Cardiometabolic biomarker patterns associated with cardiac MRI defined fibrosis and microvascular dysfunction in patients with heart failure with preserved ejection fraction

© 2024 Siggins, Pan, Löffler, Yang, Shaw, Balfour, Epstein, Gan, Kramer, Keeley and Salerno..

Introduction: Heart failure with preserved ejection fraction (HFpEF) is a complex disease process influenced by metabolic disorders, systemic inflammation, myocardial fibrosis, and microvascular dysfunction. The goal of our study is to identify potential relationships between plasma biomarkers and cardiac magnetic resonance (CMR) imaging markers in patients with HFpEF.

Methods: Nineteen subjects with HFpEF and 15 age-matched healthy controls were enrolled and underwent multiparametric CMR and plasma biomarker analysis using the Olink® Cardiometabolic Panel (Olink Proteomics, Uppsala, Sweden). Partial least squares discriminant analysis (PLS-DA) was used to characterize CMR and biomarker variables that differentiate the subject groups into two principal components. Orthogonal projection to latent structures by partial least squares (OPLS) analysis was used to identify biomarker patterns that correlate with myocardial perfusion reserve (MPR) and extracellular volume (ECV) mapping.

Results: A PLS-DA could differentiate between HFpEF and normal controls with two significant components explaining 79% (Q2 = 0.47) of the differences. For OPLS, there were 7 biomarkers that significantly correlated with ECV (R2 = 0.85, Q = 0.53) and 6 biomarkers that significantly correlated with MPR (R2 = 0.92, Q2 = 0.32). Only 1 biomarker significantly correlated with both ECV and MPR.

Discussion: Patients with HFpEF have unique imaging and biomarker patterns that suggest mechanisms associated with metabolic disease, inflammation, fibrosis and microvascular dysfunction.

Medienart:

E-Artikel

Erscheinungsjahr:

2024

Erschienen:

2024

Enthalten in:

Zur Gesamtaufnahme - volume:11

Enthalten in:

Frontiers in cardiovascular medicine - 11(2024) vom: 30., Seite 1334226

Sprache:

Englisch

Beteiligte Personen:

Siggins, Connor [VerfasserIn]
Pan, Jonathan A [VerfasserIn]
Löffler, Adrián I [VerfasserIn]
Yang, Yang [VerfasserIn]
Shaw, Peter W [VerfasserIn]
Balfour, Pelbreton C [VerfasserIn]
Epstein, Frederick H [VerfasserIn]
Gan, Li-Ming [VerfasserIn]
Kramer, Christopher M [VerfasserIn]
Keeley, Ellen C [VerfasserIn]
Salerno, Michael [VerfasserIn]

Links:

Volltext

Themen:

Biomarkers
Cardiometabolic
Extracellular volume
Heart failure with preserved ejection fraction
Journal Article
Perfusion

Anmerkungen:

Date Revised 20.03.2024

published: Electronic-eCollection

Citation Status PubMed-not-MEDLINE

doi:

10.3389/fcvm.2024.1334226

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM369903978