Apolipoprotein A-I as a candidate serum marker for the response to lithium treatment in bipolar disorder

The molecular basis of bipolar disorder (BD) is still unknown as is the mechanism through which lithium, the therapy of choice, exerts its effects in treatment of BD. So far, no biomarkers exist to facilitate diagnosis of BD or treatment evaluation. To investigate whether BD and its treatment with l...

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Veröffentlicht in:Proteomics (Weinheim) 2011-01, Vol.11 (2), p.261-269
Hauptverfasser: Sussulini, Alessandra, Dihazi, Hassan, Banzato, Claudio Eduardo Muller, Arruda, Marco Aurelio Zezzi, Stühmer, Walter, Ehrenreich, Hannelore, Jahn, Olaf, Kratzin, Hartmut D
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container_issue 2
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container_title Proteomics (Weinheim)
container_volume 11
creator Sussulini, Alessandra
Dihazi, Hassan
Banzato, Claudio Eduardo Muller
Arruda, Marco Aurelio Zezzi
Stühmer, Walter
Ehrenreich, Hannelore
Jahn, Olaf
Kratzin, Hartmut D
description The molecular basis of bipolar disorder (BD) is still unknown as is the mechanism through which lithium, the therapy of choice, exerts its effects in treatment of BD. So far, no biomarkers exist to facilitate diagnosis of BD or treatment evaluation. To investigate whether BD and its treatment with lithium leaves a characteristic signature in the serum proteome, we used SELDI-TOF MS to analyze individual serum samples from BD patients treated with lithium (BD-plus-Li, n=15) or other drugs (BD-minus-Li, n=10) and from healthy controls (n=15). Interestingly, features of 28 kDa (one peak) and 14 kDa (three peaks) showed a decreased level in the BD-minus-Li group and a level restored to that of the control group in the BD-plus-Li group. To reveal the identity of these features, we subjected pooled serum samples from both BD groups to the 2-D DIGE technology and identified 28 kDa apolipoprotein A-I (apo A-I) and three 14 kDa fragments thereof as upregulated in the BD-plus-Li group. Immunoturbidimetry, a routine clinical assay, verified the characteristic apo A-I signature in individual serum samples. In conclusion, we propose apo A-I as a candidate marker that can visualize response to lithium treatment at the serum protein level.
doi_str_mv 10.1002/pmic.201000371
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subjects Adult
Adult and adolescent clinical studies
Amino Acid Sequence
Analytical, structural and metabolic biochemistry
Antipsychotic Agents - therapeutic use
Apolipoprotein A-I
Apolipoprotein A-I - blood
Apolipoproteins
Biological and medical sciences
Biomarker
Biomarkers - blood
Biomedicine
Bipolar disorder
Bipolar Disorder - diagnosis
Bipolar Disorder - drug therapy
Bipolar disorders
Female
Fundamental and applied biological sciences. Psychology
Humans
Language disorders
Lithium
Lithium Compounds - therapeutic use
Male
Medical sciences
Middle Aged
Miscellaneous
Molecular Sequence Data
Mood disorders
Proteins
Proteome - metabolism
Psychology. Psychoanalysis. Psychiatry
Psychopathology. Psychiatry
Serum
Spectrometry, Mass, Matrix-Assisted Laser Desorption-Ionization
title Apolipoprotein A-I as a candidate serum marker for the response to lithium treatment in bipolar disorder
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