Identification of sex‐specific biomarkers predicting new‐onset heart failure

Abstract Aims Heart failure (HF) is common in both men and women, yet disease pathophysiology, presentation, and progression differ between sexes. Studies addressing whether biomarkers predict new onset HF sex‐specifically are scarce. This study therefore aims to test the sex‐specificity of 252 prot...

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Main Authors: Anne Raafs, Job Verdonschot, João Pedro Ferreira, Ping Wang, Timothy Collier, Michiel Henkens, Jens Björkman, Alessandro Boccanelli, Andrew L. Clark, Christian Delles, Javier Diez, Arantxa González, Nicolas Girerd, J. Wouter Jukema, Florence Pinet, Patrick Rossignol, Thomas Thum, Nicolas Vodovar, Rudolf A. deBoer, Vanessa vanEmpel, Jan A. Staessen, Mark Hazebroek, John Cleland, Faiez Zannad, Stephane Heymans
Format: Article
Language:English
Published: Wiley 2021-10-01
Series:ESC Heart Failure
Subjects:
Online Access:https://doi.org/10.1002/ehf2.13476
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author Anne Raafs
Job Verdonschot
João Pedro Ferreira
Ping Wang
Timothy Collier
Michiel Henkens
Jens Björkman
Alessandro Boccanelli
Andrew L. Clark
Christian Delles
Javier Diez
Arantxa González
Nicolas Girerd
J. Wouter Jukema
Florence Pinet
Patrick Rossignol
Thomas Thum
Nicolas Vodovar
Rudolf A. deBoer
Vanessa vanEmpel
Jan A. Staessen
Mark Hazebroek
John Cleland
Faiez Zannad
Stephane Heymans
author_facet Anne Raafs
Job Verdonschot
João Pedro Ferreira
Ping Wang
Timothy Collier
Michiel Henkens
Jens Björkman
Alessandro Boccanelli
Andrew L. Clark
Christian Delles
Javier Diez
Arantxa González
Nicolas Girerd
J. Wouter Jukema
Florence Pinet
Patrick Rossignol
Thomas Thum
Nicolas Vodovar
Rudolf A. deBoer
Vanessa vanEmpel
Jan A. Staessen
Mark Hazebroek
John Cleland
Faiez Zannad
Stephane Heymans
author_sort Anne Raafs
collection DOAJ
description Abstract Aims Heart failure (HF) is common in both men and women, yet disease pathophysiology, presentation, and progression differ between sexes. Studies addressing whether biomarkers predict new onset HF sex‐specifically are scarce. This study therefore aims to test the sex‐specificity of 252 protein biomarkers for new‐onset HF. Methods and results A matched case–control design in patients selected from cohorts within the HOMAGE consortium was used. Cases (new‐onset HF, n = 562) and controls (n = 780) were matched for cohort (PREDICTOR, HEALTH‐ABC, & PROSPER), follow‐up time (defined as time from entry to incident HF), and age. Incident HF was defined as first hospitalization for HF. Targeted plasma proteins (n = 252) were measured using Proximity Extension Assay technology from O‐link. To look for sex differences for new onset HF, we adjusted for cohort, age, and baseline clinical parameters. At baseline, women had a biomarker profile reflecting activated metabolism and immune responses. However, none of the biomarkers had a significant interaction with sex in predicting new onset HF, but four biomarkers had a trend towards sex‐specificity (P < 0.013). E‐selectin and interleukin 1 receptor antagonist were more female‐specific, whereas IL17A and CHIT1 tended to be male sex‐specific for incident HF. Conclusions The majority of biomarkers associated with incident HF did not significantly differ between women and men, despite clear differences in biomarkers at baseline.
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spelling doaj.art-a0903e2857b544a9b4e4d1d58030724b2022-12-21T21:26:18ZengWileyESC Heart Failure2055-58222021-10-01853512352010.1002/ehf2.13476Identification of sex‐specific biomarkers predicting new‐onset heart failureAnne Raafs0Job Verdonschot1João Pedro Ferreira2Ping Wang3Timothy Collier4Michiel Henkens5Jens Björkman6Alessandro Boccanelli7Andrew L. Clark8Christian Delles9Javier Diez10Arantxa González11Nicolas Girerd12J. Wouter Jukema13Florence Pinet14Patrick Rossignol15Thomas Thum16Nicolas Vodovar17Rudolf A. deBoer18Vanessa vanEmpel19Jan A. Staessen20Mark Hazebroek21John Cleland22Faiez Zannad23Stephane Heymans24Department of Cardiology, Cardiovascular Research Institute Maastricht (CARIM) Maastricht University Medical Centre P. Debyelaan 25 Maastricht 6229 HX The NetherlandsDepartment of Cardiology, Cardiovascular Research Institute Maastricht (CARIM) Maastricht University Medical Centre P. Debyelaan 25 Maastricht 6229 HX The NetherlandsINSERM, Centre d'Investigations Cliniques‐Plurithématique 14‐33, CHRU Nancy, and INSERM U1116, CHRU, F‐CRIN INI‐CRCT (Cardiovascular and Renal Clinical Trialists) Université de Lorraine Nancy FranceDepartment of Clinical Genetics Maastricht University Medical Centre Maastricht The NetherlandsDepartment of Medical Statistics London School of Hygiene and Tropical Medicine London UKDepartment of Cardiology, Cardiovascular Research Institute Maastricht (CARIM) Maastricht University Medical Centre P. Debyelaan 25 Maastricht 6229 HX The NetherlandsTataa Biocenter AB Gothenburg SwedenCasa di Cura Quisisana Rome ItalyHull University Teaching Hospitals NHS Trust, Castle Hill Hospital Cottingham UKInstitute of Cardiovascular and Medical Sciences University of Glasgow Glasgow UKProgram of Cardiovascular Diseases CIMA Universidad de Navarra Pamplona SpainProgram of Cardiovascular Diseases CIMA Universidad de Navarra Pamplona SpainINSERM, Centre d'Investigations Cliniques‐Plurithématique 14‐33, CHRU Nancy, and INSERM U1116, CHRU, F‐CRIN INI‐CRCT (Cardiovascular and Renal Clinical Trialists) Université de Lorraine Nancy FranceDepartment of Cardiology Leiden University Medical Centre Leiden The NetherlandsInserm, CHU Lille, Institut Pasteur de Lille, U1167 ‐ RID‐AGE ‐ Facteurs de risque et déterminants moléculaires des maladies liées au vieillissement, F‐59000 Lille, and F‐CRIN INI‐CRCT Univ. Lille Lille FranceINSERM, Centre d'Investigations Cliniques‐Plurithématique 14‐33, CHRU Nancy, and INSERM U1116, CHRU, F‐CRIN INI‐CRCT (Cardiovascular and Renal Clinical Trialists) Université de Lorraine Nancy FranceFraunhofer Institute for Toxicology and Experimental Medicine Hannover GermanyInserm UMR‐S 942, F‐CRIN INI‐CRCT, Department of Anaesthesuiology and Intensive Care, Hôpital Lariboisière Université de Paris Paris FranceDepartment of Cardiology University of Groningen, University Medical Centre Groningen Groningen The NetherlandsDepartment of Cardiology, Cardiovascular Research Institute Maastricht (CARIM) Maastricht University Medical Centre P. Debyelaan 25 Maastricht 6229 HX The NetherlandsNon‐Profit Research Institute Alliance for the Promotion of Preventive Medicine Mechelen BelgiumDepartment of Cardiology, Cardiovascular Research Institute Maastricht (CARIM) Maastricht University Medical Centre P. Debyelaan 25 Maastricht 6229 HX The NetherlandsRobertson Centre for Biostatistics and Clinical Trials Institute of Health and Wellbeing Glasgow UKINSERM, Centre d'Investigations Cliniques‐Plurithématique 14‐33, CHRU Nancy, and INSERM U1116, CHRU, F‐CRIN INI‐CRCT (Cardiovascular and Renal Clinical Trialists) Université de Lorraine Nancy FranceDepartment of Cardiology, Cardiovascular Research Institute Maastricht (CARIM) Maastricht University Medical Centre P. Debyelaan 25 Maastricht 6229 HX The NetherlandsAbstract Aims Heart failure (HF) is common in both men and women, yet disease pathophysiology, presentation, and progression differ between sexes. Studies addressing whether biomarkers predict new onset HF sex‐specifically are scarce. This study therefore aims to test the sex‐specificity of 252 protein biomarkers for new‐onset HF. Methods and results A matched case–control design in patients selected from cohorts within the HOMAGE consortium was used. Cases (new‐onset HF, n = 562) and controls (n = 780) were matched for cohort (PREDICTOR, HEALTH‐ABC, & PROSPER), follow‐up time (defined as time from entry to incident HF), and age. Incident HF was defined as first hospitalization for HF. Targeted plasma proteins (n = 252) were measured using Proximity Extension Assay technology from O‐link. To look for sex differences for new onset HF, we adjusted for cohort, age, and baseline clinical parameters. At baseline, women had a biomarker profile reflecting activated metabolism and immune responses. However, none of the biomarkers had a significant interaction with sex in predicting new onset HF, but four biomarkers had a trend towards sex‐specificity (P < 0.013). E‐selectin and interleukin 1 receptor antagonist were more female‐specific, whereas IL17A and CHIT1 tended to be male sex‐specific for incident HF. Conclusions The majority of biomarkers associated with incident HF did not significantly differ between women and men, despite clear differences in biomarkers at baseline.https://doi.org/10.1002/ehf2.13476ProteomicsIncident heart failureSex differences
spellingShingle Anne Raafs
Job Verdonschot
João Pedro Ferreira
Ping Wang
Timothy Collier
Michiel Henkens
Jens Björkman
Alessandro Boccanelli
Andrew L. Clark
Christian Delles
Javier Diez
Arantxa González
Nicolas Girerd
J. Wouter Jukema
Florence Pinet
Patrick Rossignol
Thomas Thum
Nicolas Vodovar
Rudolf A. deBoer
Vanessa vanEmpel
Jan A. Staessen
Mark Hazebroek
John Cleland
Faiez Zannad
Stephane Heymans
Identification of sex‐specific biomarkers predicting new‐onset heart failure
ESC Heart Failure
Proteomics
Incident heart failure
Sex differences
title Identification of sex‐specific biomarkers predicting new‐onset heart failure
title_full Identification of sex‐specific biomarkers predicting new‐onset heart failure
title_fullStr Identification of sex‐specific biomarkers predicting new‐onset heart failure
title_full_unstemmed Identification of sex‐specific biomarkers predicting new‐onset heart failure
title_short Identification of sex‐specific biomarkers predicting new‐onset heart failure
title_sort identification of sex specific biomarkers predicting new onset heart failure
topic Proteomics
Incident heart failure
Sex differences
url https://doi.org/10.1002/ehf2.13476
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