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用于发现新冠后体位性直立性心动过速综合征(PC-POTS)患者生物标志物的定量血清蛋白质组学分析。

Quantitative serum proteomic analysis for biomarker discovery in post-COVID-19 postural orthostatic tachycardia syndrome (PC-POTS) patients.

作者信息

Ryu Taekyung, Adler Brittany L, Jeong Seeun Judy, Lee David C, Hoke Ahmet, Na Chan Hyun, Chung Tae

机构信息

Department of Neurology, Johns Hopkins University School of Medicine, Baltimore, MD, USA; Neuroregeneration and Stem Cell Programs, Institute for Cell Engineering, Johns Hopkins University School of Medicine, Baltimore, MD, USA.

Department of Medicine, Rheumatology Division, Johns Hopkins University School of Medicine, Baltimore, MD, USA.

出版信息

Auton Neurosci. 2025 Apr;258:103247. doi: 10.1016/j.autneu.2025.103247. Epub 2025 Feb 8.

Abstract

Postural orthostatic tachycardia syndrome (POTS) is a chronic, debilitating condition that is characterized by an excessive increase in heart rate upon orthostatic challenge. Before the COVID-19 pandemic, POTS affected 0.5 % to 1 % of the U.S. population. Since the pandemic, the incidence has risen sharply, adding an estimated 6-7 million new cases in the U.S. Despite its importance, there is currently no reliable biomarker for POTS, leading to significant diagnostic delays. A major hurdle in identifying biomarkers is the heterogeneous nature of the syndrome. To address this, we focused on a homogeneous subgroup of post-COVID-19 POTS (PC-POTS) patients. We conducted quantitative proteomics on sera from 9 PC-POTS patients and 9 healthy controls, identifying 31 proteins with significantly different abundances in PC-POTS patients. Most elevated proteins were linked to actin filaments or immune functions/inflammation. Weighted Gene Co-Expression Network Analysis revealed module 7 (M7) correlated strongly with PC-POTS diagnosis and related traits. The key proteins in M7 included MTPN, TAGLN2, ADP-ribosylation factor 1, PDLIM1, PPIA, CNN2, LGALSL, TXN, TLN1, TUBA4A, IL4, TREML1, GP1BA, and, all highly correlated with these traits. Cell-type enrichment analysis revealed that M7 was highly associated with immune and neuronal cells. The main pathways identified in M7 included the integrin signaling pathway, blood coagulation, and glycolysis. These findings suggest that the key proteins in M7 could serve as biomarkers for PC-POTS. This study uses quantitative proteomics to identify potential biomarkers that differentiate PC-POTS patients from healthy controls, establishing a foundation for further research and validation.

摘要

体位性直立性心动过速综合征(POTS)是一种慢性、使人衰弱的病症,其特征是在直立应激时心率过度增加。在2019冠状病毒病大流行之前,POTS影响了0.5%至1%的美国人口。自大流行以来,发病率急剧上升,据估计在美国新增了600万至700万病例。尽管其很重要,但目前尚无可靠的POTS生物标志物,导致诊断出现显著延迟。识别生物标志物的一个主要障碍是该综合征的异质性。为了解决这个问题,我们聚焦于新冠后POTS(PC-POTS)患者的一个同质性亚组。我们对9名PC-POTS患者和9名健康对照者的血清进行了定量蛋白质组学研究,确定了31种在PC-POTS患者中丰度有显著差异的蛋白质。大多数升高的蛋白质与肌动蛋白丝或免疫功能/炎症有关。加权基因共表达网络分析显示模块7(M7)与PC-POTS诊断及相关特征密切相关。M7中的关键蛋白质包括MTPN、TAGLN2、ADP核糖基化因子1、PDLIM1、PPIA、CNN2、LGALSL、TXN、TLN1、TUBA4A、IL4、TREML1、GP1BA,且所有这些蛋白质均与这些特征高度相关。细胞类型富集分析显示M7与免疫细胞和神经细胞高度相关。在M7中确定的主要通路包括整合素信号通路、血液凝固和糖酵解。这些发现表明M7中的关键蛋白质可作为PC-POTS的生物标志物。本研究使用定量蛋白质组学来识别区分PC-POTS患者与健康对照者的潜在生物标志物,为进一步研究和验证奠定了基础。

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