NDT Advance Access published online on February 11, 2009
Nephrology Dialysis Transplantation, doi:10.1093/ndt/gfp020
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Proteomic analysis of urine from proteinuric patients shows a proteolitic activity directed against albumin
1 Division of Nephrology Dialisys and Transplantation, Dipartimento Integrato Medicine e Specialità Mediche, Università di Modena e Reggio Emilia, Modena, Italy 2 Division of Neurology, Department of Medicine, Sunnybrook Health Sciences Centre, University of Toronto, Toronto, Canada 3 Chemical and Clinical Analysis Laboratory, Department of Laboratories, Patologic Anatomy and Forensic Medicine, Azienda Ospedaliero—Universitaria Policlinico di Modena, Modena, Italy
Correspondence and offprint requests to: Riccardo Magistroni, Divisione di Nefrologia Dialisi e Trapianto, Azienda Ospedaliero-Universitaria Policlinico di Modena, Universitá di Modena e Reggio Emilia, via del Pozzo 71 41100 Modena. Tel: +0039-059-4224135; Fax: +0039-059-4222167; E-mail: riccardo.magistroni{at}unimore.it
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Abstract |
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Background. Nephrotic syndrome is a condition that is clinically associated with poor outcome. In this study, we compared different techniques of urine sample preparation in order to develop a robust analytical protocol to define the differential urinary proteome of urinary abnormalities compared to nephrotic proteinuria.
Methods. We recruited 5 normal control subjects, 16 patients with urinary abnormalities and 16 patients with nephrotic syndrome. Proteins from normal urine were processed using three different protocols [acetone, ultrafiltration and trichloroacetic acid (TCA) precipitation], depletion of albumin and IgGs and then analysed by two-dimensional polyacrylamide gel electrophoresis (2D-PAGE) gels and mass spectrometry.
Results. Comparing the three extraction methods by visual inspection of gels after 2D gel electrophoresis, the acetone precipitation and TCA methods yielded the best quality of protein extraction, while the acetone precipitation method was the most efficient. Furthermore, we tested three commercial kits for albumin and IgG depletion. We applied the optimized acetone extraction protocol to compare urinary samples from nephrotic patients (NP) to urinary samples obtained from patients presenting with urinary abnormalities (UAP). We observed a proteolytic activity directed against albumin. This observation was more prevalent in urinary samples from NP than from UAP. Within both groups, there was some inter-individual variability in the observed proteolytic activity. An increased concentration of alpha1 antitrypsin was also observed in urine of NP. We analysed albumin fragmentation by 1D and 2D western blots in the same samples skipping the albumin and IgG depletion steps to avoid the possible confound of albumin fragment removal. The analysis confirmed a stronger proteolytic activity in the nephrotic group.
Conclusions. The proteolytic activity against albumin and the anti-proteolytic activity of alpha1 antitrypsin are likely linked and could play an important role in the nephrotic process. If replicated in larger samples, this methodology may lead to a better understanding of the underlying pathophysiological process of nephrotic syndrome.
Keywords: albumin; kidney; nephrotic syndrome; proteomic; urine
Received for publication: 7. 5.08
Accepted in revised form: 12. 1.09