Proteomic serum profiles before and after lipoprotein apheresis in patients with peripheral artery disease with ulceration.

Kohei Ishiga, Tatsuki Uehara, Hiromichi Wakui, Kengo Azushima, Eiko Ueda, Daisuke Kanai, Mari Sotozawa, Ryu Kobayashi, Sho Kinguchi, Tomohiko Kanaoka, Tatsuya Haze, Yoshiyuki Toya, Kouichi Tamura
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Abstract

Introduction: The efficacy of lipoprotein apheresis (LA) in peripheral arterial disease (PAD) has been primarily attributed to its anti-atherosclerotic effects through the adsorption of lipoproteins. However, the other potential effects of LA remain unknown. We evaluated changes in serum profiles before and after LA using a comprehensive analysis to explore the underlying mechanism.

Methods: Ten patients with leg ulcers were included from the LETS-PAD study, in which patients with lipoprotein-controlled PAD underwent LA. Serum samples collected at baseline and 1 month after LA were analyzed for proteomic changes.

Results: Six patients exhibited ulcer epithelialization and skin perfusion pressure improvement. Proteomic analysis identified 2033 proteins. Fifty-five proteins showed significant differences. B-cell lymphoma protein-2 associated X (BAX) and C-X-C motif chemokine 10 (CXCL10) were downregulated.

Conclusion: Serum BAX and CXCL10 levels significantly decreased after LA, which may be involved in the ulcer epithelialization mechanism of LA, which potentially acts through angiogenesis promotion.

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外周动脉病变伴溃疡患者脂蛋白分离前后血清蛋白质组学分析
导读:脂蛋白分离(LA)治疗外周动脉疾病(PAD)的疗效主要归因于其通过吸附脂蛋白的抗动脉粥样硬化作用。然而,LA的其他潜在影响仍然未知。我们使用综合分析来评估LA前后血清谱的变化,以探索潜在的机制。方法:从LETS-PAD研究中纳入10例腿部溃疡患者,其中脂蛋白控制的PAD患者接受LA治疗。在基线和LA后1个月收集的血清样本进行蛋白质组学变化分析。结果:6例患者出现溃疡上皮化,皮肤灌注压改善。蛋白质组学分析鉴定出2033个蛋白质。55个蛋白存在显著差异。b细胞淋巴瘤蛋白-2相关X (BAX)和C-X-C基序趋化因子10 (CXCL10)下调。结论:LA后血清BAX和CXCL10水平明显降低,可能参与了LA的溃疡上皮化机制,可能通过促进血管生成起作用。
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