{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,15]],"date-time":"2026-07-15T18:38:26Z","timestamp":1784140706099,"version":"3.55.0"},"reference-count":37,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"19","content-domain":{"domain":["www.ahajournals.org"],"crossmark-restriction":true},"short-container-title":["JAHA"],"published-print":{"date-parts":[[2024,10]]},"abstract":"<jats:sec xml:lang=\"en\">\n            <jats:title>Background<\/jats:title>\n            <jats:p xml:lang=\"en\">Echocardiographic indexes of aortic stenosis may not comprehensively reflect disease morbidity. Plasma proteomic profiling may add prognostic value in these patients.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec xml:lang=\"en\">\n            <jats:title>Methods and Results<\/jats:title>\n            <jats:p xml:lang=\"en\">\n              Proximity extension assays (Olink) of 183 circulating cardiovascular and inflammatory proteins were performed in a prospective follow\u2010up study of 122 asymptomatic\/minimally symptomatic patients (mean\u00b1SD age, 69.1\u00b110.9\u2009years; 61% men) with moderate to severe aortic stenosis and preserved left ventricular ejection fraction. Protein signatures of higher\u2010risk echocardiographic subgroups were determined. Associations of proteins with the primary composite outcome (heart failure hospitalization, progression to New York Heart Association class III\u2010IV, or all\u2010cause mortality) were evaluated using competing risk analyses, with aortic valve replacement being the competing risk. Network analysis unveiled mutually exclusive communities of proteins and echocardiographic parameters, connected only through NT\u2010proBNP (N\u2010terminal pro\u2010B\u2010type natriuretic peptide). Members of the tumor necrosis factor receptor superfamily (TNFRSF1A, TNFRSF1B, and TNFRSF14), and trefoil factor\u20103 were major hub proteins among the circulating biomarkers. Left ventricular global longitudinal strain &gt;\u221215% was associated with higher levels of proteins, primarily of inflammation and immune regulation, whereas aortic valve area\u2009&lt;1 cm\n              <jats:sup>2<\/jats:sup>\n              , E\/e\u2019\u2009&gt;15, and left atrial reservoir strain &lt;20% were associated with higher levels of NT\u2010proBNP. Of 14 proteins associated with the primary end point, phospholipase\u2010C, C\u2010X\u2010C motif chemokine\u20109, and interleukin\u201010 receptor subunit \u03b2 demonstrated the highest hazard ratios after adjusting for clinical factors (\n              <jats:italic>q<\/jats:italic>\n              &lt;0.05).\n            <\/jats:p>\n          <\/jats:sec>\n          <jats:sec xml:lang=\"en\">\n            <jats:title>Conclusions<\/jats:title>\n            <jats:p xml:lang=\"en\">Plasma proteins involved in inflammation and immune regulation were differentially expressed in patients with aortic stenosis with reduced left ventricular global longitudinal strain, and associated with adverse clinical outcomes. Their incorporation into aortic stenosis risk stratification warrants further assessment.<\/jats:p>\n          <\/jats:sec>","DOI":"10.1161\/jaha.124.035486","type":"journal-article","created":{"date-parts":[[2024,9,30]],"date-time":"2024-09-30T09:33:26Z","timestamp":1727688806000},"update-policy":"https:\/\/doi.org\/10.1161\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":9,"title":["Circulating Plasma Proteins in Aortic Stenosis: Associations With Severity, Myocardial Response, and Clinical Outcomes"],"prefix":"10.1161","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7273-6883","authenticated-orcid":false,"given":"Eugene S. 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