Evidence map›Paper›PMID 37542511›Full record

ArticleJACC. Heart failure2023

Serum Proteomic Analysis of Peripartum Cardiomyopathy Reveals Distinctive Dysregulation of Inflammatory and Cholesterol Metabolism Pathways.

Jana P Lovell, Kevin Bermea, Jinsheng Yu, Sylvie Rousseau, Charles D Cohen, Aashik Bhalodia, Marcelle Dina Zita, Richard D Head, Roger S Blumenthal, Rami Alharethi and 8 more

Open access · greenAbstract read
In one paragraph

Article in JACC. Heart failure, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
3.5field-weighted citation impact, top 6% 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

12 citing papers in PubMed, 1 synthesis or guideline pooled it, 16 citations in OpenAlex.

  1. Pooled it
  2. Trial
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  8. Observational
  9. Multifaceted roles of neutrophils in cardiac disease.Journal of leukocyte biology · 2025
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

18 authors at 8 institutions in 1 country.

Jana P LovellDivision of Cardiology, Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.
Kevin BermeaDivision of Cardiology, Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.
Jinsheng YuDepartment of Genetics, McDonnell Genome Institute, Washington University, St. Louis, Missouri, USA.
Sylvie RousseauDivision of Cardiology, Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.
Charles D CohenDivision of Cardiology, Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.
Aashik BhalodiaDivision of Cardiology, Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.
Marcelle Dina ZitaDivision of Cardiology, Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.
Richard D HeadDivision of Cardiology, Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.
Roger S BlumenthalDivision of Cardiology, Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA; Ciccarone Center for the Prevention of Cardiovascular Disease, Johns Hopkins School of Medicine, Baltimore, Maryland, USA.
Rami AlharethiIntermountain Heart Institute, Murray, Utah, USA.
Julie DampDivision of Cardiovascular Medicine, Vanderbilt University Medical Center, Nashville, Tennessee, USA.
John BoehmerPenn State Milton S. Hershey Medical Center, Hershey, Pennsylvania, USA.
Jeffrey AlexisDivision of Cardiology, University of Rochester School of Medicine and Dentistry, Rochester, New York, USA.
Dennis M McNamaraHeart and Vascular Institute, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania, USA.
Garima SharmaDivision of Cardiology, Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA; Ciccarone Center for the Prevention of Cardiovascular Disease, Johns Hopkins School of Medicine, Baltimore, Maryland, USA. Electronic address: https://twitter.com/GarimaVSharmaMD.
Luigi AdamoDivision of Cardiology, Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA. Electronic address: ladamo2@jhmi.edu.
IPAC
IMAC2 Investigators
Johns Hopkins University · USPenn State Milton S. Hershey Medical Center · USUniversity of Rochester · USUniversity of Pittsburgh Medical Center · USIntermountain Medical Center · USTwitter (United States) · USVanderbilt University Medical Center · USJames S. McDonnell Foundation · US

Funding

PATHOPHYSIOLOGY OF MYOCARDIAL DISEASEST32HL007227 · NHLBI · JOHNS HOPKINS UNIVERSITY · PI Chulan Kwon, WENDY S POST · 1985 to 2026
$21.2M
Myocardial-associated B lymphocytes and inflammatory injuryR01HL160716 · NHLBI · JOHNS HOPKINS UNIVERSITY · PI ADAMO, LUIGI · 2022 to 2025
$1.9M
Genetic Modulation of Left Ventricular RecoveryR01HL075038 · NHLBI · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI MCNAMARA, DENNIS M. · 2004 to 2008
$1.8M
Immune Activation and Myocardial Recovery in Peripartum CardiomyopathyRC1HL102429 · NHLBI · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI MCNAMARA, DENNIS M. · 2009 to 2010
$1000k
Phenotype, dynamics and activation of myocardial B lymphocytes in response toischemia/reperfusion injuryK08HL145108 · NHLBI · WASHINGTON UNIVERSITY · PI ADAMO, LUIGI · 2019 to 2023
$753k
NHLBI NIH HHS K08 HL145108NHLBI NIH HHS R01 HL075038NHLBI NIH HHS R01 HL160716NHLBI NIH HHS RC1 HL102429NHLBI NIH HHS T32 HL007227
6 · The paper itself

Abstract

backgroundThe pathophysiology of peripartum cardiomyopathy (PPCM) and its distinctive biological features remain incompletely understood. High-throughput serum proteomic profiling, a powerful tool to gain insights into the pathophysiology of diseases at a systems biology level, has never been used to investigate PPCM relative to nonischemic cardiomyopathy.

objectivesThe aim of this study was to characterize the pathophysiology of PPCM through serum proteomic analysis.

methodsAptamer-based proteomic analysis (SomaScan 7K) was performed on serum samples from women with PPCM (n = 67), women with nonischemic nonperipartum cardiomyopathy (NPCM) (n = 31), and age-matched healthy peripartum and nonperipartum women (n = 10 each). Serum samples were obtained from the IPAC (Investigation of Pregnancy-Associated Cardiomyopathy) and IMAC2 (Intervention in Myocarditis and Acute Cardiomyopathy) studies.

resultsPrincipal component analysis revealed unique clustering of each patient group (P for difference <0.001). Biological pathway analyses of differentially measured proteins in PPCM relative to NPCM, before and after normalization to pertinent healthy controls, highlighted specific dysregulation of inflammatory pathways in PPCM, including the upregulation of the cholesterol metabolism-related anti-inflammatory pathway liver-X receptor/retinoid-X receptor (LXR/RXR) (P < 0.01, Z-score 1.9-2.1). Cardiac recovery by 12 months in PPCM was associated with the downregulation of pro-inflammatory pathways and the upregulation of LXR/RXR, and an additional RXR-dependent pathway involved in the regulation of inflammation and metabolism, peroxisome proliferator-activated receptor α/RXRα signaling.

conclusionsSerum proteomic profiling of PPCM relative to NPCM and healthy controls indicated that PPCM is a distinct disease entity characterized by the unique dysregulation of inflammation-related pathways and cholesterol metabolism-related anti-inflammatory pathways. These findings provide insight into the pathophysiology of PPCM and point to novel potential therapeutic targets.

Indexed as

CardiomyopathiesHeart FailurePregnancy Complications, CardiovascularPuerperal DisordersCholesterolFemaleHumansInflammationPeripartum PeriodPregnancyProteomicsCholesterolheart failureinflammationpregnancyproteomicsserum proteomics

Identifiers

PMID37542511
PMCPMC11974612
OpenAlexW4385489130

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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.