Evidence map›Paper›PMID 40008515›Full record

ArticleJournal of the American Heart Association2025

Plasma Proteomic Assessment of Calcific Aortic Valve Disease in Older Adults.

Anna E Bortnick, Thomas R Austin, Emily Hamerton, Valborg Gudmundsdottir, Valur Emilsson, Lori L Jennings, Vilmundur Gudnason, David S Owens, Daniele Massera, Line Dufresne and 7 more

Abstract read
In one paragraph

Article in Journal of the American Heart Association, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
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

3 citing papers in PubMed.

  1. Article
  2. Review
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

17 authors.

Anna E BortnickDepartment of Medicine, Divisions of Cardiology and Geriatrics Montefiore Medical Center and Albert Einstein College of Medicine Bronx NY.ORCID 0000-0001-7983-5243
Thomas R AustinCardiovascular Health Research Unit, Department of Epidemiology University of Washington Seattle WA.
Emily HamertonDepartment of Medicine University of California San Francisco San Francisco CA.
Valborg GudmundsdottirFaculty of Medicine University of Iceland Reykjavik Iceland.ORCID 0000-0002-7459-1603
Valur EmilssonIcelandic Heart Association Kopavogur Iceland.ORCID 0000-0001-9982-0524
Lori L JenningsNovartis Biomedical Research Cambridge MA.
Vilmundur GudnasonFaculty of Medicine University of Iceland Reykjavik Iceland.ORCID 0000-0001-5696-0084
David S OwensDivision of Cardiology University of Washington Seattle WA.ORCID 0000-0002-7293-9688
Daniele MasseraLeon H. Charney Division of Cardiology New York University Langone Health New York NY.ORCID 0000-0002-9499-6456
Line DufresnePreventive and Genomic Cardiology McGill University Health Centre Research Institute Montreal Quebec Canada.
Ta-Yu YangPreventive and Genomic Cardiology McGill University Health Centre Research Institute Montreal Quebec Canada.
James C EngertPreventive and Genomic Cardiology McGill University Health Centre Research Institute Montreal Quebec Canada.ORCID 0000-0001-8411-4790
George ThanassoulisPreventive and Genomic Cardiology McGill University Health Centre Research Institute Montreal Quebec Canada.
Russell P TracyDepartment of Pathology and Laboratory Medicine Larner College of Medicine, University of Vermont Burlington VT.ORCID 0000-0002-0080-2420
Robert E GersztenDepartment of Medicine, Division of Cardiology Beth Israel Deaconess Hospital and Harvard Medical School Boston MA.ORCID 0000-0002-6767-7687
Bruce M PsatyCardiovascular Health Research Unit, Departments of Medicine, Epidemiology, and Health Systems and Population Health University of Washington Seattle WA.ORCID 0000-0002-7278-2190
Jorge R KizerDepartment of Medicine University of California San Francisco San Francisco CA.ORCID 0000-0001-9936-7803

Funding

Infrastructure for mentored access to CHS data and specimensR01HL172803 · NHLBI · UNIVERSITY OF WASHINGTON · PI James S Floyd, Michelle Christina Odden · 2025 to 2026
$2.7M
NHLBI NIH HHS R01 HL172803
6 · The paper itself

Abstract

backgroundCalcific aortic valve disease (CAVD), and ensuing severe aortic stenosis (AS), is the foremost valvular disorder of aging, yet preventive therapies are lacking. A better understanding of the molecular underpinnings of aortic valve calcification (AVC) is necessary to develop pharmacologic interventions. METHODS AND

resultsWe undertook large-scale plasma proteomics in a cohort study of adults ≥65 years old, the CHS (Cardiovascular Health Study), to identify individual proteins associated with echocardiographic AVC and incident moderate/severe AS. Proteomics measurements were performed with the aptamer-based SomaLogic platform of ~5000 proteins. Significant proteins were validated in a second cohort, the AGES-RS (Age, Gene/Environment Susceptibility-Reykjavik Study), which assessed AVC and AS by computed tomography. The potential causal associations of replicated proteins were tested in 2-sample Mendelian randomization using identified cis protein quantitative trait loci in consortia having computed tomography-quantified AVC or AS as outcomes. Six proteins showed Bonferroni-corrected significant relationships with AVC in CHS. Three of these, CXCL-12 (C-X-C chemokine ligand 12), KLKB1 (kallikrein), and leptin, replicated in AGES-RS, of which the former 2 are novel. Only 1 protein, CXCL6, which showed a near-significant association with AS in the replication cohort, was significantly (positively) associated with incident AS. Mendelian randomization analysis was conducted for KLKB1, CXCL12, and CXCL6, which supported a causal relationship for higher KLKB1 with lower AVC (beta=-0.25,

conclusionsThis study of older adults newly identified and largely replicated associations of 3 circulating proteins with calcific aortic valve disease, of which the relationship of plasma KLKB1 may have a causal basis. Additional investigation is necessary to determine if KLKB1 could be harnessed for calcific aortic valve disease therapeutics.

Indexed as

Aortic ValveAortic Valve StenosisBlood ProteinsCalcinosisProteomicsAgedAged, 80 and overAge FactorsBiomarkersEchocardiographyFemaleHumansMaleMendelian Randomization AnalysisBiomarkersBlood Proteinsaortic stenosiscalciumproteomicsvalve

Identifiers

PMID40008515
PMCPMC12748074

What OpenQuestion holds

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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.