对接受过纽西奈森治疗的脊髓性肌萎缩症患者进行蛋白质组学分析和机器学习

IF 6.2 2区 生物学 Q1 BIOCHEMISTRY & MOLECULAR BIOLOGY
Chiara Panicucci, Eray Sahin, Martina Bartolucci, Sara Casalini, Noemi Brolatti, Marina Pedemonte, Serena Baratto, Sara Pintus, Elisa Principi, Adele D’Amico, Marika Pane, Marina Sframeli, Sonia Messina, Emilio Albamonte, Valeria A. Sansone, Eugenio Mercuri, Enrico Bertini, Ugur Sezerman, Andrea Petretto, Claudio Bruno
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引用次数: 0

摘要

目的脊髓性肌萎缩症(SMA)疾病改变疗法和新生儿筛查计划的出现,迫切需要可靠的预后生物标志物来根据疾病严重程度对患者进行分类。我们的目的是在基线(T0)收集的 SMA 患者 CSF 样本中鉴定脑脊液(CSF)预后蛋白生物标志物,并在第六次输注奴西那生(T302)之前描述蛋白质组谱变化和受奴西那生影响的生物通路。方法在这项多中心回顾性纵向研究中,我们采用了一种基于非靶向液相色谱质谱法(LC-MS)的蛋白质组学方法,对61名接受奴西奈森治疗的SMA患者(SMA1 n=19, SMA2 n=19, SMA3 n=23 )在T0和T302时采集的CSF样本进行了分析。应用随机森林(RF)机器学习算法和通路富集分析进行了分析。结果应用RF算法分析天真患者的蛋白质表达谱时,发现有几种蛋白质可根据其在T0时的丰度差异对不同类型的SMA进行分类。对蛋白质组图谱变化的分析发现,纽西奈森治疗后,SMA1 共有 147 个表达不同的蛋白质,SMA2 有 135 个,SMA3 有 289 个。结论这项对 SMA 患者脑脊液进行的非靶向 LC-MS 蛋白质组学分析揭示了新患者蛋白质表达的差异,并显示了治疗 10 个月后努西奈森对多个生物过程的相关调节。要在更多患者和更长的时间框架内验证这些结果,还需要进一步的确证研究。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Proteomics profiling and machine learning in nusinersen-treated patients with spinal muscular atrophy

Proteomics profiling and machine learning in nusinersen-treated patients with spinal muscular atrophy

Aim

The availability of disease-modifying therapies and newborn screening programs for spinal muscular atrophy (SMA) has generated an urgent need for reliable prognostic biomarkers to classify patients according to disease severity. We aim to identify cerebrospinal fluid (CSF) prognostic protein biomarkers in CSF samples of SMA patients collected at baseline (T0), and to describe proteomic profile changes and biological pathways influenced by nusinersen before the sixth nusinersen infusion (T302).

Methods

In this multicenter retrospective longitudinal study, we employed an untargeted liquid chromatography mass spectrometry (LC-MS)-based proteomic approach on CSF samples collected from 61 SMA patients treated with nusinersen (SMA1 n=19, SMA2 n=19, SMA3 n=23) at T0 at T302. The Random Forest (RF) machine learning algorithm and pathway enrichment analysis were applied for analysis.

Results

The RF algorithm, applied to the protein expression profile of naïve patients, revealed several proteins that could classify the different types of SMA according to their differential abundance at T0. Analysis of changes in proteomic profiles identified a total of 147 differentially expressed proteins after nusinersen treatment in SMA1, 135 in SMA2, and 289 in SMA3.

Overall, nusinersen-induced changes on proteomic profile were consistent with i) common effects observed in allSMA types (i.e. regulation of axonogenesis), and ii) disease severity-specific changes, namely regulation of glucose metabolism in SMA1, of coagulation processes in SMA2, and of complement cascade in SMA3.

Conclusions

This untargeted LC-MS proteomic profiling in the CSF of SMA patients revealed differences in protein expression in naïve patients and showed nusinersen-related modulation in several biological processes after 10 months of treatment. Further confirmatory studies are needed to validate these results in larger number of patients and over abroader timeframe.

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来源期刊
Cellular and Molecular Life Sciences
Cellular and Molecular Life Sciences 生物-生化与分子生物学
CiteScore
13.20
自引率
1.20%
发文量
546
审稿时长
1.0 months
期刊介绍: Journal Name: Cellular and Molecular Life Sciences (CMLS) Location: Basel, Switzerland Focus: Multidisciplinary journal Publishes research articles, reviews, multi-author reviews, and visions & reflections articles Coverage: Latest aspects of biological and biomedical research Areas include: Biochemistry and molecular biology Cell biology Molecular and cellular aspects of biomedicine Neuroscience Pharmacology Immunology Additional Features: Welcomes comments on any article published in CMLS Accepts suggestions for topics to be covered
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