Evidence map›Paper›PMID 40461477›Full record

ArticleNature communications2025

Sex-specific lipidomic signatures in aortic valve disease reflect differential fibro-calcific progression.

Patricia Prabutzki, Michele Wölk, Julia Böttner, Zhixu Ni, Sarah Werner, Holger Thiele, Jürgen Schiller, Petra Büttner, Florian Schlotter, Maria Fedorova

Abstract read
In one paragraph

Article in Nature communications, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing 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

6 citing papers in PubMed.

  1. Article
  2. Review
  3. Review
  4. Article
  5. Observational
  6. 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

10 authors.

Patricia Prabutzki *Faculty of Medicine, Institute for Medical Physics and Biophysics, Leipzig University, Leipzig, Germany.ORCID http://orcid.org/0009-0002-7472-6843
Michele Wölk *Center of Membrane Biochemistry and Lipid Research, University Hospital and Faculty of Medicine Carl Gustav Carus of TU Dresden, Dresden, Germany.ORCID http://orcid.org/0000-0001-5558-4582
Julia BöttnerDepartment of Internal Medicine/Cardiology, Heart Center Leipzig at Leipzig University, Leipzig, Germany.
Zhixu NiCenter of Membrane Biochemistry and Lipid Research, University Hospital and Faculty of Medicine Carl Gustav Carus of TU Dresden, Dresden, Germany.
Sarah WernerDepartment of Internal Medicine/Cardiology, Heart Center Leipzig at Leipzig University, Leipzig, Germany.
Holger ThieleDepartment of Internal Medicine/Cardiology, Heart Center Leipzig at Leipzig University, Leipzig, Germany.ORCID http://orcid.org/0000-0002-0169-998X
Jürgen SchillerFaculty of Medicine, Institute for Medical Physics and Biophysics, Leipzig University, Leipzig, Germany.ORCID http://orcid.org/0000-0002-4328-8652
Petra BüttnerDepartment of Internal Medicine/Cardiology, Heart Center Leipzig at Leipzig University, Leipzig, Germany.
Florian SchlotterDepartment of Internal Medicine/Cardiology, Heart Center Leipzig at Leipzig University, Leipzig, Germany. schlottf@uni-mainz.de.
Maria FedorovaCenter of Membrane Biochemistry and Lipid Research, University Hospital and Faculty of Medicine Carl Gustav Carus of TU Dresden, Dresden, Germany. maria.fedorova@tu-dresden.de.ORCID http://orcid.org/0000-0002-4692-3885

Funding

Deutsche Forschungsgemeinschaft (German Research Foundation) FE 1236/5-1Deutsche Forschungsgemeinschaft (German Research Foundation) FE 1236/8-1Deutsche Forschungsgemeinschaft (German Research Foundation) Schi 476/19-1Deutsche Forschungsgemeinschaft (German Research Foundation) SFB 1052/Z3 to J.S
6 · The paper itself

Abstract

Fibro-calcific aortic valve disease (FCAVD) is the most common valvular heart disease manifesting in pathological remodeling of the aortic valve (AV) leaflets, ultimately leading to aortic stenosis. Although dyslipidemia is a driver of FCAVD pathogenesis, the precise lipidome-wide changes underlying AV fibrosis and calcification remain largely unknown. Here, we performed deep quantitative lipidomics to profile the metabolic trajectories in human tricuspid and bicuspid AVs, and found stage-dependent extrinsic and intrinsic lipid trends. Furthermore, lipids derived from infiltrating lipoproteins are further metabolized within the AV. Intrinsic lipid remodeling suggested tissue degeneration with a loss of phosphatidylserines. Surprisingly, male and female patients showed markedly different lipid signatures of FCAVD progression, with female patients accumulating significantly higher levels of sphingomyelins and ceramides. The high extent of sexual dimorphism in the valve lipidome strongly suggests that tailored approaches should be undertaken to enhance mechanistic insight and to facilitate pharmacological intervention for FCAVD.

Indexed as

Aortic ValveAortic Valve DiseaseAortic Valve StenosisCalcinosisLipidomicsAgedBicuspid Aortic Valve DiseaseCeramidesDisease ProgressionFemaleFibrosisHumansLipid MetabolismMaleMiddle AgedSex CharacteristicsCeramidesSphingomyelins

Identifiers

PMID40461477
PMCPMC12134101

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.