Plasma Proteome Profiles of Stable CAD Patients Stratified According to Total Apo C-III Levels

Proteomics Clin Appl. 2019 May;13(3):e1800023. doi: 10.1002/prca.201800023. Epub 2018 Aug 7.

Abstract

Purpose: The present research reports the study the of plasma proteome profile of stable coronary artery disease (CAD) patients characterized by different levels of total Apolipoprotein-CIII (Apo C-III), a prognostic marker for cardiovascular risk.

Experimental design: Two subgroups of CAD patients (n = 52) with divergent concentrations of total circulating Apo C-III (≤ and ≥10 mg dL-1 ) are examined using a shotgun proteomic approach. Validation experiments are also performed with immunochemistry methods including both the patients affected by CAD (n = 119) and the subjects without CAD (CAD-free; n = 58). Results are analyzed by bioinformatics tools and multivariate statistics.

Results: A total of 188 proteins are quantified among the patients. The fold change analysis and the partial least square discriminant analysis show a clear separation of the two groups. Lipoproteins (Apo C-II and Apo E), retinol-binding protein 4, and vitronectin are upregulated in patients with high Apo C-III, while alpha-1 antitrypsin is downregulated.

Conclusions and clinical relevance: In this pilot study, the differential expression of plasma proteins related to different concentrations of Apo C-III is defined, suggesting possible new players involved in the Apo C-III-associated process of arterial damage. Data are available via ProteomeXchange with identifier PXD005973.

Keywords: Apo C-III; apolipoproteins; cardiovascular disease; coronary artery disease; plasma proteomics.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Apolipoprotein C-III / blood*
  • Coronary Artery Disease / blood*
  • Coronary Artery Disease / diagnosis
  • Coronary Artery Disease / metabolism*
  • Female
  • Humans
  • Male
  • Middle Aged
  • Multivariate Analysis
  • Pilot Projects
  • Prognosis
  • Proteomics*

Substances

  • Apolipoprotein C-III