Plasma Proteomic Analysis Based on 4D-DIA Evaluates the Clinical Response to Imrecoxib in the Early Treatment of Osteoarthritis

Abstract Introduction Nonsteroidal anti-inflammatory drugs (NSAIDs) are the primary treatment for osteoarthritis (OA), but prolonged use has adverse effects and varying efficacy. Among NSAIDs, imrecoxib, a selective cyclooxygenase-2 (COX-2) inhibitor, reduces side effects yet remains ineffective for...

Full description

Bibliographic Details
Main Authors: Han Xie, Yuan Zhang, Zunyi Zhu, Jingxuan Wei, Gulinigeer Ainiwaer, Weihong Ge
Format: Article
Language:English
Published: Adis, Springer Healthcare 2024-01-01
Series:Rheumatology and Therapy
Subjects:
Online Access:https://doi.org/10.1007/s40744-023-00636-z
_version_ 1797266657818705920
author Han Xie
Yuan Zhang
Zunyi Zhu
Jingxuan Wei
Gulinigeer Ainiwaer
Weihong Ge
author_facet Han Xie
Yuan Zhang
Zunyi Zhu
Jingxuan Wei
Gulinigeer Ainiwaer
Weihong Ge
author_sort Han Xie
collection DOAJ
description Abstract Introduction Nonsteroidal anti-inflammatory drugs (NSAIDs) are the primary treatment for osteoarthritis (OA), but prolonged use has adverse effects and varying efficacy. Among NSAIDs, imrecoxib, a selective cyclooxygenase-2 (COX-2) inhibitor, reduces side effects yet remains ineffective for half of the patient population. This study aims to identify biomarkers for early evaluation of imrecoxib efficacy in OA for personalized therapy optimization. Methods From September 2021 to January 2022, imrecoxib was administered to patients with OA at Nanjing Drum Tower Hospital. Plasma samples from these patients underwent proteomic analysis through the four-dimensional data-independent acquisition (4D-DIA) method, followed by bioinformatics analysis. Potential differentially expressed proteins (DEPs) were validated using enzyme-linked immunosorbent assays (ELISA). Results Sixty-six patients with knee OA were included and divided into responders (n = 35) and non-responders (n = 31). Proteomic analysis was conducted on 15 patients from each group, with ELISA validation for every patient. We found 140 DEPs between the two groups after imrecoxib treatment, characterized by 29 proteins showing upregulation and 111 displaying downregulation (P < 0.05, fold change >  ± 1.2). Galectin-1 (LGALS1), galectin-3 (LGALS3), and cluster of differentiation 44 (CD44) were identified as potential markers for evaluating clinical response to imrecoxib in OA following ELISA validation. Conclusion This study successfully identified biomarkers for evaluating imrecoxib’s clinical response in patients with OA using 4D-DIA technology. These biomarkers may play a vital role in future personalized OA treatment strategies, pending further confirmation.
first_indexed 2024-04-25T01:04:11Z
format Article
id doaj.art-be7262228e4b46a6969ff32418a52e21
institution Directory Open Access Journal
issn 2198-6576
2198-6584
language English
last_indexed 2024-04-25T01:04:11Z
publishDate 2024-01-01
publisher Adis, Springer Healthcare
record_format Article
series Rheumatology and Therapy
spelling doaj.art-be7262228e4b46a6969ff32418a52e212024-03-10T12:21:55ZengAdis, Springer HealthcareRheumatology and Therapy2198-65762198-65842024-01-0111226928310.1007/s40744-023-00636-zPlasma Proteomic Analysis Based on 4D-DIA Evaluates the Clinical Response to Imrecoxib in the Early Treatment of OsteoarthritisHan Xie0Yuan Zhang1Zunyi Zhu2Jingxuan Wei3Gulinigeer Ainiwaer4Weihong Ge5Department of Pharmacy, Nanjing Drum Tower Hospital, Affiliated Hospital of Medical School, Nanjing UniversityDepartment of Pharmacy, China Pharmaceutical University Nanjing Drum Tower HospitalDepartment of Pharmacy, Nanjing Drum Tower Hospital Clinical College of Nanjing University of Chinese MedicineDepartment of Pharmaceutical Regulatory Science and Pharmacoeconomics, School of Pharmacy, Nanjing Medical UniversityDepartment of Pharmacy, China Pharmaceutical University Nanjing Drum Tower HospitalDepartment of Pharmacy, Nanjing Drum Tower Hospital, Affiliated Hospital of Medical School, Nanjing UniversityAbstract Introduction Nonsteroidal anti-inflammatory drugs (NSAIDs) are the primary treatment for osteoarthritis (OA), but prolonged use has adverse effects and varying efficacy. Among NSAIDs, imrecoxib, a selective cyclooxygenase-2 (COX-2) inhibitor, reduces side effects yet remains ineffective for half of the patient population. This study aims to identify biomarkers for early evaluation of imrecoxib efficacy in OA for personalized therapy optimization. Methods From September 2021 to January 2022, imrecoxib was administered to patients with OA at Nanjing Drum Tower Hospital. Plasma samples from these patients underwent proteomic analysis through the four-dimensional data-independent acquisition (4D-DIA) method, followed by bioinformatics analysis. Potential differentially expressed proteins (DEPs) were validated using enzyme-linked immunosorbent assays (ELISA). Results Sixty-six patients with knee OA were included and divided into responders (n = 35) and non-responders (n = 31). Proteomic analysis was conducted on 15 patients from each group, with ELISA validation for every patient. We found 140 DEPs between the two groups after imrecoxib treatment, characterized by 29 proteins showing upregulation and 111 displaying downregulation (P < 0.05, fold change >  ± 1.2). Galectin-1 (LGALS1), galectin-3 (LGALS3), and cluster of differentiation 44 (CD44) were identified as potential markers for evaluating clinical response to imrecoxib in OA following ELISA validation. Conclusion This study successfully identified biomarkers for evaluating imrecoxib’s clinical response in patients with OA using 4D-DIA technology. These biomarkers may play a vital role in future personalized OA treatment strategies, pending further confirmation.https://doi.org/10.1007/s40744-023-00636-zOsteoarthritisImrecoxibProteomicsBiomarkers
spellingShingle Han Xie
Yuan Zhang
Zunyi Zhu
Jingxuan Wei
Gulinigeer Ainiwaer
Weihong Ge
Plasma Proteomic Analysis Based on 4D-DIA Evaluates the Clinical Response to Imrecoxib in the Early Treatment of Osteoarthritis
Rheumatology and Therapy
Osteoarthritis
Imrecoxib
Proteomics
Biomarkers
title Plasma Proteomic Analysis Based on 4D-DIA Evaluates the Clinical Response to Imrecoxib in the Early Treatment of Osteoarthritis
title_full Plasma Proteomic Analysis Based on 4D-DIA Evaluates the Clinical Response to Imrecoxib in the Early Treatment of Osteoarthritis
title_fullStr Plasma Proteomic Analysis Based on 4D-DIA Evaluates the Clinical Response to Imrecoxib in the Early Treatment of Osteoarthritis
title_full_unstemmed Plasma Proteomic Analysis Based on 4D-DIA Evaluates the Clinical Response to Imrecoxib in the Early Treatment of Osteoarthritis
title_short Plasma Proteomic Analysis Based on 4D-DIA Evaluates the Clinical Response to Imrecoxib in the Early Treatment of Osteoarthritis
title_sort plasma proteomic analysis based on 4d dia evaluates the clinical response to imrecoxib in the early treatment of osteoarthritis
topic Osteoarthritis
Imrecoxib
Proteomics
Biomarkers
url https://doi.org/10.1007/s40744-023-00636-z
work_keys_str_mv AT hanxie plasmaproteomicanalysisbasedon4ddiaevaluatestheclinicalresponsetoimrecoxibintheearlytreatmentofosteoarthritis
AT yuanzhang plasmaproteomicanalysisbasedon4ddiaevaluatestheclinicalresponsetoimrecoxibintheearlytreatmentofosteoarthritis
AT zunyizhu plasmaproteomicanalysisbasedon4ddiaevaluatestheclinicalresponsetoimrecoxibintheearlytreatmentofosteoarthritis
AT jingxuanwei plasmaproteomicanalysisbasedon4ddiaevaluatestheclinicalresponsetoimrecoxibintheearlytreatmentofosteoarthritis
AT gulinigeerainiwaer plasmaproteomicanalysisbasedon4ddiaevaluatestheclinicalresponsetoimrecoxibintheearlytreatmentofosteoarthritis
AT weihongge plasmaproteomicanalysisbasedon4ddiaevaluatestheclinicalresponsetoimrecoxibintheearlytreatmentofosteoarthritis