Biological Variation in Peripheral Inflammation and Oxidative Stress Biomarkers in Individuals with Gaucher Disease

The lack of reliable biomarkers is a significant challenge impeding progress in orphan drug development. For appropriate interpretation of intervention-based results or for evaluating candidate biomarkers, other things being equal, lower variability in biomarker measurement would be helpful. However...

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Main Authors: Siddhee A. Sahasrabudhe, Marcia R. Terluk, Kyle D. Rudser, James C. Cloyd, Reena V. Kartha
Format: Article
Language:English
Published: MDPI AG 2022-08-01
Series:International Journal of Molecular Sciences
Subjects:
Online Access:https://www.mdpi.com/1422-0067/23/16/9189
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author Siddhee A. Sahasrabudhe
Marcia R. Terluk
Kyle D. Rudser
James C. Cloyd
Reena V. Kartha
author_facet Siddhee A. Sahasrabudhe
Marcia R. Terluk
Kyle D. Rudser
James C. Cloyd
Reena V. Kartha
author_sort Siddhee A. Sahasrabudhe
collection DOAJ
description The lack of reliable biomarkers is a significant challenge impeding progress in orphan drug development. For appropriate interpretation of intervention-based results or for evaluating candidate biomarkers, other things being equal, lower variability in biomarker measurement would be helpful. However, variability in rare disease biomarkers is often poorly understood. Type 1 Gaucher disease (GD1) is one such rare lysosomal storage disorder. Oxidative stress and inflammation have been linked to the pathophysiology of GD1 and validated measures of these processes can provide predictive value for treatment success or disease progression. This study was undertaken to investigate and compare the extent of longitudinal biological variation over a three-month period for various blood-based oxidative stress and inflammation markers in participants with GD1 on stable standard-of-care therapy (N = 13), treatment-naïve participants with GD1 (N = 5), and in age- and gender-matched healthy volunteers (N = 18). We utilized Bland–Altman plots for visual comparison of the biological variability among the three measurements. We also report group-wise means and the percentage of coefficient of variation (%CV) for 15 biomarkers. Qualitatively, we show specific markers (IL-1Ra, IL-8, and MIP-1b) to be consistently altered in GD1, irrespective of therapy status, highlighting the need for adjunctive therapies that can target and modulate these biomarkers. This information can help guide the selection of candidate biomarkers for future intervention-based studies in GD1 patients.
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spelling doaj.art-a64d582ef8a54fd0a7be51fd73756cd42023-12-03T13:48:56ZengMDPI AGInternational Journal of Molecular Sciences1661-65961422-00672022-08-012316918910.3390/ijms23169189Biological Variation in Peripheral Inflammation and Oxidative Stress Biomarkers in Individuals with Gaucher DiseaseSiddhee A. Sahasrabudhe0Marcia R. Terluk1Kyle D. Rudser2James C. Cloyd3Reena V. Kartha4Center for Orphan Drug Research, Department of Experimental and Clinical Pharmacology, College of Pharmacy, University of Minnesota, Minneapolis, MN 55455, USACenter for Orphan Drug Research, Department of Experimental and Clinical Pharmacology, College of Pharmacy, University of Minnesota, Minneapolis, MN 55455, USADivision of Biostatistics, School of Public Health, University of Minnesota, Minneapolis, MN 55454, USACenter for Orphan Drug Research, Department of Experimental and Clinical Pharmacology, College of Pharmacy, University of Minnesota, Minneapolis, MN 55455, USACenter for Orphan Drug Research, Department of Experimental and Clinical Pharmacology, College of Pharmacy, University of Minnesota, Minneapolis, MN 55455, USAThe lack of reliable biomarkers is a significant challenge impeding progress in orphan drug development. For appropriate interpretation of intervention-based results or for evaluating candidate biomarkers, other things being equal, lower variability in biomarker measurement would be helpful. However, variability in rare disease biomarkers is often poorly understood. Type 1 Gaucher disease (GD1) is one such rare lysosomal storage disorder. Oxidative stress and inflammation have been linked to the pathophysiology of GD1 and validated measures of these processes can provide predictive value for treatment success or disease progression. This study was undertaken to investigate and compare the extent of longitudinal biological variation over a three-month period for various blood-based oxidative stress and inflammation markers in participants with GD1 on stable standard-of-care therapy (N = 13), treatment-naïve participants with GD1 (N = 5), and in age- and gender-matched healthy volunteers (N = 18). We utilized Bland–Altman plots for visual comparison of the biological variability among the three measurements. We also report group-wise means and the percentage of coefficient of variation (%CV) for 15 biomarkers. Qualitatively, we show specific markers (IL-1Ra, IL-8, and MIP-1b) to be consistently altered in GD1, irrespective of therapy status, highlighting the need for adjunctive therapies that can target and modulate these biomarkers. This information can help guide the selection of candidate biomarkers for future intervention-based studies in GD1 patients.https://www.mdpi.com/1422-0067/23/16/9189Gaucher diseaseoxidative stressinflammationbiomarkersvariabilitytherapy
spellingShingle Siddhee A. Sahasrabudhe
Marcia R. Terluk
Kyle D. Rudser
James C. Cloyd
Reena V. Kartha
Biological Variation in Peripheral Inflammation and Oxidative Stress Biomarkers in Individuals with Gaucher Disease
International Journal of Molecular Sciences
Gaucher disease
oxidative stress
inflammation
biomarkers
variability
therapy
title Biological Variation in Peripheral Inflammation and Oxidative Stress Biomarkers in Individuals with Gaucher Disease
title_full Biological Variation in Peripheral Inflammation and Oxidative Stress Biomarkers in Individuals with Gaucher Disease
title_fullStr Biological Variation in Peripheral Inflammation and Oxidative Stress Biomarkers in Individuals with Gaucher Disease
title_full_unstemmed Biological Variation in Peripheral Inflammation and Oxidative Stress Biomarkers in Individuals with Gaucher Disease
title_short Biological Variation in Peripheral Inflammation and Oxidative Stress Biomarkers in Individuals with Gaucher Disease
title_sort biological variation in peripheral inflammation and oxidative stress biomarkers in individuals with gaucher disease
topic Gaucher disease
oxidative stress
inflammation
biomarkers
variability
therapy
url https://www.mdpi.com/1422-0067/23/16/9189
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