Proteomic identification of novel plasma biomarkers associated with spontaneous preterm birth in women with preterm labor without infection/inflammation

We sought to identify plasma biomarkers associated with spontaneous preterm birth (SPTB, delivery within 21 days of sampling) in women with preterm labor (PTL) without intra-amniotic infection/inflammation (IAI) using label-free quantitative proteomic analysis, as well as to elucidate specific prote...

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Veröffentlicht in:PloS one 2021-10, Vol.16 (10), p.e0259265-e0259265
Hauptverfasser: Lee, Ji Eun, Park, Kyo Hoon, Kim, Hyeon Ji, Kim, Yu Mi, Choi, Ji-Woong, Shin, Sue, Lee, Kyong-No
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creator Lee, Ji Eun
Park, Kyo Hoon
Kim, Hyeon Ji
Kim, Yu Mi
Choi, Ji-Woong
Shin, Sue
Lee, Kyong-No
description We sought to identify plasma biomarkers associated with spontaneous preterm birth (SPTB, delivery within 21 days of sampling) in women with preterm labor (PTL) without intra-amniotic infection/inflammation (IAI) using label-free quantitative proteomic analysis, as well as to elucidate specific protein pathways involved in these cases. This was a retrospective cohort study comprising 104 singleton pregnant women with PTL (24-32 weeks) who underwent amniocentesis and demonstrated no evidence of IAI. Analysis of pooled plasma samples collected from SPTB cases and term birth (TB) controls (n = 10 for each group) was performed using label-free quantitative mass spectrometry for proteome profiling in a nested case-control study design. Eight candidate proteins of interest were validated by ELISA-based assay and a clot-based assay in the total cohort. Ninety-one proteins were differentially expressed (P < 0.05) in plasma samples obtained from SPTB cases, of which 53 (58.2%) were upregulated and 38 (41.8%) were downregulated when compared to TD controls. A validation study confirmed that plasma from women who delivered spontaneously within 21 days of sampling contained significantly higher levels of coagulation factor Ⅴ and lower levels of S100 calcium binding protein A9 (S100A9), especially the former which was independent of baseline variables. The top-ranked pathways related to the 91 differentially expressed proteins were liver-X-receptor/retinoid X receptor (RXR) activation, acute phase response signaling, farnesoid X receptor/RXR activation, coagulation system, and complement system. Proteomic analyses in this study identified potential novel biomarkers (i.e., coagulation factor V and S100A9) and potential protein pathways in plasma associated with SPTB in the absence of IAI in women with PTL. The present findings provide novel insights into the molecular pathogenesis and therapeutic targets specific for idiopathic SPTB.
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A validation study confirmed that plasma from women who delivered spontaneously within 21 days of sampling contained significantly higher levels of coagulation factor Ⅴ and lower levels of S100 calcium binding protein A9 (S100A9), especially the former which was independent of baseline variables. The top-ranked pathways related to the 91 differentially expressed proteins were liver-X-receptor/retinoid X receptor (RXR) activation, acute phase response signaling, farnesoid X receptor/RXR activation, coagulation system, and complement system. Proteomic analyses in this study identified potential novel biomarkers (i.e., coagulation factor V and S100A9) and potential protein pathways in plasma associated with SPTB in the absence of IAI in women with PTL. 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blood</subject><subject>Premature labor</subject><subject>Proteins</subject><subject>Proteome - chemistry</subject><subject>Proteomes</subject><subject>Proteomics</subject><subject>Receptors</subject><subject>Retinoid X receptors</subject><subject>Risk factors</subject><subject>Sampling</subject><subject>Therapeutic targets</subject><subject>Womens health</subject><issn>1932-6203</issn><issn>1932-6203</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><sourceid>DOA</sourceid><recordid>eNqNk9uO0zAQhiMEYpfCGyCIhITgol07ju3kBmm14lBppUWcbq2JO2m9OHGxnV14Ex4Xt01XLeKCK1ueb_7x_PZk2VNKZpRJenbtBt-Dna1djzNS8LoQ_F52SmtWTEVB2P2D_Un2KIRrQjirhHiYnbBSUkIrcpr9_uhdRNcZnZsF9tG0RkM0rs9dm_fuBm2-thA6yBvjOvDf0YccQnDaQMRFfmviKg_pDhF6dEPI1x4j-i7hPkVMn9-6Dvsdt49ZaJzfHrkhJqZFvSl5lnYWum5b_3H2oAUb8Mm4TrKv795-ufgwvbx6P784v5xqwVmctrQUC80IFyVvZOqrbrAWRS2plLoAzikWElosJa-loG1JBWNFhU2rS8Hqkk2y5zvdtXVBjaYGVfBKSsLLmiRiviMWDq7V2ptkwy_lwKjtgfNLBT4abVEBY4tUtcCaNim1hLLlwAmDumwq2TZJ681YbWg6XOjkuAd7JHoc6c1KLd2NqjhnpGJJ4NUo4N2PAUNUnQkard3Zn-5dE1JVlPGEvvgL_Xd3I7WE1EB6AZfq6o2oOhcV4VSSpDbJXh9ROj04_oxLGEJQ88-f_p-9-nbMvjxgVwg2roKzw-YHhGOw3IHauxA8tneeUaI287BvTm3mQY3zkNKeHfp9l7QfAPYHB_oJFQ</recordid><startdate>20211028</startdate><enddate>20211028</enddate><creator>Lee, Ji Eun</creator><creator>Park, Kyo Hoon</creator><creator>Kim, Hyeon Ji</creator><creator>Kim, Yu Mi</creator><creator>Choi, Ji-Woong</creator><creator>Shin, Sue</creator><creator>Lee, Kyong-No</creator><general>Public Library of Science</general><general>Public Library of Science (PLoS)</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>IOV</scope><scope>ISR</scope><scope>3V.</scope><scope>7QG</scope><scope>7QL</scope><scope>7QO</scope><scope>7RV</scope><scope>7SN</scope><scope>7SS</scope><scope>7T5</scope><scope>7TG</scope><scope>7TM</scope><scope>7U9</scope><scope>7X2</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8C1</scope><scope>8FD</scope><scope>8FE</scope><scope>8FG</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABJCF</scope><scope>ABUWG</scope><scope>AEUYN</scope><scope>AFKRA</scope><scope>ARAPS</scope><scope>ATCPS</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BGLVJ</scope><scope>BHPHI</scope><scope>C1K</scope><scope>CCPQU</scope><scope>D1I</scope><scope>DWQXO</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>H94</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>KB.</scope><scope>KB0</scope><scope>KL.</scope><scope>L6V</scope><scope>LK8</scope><scope>M0K</scope><scope>M0S</scope><scope>M1P</scope><scope>M7N</scope><scope>M7P</scope><scope>M7S</scope><scope>NAPCQ</scope><scope>P5Z</scope><scope>P62</scope><scope>P64</scope><scope>PATMY</scope><scope>PDBOC</scope><scope>PHGZM</scope><scope>PHGZT</scope><scope>PIMPY</scope><scope>PJZUB</scope><scope>PKEHL</scope><scope>PPXIY</scope><scope>PQEST</scope><scope>PQGLB</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>PTHSS</scope><scope>PYCSY</scope><scope>RC3</scope><scope>7X8</scope><scope>5PM</scope><scope>DOA</scope><orcidid>https://orcid.org/0000-0003-3550-9686</orcidid></search><sort><creationdate>20211028</creationdate><title>Proteomic identification of novel plasma biomarkers associated with spontaneous preterm birth in women with preterm labor without infection/inflammation</title><author>Lee, Ji Eun ; Park, Kyo Hoon ; Kim, Hyeon Ji ; Kim, Yu Mi ; Choi, Ji-Woong ; Shin, Sue ; Lee, Kyong-No</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c653t-f146dc305645b73479be96297177c2a551e27afe4759761f4163328ebfc463943</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Adult</topic><topic>Amniocentesis</topic><topic>Biology and Life Sciences</topic><topic>Biomarkers</topic><topic>Biomarkers - blood</topic><topic>Birth</topic><topic>Calcium-binding protein</topic><topic>Calgranulin B - blood</topic><topic>Childbirth &amp; labor</topic><topic>Coagulation</topic><topic>Coagulation factors</topic><topic>Complement activation</topic><topic>Enzyme-linked immunosorbent assay</topic><topic>Factor V</topic><topic>Factor V - analysis</topic><topic>Female</topic><topic>Gynecology</topic><topic>Health aspects</topic><topic>Hospitals</topic><topic>Humans</topic><topic>Independent variables</topic><topic>Infections</topic><topic>Inflammation</topic><topic>Labor</topic><topic>Laboratories</topic><topic>Liver X receptors</topic><topic>Mass spectrometry</topic><topic>Mass spectroscopy</topic><topic>Medical schools</topic><topic>Medicine</topic><topic>Medicine and Health Sciences</topic><topic>Methods</topic><topic>Obstetrics</topic><topic>Pathogenesis</topic><topic>Physiological aspects</topic><topic>Plasma</topic><topic>Pregnant women</topic><topic>Premature birth</topic><topic>Premature Birth - 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Academic</collection><collection>PubMed Central (Full Participant titles)</collection><collection>DOAJ Directory of Open Access Journals</collection><jtitle>PloS one</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Lee, Ji Eun</au><au>Park, Kyo Hoon</au><au>Kim, Hyeon Ji</au><au>Kim, Yu Mi</au><au>Choi, Ji-Woong</au><au>Shin, Sue</au><au>Lee, Kyong-No</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Proteomic identification of novel plasma biomarkers associated with spontaneous preterm birth in women with preterm labor without infection/inflammation</atitle><jtitle>PloS one</jtitle><addtitle>PLoS One</addtitle><date>2021-10-28</date><risdate>2021</risdate><volume>16</volume><issue>10</issue><spage>e0259265</spage><epage>e0259265</epage><pages>e0259265-e0259265</pages><issn>1932-6203</issn><eissn>1932-6203</eissn><abstract>We sought to identify plasma biomarkers associated with spontaneous preterm birth (SPTB, delivery within 21 days of sampling) in women with preterm labor (PTL) without intra-amniotic infection/inflammation (IAI) using label-free quantitative proteomic analysis, as well as to elucidate specific protein pathways involved in these cases. This was a retrospective cohort study comprising 104 singleton pregnant women with PTL (24-32 weeks) who underwent amniocentesis and demonstrated no evidence of IAI. Analysis of pooled plasma samples collected from SPTB cases and term birth (TB) controls (n = 10 for each group) was performed using label-free quantitative mass spectrometry for proteome profiling in a nested case-control study design. Eight candidate proteins of interest were validated by ELISA-based assay and a clot-based assay in the total cohort. Ninety-one proteins were differentially expressed (P &lt; 0.05) in plasma samples obtained from SPTB cases, of which 53 (58.2%) were upregulated and 38 (41.8%) were downregulated when compared to TD controls. A validation study confirmed that plasma from women who delivered spontaneously within 21 days of sampling contained significantly higher levels of coagulation factor Ⅴ and lower levels of S100 calcium binding protein A9 (S100A9), especially the former which was independent of baseline variables. The top-ranked pathways related to the 91 differentially expressed proteins were liver-X-receptor/retinoid X receptor (RXR) activation, acute phase response signaling, farnesoid X receptor/RXR activation, coagulation system, and complement system. Proteomic analyses in this study identified potential novel biomarkers (i.e., coagulation factor V and S100A9) and potential protein pathways in plasma associated with SPTB in the absence of IAI in women with PTL. The present findings provide novel insights into the molecular pathogenesis and therapeutic targets specific for idiopathic SPTB.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>34710180</pmid><doi>10.1371/journal.pone.0259265</doi><tpages>e0259265</tpages><orcidid>https://orcid.org/0000-0003-3550-9686</orcidid><oa>free_for_read</oa></addata></record>
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subjects Adult
Amniocentesis
Biology and Life Sciences
Biomarkers
Biomarkers - blood
Birth
Calcium-binding protein
Calgranulin B - blood
Childbirth & labor
Coagulation
Coagulation factors
Complement activation
Enzyme-linked immunosorbent assay
Factor V
Factor V - analysis
Female
Gynecology
Health aspects
Hospitals
Humans
Independent variables
Infections
Inflammation
Labor
Laboratories
Liver X receptors
Mass spectrometry
Mass spectroscopy
Medical schools
Medicine
Medicine and Health Sciences
Methods
Obstetrics
Pathogenesis
Physiological aspects
Plasma
Pregnant women
Premature birth
Premature Birth - blood
Premature labor
Proteins
Proteome - chemistry
Proteomes
Proteomics
Receptors
Retinoid X receptors
Risk factors
Sampling
Therapeutic targets
Womens health
title Proteomic identification of novel plasma biomarkers associated with spontaneous preterm birth in women with preterm labor without infection/inflammation
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