Two independent proteomic approaches provide a comprehensive analysis of the synovial fluid proteome response to Autologous Chondrocyte Implantation

Abstract Background Autologous chondrocyte implantation (ACI) has a failure rate of approximately 20%, but it is yet to be fully understood why. Biomarkers are needed that can pre-operatively predict in which patients it is likely to fail, so that alternative or individualised therapies can be offer...

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Main Authors: Charlotte H. Hulme, Emma L. Wilson, Heidi R. Fuller, Sally Roberts, James B. Richardson, Pete Gallacher, Mandy J. Peffers, Sally L. Shirran, Catherine H. Botting, Karina T. Wright
Format: Article
Language:English
Published: BMC 2018-05-01
Series:Arthritis Research & Therapy
Subjects:
Online Access:http://link.springer.com/article/10.1186/s13075-018-1573-4
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author Charlotte H. Hulme
Emma L. Wilson
Heidi R. Fuller
Sally Roberts
James B. Richardson
Pete Gallacher
Mandy J. Peffers
Sally L. Shirran
Catherine H. Botting
Karina T. Wright
author_facet Charlotte H. Hulme
Emma L. Wilson
Heidi R. Fuller
Sally Roberts
James B. Richardson
Pete Gallacher
Mandy J. Peffers
Sally L. Shirran
Catherine H. Botting
Karina T. Wright
author_sort Charlotte H. Hulme
collection DOAJ
description Abstract Background Autologous chondrocyte implantation (ACI) has a failure rate of approximately 20%, but it is yet to be fully understood why. Biomarkers are needed that can pre-operatively predict in which patients it is likely to fail, so that alternative or individualised therapies can be offered. We previously used label-free quantitation (LF) with a dynamic range compression proteomic approach to assess the synovial fluid (SF) of ACI responders and non-responders. However, we were able to identify only a few differentially abundant proteins at baseline. In the present study, we built upon these previous findings by assessing higher-abundance proteins within this SF, providing a more global proteomic analysis on the basis of which more of the biology underlying ACI success or failure can be understood. Methods Isobaric tagging for relative and absolute quantitation (iTRAQ) proteomic analysis was used to assess SF from ACI responders (mean Lysholm improvement of 33; n = 14) and non-responders (mean Lysholm decrease of 14; n = 13) at the two stages of surgery (cartilage harvest and chondrocyte implantation). Differentially abundant proteins in iTRAQ and combined iTRAQ and LF datasets were investigated using pathway and network analyses. Results iTRAQ proteomic analysis confirmed our previous finding that there is a marked proteomic shift in response to cartilage harvest (70 and 54 proteins demonstrating ≥ 2.0-fold change and p < 0.05 between stages I and II in responders and non-responders, respectively). Further, it highlighted 28 proteins that were differentially abundant between responders and non-responders to ACI, which were not found in the LF study, 16 of which were altered at baseline. The differential expression of two proteins (complement C1s subcomponent and matrix metalloproteinase 3) was confirmed biochemically. Combination of the iTRAQ and LF proteomic datasets generated in-depth SF proteome information that was used to generate interactome networks representing ACI success or failure. Functional pathways that are dysregulated in ACI non-responders were identified, including acute-phase response signalling. Conclusions Several candidate biomarkers for baseline prediction of ACI outcome were identified. A holistic overview of the SF proteome in responders and non-responders to ACI  has been profiled, providing a better understanding of the biological pathways underlying clinical outcome, particularly the differential response to cartilage harvest in non-responders.
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spelling doaj.art-42be40ada3ed4d8b9a54fce0c43c0ef22022-12-21T20:04:07ZengBMCArthritis Research & Therapy1478-63622018-05-0120111710.1186/s13075-018-1573-4Two independent proteomic approaches provide a comprehensive analysis of the synovial fluid proteome response to Autologous Chondrocyte ImplantationCharlotte H. Hulme0Emma L. Wilson1Heidi R. Fuller2Sally Roberts3James B. Richardson4Pete Gallacher5Mandy J. Peffers6Sally L. Shirran7Catherine H. Botting8Karina T. Wright9Institute of Science and Technology in Medicine, Keele UniversityRobert Jones and Agnes Hunt Orthopaedic HospitalInstitute of Science and Technology in Medicine, Keele UniversityInstitute of Science and Technology in Medicine, Keele UniversityInstitute of Science and Technology in Medicine, Keele UniversityInstitute of Science and Technology in Medicine, Keele UniversityInstitute of Ageing and Chronic Disease, University of LiverpoolBSRC Mass Spectrometry and Proteomics Facility, University of St AndrewsBSRC Mass Spectrometry and Proteomics Facility, University of St AndrewsInstitute of Science and Technology in Medicine, Keele UniversityAbstract Background Autologous chondrocyte implantation (ACI) has a failure rate of approximately 20%, but it is yet to be fully understood why. Biomarkers are needed that can pre-operatively predict in which patients it is likely to fail, so that alternative or individualised therapies can be offered. We previously used label-free quantitation (LF) with a dynamic range compression proteomic approach to assess the synovial fluid (SF) of ACI responders and non-responders. However, we were able to identify only a few differentially abundant proteins at baseline. In the present study, we built upon these previous findings by assessing higher-abundance proteins within this SF, providing a more global proteomic analysis on the basis of which more of the biology underlying ACI success or failure can be understood. Methods Isobaric tagging for relative and absolute quantitation (iTRAQ) proteomic analysis was used to assess SF from ACI responders (mean Lysholm improvement of 33; n = 14) and non-responders (mean Lysholm decrease of 14; n = 13) at the two stages of surgery (cartilage harvest and chondrocyte implantation). Differentially abundant proteins in iTRAQ and combined iTRAQ and LF datasets were investigated using pathway and network analyses. Results iTRAQ proteomic analysis confirmed our previous finding that there is a marked proteomic shift in response to cartilage harvest (70 and 54 proteins demonstrating ≥ 2.0-fold change and p < 0.05 between stages I and II in responders and non-responders, respectively). Further, it highlighted 28 proteins that were differentially abundant between responders and non-responders to ACI, which were not found in the LF study, 16 of which were altered at baseline. The differential expression of two proteins (complement C1s subcomponent and matrix metalloproteinase 3) was confirmed biochemically. Combination of the iTRAQ and LF proteomic datasets generated in-depth SF proteome information that was used to generate interactome networks representing ACI success or failure. Functional pathways that are dysregulated in ACI non-responders were identified, including acute-phase response signalling. Conclusions Several candidate biomarkers for baseline prediction of ACI outcome were identified. A holistic overview of the SF proteome in responders and non-responders to ACI  has been profiled, providing a better understanding of the biological pathways underlying clinical outcome, particularly the differential response to cartilage harvest in non-responders.http://link.springer.com/article/10.1186/s13075-018-1573-4Autologous chondrocyte implantation (ACI)iTRAQ proteomicsLabel-free quantitation proteomicsSynovial fluidCartilage repairComplement C1S subcomponent
spellingShingle Charlotte H. Hulme
Emma L. Wilson
Heidi R. Fuller
Sally Roberts
James B. Richardson
Pete Gallacher
Mandy J. Peffers
Sally L. Shirran
Catherine H. Botting
Karina T. Wright
Two independent proteomic approaches provide a comprehensive analysis of the synovial fluid proteome response to Autologous Chondrocyte Implantation
Arthritis Research & Therapy
Autologous chondrocyte implantation (ACI)
iTRAQ proteomics
Label-free quantitation proteomics
Synovial fluid
Cartilage repair
Complement C1S subcomponent
title Two independent proteomic approaches provide a comprehensive analysis of the synovial fluid proteome response to Autologous Chondrocyte Implantation
title_full Two independent proteomic approaches provide a comprehensive analysis of the synovial fluid proteome response to Autologous Chondrocyte Implantation
title_fullStr Two independent proteomic approaches provide a comprehensive analysis of the synovial fluid proteome response to Autologous Chondrocyte Implantation
title_full_unstemmed Two independent proteomic approaches provide a comprehensive analysis of the synovial fluid proteome response to Autologous Chondrocyte Implantation
title_short Two independent proteomic approaches provide a comprehensive analysis of the synovial fluid proteome response to Autologous Chondrocyte Implantation
title_sort two independent proteomic approaches provide a comprehensive analysis of the synovial fluid proteome response to autologous chondrocyte implantation
topic Autologous chondrocyte implantation (ACI)
iTRAQ proteomics
Label-free quantitation proteomics
Synovial fluid
Cartilage repair
Complement C1S subcomponent
url http://link.springer.com/article/10.1186/s13075-018-1573-4
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