Publications by authors named "Debby Ngo"

Aims: Proteomic profiling offers an expansive approach to biomarker discovery and mechanistic hypothesis generation for LV remodelling, a critical component of heart failure (HF). We sought to identify plasma proteins cross-sectionally associated with left ventricular (LV) size and geometry in a diverse population-based cohort without known cardiovascular disease (CVD).

Methods And Results: Among participants of the Multi-Ethnic Study of Atherosclerosis (MESA), we quantified plasma abundances of 1305 proteins using an aptamer-based platform at exam 1 (2000-2002) and exam 5 (2010-2011) and assessed LV structure by cardiac magnetic resonance (CMR) at the same time points.

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Rationale: Identification and validation of circulating biomarkers for lung function decline in COPD remains an unmet need.

Objective: Identify prognostic and dynamic plasma protein biomarkers of COPD progression.

Methods: We measured plasma proteins using SomaScan from two COPD-enriched cohorts, the Subpopulations and Intermediate Outcomes Measures in COPD Study (SPIROMICS) and Genetic Epidemiology of COPD (COPDGene), and one population-based cohort, Multi-Ethnic Study of Atherosclerosis (MESA) Lung.

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Novel therapies for chronic indeterminate Chagas disease (CICD) are needed, but trials are limited by the absence of tests to detect infection and early treatment efficacy. This perspective highlights the shortfalls and strengths of polymerase chain reaction (PCR) as a study endpoint for anti-parasitic drug development. Serologic reversion, the gold standard test of cure, may take decades to occur in adults and therefore is challenging as an endpoint for drug development.

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Although many novel gene-metabolite and gene-protein associations have been identified using high-throughput biochemical profiling, systematic studies that leverage human genetics to illuminate causal relationships between circulating proteins and metabolites are lacking. Here, we performed protein-metabolite association studies in 3,626 plasma samples from three human cohorts. We detected 171,800 significant protein-metabolite pairwise correlations between 1,265 proteins and 365 metabolites, including established relationships in metabolic and signaling pathways such as the protein thyroxine-binding globulin and the metabolite thyroxine, as well as thousands of new findings.

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Article Synopsis
  • * The study involved 6,722 participants (including both predominantly White and African American cohorts) to identify proteins associated with lung function, using advanced proteomic methods and spirometry data.
  • * Findings revealed 254 proteins linked to lung function, with 15 proteins associated with the decline in lung function over time, highlighting significant biological pathways like immune response and matrix remodeling.
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Privacy protection is a core principle of genomic but not proteomic research. We identified independent single nucleotide polymorphism (SNP) quantitative trait loci (pQTL) from COPDGene and Jackson Heart Study (JHS), calculated continuous protein level genotype probabilities, and then applied a naïve Bayesian approach to link SomaScan 1.3K proteomes to genomes for 2812 independent subjects from COPDGene, JHS, SubPopulations and InteRmediate Outcome Measures In COPD Study (SPIROMICS) and Multi-Ethnic Study of Atherosclerosis (MESA).

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Proteomics has been used to study type 2 diabetes, but the majority of available data are from White participants. Here, we extend prior work by analyzing a large cohort of self-identified African Americans in the Jackson Heart Study (n = 1,313). We found 325 proteins associated with incident diabetes after adjusting for age, sex, and sample batch (false discovery rate q < 0.

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Obstructive sleep apnea (OSA) is a common disorder characterized by recurrent episodes of upper airway obstruction during sleep resulting in oxygen desaturation and sleep fragmentation, and associated with increased risk of adverse health outcomes. Metabolites are being increasingly used for biomarker discovery and evaluation of disease processes and progression. Studying metabolomic associations with OSA in a diverse community-based cohort may provide insights into the pathophysiology of OSA.

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  • Brugada syndrome (BrS) is an inherited heart condition caused by mutations in the sodium channel gene, and a specific family was found to have a rare G145R variant in a different gene, TBX5, associated with BrS.* -
  • Researchers created induced pluripotent stem cells (iPSCs) from family members with the G145R variant and studied the resulting heart cells (iPSC-CMs) to analyze their electrical properties and gene expression differences, comparing them with edited versions using CRISPR technology.* -
  • The study found that the G145R variant leads to reduced gene activity and abnormal heart cell behavior, specifically affecting sodium currents, while correcting the mutation restored normal function; disruptions in
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Background: Racial differences in metabolomic profiles may reflect underlying differences in social determinants of health by self-reported race and may be related to racial disparities in coronary heart disease (CHD) among women in the United States. However, the magnitude of differences in metabolomic profiles between Black and White women in the United States has not been well-described. It also remains unknown whether such differences are related to differences in CHD risk.

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Nontargeted metabolomics methods have increased potential to identify new disease biomarkers, but assessments of the additive information provided in large human cohorts by these less biased techniques are limited. To diversify our knowledge of diabetes-associated metabolites, we leveraged a method that measures 305 targeted or "known" and 2,342 nontargeted or "unknown" compounds in fasting plasma samples from 2,750 participants (315 incident cases) in the Jackson Heart Study (JHS)-a community cohort of self-identified African Americans-who are underrepresented in omics studies. We found 307 unique compounds (82 known) associated with diabetes after adjusting for age and sex at a false discovery rate of <0.

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  • The study investigates the integration of genetic information with metabolomics to understand how genes influence metabolism, focusing specifically on a diverse population rather than just individuals of European ancestry.* -
  • Researchers conducted a whole genome association study involving 2,466 Black individuals, identifying 519 associations between genetic loci and metabolite peaks, many linked to ancestry-specific alleles.* -
  • By using advanced techniques like tandem mass spectrometry, the study also aims to provide insights into unknown metabolites and hereditary diseases related to the findings, such as transthyretin amyloidosis and sickle cell disease.*
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  • High-throughput proteomic profiling is increasingly used in human studies, but there is a lack of direct comparisons between antibody- and aptamer-based platforms.
  • The study evaluated the performance of three profiling techniques—SomaScan1.3K, SomaScan5K, and Olink Explore—on 787 participants across various performance domains like precision and accuracy.
  • Results indicated that the Olink platform showed better protein target specificity and phenotypic associations, while the Soma platforms excelled in measurement precision and broader analytical capabilities.
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Background: In the last decade, genomic studies have identified and replicated thousands of genetic associations with measures of health and disease and contributed to the understanding of the etiology of a variety of health conditions. Proteins are key biomarkers in clinical medicine and often drug-therapy targets. Like genomics, proteomics can advance our understanding of biology.

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The impact of gender on outcomes in patients suffering from coronavirus disease 2019 (COVID-19) is frequently debated. However, the synchronous influence of additional risk factors is seldom mentioned. With increasing emphasis on identifying patients who are at risk of complications from COVID-19, we decided to conduct a retrospective review to assess the influence of age and body mass index (BMI) on gender-based differences in outcomes.

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Importance: African American individuals have disproportionate rates of coronary heart disease (CHD) but lower levels of coronary artery calcium (CAC), a marker of subclinical CHD, than non-Hispanic White individuals. African American individuals may have distinct metabolite profiles associated with incident CHD risk compared with non-Hispanic White individuals, and examination of these differences could highlight important processes that differ between them.

Objectives: To identify novel biomarkers of incident CHD and CAC among African American individuals and to replicate incident CHD findings in a multiethnic cohort.

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Article Synopsis
  • The study explores the genetic factors influencing the plasma proteome, focusing on individuals with greater African ancestry, which improves the identification of novel genetic associations related to cardiovascular health.
  • Using advanced proteomic profiling and whole genome sequencing on a diverse group of Black adults, researchers discovered 569 genetic associations between proteins and distinct genetic regions, revealing new insights into cardiovascular mechanisms.
  • Key findings include novel locus-protein relationships implicating specific genes and variants in cardiovascular disease, highlighting potential connections between kidney and heart disease and suggesting new avenues for targeted treatment and research.
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Background: suPAR (Soluble urokinase plasminogen activator receptor) has emerged as an important biomarker of coagulation, inflammation, and cardiovascular disease (CVD) risk. The contribution of suPAR to CVD risk and its genetic influence in Black populations have not been evaluated.

Methods: We measured suPAR in 3492 Black adults from the prospective, community-based JHS (Jackson Heart Study).

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Background & Aims: Identifying fibrosis in non-alcoholic fatty liver disease (NAFLD) is essential to predict liver-related outcomes and guide treatment decisions. A protein-based signature of fibrosis could serve as a valuable, non-invasive diagnostic tool. This study sought to identify circulating proteins associated with fibrosis in NAFLD.

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  • A large-scale GWAS was conducted on leukocyte traits using data from 61,802 individuals of diverse backgrounds, focusing on over 109 million genetic variants.
  • The study identified 7 associations related to leukocyte counts, including a significant variant on chromosome X linked to lower eosinophil counts and variants prevalent in African Americans associated with monocyte and lymphocyte counts.
  • Findings suggest that the discovered eosinophil-lowering variant may reduce the risk of allergic diseases, indicating the importance of diverse samples in uncovering genetic associations often overlooked in studies focusing on European ancestry.
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Endothelial dysfunction accompanies the microvascular thrombosis commonly observed in severe COVID-19. Constitutively, the endothelial surface is anticoagulant, a property maintained at least in part via signaling through the Tie2 receptor. During inflammation, the Tie2 antagonist angiopoietin-2 (Angpt-2) is released from endothelial cells and inhibits Tie2, promoting a prothrombotic phenotypic shift.

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Profound endothelial dysfunction accompanies the microvascular thrombosis commonly observed in severe COVID-19. In the quiescent state, the endothelial surface is anticoagulant, a property maintained at least in part via constitutive signaling through the Tie2 receptor. During inflammation, the Tie2 antagonist angiopoietin-2 (Angpt-2) is released from activated endothelial cells and inhibits Tie2, promoting a prothrombotic phenotypic shift.

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Background: Increased left ventricular (LV) mass is associated with adverse cardiovascular events including heart failure (HF). Both increased LV mass and HF disproportionately affect Black individuals. To understand the underlying mechanisms, we undertook a proteomic screen in a Black cohort and compared the findings to results from a White cohort.

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Mechanisms underlying severe coronavirus disease 2019 (COVID-19) disease remain poorly understood. We analyze several thousand plasma proteins longitudinally in 306 COVID-19 patients and 78 symptomatic controls, uncovering immune and non-immune proteins linked to COVID-19. Deconvolution of our plasma proteome data using published scRNA-seq datasets reveals contributions from circulating immune and tissue cells.

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