Identification of biomarkers in diabetic nails by Raman spectroscopy

IF 4.1 3区 医学 Q2 MEDICAL LABORATORY TECHNOLOGY
Clinica Chimica Acta Pub Date : 2023-04-01 Epub Date: 2023-04-25 DOI:10.1016/j.cca.2023.117363
Juscélia Maria de Moura Feitosa Veras , Lennara de Siqueira Coelho , Lázaro Pinto Medeiros Neto , Ritiane Modesto de Almeida , Gustavo Carlos da Silva , Felipe Bachion de Santana , Lívia Assis Garcia , Airton Abrahao Martin , Priscila Pereira Favero
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引用次数: 0

Abstract

Background

The growth of Diabetes Mellitus (DM) is a serious public health issue which is more prevalent in developing countries. The main problems related to DM are the gradual changes in the structural and functional integrity of tissues caused by hyperglycemia, which calls for early diagnosis and periodic monitoring exams. Recent studies suggest that the quality of the nail plate has great potential to assess the secondary complications of DM. Hence, this study aimed to determine the biochemical characteristics of the nails of individuals with DM2 by Raman confocal spectroscopy (CRS).

Methods

We collected fragments from the distal region of the fingernails of 30 healthy volunteers and 30 volunteers with DM2. The samples were analyzed by CRS (Xplora - Horiba) coupled to a 785 nm laser.

Results

Alterations in different biochemical components, such as proteins, lipids, amino acids, and final agents of advanced glycation, and alterations in the disulfide bridges, which are important in stabilizing keratin in nails were identified.

Conclusion

The spectral signatures and new DM2 markers in nails were identified. Therefore, the possibility of acquiring biochemical information by evaluating the nails of diabetics, a simple and easily acquired material associated with the CRS technique, may allow health complications to be detected quickly.

糖尿病指甲生物标志物的拉曼光谱鉴定
背景糖尿病(DM)是一个严重的公共卫生问题,在发展中国家更为普遍。与糖尿病相关的主要问题是高血糖引起的组织结构和功能完整性的逐渐变化,这需要早期诊断和定期监测检查。最近的研究表明,甲板的质量对评估DM的继发并发症有很大的潜力。因此,本研究旨在通过拉曼共聚焦光谱(CRS)来确定DM2患者指甲的生化特征。方法收集30名健康志愿者和30名DM2患者的指甲远端区域的碎片。样品通过耦合到785nm激光器的CRS(Xplora-Horiba)进行分析。结果发现不同生物化学成分,如蛋白质、脂质、氨基酸和晚期糖基化的最终试剂的改变,以及对稳定指甲角蛋白具有重要作用的二硫键的改变。结论在指甲中发现了光谱特征和新的DM2标记物。因此,通过评估糖尿病患者的指甲来获取生化信息的可能性,这是一种与CRS技术相关的简单且容易获得的材料,可以快速检测健康并发症。
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来源期刊
Clinica Chimica Acta
Clinica Chimica Acta 医学-医学实验技术
CiteScore
10.10
自引率
2.00%
发文量
1268
审稿时长
23 days
期刊介绍: The Official Journal of the International Federation of Clinical Chemistry and Laboratory Medicine (IFCC) Clinica Chimica Acta is a high-quality journal which publishes original Research Communications in the field of clinical chemistry and laboratory medicine, defined as the diagnostic application of chemistry, biochemistry, immunochemistry, biochemical aspects of hematology, toxicology, and molecular biology to the study of human disease in body fluids and cells. The objective of the journal is to publish novel information leading to a better understanding of biological mechanisms of human diseases, their prevention, diagnosis, and patient management. Reports of an applied clinical character are also welcome. Papers concerned with normal metabolic processes or with constituents of normal cells or body fluids, such as reports of experimental or clinical studies in animals, are only considered when they are clearly and directly relevant to human disease. Evaluation of commercial products have a low priority for publication, unless they are novel or represent a technological breakthrough. Studies dealing with effects of drugs and natural products and studies dealing with the redox status in various diseases are not within the journal''s scope. Development and evaluation of novel analytical methodologies where applicable to diagnostic clinical chemistry and laboratory medicine, including point-of-care testing, and topics on laboratory management and informatics will also be considered. Studies focused on emerging diagnostic technologies and (big) data analysis procedures including digitalization, mobile Health, and artificial Intelligence applied to Laboratory Medicine are also of interest.
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