Identification of Biomarkers of Arrhythmogenic Cardiomyopathy (ACM) by Plasma Proteomics

<i>Background and Objectives:</i> The pathophysiology of arrhythmogenic cardiomyopathy (ACM), previously known as arrhythmogenic right ventricular cardiomyopathy (ARVC), and its specific biological features remain poorly understood. High-throughput plasma proteomic profiling, a powerful...

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Main Authors: Sinda Zarrouk, Houda Ben-Miled, Nadia Rahali, Josef Finsterer, Fatma Ouarda
Format: Article
Language:English
Published: MDPI AG 2025-01-01
Series:Medicina
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Online Access:https://www.mdpi.com/1648-9144/61/1/105
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author Sinda Zarrouk
Houda Ben-Miled
Nadia Rahali
Josef Finsterer
Fatma Ouarda
author_facet Sinda Zarrouk
Houda Ben-Miled
Nadia Rahali
Josef Finsterer
Fatma Ouarda
author_sort Sinda Zarrouk
collection DOAJ
description <i>Background and Objectives:</i> The pathophysiology of arrhythmogenic cardiomyopathy (ACM), previously known as arrhythmogenic right ventricular cardiomyopathy (ARVC), and its specific biological features remain poorly understood. High-throughput plasma proteomic profiling, a powerful tool for gaining insights into disease pathophysiology at the systems biology level, has not been used to study ACM. This study aimed at characterizing plasmatic protein changes in patients with ACM, which were compared with those of healthy controls, and at exploring the potential role of the identified proteins as biomarkers for diagnosis and monitoring. <i>Materials and Methods:</i> Blood samples were collected from six ACM patients, four patients with other cardiomyopathies, and two healthy controls. Plasma was processed to remove high-abundance proteins and analyzed by two-dimensional gel electrophoresis. Differential protein expressions were assessed using PDQuest software, Bio-Rad US version 8.0.1. <i>Results:</i> The analysis revealed several proteins with altered expressions between ACM patients and controls, including plakophilin-2, junctional plakoglobin, desmoplakin, desmin, transmembrane protein 43, and lamin A/C. <i>Conclusions:</i> The plasma proteomic profiling of ACM suggests that ACM is a distinct disease entity characterized by a unique dysregulation of desmosomal proteins. The identification of plasma biomarkers associated with ACM underscores their potential to improve diagnostic accuracy and facilitate early intervention strategies. Further exploration of mutations in desmosomal proteins and their phosphorylation states may provide deeper insights into the pathophysiology of ACM.
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spelling doaj-art-039445baf2434d62a92e4538c1af296f2025-01-24T13:40:37ZengMDPI AGMedicina1010-660X1648-91442025-01-0161110510.3390/medicina61010105Identification of Biomarkers of Arrhythmogenic Cardiomyopathy (ACM) by Plasma ProteomicsSinda Zarrouk0Houda Ben-Miled1Nadia Rahali2Josef Finsterer3Fatma Ouarda4Technological Platform IPTOMICS, Pasteur Institute of Tunis, University of Tunis El Manar, Tunis 1002, TunisiaBiochemistry and Biotechnology Laboratory LR01ES05, Faculty of Sciences of Tunis, University of Tunis El Manar, Tunis 1002, TunisiaTechnological Platform IPTOMICS, Pasteur Institute of Tunis, University of Tunis El Manar, Tunis 1002, TunisiaNeurology Department, Neurology & Neurophysiology Center, 1180 Vienna, AustriaService de Cardiologie Pédiatrique, Hôpital la Rabta Tunis, Tunis 1007, Tunisia<i>Background and Objectives:</i> The pathophysiology of arrhythmogenic cardiomyopathy (ACM), previously known as arrhythmogenic right ventricular cardiomyopathy (ARVC), and its specific biological features remain poorly understood. High-throughput plasma proteomic profiling, a powerful tool for gaining insights into disease pathophysiology at the systems biology level, has not been used to study ACM. This study aimed at characterizing plasmatic protein changes in patients with ACM, which were compared with those of healthy controls, and at exploring the potential role of the identified proteins as biomarkers for diagnosis and monitoring. <i>Materials and Methods:</i> Blood samples were collected from six ACM patients, four patients with other cardiomyopathies, and two healthy controls. Plasma was processed to remove high-abundance proteins and analyzed by two-dimensional gel electrophoresis. Differential protein expressions were assessed using PDQuest software, Bio-Rad US version 8.0.1. <i>Results:</i> The analysis revealed several proteins with altered expressions between ACM patients and controls, including plakophilin-2, junctional plakoglobin, desmoplakin, desmin, transmembrane protein 43, and lamin A/C. <i>Conclusions:</i> The plasma proteomic profiling of ACM suggests that ACM is a distinct disease entity characterized by a unique dysregulation of desmosomal proteins. The identification of plasma biomarkers associated with ACM underscores their potential to improve diagnostic accuracy and facilitate early intervention strategies. Further exploration of mutations in desmosomal proteins and their phosphorylation states may provide deeper insights into the pathophysiology of ACM.https://www.mdpi.com/1648-9144/61/1/105arrhythmogenic cardiomyopathybiomarkersproteomicsdesmosomal proteinsphosphorylation
spellingShingle Sinda Zarrouk
Houda Ben-Miled
Nadia Rahali
Josef Finsterer
Fatma Ouarda
Identification of Biomarkers of Arrhythmogenic Cardiomyopathy (ACM) by Plasma Proteomics
Medicina
arrhythmogenic cardiomyopathy
biomarkers
proteomics
desmosomal proteins
phosphorylation
title Identification of Biomarkers of Arrhythmogenic Cardiomyopathy (ACM) by Plasma Proteomics
title_full Identification of Biomarkers of Arrhythmogenic Cardiomyopathy (ACM) by Plasma Proteomics
title_fullStr Identification of Biomarkers of Arrhythmogenic Cardiomyopathy (ACM) by Plasma Proteomics
title_full_unstemmed Identification of Biomarkers of Arrhythmogenic Cardiomyopathy (ACM) by Plasma Proteomics
title_short Identification of Biomarkers of Arrhythmogenic Cardiomyopathy (ACM) by Plasma Proteomics
title_sort identification of biomarkers of arrhythmogenic cardiomyopathy acm by plasma proteomics
topic arrhythmogenic cardiomyopathy
biomarkers
proteomics
desmosomal proteins
phosphorylation
url https://www.mdpi.com/1648-9144/61/1/105
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AT nadiarahali identificationofbiomarkersofarrhythmogeniccardiomyopathyacmbyplasmaproteomics
AT joseffinsterer identificationofbiomarkersofarrhythmogeniccardiomyopathyacmbyplasmaproteomics
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