Key result
Ventricular failure is linked to ~11-fold higher odds of global gene expression alterations.
Why the study?
Existing cardiovascular studies tend to suffer from small sample sizes and unaddressed confounders.
Does ventricular failure associate with global transcriptomic dysregulation independent of age and sex?
Meta-Analysis (n=549)
Does ventricular failure associate with global transcriptomic dysregulation independent of age and sex?
Odds Ratio: 11.04 (95% CI 5.18–23.54)
p-value: p=5.1e-10
A meta-analysis of microarray datasets identifies extensive left ventricular transcriptomic dysregulation in heart failure independent of age and sex, highlighting significant extracellular matrix remodeling and disrupted potassium channels.
May inform HF biomarker development; extends meta-analytic evidence of age- and sex-independent transcriptomic dysregulation.
Existing cardiovascular studies tend to suffer from small sample sizes and unaddressed confounders. Re-profiling of 9 microarray datasets revealed significant global gene expression differences between 358 failing and 191 non-failing left ventricles independent of age and sex (p = 5.1e-10). Covariate-adjusted mixed-effect regression revealed 17 % (945/5553) genes with >1.5-fold changes. The extracellular matrix and integral membrane ontologies were significantly enriched and depleted in failing ventricles, respectively. Furthermore, MTSS1 implicated in cardiovascular dysfunction showed the greatest change in ischemic compared to dilated cardiomyopathy (Bonferroni p < 0.05 for all genes and ontologies). Transcriptomic meta-profiling here provided deeper insight into heart failure at the cellular level.
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Youdinghuan Chen (2024) conducted a meta-analysis in Heart failure (n=549). Failing left ventricles (heart failure) vs. Non-failing left ventricles was evaluated on Global gene expression alterations (OR 11.04, 95% CI 5.18-23.54, p=5.1e-10). Ventricular failure was significantly associated with global gene expression alterations independent of age and sex compared to non-failing ventricles (adjusted OR 11.04).
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