Sweat Proteomics in Cystic Fibrosis: Discovering Companion Biomarkers for Precision Medicine and Therapeutic Development

peer reviewedIn clinical routine, the diagnosis of cystic fibrosis (CF) is still challenging regardless of international consensus on diagnosis guidelines and tests. For decades, the classical Gibson and Cooke test measuring sweat chloride concentration has been a keystone, yet, it may provide normal or equivocal results. As of now, despite the combination of sweat testing, CFTR genotyping, and CFTR functional testing, a small fraction (1–2%) of inconclusive diagnoses are reported and justifies the search for new CF biomarkers. More importantly, in the context of precision medicine, with a view to early diagnosis, better prognosis, appropriate clinical follow-up, and new therapeutic development, discovering companion biomarkers of CF severity and phenotypic rescue are of utmost interest. To date, previous sweat proteomic studies have already documented disease-specific variations of sweat proteins (e.g., in schizophrenia and tuberculosis). In the current study, sweat samples from 28 healthy control subjects and 14 patients with CF were analyzed by nanoUHPLC-Q-Orbitrap-based shotgun proteomics, to look for CF-associated changes in sweat protein composition and abundance. A total of 1057 proteins were identified and quantified at an individual level, by a shotgun label-free approach. Notwithstanding similar proteome composition, enrichment, and functional annotations, control and CF samples featured distinct quantitative proteome profiles significantly correlated with CF, accounting for the respective inter-individual variabilities of control and CF sweat. All in all: (i) 402 sweat proteins were differentially abundant between controls and patients with CF, (ii) 68 proteins varied in abundance between F508del homozygous patients and patients with another genotype, (iii) 71 proteins were differentially abundant according to the pancreatic function, and iv) 54 proteins changed in abundance depending on the lung function. The functional annotation of pathophysiological biomarkers highlighted eccrine gland cell perturbations in: (i) protein biosynthesis and trafficking, (ii) CFTR proteostasis and membrane stability, and (iii) cell-cell adherence, membrane integrity, and cytoskeleton crosstalk. Cytoskeleton-related biomarkers were of utmost interest because of the consistency between variations observed here in CF sweat and variations previously documented in other CF tissues. From a clinical stance, nine candidate biomarkers of CF diagnosis (CUTA, ARG1, EZR, AGA, FLNA, MAN1A1, MIA3, LFNG, SIAE) and seven candidate biomarkers of CF severity (ARG1, GPT, MDH2, EML4 (F508del homozygous), MGAT1 (pancreatic insufficiency), IGJ, TOLLIP (lung function impairment)) were deemed suitable for further verification.MucoSweatOmic

Apports de la protéomique quantitative différentielle haut-débit à l'étude des mécanismes de modification du cytosquelette de cellules tubulaires proximales induits par les Inhibiteurs de la Calcineurine

In solid organ transplantation, Calcineurin Inhibitors, Cyclosporin A and Tacrolimus, prevent allograft rejection and ensure short-term allograft survival. However, CNI elicit nephrotoxic side effects whose mechanisms remain widely unsolved and are thought to participate to the multifactorial development of chronic kidney disease, leading to renal failure. The aim of thiswork was to combine targeted and untargeted experimental strategies to better understand CNI-induced physiopathological mechanisms.The first approach was based on the untargeted monitoring of the proximal tubular proteome by the quantitative shotgun proteomic technique, iTRAQ (« isobaric Tags for Relative & Absolute Quantitation »). The second approach consisted in the study of the Actin cytoskeleton of proximal tubular cells by classical molecular biology techniques. In the light of results from both approaches, this work reported that the Actin cytoskeleton of proximal tubular cells may play a part in the pathophysiology of CsA thanks to a mechanism based on an original regulation of the intracellular dynamics of Actin.En transplantation d’organe solide, les Inhibiteurs de la Calcineurine (ICN), Cyclosporine A et Tacrolimus, ont permis un amélioration significative de la survie à court terme du greffon en prévenant le rejet d’allogreffe. Cette évolution positive est contrebalancée par une néphrotoxicité susceptible de contribuer au développement complexe et multifactoriel de la dysfonction chronique du greffon, facteur pronostique majeur d’une insuffisance rénale terminale. L’objectif principal de ce travail a été de combiner deux approches expérimentales complémentaires, afin de mettre en lumière des aspects inédits de la physiopathologie des ICN. La première approche repose sur l’application de la technique de protéomique quantitative« shotgun » iTRAQ (« isobaric Tags for Relative & Absolute Quantitation ») à l’analyse non ciblée du protéome de cellules tubulaires proximales. La seconde approche applique de manière ciblée les outils classiques de biologie moléculaire à l’étude du cytosquelette d’Actine de cellules tubulaires proximales. La combinaison de ces deux stratégies complémentaires a permis de mettre en lumière un rôle inédit du cytosquelette d’Actine dans les effets physiopathologiques de la Cyclosporine A en apportant des éléments en faveur d’un mécanisme reposant sur une régulation originale de la dynamique intracellulaire de l’Actine

Contributions of the differential high-throughput quantitative proteomic analysis of tubular proximal cells to the study of Calcineurin Inhibitors-induced modifications of the Actin cytoskeleton

En transplantation d’organe solide, les Inhibiteurs de la Calcineurine (ICN), Cyclosporine A et Tacrolimus, ont permis un amélioration significative de la survie à court terme du greffon en prévenant le rejet d’allogreffe. Cette évolution positive est contrebalancée par une néphrotoxicité susceptible de contribuer au développement complexe et multifactoriel de la dysfonction chronique du greffon, facteur pronostique majeur d’une insuffisance rénale terminale. L’objectif principal de ce travail a été de combiner deux approches expérimentales complémentaires, afin de mettre en lumière des aspects inédits de la physiopathologie des ICN. La première approche repose sur l’application de la technique de protéomique quantitative« shotgun » iTRAQ (« isobaric Tags for Relative & Absolute Quantitation ») à l’analyse non ciblée du protéome de cellules tubulaires proximales. La seconde approche applique de manière ciblée les outils classiques de biologie moléculaire à l’étude du cytosquelette d’Actine de cellules tubulaires proximales. La combinaison de ces deux stratégies complémentaires a permis de mettre en lumière un rôle inédit du cytosquelette d’Actine dans les effets physiopathologiques de la Cyclosporine A en apportant des éléments en faveur d’un mécanisme reposant sur une régulation originale de la dynamique intracellulaire de l’Actine.In solid organ transplantation, Calcineurin Inhibitors, Cyclosporin A and Tacrolimus, prevent allograft rejection and ensure short-term allograft survival. However, CNI elicit nephrotoxic side effects whose mechanisms remain widely unsolved and are thought to participate to the multifactorial development of chronic kidney disease, leading to renal failure. The aim of thiswork was to combine targeted and untargeted experimental strategies to better understand CNI-induced physiopathological mechanisms.The first approach was based on the untargeted monitoring of the proximal tubular proteome by the quantitative shotgun proteomic technique, iTRAQ (« isobaric Tags for Relative & Absolute Quantitation »). The second approach consisted in the study of the Actin cytoskeleton of proximal tubular cells by classical molecular biology techniques. In the light of results from both approaches, this work reported that the Actin cytoskeleton of proximal tubular cells may play a part in the pathophysiology of CsA thanks to a mechanism based on an original regulation of the intracellular dynamics of Actin

Relative quantitative proteomic analysis of CNI-induced toxicity in a porcine proximal tubule cell line using iTRAQ technique

National audienc

Characterization of the Human Eccrine Sweat Proteome—A Focus on the Biological Variability of Individual Sweat Protein Profiles

The potential of eccrine sweat as a bio-fluid of interest for diagnosis and personalized therapy has not yet been fully evaluated, due to the lack of in-depth sweat characterization studies. Thanks to recent developments in omics, together with the availability of accredited sweat collection methods, the analysis of human sweat may now be envisioned as a standardized, non-invasive test for individualized monitoring and personalized medicine. Here, we characterized individual sweat samples, collected from 28 healthy adult volunteers under the most standardized sampling methodology, by applying optimized shotgun proteomics. The thorough characterization of the sweat proteome allowed the identification of 983 unique proteins from which 344 were identified across all samples. Annotation-wise, the study of the sweat proteome unveiled the over-representation of newly addressed actin dynamics, oxidative stress and proteasome-related functions, in addition to well-described proteolysis and anti-microbial immunity. The sweat proteome composition correlated with the inter-individual variability of sweat secretion parameters. In addition, both gender-exclusive proteins and gender-specific protein abundances were highlighted, despite the high similarity between human female and male sweat proteomes. In conclusion, standardized sample collection coupled with optimized shotgun proteomics significantly improved the depth of sweat proteome coverage, far beyond previous similar studies. The identified proteins were involved in many diverse biological processes and molecular functions, indicating the potential of this bio-fluid as a valuable biological matrix for further studies. Addressing sweat variability, our results prove the proteomic profiling of sweat to be a promising bio-fluid analysis for individualized, non-invasive monitoring and personalized medicine.MucoSweatOmic