Association between a specific monocyte subset and heart failure with preserved ejection fraction in patients with uremia

Aim: This study aimed to establish a model based on gene expression in peripheral blood mononuclear cells (PBMCs) for predicting the incidence of heart failure with preserved ejection fraction (HFpEF) in patients with end-stage renal disease (ESRD). Methods: PBMCs were isolated from patients with st...

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Main Authors: Xinrui Wang, Minghui Song, Lu Ma, Yang Yang
Format: Article
Language:English
Published: Open Exploration Publishing Inc. 2025-01-01
Series:Exploration of Cardiology
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Online Access:https://www.explorationpub.com/uploads/Article/A101247/101247.pdf
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author Xinrui Wang
Minghui Song
Lu Ma
Yang Yang
author_facet Xinrui Wang
Minghui Song
Lu Ma
Yang Yang
author_sort Xinrui Wang
collection DOAJ
description Aim: This study aimed to establish a model based on gene expression in peripheral blood mononuclear cells (PBMCs) for predicting the incidence of heart failure with preserved ejection fraction (HFpEF) in patients with end-stage renal disease (ESRD). Methods: PBMCs were isolated from patients with stage 2–3 chronic kidney disease, ESRD, ESRD with HFpEF, and ESRD with heart failure with reduced ejection fraction (HFrEF). Differences in the expression of differentially expressed genes in PBMCs among different groups were compared using microarray. Results: In total, 43 differentially expressed genes were specifically identified in patients with ESRD with HFpEF. The expression of four genes encoding MMP7, S100A8, CXCR3, and CD163 was significantly upregulated. Hence, it played a role in the development of HFpEF. Based on these findings, a nomogram was established using data from the database including 343 patients with ESRD. The receiver operating characteristic curve, calibration curve, model consistency index, and decision curve analyses showed that the nomogram had a good predictive performance for predicting HFpEF. Conclusions: Specific gene detections can be an important early warning indicator and guide physicians in evaluating the risk of HFpEF in ESRD.
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spelling doaj-art-53d1b56cf4704f39b594e9d80f9005a02025-08-20T03:50:32ZengOpen Exploration Publishing Inc.Exploration of Cardiology2994-55262025-01-01310124710.37349/ec.2025.101247Association between a specific monocyte subset and heart failure with preserved ejection fraction in patients with uremiaXinrui Wang0Minghui Song1Lu Ma2Yang Yang3Laboratory Department, Centre for Disease Prevention and Control of Chang’an District, Shijiazhuang 050000, Hebei, ChinaClinical Laboratory, Hainan Hospital of General Hospital of Chinese People’s Liberation Army, Sanya 572013, Hainan, ChinaDepartment of Nephrology, Beidaihe Rehabilitation and Recuperation Center of the Chinese People’s Liberation Army, Qinhuangdao 066100, Hebei, ChinaDepartment of Nephrology, The 981th Hospital of Joint Logistic Support Force, Chengde 067000, Hebei, ChinaAim: This study aimed to establish a model based on gene expression in peripheral blood mononuclear cells (PBMCs) for predicting the incidence of heart failure with preserved ejection fraction (HFpEF) in patients with end-stage renal disease (ESRD). Methods: PBMCs were isolated from patients with stage 2–3 chronic kidney disease, ESRD, ESRD with HFpEF, and ESRD with heart failure with reduced ejection fraction (HFrEF). Differences in the expression of differentially expressed genes in PBMCs among different groups were compared using microarray. Results: In total, 43 differentially expressed genes were specifically identified in patients with ESRD with HFpEF. The expression of four genes encoding MMP7, S100A8, CXCR3, and CD163 was significantly upregulated. Hence, it played a role in the development of HFpEF. Based on these findings, a nomogram was established using data from the database including 343 patients with ESRD. The receiver operating characteristic curve, calibration curve, model consistency index, and decision curve analyses showed that the nomogram had a good predictive performance for predicting HFpEF. Conclusions: Specific gene detections can be an important early warning indicator and guide physicians in evaluating the risk of HFpEF in ESRD.https://www.explorationpub.com/uploads/Article/A101247/101247.pdfheart failurechronic kidney diseasemonocytemacrophage activationnomogram
spellingShingle Xinrui Wang
Minghui Song
Lu Ma
Yang Yang
Association between a specific monocyte subset and heart failure with preserved ejection fraction in patients with uremia
Exploration of Cardiology
heart failure
chronic kidney disease
monocyte
macrophage activation
nomogram
title Association between a specific monocyte subset and heart failure with preserved ejection fraction in patients with uremia
title_full Association between a specific monocyte subset and heart failure with preserved ejection fraction in patients with uremia
title_fullStr Association between a specific monocyte subset and heart failure with preserved ejection fraction in patients with uremia
title_full_unstemmed Association between a specific monocyte subset and heart failure with preserved ejection fraction in patients with uremia
title_short Association between a specific monocyte subset and heart failure with preserved ejection fraction in patients with uremia
title_sort association between a specific monocyte subset and heart failure with preserved ejection fraction in patients with uremia
topic heart failure
chronic kidney disease
monocyte
macrophage activation
nomogram
url https://www.explorationpub.com/uploads/Article/A101247/101247.pdf
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AT minghuisong associationbetweenaspecificmonocytesubsetandheartfailurewithpreservedejectionfractioninpatientswithuremia
AT luma associationbetweenaspecificmonocytesubsetandheartfailurewithpreservedejectionfractioninpatientswithuremia
AT yangyang associationbetweenaspecificmonocytesubsetandheartfailurewithpreservedejectionfractioninpatientswithuremia