RT Journal Article SR Electronic T1 Disease- and sex-specific differences in patients with heart valve disease: a proteome study JF Life Science Alliance JO Life Sci. Alliance FD Life Science Alliance LLC SP e202201411 DO 10.26508/lsa.202201411 VO 6 IS 3 A1 Sarah Nordmeyer A1 Milena Kraus A1 Matthias Ziehm A1 Marieluise Kirchner A1 Marie Schafstedde A1 Marcus Kelm A1 Sylvia Niquet A1 Mariet Mathew Stephen A1 Istvan Baczko A1 Christoph Knosalla A1 Matthieu-P Schapranow A1 Gunnar Dittmar A1 Michael Gotthardt A1 Martin Falcke A1 Vera Regitz-Zagrosek A1 Titus Kuehne A1 Philipp Mertins YR 2023 UL https://www.life-science-alliance.org/content/6/3/e202201411.abstract AB Pressure overload in patients with aortic valve stenosis and volume overload in mitral valve regurgitation trigger specific forms of cardiac remodeling; however, little is known about similarities and differences in myocardial proteome regulation. We performed proteome profiling of 75 human left ventricular myocardial biopsies (aortic stenosis = 41, mitral regurgitation = 17, and controls = 17) using high-resolution tandem mass spectrometry next to clinical and hemodynamic parameter acquisition. In patients of both disease groups, proteins related to ECM and cytoskeleton were more abundant, whereas those related to energy metabolism and proteostasis were less abundant compared with controls. In addition, disease group–specific and sex-specific differences have been observed. Male patients with aortic stenosis showed more proteins related to fibrosis and less to energy metabolism, whereas female patients showed strong reduction in proteostasis-related proteins. Clinical imaging was in line with proteomic findings, showing elevation of fibrosis in both patient groups and sex differences. Disease- and sex-specific proteomic profiles provide insight into cardiac remodeling in patients with heart valve disease and might help improve the understanding of molecular mechanisms and the development of individualized treatment strategies.