Serum N-glycomic profiling identifies candidate biomarker panels for assessing coronary artery stenosis severity

Stenosis severity may escalate over the course of coronary artery disease (CAD), increasing the risk of death for the patient. Conventionally, the assessment of stenosis degree relies on invasive coronary angiography (ICA), an invasive examination unsuitable for patients in poor physical condition o...

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Main Authors: Linlin Wu, Haoqi Liu, Xuewen Xu, Chenjun Huang, Yueyue Li, Xiao Xiao, Yueping Zhan, Chunfang Gao
Format: Article
Language:English
Published: Elsevier 2024-04-01
Series:Heliyon
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2405844024054744
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author Linlin Wu
Haoqi Liu
Xuewen Xu
Chenjun Huang
Yueyue Li
Xiao Xiao
Yueping Zhan
Chunfang Gao
author_facet Linlin Wu
Haoqi Liu
Xuewen Xu
Chenjun Huang
Yueyue Li
Xiao Xiao
Yueping Zhan
Chunfang Gao
author_sort Linlin Wu
collection DOAJ
description Stenosis severity may escalate over the course of coronary artery disease (CAD), increasing the risk of death for the patient. Conventionally, the assessment of stenosis degree relies on invasive coronary angiography (ICA), an invasive examination unsuitable for patients in poor physical condition or those with contrast allergies and one that imposes a psychological burden on patients. Although abnormal serum N-glycan profiles have exhibited robust associations with various cardiovascular diseases, including CAD, their potential in diagnosing CAD stenosis remains to be determined. In this study, we performed a comprehensive analysis of serum N-glycome from 132 patients who underwent ICA and 27 healthy controls using MALDI-TOF-mass spectrometry. The patients who underwent ICA examination were categorized into four groups based on stenosis severity: no/mild/moderate/severe stenosis. Twenty-seven N-glycans were directly quantified, and 47 derived glycan traits were obtained. Notably, among these 74 glycan features, 18 exhibited variations across the study groups. Using a combination of least absolute shrinkage and selection operator and logistic regression analyses, we developed five diagnostic models for recognizing stenosis degree. Our results suggested that alterations in serum N-glycosylation modifications might be valuable for identifying stenosis degree and monitoring disease progression in individuals with CAD. It is expected to offer a noninvasive alternative for those who could not undergo ICA because of various reasons. However, the diagnostic potential of serum N-glycan panels as biomarkers requires multicenter, large cohort validation in the future.
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spelling doaj.art-7dc290c38c4e401d90b5dc20b6cdde0a2024-04-11T04:41:41ZengElsevierHeliyon2405-84402024-04-01107e29443Serum N-glycomic profiling identifies candidate biomarker panels for assessing coronary artery stenosis severityLinlin Wu0Haoqi Liu1Xuewen Xu2Chenjun Huang3Yueyue Li4Xiao Xiao5Yueping Zhan6Chunfang Gao7Department of Clinical Laboratory Medicine Center, Yueyang Hospital of Integrated Traditional Chinese and Western Medicine, Shanghai University of Traditional Chinese Medicine, ChinaDepartment of Cardiology, Yueyang Hospital of Integrated Traditional Chinese and Western Medicine, Shanghai University of Traditional Chinese Medicine, ChinaDepartment of Clinical Laboratory Medicine Center, Yueyang Hospital of Integrated Traditional Chinese and Western Medicine, Shanghai University of Traditional Chinese Medicine, ChinaDepartment of Clinical Laboratory Medicine Center, Yueyang Hospital of Integrated Traditional Chinese and Western Medicine, Shanghai University of Traditional Chinese Medicine, ChinaShanghai Cancer Center and Institutes of Biomedical Sciences and Department of Chemistry and NHC Key Laboratory of Glycoconjugates Research, Fudan University, ChinaDepartment of Clinical Laboratory Medicine Center, Yueyang Hospital of Integrated Traditional Chinese and Western Medicine, Shanghai University of Traditional Chinese Medicine, ChinaDepartment of Clinical Laboratory Medicine Center, Yueyang Hospital of Integrated Traditional Chinese and Western Medicine, Shanghai University of Traditional Chinese Medicine, ChinaDepartment of Clinical Laboratory Medicine Center, Yueyang Hospital of Integrated Traditional Chinese and Western Medicine, Shanghai University of Traditional Chinese Medicine, China; Corresponding author.Stenosis severity may escalate over the course of coronary artery disease (CAD), increasing the risk of death for the patient. Conventionally, the assessment of stenosis degree relies on invasive coronary angiography (ICA), an invasive examination unsuitable for patients in poor physical condition or those with contrast allergies and one that imposes a psychological burden on patients. Although abnormal serum N-glycan profiles have exhibited robust associations with various cardiovascular diseases, including CAD, their potential in diagnosing CAD stenosis remains to be determined. In this study, we performed a comprehensive analysis of serum N-glycome from 132 patients who underwent ICA and 27 healthy controls using MALDI-TOF-mass spectrometry. The patients who underwent ICA examination were categorized into four groups based on stenosis severity: no/mild/moderate/severe stenosis. Twenty-seven N-glycans were directly quantified, and 47 derived glycan traits were obtained. Notably, among these 74 glycan features, 18 exhibited variations across the study groups. Using a combination of least absolute shrinkage and selection operator and logistic regression analyses, we developed five diagnostic models for recognizing stenosis degree. Our results suggested that alterations in serum N-glycosylation modifications might be valuable for identifying stenosis degree and monitoring disease progression in individuals with CAD. It is expected to offer a noninvasive alternative for those who could not undergo ICA because of various reasons. However, the diagnostic potential of serum N-glycan panels as biomarkers requires multicenter, large cohort validation in the future.http://www.sciencedirect.com/science/article/pii/S2405844024054744N-glycomic profilingBiomarkersMass spectrometryCoronary artery stenosis
spellingShingle Linlin Wu
Haoqi Liu
Xuewen Xu
Chenjun Huang
Yueyue Li
Xiao Xiao
Yueping Zhan
Chunfang Gao
Serum N-glycomic profiling identifies candidate biomarker panels for assessing coronary artery stenosis severity
Heliyon
N-glycomic profiling
Biomarkers
Mass spectrometry
Coronary artery stenosis
title Serum N-glycomic profiling identifies candidate biomarker panels for assessing coronary artery stenosis severity
title_full Serum N-glycomic profiling identifies candidate biomarker panels for assessing coronary artery stenosis severity
title_fullStr Serum N-glycomic profiling identifies candidate biomarker panels for assessing coronary artery stenosis severity
title_full_unstemmed Serum N-glycomic profiling identifies candidate biomarker panels for assessing coronary artery stenosis severity
title_short Serum N-glycomic profiling identifies candidate biomarker panels for assessing coronary artery stenosis severity
title_sort serum n glycomic profiling identifies candidate biomarker panels for assessing coronary artery stenosis severity
topic N-glycomic profiling
Biomarkers
Mass spectrometry
Coronary artery stenosis
url http://www.sciencedirect.com/science/article/pii/S2405844024054744
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