Evidence map›Paper›PMID 41063917›Full record

ArticleCureus2025

401-Gene Signature of Myocardial Dysfunction in Human Heart Failure: A Transcriptomic Analysis.

Kiki J Estes-Schmalzl, Amy J Marcano-Reik, Kristin M Lefebvre

Abstract read
In one paragraph

Article in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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1 · What the graph read from it

What it found

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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

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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

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

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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

3 authors.

Kiki J Estes-SchmalzlClinical Research, University of Jamestown, Fargo, USA.
Amy J Marcano-ReikClinical Research, University of Jamestown, Fargo, USA.
Kristin M LefebvreClinical Research, University of Jamestown, Fargo, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background Heart failure is a complex clinical syndrome characterized by the molecular remodeling of myocardial tissue that significantly impacts global health outcomes. Transcriptomic analysis offers powerful tools to identify disease-specific gene expression signatures and potential therapeutic targets. Methods We analyzed publicly available gene expression data from the Gene Expression Omnibus (GEO) dataset GSE57345, comprising 313 left ventricular tissue samples (295 controls, 18 heart failure) profiled using Affymetrix Human Gene 1.1 ST Arrays (Thermo Fisher Scientific, Waltham, Massachusetts, United States). Differential expression analysis was performed using limma with Benjamini-Hochberg multiple testing correction. Results We identified 401 significantly differentially expressed genes (adjusted p<0.05) between heart failure and control samples. The molecular signature showed balanced dysregulation with 198 genes upregulated and 203 genes downregulated in heart failure. Pathway analysis revealed significant enrichment in mitochondrial dysfunction, immune activation, and extracellular matrix remodeling pathways. Top dysregulated genes included AIDC1, SECA1, PVRL2, PLD1, and KTR3CL3, with high statistical significance (p<1×10⁻⁶) despite modest fold changes characteristic of complex disease pathophysiology. Cross-validation with established heart failure signatures showed significant overlap (31.7% concordance), confirming biological relevance. Conclusions This 401-gene transcriptomic signature provides insights into heart failure molecular mechanisms and represents a potential resource for biomarker development and therapeutic target identification. The balanced pattern of gene dysregulation reflects the comprehensive transcriptional remodeling underlying cardiac dysfunction and supports precision medicine approaches for heart failure diagnosis and treatment stratification.

Indexed as

biomarkerscardiac remodelingdifferential gene expressionheart failuretranscriptomics

Identifiers

PMID41063917
PMCPMC12502992

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