Quantitative Plasma Proteomics to Identify Candidate Biomarkers of Relapse in Pediatric/Adolescent Hodgkin Lymphoma

Classical pediatric Hodgkin Lymphoma (HL) is a rare malignancy. Therapeutic regimens for its management may be optimized by establishing treatment response early on. The aim of this study was to identify plasma protein biomarkers enabling the prediction of relapse in pediatric/adolescent HL patients...

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Main Authors: Ombretta Repetto, Laura Caggiari, Mariangela De Zorzi, Caterina Elia, Lara Mussolin, Salvatore Buffardi, Marta Pillon, Paola Muggeo, Tommaso Casini, Agostino Steffan, Christine Mauz-Körholz, Maurizio Mascarin, Valli De Re
Format: Article
Language:English
Published: MDPI AG 2022-08-01
Series:International Journal of Molecular Sciences
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Online Access:https://www.mdpi.com/1422-0067/23/17/9911
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author Ombretta Repetto
Laura Caggiari
Mariangela De Zorzi
Caterina Elia
Lara Mussolin
Salvatore Buffardi
Marta Pillon
Paola Muggeo
Tommaso Casini
Agostino Steffan
Christine Mauz-Körholz
Maurizio Mascarin
Valli De Re
author_facet Ombretta Repetto
Laura Caggiari
Mariangela De Zorzi
Caterina Elia
Lara Mussolin
Salvatore Buffardi
Marta Pillon
Paola Muggeo
Tommaso Casini
Agostino Steffan
Christine Mauz-Körholz
Maurizio Mascarin
Valli De Re
author_sort Ombretta Repetto
collection DOAJ
description Classical pediatric Hodgkin Lymphoma (HL) is a rare malignancy. Therapeutic regimens for its management may be optimized by establishing treatment response early on. The aim of this study was to identify plasma protein biomarkers enabling the prediction of relapse in pediatric/adolescent HL patients treated under the pediatric EuroNet-PHL-C2 trial. We used untargeted liquid chromatography-tandem mass spectrometry (LC-MS/MS)-based proteomics at the time of diagnosis—before any therapy—as semiquantitative method to profile plasma proteins specifically associated with relapse in 42 children with nodular sclerosing HL. In both the exploratory and the validation cohorts, six proteins (apolipoprotein E, C4b-binding protein α chain, clusterin, fibrinogen γ chain, prothrombin, and vitronectin) were more abundant in the plasma of patients whose HL relapsed (|fold change| ≥ 1.2, <i>p</i> < 0.05, Student’s <i>t</i>-test). Predicting protein function with the Gene Ontology classification model, the proteins were included in four biological processes (<i>p</i> < 0.01). Using immunoblotting and Luminex assays, we validated two of these candidate biomarkers—C4b-binding protein α chain and clusterin—linked to innate immune response function (GO:0045087). This study identified C4b-binding protein α chain and clusterin as candidate early plasma biomarkers of HL relapse, and important for the purpose of shedding light on the molecular scenario associated with immune response in patients treated under the EuroNet-PHL-C2 trial.
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spelling doaj.art-07478dd0b1da4fb89b631d282e6528632023-11-23T13:19:20ZengMDPI AGInternational Journal of Molecular Sciences1661-65961422-00672022-08-012317991110.3390/ijms23179911Quantitative Plasma Proteomics to Identify Candidate Biomarkers of Relapse in Pediatric/Adolescent Hodgkin LymphomaOmbretta Repetto0Laura Caggiari1Mariangela De Zorzi2Caterina Elia3Lara Mussolin4Salvatore Buffardi5Marta Pillon6Paola Muggeo7Tommaso Casini8Agostino Steffan9Christine Mauz-Körholz10Maurizio Mascarin11Valli De Re12Facility of Bio-Proteomics, Immunopathology and Cancer Biomarkers, CRO Aviano, National Cancer Institute, IRCCS, 33081 Aviano, ItalyFacility of Bio-Proteomics, Immunopathology and Cancer Biomarkers, CRO Aviano, National Cancer Institute, IRCCS, 33081 Aviano, ItalyFacility of Bio-Proteomics, Immunopathology and Cancer Biomarkers, CRO Aviano, National Cancer Institute, IRCCS, 33081 Aviano, ItalyAYA Oncology and Pediatric Radiotherapy Unit, CRO Aviano, National Cancer Institute, IRCCS, 33081 Aviano, ItalyIstituto di Ricerca Pediatrica Città della Speranza, 35127 Padova, ItalyDepartment of Pediatric Hemato-Oncology, Santobono-Pausilipon Children’s Hospital, 80123 Napoli, ItalyPediatric Hematology, Oncology and Stem Cell Transplant Division, Padova University Hospital, 35128 Padova, ItalyDepartment of Pediatric Hemato-Oncology, University Hospital of Policlinico, 70124 Bari, ItalyDivision of Pediatric Oncology/Hematology, Meyer University Children’s Hospital, Via Gaetano Pieraccini 24, 50139 Florence, ItalyFacility of Bio-Proteomics, Immunopathology and Cancer Biomarkers, CRO Aviano, National Cancer Institute, IRCCS, 33081 Aviano, ItalyDepartment of Pediatric Oncology, Zentrum für Kinderheilkunde der Justus-Liebig-Universität Gießen, UKGM Standort Gießen, 35392 Giessen, GermanyAYA Oncology and Pediatric Radiotherapy Unit, CRO Aviano, National Cancer Institute, IRCCS, 33081 Aviano, ItalyFacility of Bio-Proteomics, Immunopathology and Cancer Biomarkers, CRO Aviano, National Cancer Institute, IRCCS, 33081 Aviano, ItalyClassical pediatric Hodgkin Lymphoma (HL) is a rare malignancy. Therapeutic regimens for its management may be optimized by establishing treatment response early on. The aim of this study was to identify plasma protein biomarkers enabling the prediction of relapse in pediatric/adolescent HL patients treated under the pediatric EuroNet-PHL-C2 trial. We used untargeted liquid chromatography-tandem mass spectrometry (LC-MS/MS)-based proteomics at the time of diagnosis—before any therapy—as semiquantitative method to profile plasma proteins specifically associated with relapse in 42 children with nodular sclerosing HL. In both the exploratory and the validation cohorts, six proteins (apolipoprotein E, C4b-binding protein α chain, clusterin, fibrinogen γ chain, prothrombin, and vitronectin) were more abundant in the plasma of patients whose HL relapsed (|fold change| ≥ 1.2, <i>p</i> < 0.05, Student’s <i>t</i>-test). Predicting protein function with the Gene Ontology classification model, the proteins were included in four biological processes (<i>p</i> < 0.01). Using immunoblotting and Luminex assays, we validated two of these candidate biomarkers—C4b-binding protein α chain and clusterin—linked to innate immune response function (GO:0045087). This study identified C4b-binding protein α chain and clusterin as candidate early plasma biomarkers of HL relapse, and important for the purpose of shedding light on the molecular scenario associated with immune response in patients treated under the EuroNet-PHL-C2 trial.https://www.mdpi.com/1422-0067/23/17/9911biomarkerlabel-free quantificationmass spectrometrypediatric Hodgkin Lymphomaproteomicsrelapse
spellingShingle Ombretta Repetto
Laura Caggiari
Mariangela De Zorzi
Caterina Elia
Lara Mussolin
Salvatore Buffardi
Marta Pillon
Paola Muggeo
Tommaso Casini
Agostino Steffan
Christine Mauz-Körholz
Maurizio Mascarin
Valli De Re
Quantitative Plasma Proteomics to Identify Candidate Biomarkers of Relapse in Pediatric/Adolescent Hodgkin Lymphoma
International Journal of Molecular Sciences
biomarker
label-free quantification
mass spectrometry
pediatric Hodgkin Lymphoma
proteomics
relapse
title Quantitative Plasma Proteomics to Identify Candidate Biomarkers of Relapse in Pediatric/Adolescent Hodgkin Lymphoma
title_full Quantitative Plasma Proteomics to Identify Candidate Biomarkers of Relapse in Pediatric/Adolescent Hodgkin Lymphoma
title_fullStr Quantitative Plasma Proteomics to Identify Candidate Biomarkers of Relapse in Pediatric/Adolescent Hodgkin Lymphoma
title_full_unstemmed Quantitative Plasma Proteomics to Identify Candidate Biomarkers of Relapse in Pediatric/Adolescent Hodgkin Lymphoma
title_short Quantitative Plasma Proteomics to Identify Candidate Biomarkers of Relapse in Pediatric/Adolescent Hodgkin Lymphoma
title_sort quantitative plasma proteomics to identify candidate biomarkers of relapse in pediatric adolescent hodgkin lymphoma
topic biomarker
label-free quantification
mass spectrometry
pediatric Hodgkin Lymphoma
proteomics
relapse
url https://www.mdpi.com/1422-0067/23/17/9911
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