“…Indeed, while research has shown that hyperinsulinemia mediates pathologic angiogenesis through the proliferative actions of the ERK MAPK pathway ( 42 , 43 ), chronically elevated levels of insulin may also trigger the expression of EPDR1 and potentially many others through the endoglin/ALK1/Smad1/5 signaling axis. For instance, chondroitin sulfate synthase 2 ( 44 , 45 ) and prostaglandin F2 receptor-associated protein ( 46 , 47 , 48 ) are two of the top hits ranked higher than EPDR1, whereas others, including osteopontin ( 49 , 50 ) and platelet-derived growth factor receptor beta ( 51 , 52 ), represent promising candidates ranked slightly lower based on several parameters including fold changes over negative control and unique peptide counts identified ( Fig. S3 B ).…”