Key result
Sarcomere-positive HCM shows greater proteomic dysregulation vs genotype-negative disease across 243 proteins.
Why the study?
HCM patients with a positive genetic test present earlier and with more severe disease than genotype-negative patients, potentially reflecting proteomic and phosphoproteomic differences.
Observational (n=30)
Findings should not yet change hypertrophic cardiomyopathy management; leaves open distinct proteomic drivers by sarcomere genotype.
Hypertrophic cardiomyopathy (HCM) is a genetically heterogenous condition with about half of cases remaining genetically elusive or non-genetic in origin. HCM patients with a positive genetic test (HCM Sarc ) present earlier and with more severe disease than those with a negative genetic test (HCM Neg ). We hypothesized these differences may be due to and/or reflect proteomic and phosphoproteomic differences between the two groups. TMT-labeled mass spectrometry was performed on 15 HCM Sarc , 8 HCM Neg , and 7 control samples. There were 243 proteins differentially expressed and 257 proteins differentially phosphorylated between HCM Sarc and HCM Neg . About 90% of pathways altered between genotypes were in disease-related pathways and HCM Sarc showed enhanced proteomic and phosphoproteomic alterations in these pathways. Thus, we show HCM Sarc has enhanced proteomic and phosphoproteomic dysregulation observed which may contribute to the more severe disease phenotype.
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Garmany et al. (2023) conducted an observational in Hypertrophic cardiomyopathy (n=30). Sarcomere-positive hypertrophic cardiomyopathy (HCMSarc) vs. Genotype-negative hypertrophic cardiomyopathy (HCMNeg) was evaluated on Differentially expressed proteins between HCMSarc and HCMNeg. Sarcomere-positive hypertrophic cardiomyopathy demonstrated enhanced proteomic and phosphoproteomic dysregulation compared to genotype-negative disease, with 243 differentially expressed proteins.
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