Peptidomics analysis reveals changes in small urinary peptides in patients with interstitial cystitis/bladder pain syndrome

Abstract Interstitial cystitis/bladder pain syndrome (IC/BPS) is a chronic and debilitating pain disorder of the bladder and urinary tract with poorly understood etiology. A definitive diagnosis of IC/BPS can be challenging because many symptoms are shared with other urological disorders. An analysi...

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Main Authors: Md Shadman Ridwan Abid, Haowen Qiu, Bridget A. Tripp, Aline de Lima Leite, Heidi E. Roth, Jiri Adamec, Robert Powers, James W. Checco
Format: Article
Language:English
Published: Nature Portfolio 2022-05-01
Series:Scientific Reports
Online Access:https://doi.org/10.1038/s41598-022-12197-2
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author Md Shadman Ridwan Abid
Haowen Qiu
Bridget A. Tripp
Aline de Lima Leite
Heidi E. Roth
Jiri Adamec
Robert Powers
James W. Checco
author_facet Md Shadman Ridwan Abid
Haowen Qiu
Bridget A. Tripp
Aline de Lima Leite
Heidi E. Roth
Jiri Adamec
Robert Powers
James W. Checco
author_sort Md Shadman Ridwan Abid
collection DOAJ
description Abstract Interstitial cystitis/bladder pain syndrome (IC/BPS) is a chronic and debilitating pain disorder of the bladder and urinary tract with poorly understood etiology. A definitive diagnosis of IC/BPS can be challenging because many symptoms are shared with other urological disorders. An analysis of urine presents an attractive and non-invasive resource for monitoring and diagnosing IC/BPS. The antiproliferative factor (APF) peptide has been previously identified in the urine of IC/BPS patients and is a proposed biomarker for the disorder. Nevertheless, other small urinary peptides have remained uninvestigated in IC/BPS primarily because protein biomarker discovery efforts employ protocols that remove small endogenous peptides. The purpose of this study is to investigate the profile of endogenous peptides in IC/BPS patient urine, with the goal of identifying putative peptide biomarkers. Here, a non-targeted peptidomics analysis of urine samples collected from IC/BPS patients were compared to urine samples from asymptomatic controls. Our results show a general increase in the abundance of urinary peptides in IC/BPS patients, which is consistent with an increase in inflammation and protease activity characteristic of this disorder. In total, 71 peptides generated from 39 different proteins were found to be significantly altered in IC/BPS. Five urinary peptides with high variable importance in projection (VIP) coefficients were found to reliably differentiate IC/BPS from healthy controls by receiver operating characteristic (ROC) analysis. In parallel, we also developed a targeted multiple reaction monitoring method to quantify the relative abundance of the APF peptide from patient urine samples. Although the APF peptide was found in moderately higher abundance in IC/BPS relative to control urine, our results show that the APF peptide was inconsistently present in urine, suggesting that its utility as a sole biomarker of IC/BPS may be limited. Overall, our results revealed new insights into the profile of urinary peptides in IC/BPS that will aid in future biomarker discovery and validation efforts.
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spelling doaj.art-dfc65617ac5b4aee8284c0c00133a9202022-12-22T03:26:59ZengNature PortfolioScientific Reports2045-23222022-05-0112111210.1038/s41598-022-12197-2Peptidomics analysis reveals changes in small urinary peptides in patients with interstitial cystitis/bladder pain syndromeMd Shadman Ridwan Abid0Haowen Qiu1Bridget A. Tripp2Aline de Lima Leite3Heidi E. Roth4Jiri Adamec5Robert Powers6James W. Checco7Department of Chemistry, University of Nebraska-LincolnCenter for Biotechnology, University of Nebraska-LincolnThe Nebraska Center for Integrated Biomolecular Communication (NCIBC), University of Nebraska-LincolnThe Nebraska Center for Integrated Biomolecular Communication (NCIBC), University of Nebraska-LincolnDepartment of Chemistry, University of Nebraska-LincolnDepartment of Biochemistry, University of Nebraska-LincolnDepartment of Chemistry, University of Nebraska-LincolnDepartment of Chemistry, University of Nebraska-LincolnAbstract Interstitial cystitis/bladder pain syndrome (IC/BPS) is a chronic and debilitating pain disorder of the bladder and urinary tract with poorly understood etiology. A definitive diagnosis of IC/BPS can be challenging because many symptoms are shared with other urological disorders. An analysis of urine presents an attractive and non-invasive resource for monitoring and diagnosing IC/BPS. The antiproliferative factor (APF) peptide has been previously identified in the urine of IC/BPS patients and is a proposed biomarker for the disorder. Nevertheless, other small urinary peptides have remained uninvestigated in IC/BPS primarily because protein biomarker discovery efforts employ protocols that remove small endogenous peptides. The purpose of this study is to investigate the profile of endogenous peptides in IC/BPS patient urine, with the goal of identifying putative peptide biomarkers. Here, a non-targeted peptidomics analysis of urine samples collected from IC/BPS patients were compared to urine samples from asymptomatic controls. Our results show a general increase in the abundance of urinary peptides in IC/BPS patients, which is consistent with an increase in inflammation and protease activity characteristic of this disorder. In total, 71 peptides generated from 39 different proteins were found to be significantly altered in IC/BPS. Five urinary peptides with high variable importance in projection (VIP) coefficients were found to reliably differentiate IC/BPS from healthy controls by receiver operating characteristic (ROC) analysis. In parallel, we also developed a targeted multiple reaction monitoring method to quantify the relative abundance of the APF peptide from patient urine samples. Although the APF peptide was found in moderately higher abundance in IC/BPS relative to control urine, our results show that the APF peptide was inconsistently present in urine, suggesting that its utility as a sole biomarker of IC/BPS may be limited. Overall, our results revealed new insights into the profile of urinary peptides in IC/BPS that will aid in future biomarker discovery and validation efforts.https://doi.org/10.1038/s41598-022-12197-2
spellingShingle Md Shadman Ridwan Abid
Haowen Qiu
Bridget A. Tripp
Aline de Lima Leite
Heidi E. Roth
Jiri Adamec
Robert Powers
James W. Checco
Peptidomics analysis reveals changes in small urinary peptides in patients with interstitial cystitis/bladder pain syndrome
Scientific Reports
title Peptidomics analysis reveals changes in small urinary peptides in patients with interstitial cystitis/bladder pain syndrome
title_full Peptidomics analysis reveals changes in small urinary peptides in patients with interstitial cystitis/bladder pain syndrome
title_fullStr Peptidomics analysis reveals changes in small urinary peptides in patients with interstitial cystitis/bladder pain syndrome
title_full_unstemmed Peptidomics analysis reveals changes in small urinary peptides in patients with interstitial cystitis/bladder pain syndrome
title_short Peptidomics analysis reveals changes in small urinary peptides in patients with interstitial cystitis/bladder pain syndrome
title_sort peptidomics analysis reveals changes in small urinary peptides in patients with interstitial cystitis bladder pain syndrome
url https://doi.org/10.1038/s41598-022-12197-2
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