Department of Biomedical Sciences, Faculty of Health and Medical Sciences, University of Copenhagen, Copenhagen N, Denmark.
Laboratory for Molecular Cardiology, the Heart Centre, Rigshospitalet, Denmark.
Mol Cell Proteomics. 2020 Jul;19(7):1132-1144. doi: 10.1074/mcp.RA119.001878. Epub 2020 Apr 14.
Genetic and genomic research has greatly advanced our understanding of heart disease. Yet, comprehensive, in-depth, quantitative maps of protein expression in hearts of living humans are still lacking. Using samples obtained during valve replacement surgery in patients with mitral valve prolapse (MVP), we set out to define inter-chamber differences, the intersect of proteomic data with genetic or genomic datasets, and the impact of left atrial dilation on the proteome of patients with no history of atrial fibrillation (AF).We collected biopsies from right atria (RA), left atria (LA) and left ventricle (LV) of seven male patients with mitral valve regurgitation with dilated LA but no history of AF. Biopsy samples were analyzed by high-resolution mass spectrometry (MS), where peptides were pre-fractionated by reverse phase high-pressure liquid chromatography prior to MS measurement on a Q-Exactive-HF Orbitrap instrument. We identified 7,314 proteins based on 130,728 peptides. Results were confirmed in an independent set of biopsies collected from three additional individuals. Comparative analysis against data from post-mortem samples showed enhanced quantitative power and confidence level in samples collected from living hearts. Our analysis, combined with data from genome wide association studies suggested candidate gene associations to MVP, identified higher abundance in ventricle for proteins associated with cardiomyopathies and revealed the dilated LA proteome, demonstrating differential representation of molecules previously associated with AF, in non-AF hearts.This is the largest dataset of cardiac protein expression from human samples collected It provides a comprehensive resource that allows insight into molecular fingerprints of MVP and facilitates novel inferences between genomic data and disease mechanisms. We propose that over-representation of proteins in ventricle is consequent not to redundancy but to functional need, and conclude that changes in abundance of proteins known to associate with AF are not sufficient for arrhythmogenesis.
遗传和基因组研究极大地提高了我们对心脏病的认识。然而,对于活人心肌中蛋白质表达的全面、深入和定量图谱仍然缺乏。我们使用在二尖瓣脱垂(MVP)患者接受瓣膜置换手术期间获得的样本,旨在定义室间差异、蛋白质组学数据与遗传或基因组数据集的交集,以及左心房扩张对无房颤(AF)病史患者蛋白质组的影响。我们收集了 7 名男性 MVP 伴左心房扩张但无 AF 病史患者的右心房(RA)、左心房(LA)和左心室(LV)活检样本。使用高分辨率质谱(MS)对活检样本进行分析,在 MS 测量之前,肽通过反相高压液相色谱预先进行预分级,在 Q-Exactive-HF Orbitrap 仪器上进行测量。我们基于 130,728 个肽鉴定了 7314 种蛋白质。在另外 3 名个体的独立活检样本中得到了验证。与来自尸检样本的数据进行比较分析表明,在从活心中收集的样本中,定量能力和置信度水平增强。我们的分析结合全基因组关联研究的数据,提示 MVP 的候选基因关联,发现与心肌病相关的蛋白质在心室中的丰度更高,并揭示了扩张的左心房蛋白质组,表明以前与 AF 相关的分子在非 AF 心脏中的差异表达。这是从人类样本中收集的最大的心脏蛋白质表达数据集。它提供了一个全面的资源,使人们能够深入了解 MVP 的分子特征,并促进基因组数据和疾病机制之间的新推断。我们提出,心室中蛋白质的过度表达不是冗余的结果,而是功能的需要,并得出结论,与 AF 相关的蛋白质丰度的变化不足以引起心律失常。
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