Angela DispenzieriDivision of Hematology, Department of Medicine, Mayo Clinic, Rochester, Minnesota, USA.
Joseph J MaleszewskiDepartment of Laboratory Medicine and Pathology, Mayo Clinic, Rochester, Minnesota, USA.
Margaret M RedfieldDepartment of Cardiovascular Medicine, Mayo Clinic, Rochester, Minnesota, USA.
Ahmed U FayyazDepartment of Cardiovascular Medicine, Mayo Clinic, Rochester, Minnesota, USA.
Martha GroganDepartment of Cardiovascular Medicine, Mayo Clinic, Rochester, Minnesota, USA.
Marina Ramirez-AlvaradoDepartments of Biochemistry and Molecular Biology and Immunology, Mayo Clinic, Rochester, Minnesota, USA.
Omar F Abou EzzeddineDepartment of Cardiovascular Medicine, Mayo Clinic, Rochester, Minnesota, USA.
Ellen D McPhailDepartment of Laboratory Medicine and Pathology, Mayo Clinic, Rochester, Minnesota, USA.
Mayo Clinic · USMayo Clinic in Florida · US

Funding

Project 4: Targeting Resistance to T-Cell Directed Therapy in Multiple MyelomaP50CA186781 · NCI · MAYO CLINIC ARIZONA · PI Peter Leif Bergsagel · 2015 to 2026
$25.5M
NCI NIH HHS P50 CA186781
6 · The paper itself

Abstract

backgroundIn vivo mechanisms of amyloid clearance and cardiac tissue damage in cardiac amyloidosis are not well understood.

objectivesWe aimed to define and quantify the amyloid plaque proteome in cardiac transthyretin amyloidosis (ATTR) and light chain amyloidosis (AL) and identify associations with patient characteristics and outcomes.

methodsA proteomics approach was used to identify all proteins in cardiac amyloid plaques, and to compare both normal and diseased controls. All proteins identified within amyloid plaques were defined as the expanded proteome; only proteins that were enriched in comparison to normal and disease controls were defined as the amyloid-specific proteome.

resultsProteomic data from 292 patients with ATTR and 139 patients with AL cardiac amyloidosis were included; 160 and 161 unique proteins were identified in the expanded proteomes, respectively. In the amyloid-specific proteomes, we identified 28 proteins in ATTR, 19 in AL amyloidosis, with 13 proteins overlapping between ATTR and AL. ATTR was characterized by a higher abundance of complement and contractile proteins and AL by a higher abundance of keratins. We found that the proteome of kappa AL had higher levels of clusterin, a protective chaperone, and lower levels of light chains than lambda despite higher levels of circulating light chains. Hierarchical clustering identified a group of patients with worse survival in ATTR, characterized by high levels of PIK3C3, a protein with a central role in autophagy.

conclusionsCardiac AL and ATTR have both common and distinct pathogenetic mechanisms of tissue damage. Our findings suggest that autophagy represents a pathway that may be impaired in ATTR and should be further studied.

Indexed as

amyloidosiscardiomyopathyheart failureproteomics

Identifiers

PMID33511353
PMCPMC7839979
OpenAlexW3107377045

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.