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A novel non-invasive method allowing for discovery of pathologically relevant proteins from small airways.


ABSTRACT:

Background

There is a lack of early and precise biomarkers for personalized respiratory medicine. Breath contains an aerosol of droplet particles, which are formed from the epithelial lining fluid when the small airways close and re-open during inhalation succeeding a full expiration. These particles can be collected by impaction using the PExA® method (Particles in Exhaled Air), and are derived from an area of high clinical interest previously difficult to access, making them a potential source of biomarkers reflecting pathological processes in the small airways.

Research question

Our aim was to investigate if PExA method is useful for discovery of biomarkers that reflect pathology of small airways.

Methods and analysis

Ten healthy controls and 20 subjects with asthma, of whom 10 with small airway involvement as indicated by a high lung clearance index (LCI ≥ 2.9 z-score), were examined in a cross-sectional design, using the PExA instrument. The samples were analysed with the SOMAscan proteomics platform (SomaLogic Inc.).

Results

Two hundred-seven proteins were detected in up to 80% of the samples. Nine proteins showed differential abundance in subjects with asthma and high LCI as compared to healthy controls. Two of these were less abundant (ALDOA4, C4), and seven more abundant (FIGF, SERPINA1, CD93, CCL18, F10, IgM, IL1RAP). sRAGE levels were lower in ex-smokers (n = 14) than in never smokers (n = 16). Gene Ontology (GO) annotation database analyses revealed that the PEx proteome is enriched in extracellular proteins associated with extracellular exosome-vesicles and innate immunity.

Conclusion

The applied analytical method was reproducible and allowed identification of pathologically interesting proteins in PEx samples from asthmatic subjects with high LCI. The results suggest that PEx based proteomics is a novel and promising approach to study respiratory diseases with small airway involvement.

SUBMITTER: Ostling J 

PROVIDER: S-EPMC9167914 | biostudies-literature | 2022 Jun

REPOSITORIES: biostudies-literature

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A novel non-invasive method allowing for discovery of pathologically relevant proteins from small airways.

Östling Jörgen J   Van Geest Marleen M   Olsson Henric K HK   Dahlen Sven-Erik SE   Viklund Emilia E   Gustafsson Per M PM   Mirgorodskaya Ekaterina E   Olin Anna-Carin AC  

Clinical proteomics 20220606 1


<h4>Background</h4>There is a lack of early and precise biomarkers for personalized respiratory medicine. Breath contains an aerosol of droplet particles, which are formed from the epithelial lining fluid when the small airways close and re-open during inhalation succeeding a full expiration. These particles can be collected by impaction using the PExA<sup>®</sup> method (Particles in Exhaled Air), and are derived from an area of high clinical interest previously difficult to access, making them  ...[more]

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