Potential asthma biomarkers identified by nontargeted proteomics of extracellular vesicles in exhaled breath condensate

Reina Hara MD , Yoshito Takeda MD, PhD , Takatoshi Enomoto MD , Hanako Yoshimura MD, PhD , Makoto Yamamoto MD , Satoshi Tanizaki MD , Yuya Shirai MD, PhD , Takahiro Kawasaki MD, PhD , Mana Nakayama , Saori Amiya MD , Yuichi Adachi MD , Yoshimi Noda MD , Takayuki Niitsu MD , Ryuya Edahiro MD, PhD , Moto Yaga MD, PhD , Yuki Hosono MD, PhD , Maiko Naito MD, PhD , Kentaro Masuhiro MD, PhD , Yujiro Naito MD, PhD , Takayuki Shiroyama MD, PhD , Atsushi Kumanogoh MD, PhD
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Abstract

Background

Bronchial asthma (BA) and chronic obstructive pulmonary disease (COPD) are often misdiagnosed or undiagnosed, highlighting the need for more noninvasive and accessible diagnostic tools. Although exhaled breath condensate (EBC) is recognized as a biomarker resource for respiratory diseases, nontargeted proteomics of extracellular vesicles (EVs) in EBC has not been explored.

Objective

Our aim was to identify protein signatures in EBC-derived EVs (EBC-EVs) and potential biomarkers for BA and COPD.

Methods

EBC-EVs were isolated from 8 patients with BA, 5 patients with COPD, and 9 healthy controls by using the phosphatidylserine affinity method. The isolated EBC-EVs were analyzed by using data-independent acquisition proteomics to identify differentially expressed proteins (DEPs) and their associations with clinical parameters.

Results

Overall, 2524 proteins were identified. In the patients with BA, 20 proteins were upregulated, and 34 were downregulated. In the patients with COPD, 46 proteins were upregulated and 67 were downregulated. Although the enriched pathways and protein networks showed similarities between BA and COPD, they also indicated distinct pathophysiologic differences. In all, 5 BA-DEPs and 2 COPD-DEPs correlated with clinical parameters. For BA, S100 calcium-binding protein P levels were inversely correlated with FEV1 value, and ribosomal protein S10 levels were inversely correlated with blood eosinophil count. Clathrin heavy chain 2 correlated with serum IgE levels. For COPD, 14-3-3 protein theta and galectin-related protein showed positive and negative correlations with FEV1 value, respectively.

Conclusions

Proteomics of EBC-EVs has enabled the identification of potential diagnostic biomarkers for BA and COPD. “Breathomics” of EBC-EVs offers a promising noninvasive approach for diagnosis and phenotyping of respiratory diseases.
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呼气冷凝水中细胞外囊泡的非靶向蛋白质组学鉴定的潜在哮喘生物标志物
支气管哮喘(BA)和慢性阻塞性肺疾病(COPD)经常被误诊或漏诊,这突出了对更多非侵入性和可获得的诊断工具的需求。虽然呼出气凝析液(EBC)被认为是呼吸系统疾病的生物标志物资源,但EBC中细胞外囊泡(EVs)的非靶向蛋白质组学研究尚未开展。我们的目的是鉴定ebc衍生ev (ebc - ev)的蛋白质特征和BA和COPD的潜在生物标志物。方法采用磷脂酰丝氨酸亲和法从8例BA患者、5例COPD患者和9例健康对照中分离sebc - ev。采用数据独立获取蛋白质组学对分离的ebc - ev进行分析,鉴定差异表达蛋白(DEPs)及其与临床参数的关联。结果共鉴定出2524个蛋白。在BA患者中,20个蛋白上调,34个蛋白下调。在COPD患者中,46个蛋白上调,67个蛋白下调。虽然BA和COPD之间的富集通路和蛋白质网络显示出相似性,但它们也显示出明显的病理生理差异。共有5例ba - dep和2例copd - dep与临床参数相关。对于BA, S100钙结合蛋白P水平与FEV1值呈负相关,核糖体蛋白S10水平与血嗜酸性粒细胞计数呈负相关。网格蛋白重链2与血清IgE水平相关。对于COPD, 14-3-3蛋白θ和半凝集素相关蛋白分别与FEV1值呈正相关和负相关。结论ebc - ev的蛋白质组学鉴定了BA和COPD的潜在诊断生物标志物。ebc - ev的“呼吸组学”为呼吸道疾病的诊断和表型分析提供了一种很有前途的无创方法。
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来源期刊
The journal of allergy and clinical immunology. Global
The journal of allergy and clinical immunology. Global Immunology, Allergology and Rheumatology
CiteScore
0.70
自引率
0.00%
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0
审稿时长
92 days
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