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pmid:33240201

Machine Learning Analysis of the Cerebrovascular Thrombi Proteome in Human Ischemic Stroke: An Exploratory Study.

Cyril Dargazanli · Emma Zub · Jeremy Deverdun · Mathilde Decourcelle · Frédéric de Bock · Julien Labreuche · Pierre-Henri Lefèvre · Grégory Gascou · Imad Derraz · Carlos Riquelme Bareiro · Federico Cagnazzo · Alain Bonafé · Philippe Marin · Vincent Costalat · Nicola Marchi

Frontiers in neurology · 2020 doi:10.3389/fneur.2020.575376

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pmid:33240201
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2026-11-01T15:41:17Z
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title
Machine Learning Analysis of the Cerebrovascular Thrombi Proteome in Human Ischemic Stroke: An Exploratory Study.
doi
10.3389/fneur.2020.575376
pmid
33240201
authors array · 15 items
[0]
Cyril Dargazanli
[1]
Emma Zub
[2]
Jeremy Deverdun
[3]
Mathilde Decourcelle
[4]
Frédéric de Bock
[5]
Julien Labreuche
[6]
Pierre-Henri Lefèvre
[7]
Grégory Gascou
[8]
Imad Derraz
[9]
Carlos Riquelme Bareiro
[10]
Federico Cagnazzo
[11]
Alain Bonafé
[12]
Philippe Marin
[13]
Vincent Costalat
[14]
Nicola Marchi
journal
Frontiers in neurology
year
2020
abstract
Objective: Mechanical retrieval of thrombotic material from acute ischemic stroke patients provides a unique entry point for translational research investigations. Here, we resolved the proteomes of cardioembolic and atherothrombotic cerebrovascular human thrombi and applied an artificial intelligence routine to examine protein signatures between the two selected groups. Methods: We specifically used n = 32 cardioembolic and n = 28 atherothrombotic diagnosed thrombi from patients suffering from acute stroke and treated by mechanical thrombectomy. Thrombi proteins were successfully separated by gel-electrophoresis. For each thrombi, peptide samples were analyzed by nano-flow liquid chromatography coupled to tandem mass spectrometry (nano-LC-MS/MS) to obtain specific proteomes. Relative protein quantification was performed using a label-free LFQ algorithm and all dataset were analyzed using a support-vector-machine (SVM) learning method. Data are available via ProteomeXchange with identifier PXD020398. Clinical data were also analyzed using SVM, alone or in combination with the proteomes. Results: A total of 2,455 proteins were identified by nano-LC-MS/MS in the samples analyzed, with 438 proteins constantly detected in all samples. SVM analysis of LFQ proteomic data delivered combinations of three proteins achieving a maximum of 88.3% for correct classification of the cardioembolic and atherothrombotic samples in our cohort. The coagulation factor XIII appeared in all of the SVM protein trios, associating with cardioembolic thrombi. A combined SVM analysis of the LFQ proteome and clinical data did not deliver a better discriminatory score as compared to the proteome only. Conclusion: Our results advance the portrayal of the human cerebrovascular thrombi proteome. The exploratory SVM analysis outlined sets of proteins for a proof-of-principle characterization of our cohort cardioembolic and atherothrombotic samples. The integrated analysis proposed herein could be further developed and retested on a larger patients population to better understand stroke origin and the associated cerebrovascular pathophysiology.
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A support-vector machine (SVM) approach was implemented using MATLAB (r2018a, MathWorks, Natick, MA, USA). The mass spectrometry proteomics data have been deposited to the ProteomeXchange Consortium via the PRIDE [1] partner repository with the dataset identifier PXD020398.
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sections[9] "Data Analysis" paragraph 4
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A support-vector machine (SVM) approach was implemented using MATLAB (r2018a, MathWorks, Natick, MA, USA).
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sections[20] "Data Availability Statement" paragraph 2
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The mass spectrometry proteomics data have been deposited to the ProteomeXchange Consortium via the PRIDE [1] partner repository with the dataset identifier PXD020398.
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The mass spectrometry proteomics data have been deposited to the ProteomeXchange Consortium via the PRIDE [1] partner repository with the dataset identifier PXD020398.
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sections[20] "Data Availability Statement" paragraph 2
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The mass spectrometry proteomics data have been deposited to the ProteomeXchange Consortium via the PRIDE [1] partner repository with the dataset identifier PXD020398.
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Support-vector-machine learning analysis of the human cerebrovascular thrombi proteome: an exploratory study
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Patients data, Treatment Characteristics, Complications, and Outcomes according to stroke etiology.
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Patient Characteristics
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Table 1
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Patients data, Treatment Characteristics, Complications, and Outcomes according to stroke etiology.
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[1]
Cardioembolic (n = 32)
[2]
Atherothrombotic (n = 28)
[3]
P-Values
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[0]
Age, years
[1]
79.5 (72.0–85.5)
[2]
67.5 (57.5–77.5)
[3]
0.005
[2] array · 4 items
[0]
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[1]
18/32 (56.3)
[2]
20/28 (71.4)
[3]
0.22
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[0]
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[4] array · 4 items
[0]
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[1]
16/32 (50.0)
[2]
20/28 (71.4)
[3]
0.091
[5] array · 4 items
[0]
Diabetes
[1]
6/32 (18.8)
[2]
3/28 (10.7)
[3]
0.48
[6] array · 4 items
[0]
Hypercholesterolemia
[1]
10/32 (31.3)
[2]
8/28 (28.6)
[3]
0.82
[7] array · 4 items
[0]
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[1]
6/32 (18.8)
[2]
10/28 (35.7)
[3]
0.14
[8] array · 4 items
[0]
Alcohol abuse
[1]
3/32 (9.4)
[2]
4/28 (14.3)
[3]
0.70
[9] array · 4 items
[0]
Coronary artery disease/Myocardial Infarction
[1]
5/32 (15.6)
[2]
3/28 (10.7)
[3]
0.71
[10] array · 4 items
[0]
Previous stroke or TIA
[1]
8/32 (25.0)
[2]
2/28 (7.1)
[3]
0.088
[11] array · 4 items
[0]
Cardiac failure
[1]
6/32 (18.8)
[2]
0/28 (0.0)
[3]
0.047
[12] array · 4 items
[0]
Coronary stent
[1]
1/32 (3.1)
[2]
1/28 (3.6)
[3]
NA
[13] array · 4 items
[0]
Coronary bypass
[1]
1/32 (3.1)
[2]
1/28 (3.6)
[3]
NA
[14] array · 4 items
[0]
Carotid endarterectomy
[1]
0/32 (0.0)
[2]
0/28 (0.0)
[3]
NA
[15] array · 4 items
[0]
Atrial fibrillation
[1]
20/32 (62.5)
[2]
1/28 (3.6)
[3]
<0.001
[16] array · 4 items
[0]
Previous antithrombotic medications
[1]
20/32 (62.5)
[2]
11/28 (39.3)
[3]
0.073
[17] array · 4 items
[0]
Aspirin
[1]
10/32 (31.3)
[2]
8/28 (28.6)
[3]
0.82
[18] array · 4 items
[0]
Clopidogrel
[1]
1/32 (3.1)
[2]
2/28 (14.3)
[3]
NA
[19] array · 4 items
[0]
Vitamin K Antagonist
[1]
7/32 (21.9)
[2]
0/28 (0.0)
[3]
0.0110
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[0]
New oral anticoagulant
[1]
3/32 (9.4)
[2]
0/28 (0.0)
[3]
NA
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[0]
Current stroke event
[22] array · 4 items
[0]
Systolic blood pressure, mmHg
[1]
136 (111–151)
[2]
152 (139–170)
[3]
0.006
[23] array · 4 items
[0]
Diastolic blood pressure, mmHg
[1]
80 (65–90)
[2]
90 (76–96)
[3]
0.033
[24] array · 4 items
[0]
Heart rate
[1]
76 (64–90)
[2]
80 (70–96)
[3]
0.51
[25] array · 4 items
[0]
Weight, kg
[1]
71 (60–81)
[2]
79 (64–88)
[3]
0.18
[26] array · 4 items
[0]
Body Mass Index
[1]
24.4 (23.0–27.7)
[2]
26.0 (23.5–30.2)
[3]
0.23
[27] array · 4 items
[0]
Glycemia, mmol/L
[1]
6.8 (6.2–7.5)
[2]
6.8 (5.7–8.1)
[3]
0.77
[28] array · 4 items
[0]
NIHSS score
[1]
19 (10–24)
[2]
19 (14–23)
[3]
0.85
[29] array · 4 items
[0]
Pre-stroke mRS≥1
[1]
6/32 (18.8)
[2]
2/28 (7.1)
[3]
0.26
[30] array · 4 items
[0]
ASPECTS
[1]
8 (6–10)
[2]
8 (7–9)
[3]
0.84
[31] array · 1 item
[0]
Site of occlusion
[32] array · 4 items
[0]
MCA (M1 or M2)
[1]
18/32 (56.3)
[2]
2/28 (7.1)
[3]
<0.001
[33] array · 4 items
[0]
Intracranial ICA
[1]
11/32 (34.4)
[2]
1/28 (3.6)
[3]
[34] array · 4 items
[0]
Tandem
[1]
1/32 (3.1)
[2]
24/28 (85.7)
[3]
[35] array · 4 items
[0]
Basilar artery
[1]
1/32 (3.1)
[2]
0/28 (0.0)
[3]
[36] array · 4 items
[0]
Cervical ICA
[1]
1/32 (3.1)
[2]
1/28 (3.6)
[3]
[37] array · 1 item
[0]
Complete blood count
[38] array · 4 items
[0]
Hemoglobin
[1]
13.5 (12.4–14.9)
[2]
13.8 (12.8–14.7)
[3]
0.65
[39] array · 4 items
[0]
Platelets
[1]
203 (177–237)
[2]
250 (212–301)
[3]
0.011
[40] array · 4 items
[0]
White cells
[1]
8.9 (6.6–12.0)
[2]
10.3 (8.5–11.6)
[3]
0.15
[41] array · 1 item
[0]
Treatment characteristics
[42] array · 4 items
[0]
Intravenous rt-PA
[1]
13/32 (40.6)
[2]
15/28 (53.6)
[3]
0.32
[43] array · 4 items
[0]
General anesthesia
[1]
9/32 (28.1)
[2]
15/28 (53.6)
[3]
0.45
[44] array · 4 items
[0]
Onset to groin puncture time, min
[1]
173 (147–327)
[2]
289 (184–693)
[3]
0.034
[45] array · 4 items
[0]
Onset to Intravenous rt-PA, min
[1]
130 (110–180)
[2]
130 (105–180)
[3]
0.58
[46] array · 4 items
[0]
Total number of passes
[1]
1 (1–2)
[2]
1 (1–2)
[3]
0.55
[47] array · 4 items
[0]
Reperfusion success
[1]
29/32 (90.6)
[2]
28/28 (100.0)
[3]
NA
[48] array · 4 items
[0]
Groin puncture to reperfusion, min
[1]
40 (31–59)
[2]
72 (50–97)
[3]
0.002
[49] array · 1 item
[0]
Adverse events
[50] array · 4 items
[0]
Per-procedural complication
[1]
1/20 (5.0)
[2]
3/20 (15.0)
[3]
NA
[51] array · 4 items
[0]
Any ICH
[1]
12/32 (37.5)
[2]
11/28 (39.3)
[3]
0.89
[52] array · 4 items
[0]
PH or symptomatic ICH
[1]
0/32 (0.0)
[2]
0/32 (0.0)
[3]
NA
[53] array · 1 item
[0]
Functional outcome
[54] array · 4 items
[0]
Favorable outcome (mRS 0–2)
[1]
10/32 (31)
[2]
14/28 (50)
[3]
0.14
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SVM protein trios allowing 88.3% accuracy of correct classification of cardioembolic and atherothrombotic thrombi.
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PMC7678741
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13
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Exploring the Use of Support-Vector-Machine Learning to Analyse the Thrombi Proteome
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Table 2
caption
SVM protein trios allowing 88.3% accuracy of correct classification of cardioembolic and atherothrombotic thrombi.
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Trio combinations
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Proteins
[2]
Protein function (40)
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[1]
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[2]
Catalyzes the last step of the coagulation cascade by crosslinking fibrin fibers
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0.0439
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[2]
Binds to activated CDC42 and RAC1. Associates with calmodulin
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0.1326
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Catalyzes the last step of the coagulation cascade by crosslinking fibrin fibers
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Binds to the fast-growing ends of actin filaments in a Ca2+ independent manner
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0.1752
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[1]
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[2]
Calcium/calmodulin-dependent kinase implicated in smooth muscle contraction via phosphorylation of myosin light chains
[3]
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3
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Catalyzes the last step of the coagulation cascade by crosslinking fibrin fibers
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Filament-forming cytoskeletal GTPase. Required for normal organization of the actin cytoskeleton
[3]
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Membrane-cytoskeleton-associated protein that promotes the assembly of the spectrin-actin network.
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LFQ (log2 transformed) of single proteins enriched in cardioembolic as compared to atherothrombotic thrombi.
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PMC7678741
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Testing Proteome Using LFQ Statistics
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Table 3
caption
LFQ (log2 transformed) of single proteins enriched in cardioembolic as compared to atherothrombotic thrombi.
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Gene
[1]
Uniprot Identification (40)
[2]
Protein name
[3]
Main known protein function (40)
[4]
Subcellular Location
[5]
Student's T-test Difference Log2 LFQ intensity Atheroma_Log2 LFQ intensity Cardioembolic
[6]
-log P-value
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SLC25A11
[1]
Q02978
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Mitochondrial 2-oxoglutarate/malate carrier protein
[3]
Catalyzes the transport of 2-oxoglutarate at mitochondrial membrane
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Mitochondrion
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−1.278498
[6]
1.94
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APOE
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P02649
[2]
Apolipoprotein E
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Lipid transport between organs via the plasma and interstitial fluids
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Extracellular
[5]
−1.34310437
[6]
1.69
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PHB
[1]
P35232
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Prohibitin
[3]
Inhibits DNA synthesis
[4]
Mitochondrion
[5]
−1.1333107
[6]
2.46
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ATP5A1
[1]
P25705
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ATP synthase subunit alpha
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Mitochondrion, plasma membrane
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−1.1749357
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1.93
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quote
A support-vector machine (SVM) approach was implemented using MATLAB (r2018a, MathWorks, Natick, MA, USA). The mass spectrometry proteomics data have been deposited to the ProteomeXchange Consortium via the PRIDE [1] partner repository with the dataset identifier PXD020398.
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flow liquid chromatography coupled to tandem mass spectrometry (nano-LC-MS/MS) to obtain specific proteomes
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hy coupled to tandem mass spectrometry (nano-LC-MS/MS) to obtain specific proteomes. Relative prot
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al of 2,455 proteins were identified by nano-LC-MS/MS in the samples analyzed, with 438 proteins c
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the hemoglobin band excised (Figures 1 A–F). Mass spectrometry analysis identified a total of 2,455 protein
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A support-vector machine (SVM) approach was implemented using MATLAB (r2018a, MathWorks, Natick, MA, USA). The mass spectrometry proteomics data have been deposited to the ProteomeXchange Consortium via the PRIDE [1] partner repository with the dataset identifier PXD020398.
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{"sci_version": "1.2", "schema": "https://corpus.bntrg.co.uk/sci/1.0/sci.schema.json", "id": "pmid:33240201", "kind": "science-record", "revision": 8, "content_hash": "sha256:297fcca16039135ca02983e3bbd5bbb3ad0029393d54321f9aacb7228d61d248", "created_at": "2026-11-01T15:41:17Z", "updated_at": "2026-11-01T22:45:41Z", "generator": {"name": "corpus-assay-engine", "run_id": "reading-sci-2026-11-01"}, "paper": {"state": "complete", "title": "Machine Learning Analysis of the Cerebrovascular Thrombi Proteome in Human Ischemic Stroke: An Exploratory Study.", "doi": "10.3389/fneur.2020.575376", "pmid": "33240201", "authors": ["Cyril Dargazanli", "Emma Zub", "Jeremy Deverdun", "Mathilde Decourcelle", "Frédéric de Bock", "Julien Labreuche", "Pierre-Henri Lefèvre", "Grégory Gascou", "Imad Derraz", "Carlos Riquelme Bareiro", "Federico Cagnazzo", "Alain Bonafé", "Philippe Marin", "Vincent Costalat", "Nicola Marchi"], "journal": "Frontiers in neurology", "year": 2020, "abstract": "Objective: Mechanical retrieval of thrombotic material from acute ischemic stroke patients provides a unique entry point for translational research investigations. Here, we resolved the proteomes of cardioembolic and atherothrombotic cerebrovascular human thrombi and applied an artificial intelligence routine to examine protein signatures between the two selected groups. Methods: We specifically used n = 32 cardioembolic and n = 28 atherothrombotic diagnosed thrombi from patients suffering from acute stroke and treated by mechanical thrombectomy. Thrombi proteins were successfully separated by gel-electrophoresis. For each thrombi, peptide samples were analyzed by nano-flow liquid chromatography coupled to tandem mass spectrometry (nano-LC-MS/MS) to obtain specific proteomes. Relative protein quantification was performed using a label-free LFQ algorithm and all dataset were analyzed using a support-vector-machine (SVM) learning method. Data are available via ProteomeXchange with identifier PXD020398. Clinical data were also analyzed using SVM, alone or in combination with the proteomes. Results: A total of 2,455 proteins were identified by nano-LC-MS/MS in the samples analyzed, with 438 proteins constantly detected in all samples. SVM analysis of LFQ proteomic data delivered combinations of three proteins achieving a maximum of 88.3% for correct classification of the cardioembolic and atherothrombotic samples in our cohort. The coagulation factor XIII appeared in all of the SVM protein trios, associating with cardioembolic thrombi. A combined SVM analysis of the LFQ proteome and clinical data did not deliver a better discriminatory score as compared to the proteome only. Conclusion: Our results advance the portrayal of the human cerebrovascular thrombi proteome. The exploratory SVM analysis outlined sets of proteins for a proof-of-principle characterization of our cohort cardioembolic and atherothrombotic samples. The integrated analysis proposed herein could be further developed and retested on a larger patients population to better understand stroke origin and the associated cerebrovascular pathophysiology.", "claims": [{"id": "claim-method", "statement": "A support-vector machine (SVM) approach was implemented using MATLAB (r2018a, MathWorks, Natick, MA, USA). 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