Futyma Konrad, Nowakowski Łukasz, Ziętek-Strobl Alicja, Kamińska Aleksandra, Taoussi Nadia, Rechberger Tomasz
2nd Department of Gynecology, Medical University of Lublin, Jaczewskiego 8, 20-954 Lublin, Poland.
Accident and Emergency Department, Haukeland University Hospital, N-5021 Bergen, Norway.
J Clin Med. 2020 May 8;9(5):1389. doi: 10.3390/jcm9051389.
Overactive bladder (OAB) is defined by International Urogynecological Association (IUGA)/ International Continence Society (ICS) as urinary urgency, usually accompanied by frequency and nocturia, with or without urgency urinary incontinence, in the absence of urinary tract infection (UTI) or other obvious pathology. The pathophysiology of OAB is not well understood, however a number of different proteins and cytokines including vascular cell adhesion molecule-1 (VCAM-1) were found to be important in regulating structural integrity of the bladder wall. Proteome analysis may thus provide significant information with regard to OAB and may help in discovering novel diagnostic disease biomarkers. Sixteen Caucasian women aged 32-78 were included in the study. Patients were placed within 2 groups: OAB group ( = 8) and control group ( = 8). Urine samples were collected, immediately preserved in a protease inhibitor mixture, and frozen at -80 ℃. All samples were then further processed according to the isobaric tags for relative and absolute quantification (iTRAQ) manual. Proteins were labeled and analyzed in the mass spectrometer conjugated with liquid chromatograph (data are available via ProteomeXchange with the identifier PXD017799). There were no statistically significant differences in demographic data between control and OAB groups. VCAM-1 was the only protein that reached statistical significance as a differentiating protein in both of our experiments assessing the proteomic constitution in OAB patients. Studies involving a larger group of patients may provide further information on urinary bladder proteomics.
国际尿控协会(IUGA)/国际尿失禁学会(ICS)将膀胱过度活动症(OAB)定义为尿急,通常伴有尿频和夜尿,伴有或不伴有急迫性尿失禁,且无尿路感染(UTI)或其他明显病理状况。然而,OAB的病理生理学尚未完全了解,不过已发现包括血管细胞黏附分子-1(VCAM-1)在内的多种不同蛋白质和细胞因子在调节膀胱壁结构完整性方面很重要。因此,蛋白质组分析可能会提供有关OAB的重要信息,并有助于发现新的疾病诊断生物标志物。该研究纳入了16名年龄在32至78岁之间的白种女性。患者被分为两组:OAB组(n = 8)和对照组(n = 8)。收集尿液样本,立即保存在蛋白酶抑制剂混合物中,并在-80℃下冷冻。然后根据相对和绝对定量的等压标签(iTRAQ)手册对所有样本进行进一步处理。在与液相色谱仪联用的质谱仪中对蛋白质进行标记和分析(数据可通过ProteomeXchange获得,标识符为PXD017799)。对照组和OAB组之间的人口统计学数据无统计学显著差异。在我们评估OAB患者蛋白质组构成的两个实验中,VCAM-1是唯一作为差异蛋白达到统计学显著性的蛋白质。涉及更大患者群体的研究可能会提供有关膀胱蛋白质组学的更多信息。