Evidence map›Paper›PMID 37940229›Full record

ArticleJournal of the American College of Cardiology2023

Multiomics Analysis Provides Novel Pathways Related to Progression of Heart Failure.

Wouter Ouwerkerk, Joao P Belo Pereira, Troy Maasland, Johanna E Emmens, Sylwia M Figarska, Jasper Tromp, Andrea L Koekemoer, Christopher P Nelson, Mintu Nath, Simon P R Romaine and 20 more

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In one paragraph

Article in Journal of the American College of Cardiology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed
13.0field-weighted citation impact, top 1% 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

31 citing papers in PubMed, 59 citations in OpenAlex.

  1. Review
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  6. Decoding the Heart Failure Peptidome.Circulation. Heart failure · 2026
    Article
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  8. Observational
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  18. Article
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  20. Heart failure, inflammation and exercise.International journal of biological sciences · 2025
    Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

30 authors at 15 institutions in 11 countries.

Wouter OuwerkerkDepartment of Dermatology, Amsterdam Infection and Immunity Institute, Amsterdam UMC, University of Amsterdam, Amsterdam, the Netherlands; National Heart Centre Singapore, Singapore. Electronic address: w.ouwerkerk@amsterdamumc.nl.
Joao P Belo PereiraDepartment of Experimental Vascular Medicine, Amsterdam UMC, Location AMC, Amsterdam, the Netherlands; HORAIZON BV, Delft, the Netherlands.
Troy MaaslandDepartment of Experimental Vascular Medicine, Amsterdam UMC, Location AMC, Amsterdam, the Netherlands; HORAIZON BV, Delft, the Netherlands; Department of Biomedical Engineering, Eindhoven University of Technology, Eindhoven, the Netherlands.
Johanna E EmmensDepartment of Cardiology, University Medical Center Groningen, University of Groningen, Groningen, the Netherlands.
Sylwia M FigarskaDepartment of Cardiology, University Medical Center Groningen, University of Groningen, Groningen, the Netherlands.
Jasper TrompDepartment of Cardiology, University Medical Center Groningen, University of Groningen, Groningen, the Netherlands; National Heart Centre Singapore and Duke-National University of Singapore, Singapore; Saw Swee Hock School of Public Health, National University of Singapore, Singapore.
Andrea L KoekemoerDepartment of Cardiovascular Sciences, Glenfield Hospital, University of Leicester, Leicester, United Kingdom; NIHR Leicester Biomedical Research Centre, Glenfield Hospital, Leicester, United Kingdom.
Christopher P NelsonDepartment of Cardiovascular Sciences, Glenfield Hospital, University of Leicester, Leicester, United Kingdom; NIHR Leicester Biomedical Research Centre, Glenfield Hospital, Leicester, United Kingdom.
Mintu NathInstitute of Applied Health Sciences, University of Aberdeen, Aberdeen, United Kingdom.
Simon P R RomaineDepartment of Cardiovascular Sciences, Glenfield Hospital, University of Leicester, Leicester, United Kingdom; NIHR Leicester Biomedical Research Centre, Glenfield Hospital, Leicester, United Kingdom.
John G F ClelandRobertson Centre for Biostatistics and Clinical Trials, University of Glasgow, Glasgow, United Kingdom; National Heart & Lung Institute, Imperial College, London, United Kingdom.
Faiez ZannadClinical Investigation Center 1433, Université de Lorraine, Nancy, France; Clinical investigation Center 1433, Centre Hospitalier Régional Universitaire de Nancy, Vandoeuvre-lès-Nancy, Nancy, France; French Clinical Research Infrastructure Network-Investigation Network Initiative-Cardiovascular and Renal Clinical Trialists, French Institute of Health and Medical Research, Vandoeuvre-lès-Nancy, France.
Dirk J van VeldhuisenDepartment of Cardiology, University Medical Center Groningen, University of Groningen, Groningen, the Netherlands.
Chim C LangCardiology, Ninewells Hospital and Medical School, Dundee, United Kingdom.
Piotr PonikowskiInstitute for Heart Diseases, Medical University, Wroclaw, Poland.
Gerasimos FilippatosAttikon University Hospital, National and Kapodistrian University of Athens, Athens, Greece.
Stefan AnkerDepartment of Cardiology, Charité Universitätsmedizin Berlin, Berlin, Germany; Berlin Institute of Health Center for Regenerative Therapies, Charité Universitätsmedizin Berlin, Berlin, Germany; German Centre for Cardiovascular Research, partner site Berlin, Charité Universitätsmedizin Berlin, Berlin, Germany.
Marco MetraDepartment of Medical and Surgical Specialties, Radiological Sciences and Public Health, Institute of Cardiology, University of Brescia, Brescia, Italy.
Kenneth DicksteinStavanger University Hospital, University of Bergen, Stavanger, Norway.
Leong L NgDepartment of Cardiovascular Sciences, Glenfield Hospital, University of Leicester, Leicester, United Kingdom; NIHR Leicester Biomedical Research Centre, Glenfield Hospital, Leicester, United Kingdom.
Rudolf A de BoerDepartment of Cardiology, University Medical Center Groningen, University of Groningen, Groningen, the Netherlands.
Natal van RielDepartment of Biomedical Engineering, Eindhoven University of Technology, Eindhoven, the Netherlands; Department of Vascular Medicine, Amsterdam UMC, Amsterdam, the Netherlands.
Max NieuwdorpDepartment of Vascular Medicine, Amsterdam UMC, Amsterdam, the Netherlands.
Albert K GroenDepartment of Vascular Medicine, Amsterdam UMC, Amsterdam, the Netherlands.
Erik StroesDepartment of Vascular Medicine, Amsterdam UMC, Amsterdam, the Netherlands.
Aeilko H ZwindermanDepartment of Clinical Epidemiology, Biostatistics and Bioinformatics, Academic Medical Center, University of Amsterdam, Amsterdam, the Netherlands.
Nilesh J SamaniDepartment of Cardiovascular Sciences, Glenfield Hospital, University of Leicester, Leicester, United Kingdom; NIHR Leicester Biomedical Research Centre, Glenfield Hospital, Leicester, United Kingdom.
Carolyn S P LamNational Heart Centre Singapore, Singapore.
Evgeni LevinDepartment of Experimental Vascular Medicine, Amsterdam UMC, Location AMC, Amsterdam, the Netherlands; HORAIZON BV, Delft, the Netherlands.
Adriaan A VoorsDepartment of Cardiology, University Medical Center Groningen, University of Groningen, Groningen, the Netherlands.
Amsterdam University Medical Centers · NLUniversity Medical Center Groningen · NLUniversity of Leicester · GBUniversité Bourgogne Franche-Comté · FRAmsterdam UMC Location University of Amsterdam · NLBerlin-Brandenburger Centrum für Regenerative Therapien · DECentre d'Investigation Clinique Pierre Drouin · FRLung Institute · USNational and Kapodistrian University of Athens · GRNational University of Singapore · SGNinewells Hospital · GBStavanger University Hospital · NOUniversity of Aberdeen · GBUniversity of Brescia · ITWroclaw Medical University · PL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDespite major advances in pharmacological treatment for patients with heart failure, residual mortality remains high. This suggests that important pathways are not yet targeted by current heart failure therapies.

objectivesWe sought integration of genetic, transcriptomic, and proteomic data in a large cohort of patients with heart failure to detect major pathways related to progression of heart failure leading to death.

methodsWe used machine learning methodology based on stacked generalization framework and gradient boosting algorithms, using 54 clinical phenotypes, 403 circulating plasma proteins, 36,046 transcript expression levels in whole blood, and 6 million genomic markers to model all-cause mortality in 2,516 patients with heart failure from the BIOSTAT-CHF (Systems BIOlogy Study to TAilored Treatment in Chronic Heart Failure) study. Results were validated in an independent cohort of 1,738 patients.

resultsThe mean age of the patients was 70 years (Q1-Q3: 61-78 years), 27% were female, median N-terminal pro-B-type natriuretic peptide was 4,275 ng/L (Q1-Q3: 2,360-8,486 ng/L), and 7% had heart failure with preserved ejection fraction. During a median follow-up of 21 months, 657 (26%) of patients died. The 4 major pathways with a significant association to all-cause mortality were: 1) the PI3K/Akt pathway; 2) the MAPK pathway; 3) the Ras signaling pathway; and 4) epidermal growth factor receptor tyrosine kinase inhibitor resistance. Results were validated in an independent cohort of 1,738 patients.

conclusionsA systems biology approach integrating genomic, transcriptomic, and proteomic data identified 4 major pathways related to mortality. These pathways are related to decreased activation of the cardioprotective ERBB2 receptor, which can be modified by neuregulin.

Indexed as

Heart FailureProteomicsAgedBiomarkersFemaleHumansMaleMultiomicsPhosphatidylinositol 3-KinasesBiomarkersPhosphatidylinositol 3-Kinasesheart failuremachine learningomicssystems biology

Identifiers

PMID37940229
OpenAlexW4388407365

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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.