探讨炎症性哮喘表型:血清和诱导痰中的蛋白质组学特征。
Exploring Inflammatory Asthma Phenotypes: Proteomic Signatures in Serum and Induced Sputum.
机构信息
Laboratory of Nanobiotechnology, Institute of Biotechnology, Federal University of Uberlandia, Uberlandia 38405-320, Brazil.
Department of Pulmonology, School of Medicine, Federal University of Uberlandia, Uberlandia 38405-320, Brazil.
出版信息
Int J Mol Sci. 2024 Mar 20;25(6):3501. doi: 10.3390/ijms25063501.
Asthma drug responses may differ due to inflammatory mechanisms triggered by the immune cells in the pulmonary microenvironment. Thus, asthma phenotyping based on the local inflammatory profile may aid in treatment definition and the identification of new therapeutic targets. Here, we investigated protein profiles of induced sputum and serum from asthma patients classified into eosinophilic, neutrophilic, mixed granulocytic, and paucigranulocytic asthma, according to inflammatory phenotypes. Proteomic analyses were performed using an ultra-performance liquid chromatography (ultra-HPLC) system coupled to the Q Exactive Hybrid Quadrupole Orbitrap Mass Spectrometer. Fifty-two (52) proteins showed significant differences in induced sputum among the groups, while only 12 were altered in patients' sera. Five proteins in the induced sputum were able to discriminate all phenotypic groups, while four proteins in the serum could differentiate all except the neutrophilic from the paucigranulocytic inflammatory pattern. This is the first report on comparative proteomics of inflammatory asthma phenotypes in both sputum and serum samples. We have identified a potential five-biomarker panel that may be able to discriminate all four inflammatory phenotypes in sputum. These findings not only provide insights into potential therapeutic targets but also emphasize the potential for personalized treatment approaches in asthma management.
哮喘药物反应可能因肺部微环境中免疫细胞引发的炎症机制而有所不同。因此,基于局部炎症谱的哮喘表型分型可能有助于确定治疗方案和发现新的治疗靶点。在这里,我们根据炎症表型,将哮喘患者分为嗜酸性粒细胞性、中性粒细胞性、混合粒细胞性和寡粒细胞性哮喘,并对其诱导痰和血清中的蛋白质谱进行了研究。采用超高效液相色谱(ultra-HPLC)系统与 Q Exactive Hybrid Quadrupole Orbitrap 质谱仪联用进行蛋白质组学分析。在诱导痰中,52 种蛋白质在各组间存在显著差异,而在患者血清中仅有 12 种发生改变。诱导痰中的 5 种蛋白质能够区分所有表型组,而血清中的 4 种蛋白质除了能够区分中性粒细胞性与寡粒细胞性炎症模式外,还能够区分其他所有表型组。这是首次在诱导痰和血清样本中对炎症性哮喘表型进行比较蛋白质组学研究的报道。我们已经确定了一个潜在的五标志物面板,该面板可能能够区分诱导痰中的所有四种炎症表型。这些发现不仅为潜在的治疗靶点提供了新的见解,还强调了在哮喘管理中采用个体化治疗方法的潜力。