A systematic proteomic profiling and pathway analysis of protein biomarkers in diabetic retinopathy with subsequent validation of the IL-6 upstream regulator.

IF 1.8 Q4 ENDOCRINOLOGY & METABOLISM Journal of Diabetes and Metabolic Disorders Pub Date : 2023-03-14 eCollection Date: 2023-06-01 DOI:10.1007/s40200-023-01204-6
Zulvikar Syambani Ulhaq, Yuliono Trika Nur Hasan, Nanang Khulafa'ur Rosyidin, Lola Ayu Istifiani, Syafrizal Aji Pamungkas, Gita Vita Soraya
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Abstract

Purpose: Diabetic retinopathy (DR) is a leading cause of irreversible blindness worldwide. Identifying risk factors associated with DR development and progression is crucial for improving treatment efficacy. Although proteomic changes in DR have been extensively studied, the results remain equivocal. Hence, this study aims to summarize and identify potential diagnostic or prognostic markers for DR. In addition, the upstream regulator responsible for protein deregulation of this disease was also validated.

Methods: We systematically analyzed the current literature on proteomic profile changes in DR, followed by pathway analysis identification. To validate the protein level changes, ELISA was performed from serum samples collected from 27 patients with DR and 25 healthy controls.

Results: Our analysis revealed that 1 candidate marker (afamin [AFM]) distinguished non-proliferative diabetic retinopathy (NPDR) from type 2 diabetic patients with no diabetic retinopathy/controls, 65 candidate markers distinguished proliferative diabetic retinopathy (PDR) from NPDR, 1 candidate marker (thyroid receptor-interacting protein 11 [TRIP11]) distinguished PDR from PDR-DME/DME, and 3 candidate markers for therapeutic evaluation of PDR. Our results pinpoint that inflammatory response, which IL-6 mainly modulated, is responsible for the changes of proteomic profiles identified in DR. This was also validated by ELISA analysis, indicating that IL-6 could be potentially useful for diagnosing DR.

Conclusion: We report a comprehensive patient-based proteomic approach to identify potential biomarkers for DR diagnosis, prognosis, and treatment evaluation.

Supplementary information: The online version contains supplementary material available at 10.1007/s40200-023-01204-6.

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糖尿病视网膜病变中蛋白质生物标志物的系统蛋白质组学分析和通路分析,随后验证IL-6上游调节因子。
目的:糖尿病视网膜病变(DR)是世界范围内不可逆失明的主要原因。识别与DR发展和进展相关的风险因素对于提高治疗效果至关重要。尽管DR的蛋白质组学变化已经得到了广泛的研究,但结果仍然模糊不清。因此,本研究旨在总结和鉴定DR的潜在诊断或预后标志物。此外,负责该疾病蛋白质失调的上游调节因子也得到了验证。方法:我们系统地分析了目前关于DR蛋白质组学特征变化的文献,然后进行了通路分析鉴定。为了验证蛋白质水平的变化,从27名DR患者和25名健康对照的血清样本中进行了ELISA。结果:我们的分析显示,1个候选标记物(afamin[AMF])将非增殖性糖尿病视网膜病变(NPDR)与没有糖尿病视网膜病变/对照的2型糖尿病患者区分开来,65个候选标记器将增殖性糖尿病性视网膜病变(PDR)与NPDR区分开来,1个候选者标记物(甲状腺受体相互作用蛋白11[TRIP11])将PDR与PDR-DME/DME区分开来,和3个用于PDR治疗评估的候选标志物。我们的研究结果表明,IL-6主要调节的炎症反应是DR中蛋白质组学特征变化的原因。ELISA分析也证实了这一点,表明IL-6可能对诊断DR有用。结论:我们报道了一种基于患者的综合蛋白质组学方法,以确定DR诊断、预后,以及治疗评估。补充信息:在线版本包含补充材料,请访问10.1007/s40200-023-01204-6。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Journal of Diabetes and Metabolic Disorders
Journal of Diabetes and Metabolic Disorders Medicine-Internal Medicine
CiteScore
4.80
自引率
3.60%
发文量
210
期刊介绍: Journal of Diabetes & Metabolic Disorders is a peer reviewed journal which publishes original clinical and translational articles and reviews in the field of endocrinology and provides a forum of debate of the highest quality on these issues. Topics of interest include, but are not limited to, diabetes, lipid disorders, metabolic disorders, osteoporosis, interdisciplinary practices in endocrinology, cardiovascular and metabolic risk, aging research, obesity, traditional medicine, pychosomatic research, behavioral medicine, ethics and evidence-based practices.As of Jan 2018 the journal is published by Springer as a hybrid journal with no article processing charges. All articles published before 2018 are available free of charge on springerlink.Unofficial 2017 2-year Impact Factor: 1.816.
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