Development of protein biomarkers in cerebrospinal fluid for secondary progressive multiple sclerosis using selected reaction monitoring mass spectrometry (SRM-MS)

<p>Abstract</p> <p>Background</p> <p><it>Multiple sclerosis</it> (MS) is a chronic inflammatory disorder of the central nervous system (CNS). It involves damage to the myelin sheath surrounding axons and to the axons themselves. MS most often presents with a...

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Main Authors: Jia Yan, Wu Tianxia, Jelinek Christine A, Bielekova Bibiana, Chang Linda, Newsome Scott, Gnanapavan Sharmilee, Giovannoni Gavin, Chen Dawn, Calabresi Peter A, Nath Avindra, Cotter Robert J
Format: Article
Language:English
Published: BMC 2012-07-01
Series:Clinical Proteomics
Online Access:http://www.clinicalproteomicsjournal.com/content/9/1/9
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author Jia Yan
Wu Tianxia
Jelinek Christine A
Bielekova Bibiana
Chang Linda
Newsome Scott
Gnanapavan Sharmilee
Giovannoni Gavin
Chen Dawn
Calabresi Peter A
Nath Avindra
Cotter Robert J
author_facet Jia Yan
Wu Tianxia
Jelinek Christine A
Bielekova Bibiana
Chang Linda
Newsome Scott
Gnanapavan Sharmilee
Giovannoni Gavin
Chen Dawn
Calabresi Peter A
Nath Avindra
Cotter Robert J
author_sort Jia Yan
collection DOAJ
description <p>Abstract</p> <p>Background</p> <p><it>Multiple sclerosis</it> (MS) is a chronic inflammatory disorder of the central nervous system (CNS). It involves damage to the myelin sheath surrounding axons and to the axons themselves. MS most often presents with a series of relapses and remissions but then evolves over a variable period of time into a slowly progressive form of neurological dysfunction termed secondary progressive MS (SPMS). The reasons for this change in clinical presentation are unclear. The absence of a diagnostic marker means that there is a lag time of several years before the diagnosis of SPMS can be established. At the same time, understanding the mechanisms that underlie SPMS is critical to the development of rational therapies for this untreatable stage of the disease.</p> <p>Results</p> <p>Using high performance liquid chromatography-coupled mass spectrometry (HPLC); we have established a highly specific and sensitive <it>selected reaction monitoring</it> (SRM) assay. Our multiplexed SRM assay has facilitated the simultaneous detection of surrogate peptides originating from 26 proteins present in cerebrospinal fluid (CSF). Protein levels in CSF were generally ~200-fold lower than that in human sera. A limit of detection (LOD) was determined to be as low as one femtomol. We processed and analysed CSF samples from a total of 22 patients with SPMS, 7 patients with SPMS treated with lamotrigine, 12 patients with non-inflammatory neurological disorders (NIND) and 10 healthy controls (HC) for the levels of these 26 selected potential protein biomarkers. Our SRM data found one protein showing significant difference between SPMS and HC, three proteins differing between SPMS and NIND, two proteins between NIND and HC, and 11 protein biomarkers showing significant difference between a lamotrigine-treated and untreated SPMS group. Principal component analysis (PCA) revealed that these 26 proteins were correlated, and could be represented by four principal components. Overall, we established an efficient platform to develop and verify protein biomarkers in CSF, which can be easily adapted to other proteins of interest related to neurodegenerative diseases.</p> <p>Conclusions</p> <p>A highly specific and sensitive multiplex SRM-MS assay was established for development and verification of CSF protein biomarkers in SPMS. Five proteins were found to be expressed significantly differently between the three cohorts, SPMS, NIND and HC and 11 proteins associated with lamotrigine treatment, which we expect will further our current understanding of SPMS disease pathology and/or therapeutic intervention.</p>
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spelling doaj.art-e3603ba406b6490d846b53cf0501e7ba2022-12-21T19:58:55ZengBMCClinical Proteomics1559-02752012-07-0191910.1186/1559-0275-9-9Development of protein biomarkers in cerebrospinal fluid for secondary progressive multiple sclerosis using selected reaction monitoring mass spectrometry (SRM-MS)Jia YanWu TianxiaJelinek Christine ABielekova BibianaChang LindaNewsome ScottGnanapavan SharmileeGiovannoni GavinChen DawnCalabresi Peter ANath AvindraCotter Robert J<p>Abstract</p> <p>Background</p> <p><it>Multiple sclerosis</it> (MS) is a chronic inflammatory disorder of the central nervous system (CNS). It involves damage to the myelin sheath surrounding axons and to the axons themselves. MS most often presents with a series of relapses and remissions but then evolves over a variable period of time into a slowly progressive form of neurological dysfunction termed secondary progressive MS (SPMS). The reasons for this change in clinical presentation are unclear. The absence of a diagnostic marker means that there is a lag time of several years before the diagnosis of SPMS can be established. At the same time, understanding the mechanisms that underlie SPMS is critical to the development of rational therapies for this untreatable stage of the disease.</p> <p>Results</p> <p>Using high performance liquid chromatography-coupled mass spectrometry (HPLC); we have established a highly specific and sensitive <it>selected reaction monitoring</it> (SRM) assay. Our multiplexed SRM assay has facilitated the simultaneous detection of surrogate peptides originating from 26 proteins present in cerebrospinal fluid (CSF). Protein levels in CSF were generally ~200-fold lower than that in human sera. A limit of detection (LOD) was determined to be as low as one femtomol. We processed and analysed CSF samples from a total of 22 patients with SPMS, 7 patients with SPMS treated with lamotrigine, 12 patients with non-inflammatory neurological disorders (NIND) and 10 healthy controls (HC) for the levels of these 26 selected potential protein biomarkers. Our SRM data found one protein showing significant difference between SPMS and HC, three proteins differing between SPMS and NIND, two proteins between NIND and HC, and 11 protein biomarkers showing significant difference between a lamotrigine-treated and untreated SPMS group. Principal component analysis (PCA) revealed that these 26 proteins were correlated, and could be represented by four principal components. Overall, we established an efficient platform to develop and verify protein biomarkers in CSF, which can be easily adapted to other proteins of interest related to neurodegenerative diseases.</p> <p>Conclusions</p> <p>A highly specific and sensitive multiplex SRM-MS assay was established for development and verification of CSF protein biomarkers in SPMS. Five proteins were found to be expressed significantly differently between the three cohorts, SPMS, NIND and HC and 11 proteins associated with lamotrigine treatment, which we expect will further our current understanding of SPMS disease pathology and/or therapeutic intervention.</p>http://www.clinicalproteomicsjournal.com/content/9/1/9
spellingShingle Jia Yan
Wu Tianxia
Jelinek Christine A
Bielekova Bibiana
Chang Linda
Newsome Scott
Gnanapavan Sharmilee
Giovannoni Gavin
Chen Dawn
Calabresi Peter A
Nath Avindra
Cotter Robert J
Development of protein biomarkers in cerebrospinal fluid for secondary progressive multiple sclerosis using selected reaction monitoring mass spectrometry (SRM-MS)
Clinical Proteomics
title Development of protein biomarkers in cerebrospinal fluid for secondary progressive multiple sclerosis using selected reaction monitoring mass spectrometry (SRM-MS)
title_full Development of protein biomarkers in cerebrospinal fluid for secondary progressive multiple sclerosis using selected reaction monitoring mass spectrometry (SRM-MS)
title_fullStr Development of protein biomarkers in cerebrospinal fluid for secondary progressive multiple sclerosis using selected reaction monitoring mass spectrometry (SRM-MS)
title_full_unstemmed Development of protein biomarkers in cerebrospinal fluid for secondary progressive multiple sclerosis using selected reaction monitoring mass spectrometry (SRM-MS)
title_short Development of protein biomarkers in cerebrospinal fluid for secondary progressive multiple sclerosis using selected reaction monitoring mass spectrometry (SRM-MS)
title_sort development of protein biomarkers in cerebrospinal fluid for secondary progressive multiple sclerosis using selected reaction monitoring mass spectrometry srm ms
url http://www.clinicalproteomicsjournal.com/content/9/1/9
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