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Disease Proteomics
Proteomics provides clues on complex
biological and environmental factors affecting gene products.
Complex mutigenic disorders which are not
necessarily inherited are:
Genetic as well as non-genetic diseases
modify target proteins and signaling pathways.
Signaling-gateway
Proteomic analysis of diseases involves
the following:
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(1) Sample acquisition: of human
tissues or cells as by laser-capture microdissection (LCM) which is a
method for procuring pure cells from specific microscopic regions of tissue
sections. LCM uses a microscope to identify cells of interest, a special
transfer film applied to the tissue section and a pulsed laser beam which
melts and fuses the film with the underlying cells of choice. The film can
then be lifted to extract the cells.
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(2) Sample preparation: includes
subcellular fractionation and removal of interfering DNA, RNA, lipids and
carbohydrates.
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(3) Sample separation: involves
methods like 2-dimensional gel
electrophoresis and liquid chromatography. Sample separation can
also involve protein microarrays.
In these arrays, a sample (labeled protein) is incubated with an array which
is immobilized with antibodies, receptors, ligands, nucleic acids etc).
Another method is the reverse-phage protein array where protein lysates
prepared form cultured cells or by LCM are arrayed into nitro-cellulose slides
which are then probed with antibody. These slides are then developed by
colorimetric, fluorescent, or chemiluminescence. This method has been very
important in studying signaling pathways.
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(4) Protein sequence determination:
involves procedures like mass spectroscopy (MS). There are 3 types: (1)
MALDI (matrix-assisted laser desorption ionisation) MS, (2) electron-spray
ionization (ESI-MS) and (3) SELDI/TOF (surface-enhanced laser desorption
ionisation/time-of-flight) MS. SELDI protein chips are a newer method.
They contain arrays of chromatographic substances with different properties
such as hydrophobic, cation/anion exchange, metal affinity or biomedical
interactions like antigen/antibody, receptor/ligand or DNA-protein. These
chips retain the interacting molecules from the protein lysate. These chips
are then laser desorbed and ionized for analysis by MS. Bioinformatics
software can then be used to compare spectra from healthy and diseased
patients and discriminate peak patterns. It is very useful in cancer but in
slow progressing diseases subtle changes in peaks are not discriminated. These
chips can be ordered from Ciphergen.
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(5) Protein identification:
involves collection of peptides from sequence-specific proteolysis. These
peptide masses constitute mass fingerprints characteristic for each protein.
See Bioinformatics for mass fingerprinting
search engines Peptide mass fingerprints are sufficient for
identification of proteins from organisms with completely sequenced genomes
using programs like Peptide-Search, MS-FIT, MS-TAG.
Development of Biomarkers
Protein biomarkers are powerful descriptors of
phenotype. Biomarkers may be expressed as single markers or multiple markers
whose patterns are up and down regulation may signal disease. Development of new
biomarkers for diagnosis at early stage is critical for treatment of cancer
which spreads rapidly. The wave of the future in such analysis is by SELDI-TOF
MS. An outline of this procedure is below:
Normal Serum
Prostrate Cancer Serum

SELDI-TOF-MS
SELDI-TOF-MS
Comparison and Analysis
Diagnosis

Treatment and Prognosis
The above procedure can also be done with 2-D
Electrophoresis, but in such a case one must extract proteins in the gel or mass
spectrometry. One can also label the tumor cells and normal cells with 2
different dyes (like Cy5 and Cy3) and run those mixtures on a 2-D gel for
comparison.
What does the future look like in disease proteomics?
Well someday it may be possible to collect DNA from a patient, determine
proteins involved in the pathological process, do a computational analysis of
protein function and determination of abnormality and then design small,
specific interaction molecules followed by analysis of the compound for drug
interaction and toxicity which would then be tested in animals.
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