Evidence map›Paper›PMID 40514620›Full record

ArticleEndocrine2025

Searching for peripheral proteomic markers of primary aldosteronism.

Nikita Makhnov, Fredrik Axling, Elham Barazeghi, Peter Stålberg, Tobias Åkerström, Per Hellman

Abstract read
In one paragraph

Article in Endocrine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Review
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

6 authors.

Nikita MakhnovDepartment of Surgical Sciences, Uppsala University, Uppsala, Sweden. nikita.makhnov@uu.se.ORCID 0009-0002-7866-677X
Fredrik AxlingDepartment of Surgical Sciences, Uppsala University, Uppsala, Sweden.
Elham BarazeghiDepartment of Surgical Sciences, Uppsala University, Uppsala, Sweden.
Peter StålbergDepartment of Surgical Sciences, Uppsala University, Uppsala, Sweden.
Tobias ÅkerströmDepartment of Surgical Sciences, Uppsala University, Uppsala, Sweden.
Per HellmanDepartment of Surgical Sciences, Uppsala University, Uppsala, Sweden.

Funding

Erikssons foundation, Sweden The relevant grants to prof. Per Hellman have no designated numbers.Regionala Forskningsrådet Uppsala-Örebro, Sweden grant numbers 651241, 842171, 930708Region of Uppsala, Uppsala University Hospital - according to the ALF-agreement supporting the endocrine surgery research group The above mentioned grants to prof. Per Hellman have no designated numbers.Region of Värmland, Sweden grant numbers 637541, 741191, 840631, 930327, 939850, 967684, 980171, 993231Selanders foundation The relevant grants to prof. Per Hellman have no designated numbers.
6 · The paper itself

Abstract

purposePrimary aldosteronism (PA) is prevalent among hypertensive patients, and associated with worsened cardiovascular outcomes compared to essential hypertension (HT). Screening and diagnostics for PA are currently complicated and invasive, why new methods are needed. Unilateral PA (uPA) is best treated surgically, and bilateral PA (bPA) - medically. No validated proteomic diagnostic test has been found yet. Our aim was to explore proteomic markers in peripheral serum to discriminate between HT, PA, uPA and bPA.

methodsEighty-eight hypertensive individuals were evaluated for PA, and diagnosed with HT (n = 30); bPA (n = 29); and uPA (n = 29). Serum samples from these study groups were analyzed by Olink® Explore 384 Cardiometabolic Panel. A machine learning model based on ridge logistic regression with a stratified 5-fold cross-validation was used to identify HT, PA, bPA and uPA.

resultsIn the study groups, 56 circulating proteins were significantly different, and some of them specifically: 4 between PA vs. HT; 3 between bPA vs. uPA; 1 between bPA vs. HT; 9 between uPA vs. HT; 1 between HT vs. bPA vs. uPA. Three proteins with strongest differentiation (Coagulation factor IX for PA vs. HT; dipeptidyl peptidase 4 for uPA vs. HT and bPA; heat shock protein B1 for bPA vs. uPA) were validated by enzyme-linked immunosorbent assay. Our machine learning model could successfully identify 95% of HT, bPA, and uPA samples.

conclusionSerum protein biomarkers may serve as a tool for discriminating HT, PA, uPA and bPA. Further studies are needed to support our results.

Indexed as

HyperaldosteronismHypertensionAdultAgedBiomarkersEssential HypertensionFemaleHumansMachine LearningMaleMiddle AgedProteomicsBiomarkersDiagnosticsHypertensionMachine learningPrimary aldosteronismProteomic markersProteomics

Identifiers

PMID40514620
PMCPMC12370554

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.