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Kim HH, Moon OJ, Seol YH, Lee J. A simple urine test by
3D‐plus‐3D
immunoassay guides precise
in vitro
cancer diagnosis. Bioeng Transl Med 2023; 8:e10489. [DOI: 10.1002/btm2.10489] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/25/2022] [Revised: 12/26/2022] [Accepted: 12/29/2022] [Indexed: 01/19/2023] Open
Affiliation(s)
- Hye Hyun Kim
- Department of Chemical and Biological Engineering, College of Engineering Korea University Seoul Republic of Korea
| | - Ok Jeong Moon
- Department of Chemical and Biological Engineering, College of Engineering Korea University Seoul Republic of Korea
| | - Yong Hwan Seol
- Department of Chemical and Biological Engineering, College of Engineering Korea University Seoul Republic of Korea
| | - Jeewon Lee
- Department of Chemical and Biological Engineering, College of Engineering Korea University Seoul Republic of Korea
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2
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Comparative effects of high pressure processing and heat treatment on in vitro digestibility of pea protein and starch. NPJ Sci Food 2022; 6:2. [PMID: 35022417 PMCID: PMC8755827 DOI: 10.1038/s41538-021-00116-0] [Citation(s) in RCA: 8] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/23/2021] [Accepted: 12/06/2021] [Indexed: 11/30/2022] Open
Abstract
The effects of high-pressure processing (HPP) and heat treatment on the digestibility of protein and starch in pea protein concentrate (PPC) were investigated. Samples of PPC with 5% (5 P) and 15% (15 P) protein were treated by HPP (600 MPa/5 °C/4 min) or heat (95 °C/15 min) and their in vitro static and dynamic digestibility were compared to untreated controls. HPP-treated PPC underwent a greater degree of proteolysis and showed different peptide patterns after static gastric digestion compared to untreated and heat-treated PPC. Differences in protein digestibility among treatments during dynamic digestion were only significant (p < 0.05) during the first 20 min of jejunal, ileal, and total digestion for 5 P, and during the first 60 min of ileal digestion for 15 P. Neither static nor dynamic starch digestibility were dependent on treatment. HPP did not reduce trypsin inhibitor activity, whereas heat treatment reduced it by ~70%. HPP-induced structural modifications of proteins and starch did not affect their overall in vitro digestibility but enhanced gastric proteolysis.
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Rodrigues LA, Leonardo IC, Gaspar FB, Roseiro LC, Duarte ARC, Matias AA, Paiva A. Unveiling the potential of betaine/polyol-based deep eutectic systems for the recovery of bioactive protein derivative-rich extracts from sardine processing residues. Sep Purif Technol 2021. [DOI: 10.1016/j.seppur.2021.119267] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/25/2022]
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4
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Effect of High Pressure Processing and heat treatment on in vitro digestibility and trypsin inhibitor activity in lentil and faba bean protein concentrates. Lebensm Wiss Technol 2021. [DOI: 10.1016/j.lwt.2021.112342] [Citation(s) in RCA: 7] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/02/2023]
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5
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Rodrigues LA, Matias AA, Paiva A. Recovery of antioxidant protein hydrolysates from shellfish waste streams using subcritical water extraction. FOOD AND BIOPRODUCTS PROCESSING 2021. [DOI: 10.1016/j.fbp.2021.09.011] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/11/2023]
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6
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Hokazono E, Ota E, Goto T, Fukumoto S, Kayamori Y, Uchiumi T, Osawa S. Development of a protein assay with copper chelator chromeazurol B, based on the biuret reaction. Anal Biochem 2021; 630:114320. [PMID: 34343480 DOI: 10.1016/j.ab.2021.114320] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/26/2021] [Revised: 07/20/2021] [Accepted: 07/28/2021] [Indexed: 11/15/2022]
Abstract
This study aimed to provide a novel and highly sensitive protein assay based on the biuret reaction and using chromeazurol B, a metal chelate compound. The method consists of two reagents and an automated analyzer. First, a complex of copper and protein (biuret reaction) is formed. Second, a chelating reagent containing chromeazurol B forms a three-dimensional complex of protein, copper, and chromeazurol B at neutral pH, resulting in highly sensitive coloration. The intra-assay (n = 20) variation for the three levels was 3.54 % or lower at each concentration. Each response with α, β-, and γ-globulin was 103.8 % and 104.3 %, respectively, against albumin. The molar absorption coefficient (ε) of the present method was 2.5 × 105 m2/mol against human albumin, higher than that of the commercially available Lowry method (ε = 8.7 × 104 m2/mol), which is based on the same principle. The correlation test for the pyrogallol method with 30 urine samples showed good performance (r = 0.961). The method described here (the Biuret-based CAB method) is a more sensitive and rapid assay than the Lowry method, and it may also be applied to biological samples because of its similar reactivity towards various proteins.
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Affiliation(s)
- Eisaku Hokazono
- Division of Biological Science and Technology Department of Health Sciences, Graduate School of Medical Sciences, Kyushu University, Japan.
| | - Eri Ota
- Division of Biological Science and Technology Department of Health Sciences, Graduate School of Medical Sciences, Kyushu University, Japan; Research Center for Micro Blood Analysis, Leisure, Inc., Japan
| | - Taiki Goto
- Division of Biological Science and Technology Department of Health Sciences, Graduate School of Medical Sciences, Kyushu University, Japan
| | - Saori Fukumoto
- Division of Biological Science and Technology Department of Health Sciences, Graduate School of Medical Sciences, Kyushu University, Japan
| | - Yuzo Kayamori
- Division of Biological Science and Technology Department of Health Sciences, Graduate School of Medical Sciences, Kyushu University, Japan
| | - Takeshi Uchiumi
- Division of Biological Science and Technology Department of Health Sciences, Graduate School of Medical Sciences, Kyushu University, Japan
| | - Susumu Osawa
- Research Center for Micro Blood Analysis, Leisure, Inc., Japan; Medical Laboratory Sciences, Health Sciences, School of Health Sciences at Narita, International University of Health and Welfare Graduate School, Japan
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7
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Hanson DS, Wang Y, Zhou X, Washburn E, Ekmekci MB, Dennis D, Paripati A, Xiao D, Zhou M. Catalytic Urea Synthesis from Ammonium Carbamate Using a Copper(II) Complex: A Combined Experimental and Theoretical Study. Inorg Chem 2021; 60:5573-5589. [PMID: 33826330 DOI: 10.1021/acs.inorgchem.0c03467] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/06/2023]
Abstract
The synthesis of urea fertilizer is currently the largest CO2 conversion process by volume in the industry. In this process, ammonium carbamate is an intermediate en route to urea formation. We determined that the tetraammineaquacopper(II) sulfate complex, [Cu(NH3)4(OH2)]SO4, catalyzed the formation of urea from ammonium carbamate in an aqueous solution. A urea yield of up to 18 ± 6% was obtained at 120 °C after 15 h and in a high-pressure metal reactor. No significant urea formed without the catalyst. The urea product was characterized by Fourier transform infrared (FT-IR), powder X-ray diffraction (PXRD), and quantitative 1H{13C} NMR analyses. The [Cu(NH3)4(OH2)]SO4 catalyst was then recovered at the end of the reaction in a 29% recovery yield, as verified by FT-IR, PXRD, and quantitative UV-vis spectroscopy. A precipitation method using CO2 was developed to recover and reuse 66 ± 3% of Cu(II). The catalysis mechanism was investigated by the density functional theory at the B3LYP/6-31G** level with an SMD continuum solvent model. We determined that the [Cu(NH3)4]2+ complex is likely an effective catalyst structure. The study of the catalysis mechanism suggests that the coordinated carbamate with [Cu(NH3)4]2+ is likely the starting point of the catalyzed reaction, and carbamic acid can be involved as a transient intermediate that facilitates the removal of an OH group. Our work has paved the way for the rational design of catalysts for urea synthesis from the greenhouse gas CO2.
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Affiliation(s)
- Danielle S Hanson
- Department of Natural Sciences, Lawrence Technological University, 21000 West Ten Mile Road, Southfield, Michigan 48075, United States
| | - Yigui Wang
- Center for Integrative Materials Discovery, Department of Chemistry and Chemical Engineering, University of New Haven, 300 Boston Post Road, West Haven, Connecticut 06516, United States
| | - Xinrui Zhou
- Department of Natural Sciences, Lawrence Technological University, 21000 West Ten Mile Road, Southfield, Michigan 48075, United States
| | - Erik Washburn
- Department of Natural Sciences, Lawrence Technological University, 21000 West Ten Mile Road, Southfield, Michigan 48075, United States
| | - Merve B Ekmekci
- Department of Natural Sciences, Lawrence Technological University, 21000 West Ten Mile Road, Southfield, Michigan 48075, United States
| | - Donovan Dennis
- Department of Natural Sciences, Lawrence Technological University, 21000 West Ten Mile Road, Southfield, Michigan 48075, United States
| | - Amay Paripati
- Department of Natural Sciences, Lawrence Technological University, 21000 West Ten Mile Road, Southfield, Michigan 48075, United States
| | - Dequan Xiao
- Center for Integrative Materials Discovery, Department of Chemistry and Chemical Engineering, University of New Haven, 300 Boston Post Road, West Haven, Connecticut 06516, United States
| | - Meng Zhou
- Department of Natural Sciences, Lawrence Technological University, 21000 West Ten Mile Road, Southfield, Michigan 48075, United States
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8
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Costa-Silva T, Costa I, Biasoto H, Lima G, Silva C, Pessoa A, Monteiro G. Critical overview of the main features and techniques used for the evaluation of the clinical applicability of L-asparaginase as a biopharmaceutical to treat blood cancer. Blood Rev 2020; 43:100651. [DOI: 10.1016/j.blre.2020.100651] [Citation(s) in RCA: 18] [Impact Index Per Article: 4.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/24/2019] [Revised: 12/14/2019] [Accepted: 12/23/2019] [Indexed: 12/16/2022]
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9
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Jornet-Martínez N, Samper-Avilés M, Herráez-Hernández R, Campíns-Falcó P. Modifying the reactivity of copper (II) by its encapsulation into polydimethylsiloxane: A selective sensor for ephedrine-like compounds. Talanta 2019; 196:300-308. [PMID: 30683367 DOI: 10.1016/j.talanta.2018.12.054] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/11/2018] [Revised: 12/14/2018] [Accepted: 12/18/2018] [Indexed: 02/04/2023]
Abstract
This paper demonstrates that the reactivity of copper (II) can be modified through its entrappment in a polymeric matrix of polydimethylsiloxane (PDMS), which makes possible the reaction into the support instead of in solution. Amino-containing compounds such as amino acids, proteins and sugars, which react with Cu (II) in solution, do not react inside the polymer. As a prove of concept, a highly specific Cu (II) PDMS-based sensor for ephedrines has been developed in this work. When the sensors are put into contact with solutions of these drugs under basic conditions, a change in their color from pale green to purple is observed. This change enables the visual identification of ephedrine (Eph) in a few min, as well as its quantification using both reflectance diffuse measurements of the sensors and color intensities of their digitalized images. The sensors show suitable analytical performance for Eph-like compounds, and provide limits of detection (LODs) of 0.3-1.0 mg, and relative standard deviations (RDSs) < 10%. The method has been applied to both the qualitative and quantitative analysis of different types of liquid and solid samples (intravenous injection solution of Eph, dietary supplements and illicit drug-street samples) without the need of any special sample treatment.
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Affiliation(s)
- N Jornet-Martínez
- MINTOTA research group. Departament de Química Analítica, Facultat de Química, Universitat de València, Dr. Moliner 50, 46100 Burjassot, Valencia, Spain.
| | - M Samper-Avilés
- MINTOTA research group. Departament de Química Analítica, Facultat de Química, Universitat de València, Dr. Moliner 50, 46100 Burjassot, Valencia, Spain
| | - R Herráez-Hernández
- MINTOTA research group. Departament de Química Analítica, Facultat de Química, Universitat de València, Dr. Moliner 50, 46100 Burjassot, Valencia, Spain
| | - P Campíns-Falcó
- MINTOTA research group. Departament de Química Analítica, Facultat de Química, Universitat de València, Dr. Moliner 50, 46100 Burjassot, Valencia, Spain
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10
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Xing Z, Hou X, Tang Y, He R, Mintah BK, Dabbour M, Ma H. Monitoring of polypeptide content in the solid-state fermentation process of rapeseed meal using NIRS and chemometrics. J FOOD PROCESS ENG 2018. [DOI: 10.1111/jfpe.12853] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/01/2022]
Affiliation(s)
- Zheng Xing
- School of Food and Biological Engineering; Jiangsu University; Zhenjiang Jiangsu China
| | - Xiaoshan Hou
- School of Food and Biological Engineering; Jiangsu University; Zhenjiang Jiangsu China
| | - Yingxiu Tang
- School of Food and Biological Engineering; Jiangsu University; Zhenjiang Jiangsu China
| | - Ronghai He
- School of Food and Biological Engineering; Jiangsu University; Zhenjiang Jiangsu China
| | - Benjamin K. Mintah
- School of Food and Biological Engineering; Jiangsu University; Zhenjiang Jiangsu China
- ILSI-UG FSNTC, Department of Nutrition and Food Science; University of Ghana; Legon Accra Ghana
| | - Mokhtar Dabbour
- School of Food and Biological Engineering; Jiangsu University; Zhenjiang Jiangsu China
- Department of Agricultural and Biosystems Engineering; Faculty of Agriculture, Benha University; Egypt
| | - Haile Ma
- School of Food and Biological Engineering; Jiangsu University; Zhenjiang Jiangsu China
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11
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Byber K, Lison D, Verougstraete V, Dressel H, Hotz P. Cadmium or cadmium compounds and chronic kidney disease in workers and the general population: a systematic review. Crit Rev Toxicol 2015; 46:191-240. [DOI: 10.3109/10408444.2015.1076375] [Citation(s) in RCA: 58] [Impact Index Per Article: 6.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/12/2022]
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12
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Shang X, Liu A, Zheng J, Wang P, Yin S. High Pressure Processing and Water Holding Capacity of Sea Bass Skeletal Muscle. JOURNAL OF AQUATIC FOOD PRODUCT TECHNOLOGY 2015. [DOI: 10.1080/10498850.2013.809831] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
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13
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Structure and Properties of Polymeric Composites Based on Poly(Urethane-Biuret) and Silver Nanoparticles. THEOR EXP CHEM+ 2015. [DOI: 10.1007/s11237-015-9426-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
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14
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Garner BC, Priest H, Smith J. Pseudo-hypoproteinemia in a hyperbilirubinemic dog with immune-mediated hemolytic anemia. Vet Clin Pathol 2014; 43:266-9. [DOI: 10.1111/vcp.12134] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Affiliation(s)
| | - Heather Priest
- Cornell University College of Veterinary Medicine; Ithaca NY USA
| | - Jo Smith
- University of Georgia College of Veterinary Medicine; Athens GA USA
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15
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Sampson DL, Chng YL, Upton Z, Hurst CP, Parker AW, Parker TJ. The highly abundant urinary metabolite urobilin interferes with the bicinchoninic acid assay. Anal Biochem 2013; 442:110-7. [PMID: 23911526 DOI: 10.1016/j.ab.2013.07.027] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/24/2013] [Revised: 07/15/2013] [Accepted: 07/19/2013] [Indexed: 11/26/2022]
Abstract
Estimation of total protein concentration is an essential step in any protein- or peptide-centric analysis pipeline. This study demonstrates that urobilin, a breakdown product of heme and a major constituent of urine, interferes considerably with the bicinchoninic acid (BCA) assay. This interference is probably due to the propensity of urobilin to reduce cupric ions (Cu(2+)) to cuprous ions (Cu(1+)), thus mimicking the reduction of copper by proteins, which the assay was designed to do. In addition, it is demonstrated that the Bradford assay is more resistant to the influence of urobilin and other small molecules. As such, urobilin has a strong confounding effect on the estimate of total protein concentrations obtained by BCA assay and thus this assay should not be used for urinary protein quantification. It is recommended that the Bradford assay be used instead.
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Affiliation(s)
- D L Sampson
- Tissue Repair and Regeneration Program, Brisbane, QLD 4059, Australia.
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16
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Bovornvirakit T, Avihingsanon Y, Tiranathanagul K, Viravaidya-Pasuwat K. A miniaturized immunoassay platform to measure neutrophil gelatinase-associated lipocalin (NGAL) for diagnosis of acute kidney injury. Biomarkers 2013; 18:273-8. [PMID: 23566001 DOI: 10.3109/1354750x.2013.773084] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
Abstract
In this study, we describe the development and evaluation of a slide-based immunoassay platform for the detection of neutrophil gelatinase associated-lipocalin (NGAL) in plasma and urine samples. The capture NGAL antibody was immobilized onto a microscope slide before an analysis of NGAL based on a sandwich immunoassay was further carried out. This assay system exhibited linearity between 50 to 1000 ng/ml of NGAL. The coefficients of variability (CVs) indicated good reproducibility and repeatability of the system. The levels of plasma NGAL measured by the slide-based system were highly correlated with those of ELISA, while this system over-predicted urine NGAL.
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Affiliation(s)
- Thanaporn Bovornvirakit
- Biological Engineering Program, Faculty of Engineering, King Mongkut's University of Technology, Thonburi, Bangkok, Thailand
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17
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Moore JC, DeVries JW, Lipp M, Griffiths JC, Abernethy DR. Total Protein Methods and Their Potential Utility to Reduce the Risk of Food Protein Adulteration. Compr Rev Food Sci Food Saf 2010; 9:330-357. [DOI: 10.1111/j.1541-4337.2010.00114.x] [Citation(s) in RCA: 126] [Impact Index Per Article: 9.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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18
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Hortin GL, Sviridov D. The dynamic range problem in the analysis of the plasma proteome. J Proteomics 2009; 73:629-36. [PMID: 19619681 DOI: 10.1016/j.jprot.2009.07.001] [Citation(s) in RCA: 109] [Impact Index Per Article: 7.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/28/2009] [Revised: 06/17/2009] [Accepted: 07/10/2009] [Indexed: 11/18/2022]
Abstract
One of the greatest challenges in analyzing the plasma proteome is the wide range of concentration of different proteins. The current study examines the range of protein concentration for 18 proteins measured over a year in a clinical laboratory to provide data on pathological extremes in protein concentrations. The complete measured range, from upper limits for albumin to lowest values for thyroid-stimulating hormone (TSH), represented more than 10 logs of molar abundance. A number of plasma proteins measured in the clinical laboratory varied over a concentration range spanning more than 4 logs, and limits of detection of clinical assays were inadequate to assess full concentration ranges of several proteins. Considering reported values from studies using higher sensitivity assays suggest that plasma concentrations of prostate-specific antigen (PSA), human chorionic gonadotropin (hCG), and cardiac troponin I vary by more than 7 logs. All of the plasma proteins measured in the present study represent secretory proteins or highly expressed components of specific tissues. Thus, the dynamic range for these components is likely to greatly underestimate the total range of protein concentration in the plasma proteome.
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Affiliation(s)
- Glen L Hortin
- Department of Laboratory Medicine, Warren Magnuson Clinical Center, National Institutes of Health, Bethesda, MD 20892-1508, USA.
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Sviridov D, Hortin GL. Urine albumin measurement: Effects of urine matrix constituents. Clin Chim Acta 2009; 404:140-3. [DOI: 10.1016/j.cca.2009.03.034] [Citation(s) in RCA: 18] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/26/2008] [Revised: 03/13/2009] [Accepted: 03/16/2009] [Indexed: 10/21/2022]
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20
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Quick CM, Klipp A, Woods GL, Theus JW, Bornhorst JA. Comparison of Bromcresol Purple and Capillary Protein Electrophoresis for Quantification of Serum Albumin in Multiple Myeloma. Clin Chem 2009; 55:594-6. [DOI: 10.1373/clinchem.2008.117119] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
Affiliation(s)
- Charles M Quick
- Department of Pathology, University of Arkansas for Medical Sciences, Little Rock, AR
| | - Angela Klipp
- Clinical Laboratory, University of Arkansas for Medical Sciences, Little Rock, AR
| | - Gail L Woods
- Department of Pathology, Little Rock Veterans Affairs Hospital, Little Rock, AR
| | - John W Theus
- Department of Pathology, University of Arkansas for Medical Sciences, Little Rock, AR
| | - Joshua A Bornhorst
- Department of Pathology, University of Arkansas for Medical Sciences, Little Rock, AR
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Miller WG, Bruns DE, Hortin GL, Sandberg S, Aakre KM, McQueen MJ, Itoh Y, Lieske JC, Seccombe DW, Jones G, Bunk DM, Curhan GC, Narva AS. Current issues in measurement and reporting of urinary albumin excretion. Clin Chem 2008; 55:24-38. [PMID: 19028824 DOI: 10.1373/clinchem.2008.106567] [Citation(s) in RCA: 234] [Impact Index Per Article: 14.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
Abstract
BACKGROUND Urinary excretion of albumin indicates kidney damage and is recognized as a risk factor for progression of kidney disease and cardiovascular disease. The role of urinary albumin measurements has focused attention on the clinical need for accurate and clearly reported results. The National Kidney Disease Education Program and the IFCC convened a conference to assess the current state of preanalytical, analytical, and postanalytical issues affecting urine albumin measurements and to identify areas needing improvement. CONTENT The chemistry of albumin in urine is incompletely understood. Current guidelines recommend the use of the albumin/creatinine ratio (ACR) as a surrogate for the error-prone collection of timed urine samples. Although ACR results are affected by patient preparation and time of day of sample collection, neither is standardized. Considerable intermethod differences have been reported for both albumin and creatinine measurement, but trueness is unknown because there are no reference measurement procedures for albumin and no reference materials for either analyte in urine. The recommended reference intervals for the ACR do not take into account the large intergroup differences in creatinine excretion (e.g., related to differences in age, sex, and ethnicity) nor the continuous increase in risk related to albumin excretion. DISCUSSION Clinical needs have been identified for standardization of (a) urine collection methods, (b) urine albumin and creatinine measurements based on a complete reference system, (c) reporting of test results, and (d) reference intervals for the ACR.
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Affiliation(s)
- W Greg Miller
- Department of Pathology, Virginia Commonwealth University, Richmond, VA, USA.
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22
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Hortin GL, Sviridov D. Analysis of molecular forms of albumin in urine. Proteomics Clin Appl 2008; 2:950-5. [DOI: 10.1002/prca.200780145] [Citation(s) in RCA: 12] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/30/2007] [Indexed: 11/10/2022]
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23
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Comper WD, Hilliard LM, Nikolic-Paterson DJ, Russo LM. Disease-dependent mechanisms of albuminuria. Am J Physiol Renal Physiol 2008; 295:F1589-600. [PMID: 18579704 DOI: 10.1152/ajprenal.00142.2008] [Citation(s) in RCA: 113] [Impact Index Per Article: 7.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/13/2022] Open
Abstract
The mechanism of albuminuria is perhaps one of the most complex yet important questions in renal physiology today. Recent studies have directly demonstrated that the normal glomerulus filters substantial amounts of albumin and that charge selectivity plays little or no role in preventing this process. This filtered albumin is then processed by proximal tubular cells by two distinct pathways; dysfunction in either one of these pathways gives rise to discrete forms of albuminuria. Most of the filtered albumin is returned to the peritubular blood supply by a retrieval pathway. Albuminuria in the nephrotic range would arise from retrieval pathway dysfunction. The small quantities of filtered albumin that are not retrieved undergo obligatory lysosomal degradation before urinary excretion as small peptide fragments. This degradation pathway is sensitive to metabolic factors responsible for hypertrophy and fibrosis, particularly molecules such as angiotensin II and transforming growth factor-beta1, whose production is stimulated by hyperglycemic and hypertensive environments. Dysfunction in this degradation pathway leads to albuminuria below the nephrotic range. These new insights into albumin filtration and processing argue for a reassessment of the role of podocytes and the slit diaphragm as major direct determinants governing albuminuria, provide information on how glomerular morphology and "tubular" albuminuria may be interrelated, and offer a new rationale for drug development.
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Affiliation(s)
- Wayne D Comper
- Dept. of Biochemistry and Molecular Biology, Monash Univ., Clayton, Victoria, Australia.
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24
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Sviridov D, Drake SK, Hortin GL. Reactivity of Urinary Albumin (Microalbumin) Assays with Fragmented or Modified Albumin. Clin Chem 2008; 54:61-8. [DOI: 10.1373/clinchem.2007.092825] [Citation(s) in RCA: 30] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
Abstract
AbstractBackground: Controversy exists regarding occurrence and measurement of structural variants of albumin in urine. In this study, we examined cross-reactivity of in vitro modified albumins in assays for urine albumin (microalbumin).Methods: We analyzed albumin modified by reagents, trypsin, or physical treatments or differing in primary sequence (animal albumins) with an immunoturbidimetric assay (Beckman LX20) using goat antiserum and a competitive immunoassay (Siemens Immulite) using a monoclonal antibody. We assessed occurrence of albumin fragments in urine by use of Western blotting of 24 specimens.Results: Chemical modification, modest sequence substitution (gorilla albumin), or cleavage of albumin by cyanogen bromide (CNBr) had little effect on reactivity in the LX20 assay. Albumin extensively cleaved with trypsin retained partial reactivity. The Immulite assay generally was affected more severely by albumin modifications and sequence changes. Western blots of fresh urine specimens or specimens stored at −80 °C showed little albumin fragmentation, but some specimens stored for 3 years at −20 °C had extensively fragmented albumin that was detected by the LX20 but not the Immulite assay.Conclusions: Nearly equivalent reactivity of intact albumin and CNBr fragments in the immunoturbidimetric assay indicates reactivity of antibodies with multiple epitopes throughout albumin. Therefore, it is difficult to abolish reactivity of albumin in this type of urine albumin assay. Differential sensitivity of 2 assays to albumin modification identifies a potential source of assay nonequivalence in measuring urinary albumin, particularly for specimens stored at −20 °C.
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Affiliation(s)
| | - Steven K Drake
- Critical Care Medicine, Warren Magnuson Clinical Center, National Institutes of Health, Bethesda, MD
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Abstract
Urine represents a modified ultrafiltrate of plasma, with protein concentrations typically approximately 1000-fold lower than plasma. Urine’s low protein concentration might suggest it to be a less promising diagnostic specimen than plasma. However, urine can be obtained noninvasively and tests of many urinary proteins are well-established in clinical practice. Proteomic technologies expand opportunities to analyze urinary proteins, identifying more than 1000 proteins and peptides in urine. Urine offers a sampling of most plasma proteins, with increased proportions of low-molecular-weight protein and peptide components. Urine also offers enriched sampling of proteins released along the urinary tract. Although urine presents some challenges as a diagnostic specimen, its diverse range of potential markers offers great potential for diagnosis of both systemic and kidney diseases. Examples of clinical situations where this may be of value are for more sensitive detection of kidney transplant rejection or of renal toxicity of medications.
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Affiliation(s)
- Glen L Hortin
- National Institutes of Health, Department of Laboratory Medicine, Warren Magnuson Clinical Center, Building 10, Room 2C-407, Bethesda, MD 20892-1508, USA.
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