Discovering candidate serum biomarker of smear-negative pulmonary tuberculosis by proteome quantitative analysis and verifying SHBG
-
摘要: 目的 利用蛋白质组学方法发现和验证涂阴肺结核的候选血清标志物。方法 采用iTRAQ标记结合MALDI-TOF/MS筛选30例健康对照者和30例涂阴肺结核患者血清的差异表达蛋白,通过生物信息学分析差异蛋白之间的相互作用;对差异蛋白SHBG进一步ELISA验证,应用SPSS 20.0统计软件绘制ROC曲线。结果 三次独立重复实验一共筛选和鉴定置信度在95%以上蛋白283种;以正常人血清为对照,涂阴肺结核患者血清中有差异表达蛋白31种(P<0.05),其中17个蛋白表达上调,14个蛋白表达下调;蛋白相互作用发现SHBG等12种蛋白处于相互作用网络关键节点;ELISA验证结果显示涂阴肺结核组血清SHBG蛋白浓度高于正常对照组和肺炎组(P<0.001),与蛋白组学筛选和鉴定的结果一致;以SHBG检测值绘制的ROC曲线下的面积是0.92(P<0.001),其诊断涂阴结核病的灵敏度和特异度分别是87.14%和85.11%。结论 iTRAQ标记结合MALDI-TOF/MS技术筛选和鉴定到的12种关键节点蛋白可能是涂阴结核病潜在标志物,SHBG是值得进一步研究的肺结核候选血清标志物。Abstract: Objective To discover and verify the serum differential expression proteins of smear-negative pulmonary tuberculosis by using a comparative proteomics approach. Methods Serum protein expression profiles from 30 cases of normal healthy controls, and 30 cases of smear-negative pulmonary tuberculosis patients were detected by iTRAQ labeling in combine with MALDI-TOF/MS,and analyzed by bioinformatics software. A proteins interaction diagram was drew,and SHBG was validated by ELISA. ROC was built by SPSS 20.0 software. Results Screened by iTRAQ labeling in combine with MALDI-TOF/MS,the confidential levels of 283 proteins were over 95%. Within 31 significantly differentially expressed proteins, the expression levels of 17 proteins were significantly increased, and 14 proteins were decreased in smear-negative pulmonary tuberculosis patients serum when compared to the normal healthy controls (P<0.05). After analysis on their functional interactions, 12 proteins such as SHBG appeared at the central position of the functional network. SHBG was found to be elevated in smear-negative pulmonary tuberculosis patients when compared to the normal controls and pneumonia patients as examined by ELISA (P<0.001), which was consistent with the iTRAQ result. Examining serum SHBG by ELISA achieved an area under the ROC of 0.92(P<0.001), the sensitivity was 87.14% and specificity was 85.11% in diagnosing smear-negative pulmonary tuberculosis. Conclusions These 12 proteins in the center of the functional network, screened by iTRAQ in combination with MALDI-TOF-MS might be the potential markers of smear-negative pulmonary tuberculosis. SHBG is suggested to be a possible serum candidate biomarker for pulmonary tuberculosis patients.
-
Key words:
- Tuberculosis, pulmonary /
- Proteomics /
- Isotope labeling
-
肖和平. 菌阴肺结核在结核病控制中的重要性 [J]. 中华结核和呼吸杂志, 2005,28(10):665-666. 伊正君,付玉荣,吴洪娟,等. 肺结核患者痰液细胞和血清中miR-618的水平变化及功能预测 [J]. 细胞与分子免疫学杂志, 2013,29(8):846-849. 中华医学会. 临床诊疗指南结核病分册 [M]. 北京:人民卫生出版社, 2005:120-122. He X, Wang Y, Zhang W, et al. Screening differential expression of serum proteins in AFP-negative HBV-related hepatocellular carcinoma using iTRAQ-MALDI-MS/MS [J]. Neoplasma, 2014,61(1):17-26. 张琪,周琳,陈亮,等. 决策树模型用于结核病治疗方案的分类和预判 [J]. 中华疾病控制杂志, 2015,19(5):510-513. Hanna BA, Ebrahimzadeh A, Elliott LB, et al. Multicenter evaluation of the BACTEC MGIT 960 system for recovery of mycobacteria [J]. J Clin Microbiol, 1999,37(3):748-752. Serada S, Naka T. Screening for novel serum biomarker for monitoring disease activity in rheumatoid arthritis using iTRAQ technology-based quantitative proteomic approach [J]. Methods Mol Biol, 2014,1142:99-110. Sahasrabuddhe NA, Barbhuiya MA, Bhunia S, et al. Identification of prosaposin and transgelin as potential biomarkers for gallbladder cancer using quantitative proteomics [J]. Biochem Biophys Res Commun, 2014,446(4):863-869. Lahiry P, Cao H, Ban MR, et al. APOC1 T45S polymorphism is associated with reduced obesity indices and lower plasma concentrations of leptin and apolipoprotein C-I in aboriginal Canadians [J]. J Lipid Res, 2010,51(4):843-848. Xu DD, Deng DF, Li X, et al. Discovery and identification of serum potential biomarkers for pulmonary tuberculosis using iTRAQ-coupled two-dimensional LC-MS/MS [J]. Proteomics, 2014,14(2-3):322-331. Li C, He X, Li H, et al. Discovery and verification of serum differential expression proteins for pulmonary tuberculosis [J]. Tuberculosis (Edinb), 2015,95(5):547-554. Kager LM, Blok DC, Lede IO, et al. Pulmonary tuberculosis induces a systemic hypercoagulable state [J]. J Infect, 2015,70(4):324-334. Chan ED, Kaminska AM, Gill W, et al. Alpha-1-antitrypsin (AAT) anomalies are associated with lung disease due to rapidly growing mycobacteria and AAT inhibits Mycobacterium abscessus infection of macrophages [J]. Scand J Infect Dis, 2007,39(8):690-696. Murphy N, Strickler HD, Stanczyk FZ, et al. A Prospective Evaluation of Endogenous Sex Hormone Levels and Colorectal Cancer Risk in Postmenopausal Women [J]. J Natl Cancer Inst, 2015, 107(10):1-10.
点击查看大图
计量
- 文章访问数: 306
- HTML全文浏览量: 62
- PDF下载量: 41
- 被引次数: 0