RT Journal Article T1 Modification of the Secretion Pattern of Proteases, Inflammatory Mediators, and Extracellular Matrix Proteins by Human Aortic Valve is Key in Severe Aortic Stenosis A1 Álvarez Llamas, Gloria A1 Martín Rojas, Tatiana A1 Cuesta, Fernando De La A1 Calvo, Enrique A1 Gil Dones, Félix A1 Dardé, Veronica A1 López Almodovar, Luis A1 Padial, Luis A1 Lopez, Juan Antonio A1 Vivanco Martínez, Fernando A1 Barderas, Maria AB One of the major challenges in cardiovascular medicine is to identify candidate biomarker proteins. Secretome analysis is particularly relevant in this search as it focuses on a subset of proteins released by a cell or tissue under certain conditions. The sample can be considered as a plasma subproteome and it provides a more direct approximation to the in vivo situation. Degenerative aortic stenosis is the most common worldwide cause of valve replacement. Using a proteomic analysis of the secretome from aortic stenosis valves we could identify candidate markers related to this pathology, which may facilitate early diagnosis and treatment. For this purpose, we have designed a method to validate the origin of secreted proteins, demonstrating their synthesis and release by the tissue and ruling out blood origin. The nLC-MS/MS analysis showed the labeling of 61 proteins, 82% of which incorporated the label in only one group. Western blot and selective reaction monitoring differential analysis, revealed a notable role of the extracellular matrix. Variation in particular proteins such as PEDF, cystatin and clusterin emphasizes the link between aortic stenosis and atherosclerosis. In particular, certain proteins variation in secretome levels correlates well, not only with label incorporation trend (only labeled in aortic stenosis group) but, more importantly, with alterations found in plasma from an independent cohort of samples, pointing to specific candidate markers to follow up in diagnosis, prognosis, and therapeutic intervention. PB Elsevier SN 1535-9484 YR 2013 FD 2013 LK https://hdl.handle.net/20.500.14352/94701 UL https://hdl.handle.net/20.500.14352/94701 LA eng NO Álvarez Llamas, G., Martín Rojas, T., Cuesta, F. et al. «Modification of the Secretion Pattern of Proteases, Inflammatory Mediators, and Extracellular Matrix Proteins by Human Aortic Valve Is Key in Severe Aortic Stenosis». Molecular & Cellular Proteomics, vol. 12, n.o 9, septiembre de 2013, pp. 2426-39. DOI.org (Crossref), https://doi.org/10.1074/mcp.M113.027425. NO This work was supported by grants from the Instituto de Salud Carlos III (FISPI070537, FISPI080970, FISPI080920, RD07/0064/0023, PI11/02239, PI11/01401, CP09/00229), Fondo de Investigación Sanitaria de Castilla la Mancha (FISCAM, PI2008/08; FISCAMPI2008/28) and Redes Temáticas de Investigación Cooperativa (FONDOS FEDER,RD06/0014/1015,RD12/0042/ 0071),CNIC. NO Instituto de Salud Carlos III NO European Commission NO Junta de Comunidades de Castilla-La Mancha DS Docta Complutense RD 29 abr 2025