Evidence map›Paper›PMID 41507096›Full record

ArticleInterdisciplinary cardiovascular and thoracic surgery2026

Clinical and Transcriptomic Characteristics of Aortic Stenosis in Patients Undergoing Haemodialysis.

Satoru Shiraiwa, Nguyen Quoc Vuong Tran, Yosuke Watanabe, Tsuyoshi Kobayashi, Kazuto Nakamura, Chie Nakamura, Soshi Yamamoto, Daichi Shikata, Yuki Takesue, Yoshihiro Honda and 6 more

Abstract read
In one paragraph

Article in Interdisciplinary cardiovascular and thoracic surgery, 2026. 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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1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

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5 · Who and what money

Authors and funding

16 authors.

Satoru ShiraiwaDepartment of Surgery II, University of Yamanashi, Yamanashi, Chuo, Yamanashi 409-3898, Japan.
Nguyen Quoc Vuong TranDepartment of Immunology, University of Yamanashi, Chuo, Yamanashi 409-3898, Japan.
Yosuke WatanabeDepartment of Cardiology, Faculty of Medicine, University of Yamanashi, Chuo, Yamanashi 409-3898, Japan.ORCID 0000-0002-7540-9447
Tsuyoshi KobayashiDepartment of Cardiology, Faculty of Medicine, University of Yamanashi, Chuo, Yamanashi 409-3898, Japan.ORCID 0009-0000-9713-7393
Kazuto NakamuraDepartment of Cardiology, Faculty of Medicine, University of Yamanashi, Chuo, Yamanashi 409-3898, Japan.ORCID 0000-0002-2313-017X
Chie NakamuraDepartment of Surgery II, University of Yamanashi, Yamanashi, Chuo, Yamanashi 409-3898, Japan.
Soshi YamamotoDepartment of Surgery II, University of Yamanashi, Yamanashi, Chuo, Yamanashi 409-3898, Japan.
Daichi ShikataDepartment of Surgery II, University of Yamanashi, Yamanashi, Chuo, Yamanashi 409-3898, Japan.
Yuki TakesueDepartment of Surgery II, University of Yamanashi, Yamanashi, Chuo, Yamanashi 409-3898, Japan.
Yoshihiro HondaDepartment of Surgery II, University of Yamanashi, Yamanashi, Chuo, Yamanashi 409-3898, Japan.
Kenji SakakibaraDepartment of Surgery II, University of Yamanashi, Yamanashi, Chuo, Yamanashi 409-3898, Japan.ORCID 0000-0001-5547-2855
Shigeaki KagaDepartment of Surgery II, University of Yamanashi, Yamanashi, Chuo, Yamanashi 409-3898, Japan.
Hiroshi YokomichiDepartment of Epidemiology and Environmental Medicine, University of Yamanashi, Chuo, Yamanashi 409-3898, Japan.
Atsuhito NakaoDepartment of Immunology, University of Yamanashi, Chuo, Yamanashi 409-3898, Japan.
Akira SatoDepartment of Cardiology, Faculty of Medicine, University of Yamanashi, Chuo, Yamanashi 409-3898, Japan.ORCID 0000-0002-2438-1464
Hiroyuki NakajimaDepartment of Surgery II, University of Yamanashi, Yamanashi, Chuo, Yamanashi 409-3898, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesPatients with aortic stenosis (AS) undergoing haemodialysis (HD) often experience more rapid disease progression and poorer prognosis than non-dialysis patients; however, the underlying mechanisms remain unclear. This study aimed to elucidate clinical and molecular differences between HD and non-HD patients with AS, focusing on transcriptomic profiling of resected aortic valves.

methodsWe retrospectively analysed 183 patients with severe AS who underwent surgical aortic valve replacement at the University of Yamanashi Hospital from February 2015 to May 2024. Among them, 34 patients were receiving maintenance HD, while 149 were not. Clinical data, echocardiographic findings, and CT-based valve calcification were assessed. RNA sequencing was conducted on aortic valve specimens from 5 HD and 4 non-HD patients. Differentially expressed genes were identified, followed by enrichment analysis and immune cell profiling using CIBERSORTx.

resultsHaemodialysis patients exhibited lower body mass index, a higher prevalence of ischaemic heart disease, elevated C-reactive protein and B-type natriuretic peptide levels, and impaired diastolic function compared to non-HD patients. RNA sequencing revealed 35 upregulated and 30 downregulated genes in HD valves. Enrichment analysis demonstrated that genes involved in immune response and ossification were upregulated in aortic valves from HD patients. CIBERSORTx analysis suggested increased macrophage infiltration. Comparison with public datasets identified HD- associated gene signatures.

conclusionsPatients with AS on HD exhibited distinct clinical features and gene expression profiles. Upregulation of immune and ossification-related genes, alongside macrophage infiltration, suggests a key role for immune response in AS progression among HD patients.

Indexed as

Aortic ValveAortic Valve StenosisRenal DialysisTranscriptomeAgedCalcinosisFemaleGene Expression ProfilingHeart Valve Prosthesis ImplantationHumansMaleRetrospective Studiesaortic stenosisheamodialysisimmune responseRNA sequencingvalve calcification

Identifiers

PMID41507096
PMCPMC12861330

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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.