Evidence map›Paper›PMID 40715126›Full record

ArticleNature communications2025

Integrated multiomics of pressure overload in the human heart prioritizes targets relevant to heart failure.

Brian R Lindman, Andrew S Perry, Michelle L Lance, Kaushik Amancherla, Namju Kim, Quanhu Sheng, Phillip Lin, Ryan D Pfeiffer, Eric Farber-Eger, William F Fearon and 21 more

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 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing 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

7 citing papers in PubMed.

  1. Article
  2. Proteogenomic Analysis of Coronary Artery Calcification in Human Populations.Arteriosclerosis, thrombosis, and vascular biology · 2026
    Article
  3. Article
  4. Article
  5. Review
  6. Review
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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

31 authors.

Brian R Lindman *Vanderbilt Translational and Clinical Cardiovascular Research Center, Vanderbilt University School of Medicine, Nashville, TN, USA. brian.r.lindman@vumc.org.
Andrew S Perry *Vanderbilt Translational and Clinical Cardiovascular Research Center, Vanderbilt University School of Medicine, Nashville, TN, USA.ORCID http://orcid.org/0000-0003-3342-6158
Michelle L Lance *Masonic Medical Research Institute, Utica, NY, USA.
Kaushik Amancherla *Vanderbilt Translational and Clinical Cardiovascular Research Center, Vanderbilt University School of Medicine, Nashville, TN, USA.
Namju Kim *Vanderbilt Translational and Clinical Cardiovascular Research Center, Vanderbilt University School of Medicine, Nashville, TN, USA.
Quanhu ShengDepartment of Biostatistics, Vanderbilt University Medical Center, Nashville, TN, USA.ORCID http://orcid.org/0000-0001-8951-9295
Phillip LinVanderbilt Translational and Clinical Cardiovascular Research Center, Vanderbilt University School of Medicine, Nashville, TN, USA.
Ryan D PfeifferMasonic Medical Research Institute, Utica, NY, USA.
Eric Farber-EgerVanderbilt Translational and Clinical Cardiovascular Research Center, Vanderbilt University School of Medicine, Nashville, TN, USA.ORCID http://orcid.org/0000-0003-0281-3796
William F FearonDepartment of Medicine, Division of Cardiology, Stanford Medical Center, Palo Alto, CA, USA.
Samir KapadiaDepartment of Medicine, Division of Cardiology, Cleveland Clinic Foundation, Cleveland, OH, USA.
Dharam J KumbhaniDepartment of Medicine, Division of Cardiology, University of Texas Southwestern Medical Center, Dallas, TX, USA.
Linda GillamDepartment of Cardiovascular Medicine, Morristown Medical Center, Morristown, NJ, USA.
Ravinder R MallugariVanderbilt Translational and Clinical Cardiovascular Research Center, Vanderbilt University School of Medicine, Nashville, TN, USA.ORCID http://orcid.org/0009-0002-0892-7102
Deepak K GuptaVanderbilt Translational and Clinical Cardiovascular Research Center, Vanderbilt University School of Medicine, Nashville, TN, USA.
Francis J MillerVeterans Affairs Tennessee Valley Healthcare System, Nashville, TN, USA.
Anna VatterottVanderbilt Translational and Clinical Cardiovascular Research Center, Vanderbilt University School of Medicine, Nashville, TN, USA.
Natalie JacksonVanderbilt Translational and Clinical Cardiovascular Research Center, Vanderbilt University School of Medicine, Nashville, TN, USA.
Yan Ru SuDepartment of Medicine, Vanderbilt University Medical Center, Nashville, TN, USA.
Kelsey TomasekDepartment of Medicine, Vanderbilt University Medical Center, Nashville, TN, USA.ORCID http://orcid.org/0009-0007-6576-8933
Tarek AbsiDepartment of Cardiac Surgery, Vanderbilt University Medical Center, Nashville, TN, USA.
Jane E FreedmanVanderbilt Translational and Clinical Cardiovascular Research Center, Vanderbilt University School of Medicine, Nashville, TN, USA.
Matthew NayorDepartment of Cardiovascular Medicine, Boston University, Boston, MA, USA.
Saumya DasCardiology Division, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA.ORCID http://orcid.org/0000-0002-4521-4606
Quinn S WellsVanderbilt Translational and Clinical Cardiovascular Research Center, Vanderbilt University School of Medicine, Nashville, TN, USA.
Marc R DweckBHF Centre for Cardiovascular Science, University of Edinburgh, Edinburgh, UK.
Robert E GersztenCardiovascular Institute, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA, USA.ORCID http://orcid.org/0000-0002-6767-7687
Eric R GamazonDepartment of Medicine, Vanderbilt University Medical Center, Nashville, TN, USA.ORCID http://orcid.org/0000-0003-4204-8734
Nathan R TuckerMasonic Medical Research Institute, Utica, NY, USA. tuckern@upstate.edu.
Ravi ShahVanderbilt Translational and Clinical Cardiovascular Research Center, Vanderbilt University School of Medicine, Nashville, TN, USA. ravi.shah@vumc.org.ORCID http://orcid.org/0000-0002-4471-7156
Sammy ElmariahDepartment of Medicine, Division of Cardiology, University of California, San Francisco, CA, USA. Sammy.Elmariah@ucsf.edu.ORCID http://orcid.org/0000-0002-8013-8733

Funding

Vanderbilt Memory & Aging ProjectR01AG034962 · NIA · VANDERBILT UNIVERSITY MEDICAL CENTER · PI JEFFERSON, ANGELA L. · 2011 to 2025
$24.1M
Proteomic Profiling of Precise Exercise Pathophenotypes Across the HFpEF SpectrumR01HL131029 · NHLBI · MASSACHUSETTS GENERAL HOSPITAL · PI Gregory Dyer Lewis, Matthew G. Nayor · 2016 to 2026
$7.7M
Improving Diagnostic Accuracy for Acute Heart FailureR01HL153607 · NHLBI · VANDERBILT UNIVERSITY MEDICAL CENTER · PI COLLINS, SEAN PATRICK, GUPTA, DEEPAK · 2021 to 2024
$5.9M
Circulating Proteomics to Phenotype the Development and Reversal of Myocardial Remodeling in Aortic StenosisR01HL164526 · NHLBI · VANDERBILT UNIVERSITY MEDICAL CENTER · PI Brian Richard Lindman · 2023 to 2026
$3.7M
Multi-Omic Markers of Cardiac Function and Structure within the Pressure Overloaded HeartR01HL151838 · NHLBI · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI ELMARIAH, SAMMY · 2020 to 2024
$3.6M
Metabolic Responses to an Oral Mixed Meal Tolerance Test: Intra-individual changes, correlates, and prognostic significanceR01HL156975 · NHLBI · BOSTON UNIVERSITY MEDICAL CAMPUS · PI NAYOR, MATTHEW G. · 2021 to 2025
$3.3M
From Variants to Mechanisms for Cardiac ArrhythmiasR01HL170051 · NHLBI · UPSTATE MEDICAL UNIVERSITY · PI Nathan R Tucker · 2023 to 2026
$3.1M
Dietary sodium, inflammation, and salt sensitivity of blood pressureR01HL148661 · NHLBI · VANDERBILT UNIVERSITY MEDICAL CENTER · PI ALLEN, NORRINA BAI, GUPTA, DEEPAK · 2019 to 2022
$3.1M
Mechanism(s) Underlying Hypotensive Response to ARB/NEP InhibitionR01HL145293 · NHLBI · YALE UNIVERSITY · PI BROWN, NANCY J., STEVENSON, LYNNE W · 2020 to 2024
$3.1M
Epidemiology of Cardiac Structure and Function in African Caribbeans: The Tobago Heart StudyR01HL154153 · NHLBI · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI KUIPERS, ALLISON L, MILJKOVIC, IVA · 2020 to 2024
$3.0M
Cell-Specific Transcriptional Programs in Cardiac Allograft VasculopathyK23HL166960 · NHLBI · VANDERBILT UNIVERSITY MEDICAL CENTER · PI Kaushik Amancherla · 2024 to 2026
$556k
Effect of physical rehabilitation on molecular markers of frailty in heart failureR21AG086679 · NIA · BOSTON UNIVERSITY MEDICAL CAMPUS · PI NAYOR, MATTHEW G., SHAH, RAVI · 2024 to 2024
$502k
NHLBI NIH HHS K23 HL166960NHLBI NIH HHS R01 HL131029NHLBI NIH HHS R01 HL145293NHLBI NIH HHS R01 HL148661NHLBI NIH HHS R01 HL151838NHLBI NIH HHS R01 HL153607NHLBI NIH HHS R01 HL154153NHLBI NIH HHS R01 HL156975NHLBI NIH HHS R01 HL164526NHLBI NIH HHS R01 HL170051NIA NIH HHS R01 AG034962NIA NIH HHS R21 AG086679
6 · The paper itself

Abstract

Pressure overload initiates a series of alterations in the human heart that predate macroscopic organ-level remodeling and downstream heart failure. We study aortic stenosis through integrated proteomic, tissue transcriptomic, and genetic methods to prioritize targets causal in human heart failure. First, we identify the circulating proteome of cardiac remodeling in aortic stenosis, specifying known and previously-unknown mediators of fibrosis, hypertrophy, and oxidative stress, several associated with interstitial fibrosis in a separate cohort (N = 145). These signatures are strongly related to clinical outcomes in aortic stenosis (N = 802) and in broader at-risk populations in the UK Biobank (N = 36,668). We next map this remodeling proteome to myocardial transcription in patients with and without aortic stenosis through single-nuclear transcriptomics, observing broad differential expression of genes encoding this remodeling proteome, featuring fibrosis pathways and metabolic-inflammatory signaling. Finally, integrating our circulating and tissue-specific results with modern genetic approaches, we implicate several targets as causal in heart failure.

Indexed as

Aortic Valve StenosisHeart FailureMyocardiumAgedFemaleFibrosisGene Expression ProfilingHumansMaleMiddle AgedMultiomicsOxidative StressProteomeProteomicsTranscriptomeVentricular RemodelingProteome

Identifiers

PMID40715126
PMCPMC12297671

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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.