Blood Proteome Profiling Reveals Biomarkers and Pathway Alterations in Fragile X PM at Risk for Developing FXTAS

Fragile X-associated Tremor/Ataxia Syndrome (FXTAS) is a neurodegenerative disorder associated with the <i>FMR1</i> premutation. Currently, it is not possible to determine when and if individual premutation carriers will develop FXTAS. Thus, with the aim to identify biomarkers for early...

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Main Authors: Marwa Zafarullah, Jie Li, Michelle R. Salemi, Brett S. Phinney, Blythe P. Durbin-Johnson, Randi Hagerman, David Hessl, Susan M. Rivera, Flora Tassone
Format: Article
Language:English
Published: MDPI AG 2023-08-01
Series:International Journal of Molecular Sciences
Subjects:
Online Access:https://www.mdpi.com/1422-0067/24/17/13477
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author Marwa Zafarullah
Jie Li
Michelle R. Salemi
Brett S. Phinney
Blythe P. Durbin-Johnson
Randi Hagerman
David Hessl
Susan M. Rivera
Flora Tassone
author_facet Marwa Zafarullah
Jie Li
Michelle R. Salemi
Brett S. Phinney
Blythe P. Durbin-Johnson
Randi Hagerman
David Hessl
Susan M. Rivera
Flora Tassone
author_sort Marwa Zafarullah
collection DOAJ
description Fragile X-associated Tremor/Ataxia Syndrome (FXTAS) is a neurodegenerative disorder associated with the <i>FMR1</i> premutation. Currently, it is not possible to determine when and if individual premutation carriers will develop FXTAS. Thus, with the aim to identify biomarkers for early diagnosis, development, and progression of FXTAS, along with associated dysregulated pathways, we performed blood proteomic profiling of premutation carriers (PM) who, as part of an ongoing longitudinal study, emerged into two distinct groups: those who developed symptoms of FXTAS (converters, CON) over time (at subsequent visits) and those who did not (non-converters, NCON). We compared these groups to age-matched healthy controls (HC). We assessed CGG repeat allele size by Southern blot and PCR analysis. The proteomic profile was obtained by liquid chromatography mass spectrometry (LC-MS/MS). We identified several significantly differentiated proteins between HC and the PM groups at Visit 1 (V1), Visit 2 (V2), and between the visits. We further reported the dysregulated protein pathways, including sphingolipid and amino acid metabolism. Our findings are in agreement with previous studies showing that pathways involved in mitochondrial bioenergetics, as observed in other neurodegenerative disorders, are significantly altered and appear to contribute to the development of FXTAS. Lastly, we compared the blood proteome of the PM who developed FXTAS over time with the CSF proteome of the FXTAS patients recently reported and found eight significantly differentially expressed proteins in common. To our knowledge, this is the first report of longitudinal proteomic profiling and the identification of unique biomarkers and dysregulated protein pathways in FXTAS.
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spelling doaj.art-d7c20dccf5c1447c9320f6edd25352052023-11-19T08:17:48ZengMDPI AGInternational Journal of Molecular Sciences1661-65961422-00672023-08-0124171347710.3390/ijms241713477Blood Proteome Profiling Reveals Biomarkers and Pathway Alterations in Fragile X PM at Risk for Developing FXTASMarwa Zafarullah0Jie Li1Michelle R. Salemi2Brett S. Phinney3Blythe P. Durbin-Johnson4Randi Hagerman5David Hessl6Susan M. Rivera7Flora Tassone8Department of Biochemistry and Molecular Medicine, School of Medicine, University of California Davis, Sacramento, CA 95817, USAGenome Center, Bioinformatics Core, University of California Davis, Davis, CA 95616, USAGenome Center, Proteomics Core, Genome and Biomedical Sciences Facility, University of California Davis, Davis, CA 95616, USAGenome Center, Proteomics Core, Genome and Biomedical Sciences Facility, University of California Davis, Davis, CA 95616, USADivision of Biostatistics, School of Medicine, University of California Davis, Davis, CA 95616, USAMIND Institute, University of California Davis Medical Center, Sacramento, CA 95817, USAMIND Institute, University of California Davis Medical Center, Sacramento, CA 95817, USAMIND Institute, University of California Davis Medical Center, Sacramento, CA 95817, USADepartment of Biochemistry and Molecular Medicine, School of Medicine, University of California Davis, Sacramento, CA 95817, USAFragile X-associated Tremor/Ataxia Syndrome (FXTAS) is a neurodegenerative disorder associated with the <i>FMR1</i> premutation. Currently, it is not possible to determine when and if individual premutation carriers will develop FXTAS. Thus, with the aim to identify biomarkers for early diagnosis, development, and progression of FXTAS, along with associated dysregulated pathways, we performed blood proteomic profiling of premutation carriers (PM) who, as part of an ongoing longitudinal study, emerged into two distinct groups: those who developed symptoms of FXTAS (converters, CON) over time (at subsequent visits) and those who did not (non-converters, NCON). We compared these groups to age-matched healthy controls (HC). We assessed CGG repeat allele size by Southern blot and PCR analysis. The proteomic profile was obtained by liquid chromatography mass spectrometry (LC-MS/MS). We identified several significantly differentiated proteins between HC and the PM groups at Visit 1 (V1), Visit 2 (V2), and between the visits. We further reported the dysregulated protein pathways, including sphingolipid and amino acid metabolism. Our findings are in agreement with previous studies showing that pathways involved in mitochondrial bioenergetics, as observed in other neurodegenerative disorders, are significantly altered and appear to contribute to the development of FXTAS. Lastly, we compared the blood proteome of the PM who developed FXTAS over time with the CSF proteome of the FXTAS patients recently reported and found eight significantly differentially expressed proteins in common. To our knowledge, this is the first report of longitudinal proteomic profiling and the identification of unique biomarkers and dysregulated protein pathways in FXTAS.https://www.mdpi.com/1422-0067/24/17/13477fragile X-associated tremor/ataxia syndromeFXTASpremutationblood proteomicbiomarkerprotein alterations
spellingShingle Marwa Zafarullah
Jie Li
Michelle R. Salemi
Brett S. Phinney
Blythe P. Durbin-Johnson
Randi Hagerman
David Hessl
Susan M. Rivera
Flora Tassone
Blood Proteome Profiling Reveals Biomarkers and Pathway Alterations in Fragile X PM at Risk for Developing FXTAS
International Journal of Molecular Sciences
fragile X-associated tremor/ataxia syndrome
FXTAS
premutation
blood proteomic
biomarker
protein alterations
title Blood Proteome Profiling Reveals Biomarkers and Pathway Alterations in Fragile X PM at Risk for Developing FXTAS
title_full Blood Proteome Profiling Reveals Biomarkers and Pathway Alterations in Fragile X PM at Risk for Developing FXTAS
title_fullStr Blood Proteome Profiling Reveals Biomarkers and Pathway Alterations in Fragile X PM at Risk for Developing FXTAS
title_full_unstemmed Blood Proteome Profiling Reveals Biomarkers and Pathway Alterations in Fragile X PM at Risk for Developing FXTAS
title_short Blood Proteome Profiling Reveals Biomarkers and Pathway Alterations in Fragile X PM at Risk for Developing FXTAS
title_sort blood proteome profiling reveals biomarkers and pathway alterations in fragile x pm at risk for developing fxtas
topic fragile X-associated tremor/ataxia syndrome
FXTAS
premutation
blood proteomic
biomarker
protein alterations
url https://www.mdpi.com/1422-0067/24/17/13477
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