SELDI-TOF-MS在研究胎儿先天性发育缺陷中的初步应用
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摘要
背景与目的:
     先天性发育缺陷是指人类出生时表现的所有类型的发育异常,包括结构畸形、功能缺陷、代谢异常、遗传及行为等各方面所有的异常。流行病学、遗传学、分子生物学等研究提示,导致出生缺陷发生的原因,约有20%-25%主要由遗传因素所致,10%由环境因素(包括物理、生物、化学及营养因素等)引起,65-70%可能是环境与遗传因素相互作用的结果。据各有关资料统计,先天发育缺陷出生人数占总出生人数的2%-7%,神经管畸形及染色体异常是先天性发育缺陷中最为常见的疾病之一。降低出生人口的缺陷、提高出生人口素质是人类共同关注的问题。鉴于我国人口基数大、出生人口多,出生缺陷是影响我国人口素质的重要因素,已成为影响我国国民经济发展和人们正常生活的社会问题,提高出生人口素质,是提高中华民族人口素质的前提和基础,是促进我国经济繁荣和社会健康发展的有利保障。
     产前诊断(prenatal diagnosis)又称宫内诊断(intrauterine diagnosis)或出生前诊断(antenatal diagnosis),是在胎儿出生前,应用各种检测方法对某些先天性、遗传性疾病作出诊断,进行选择性流产或宫内治疗,从而降低先天性缺陷儿的出生率,达到优生目的。它需要影像学、产科、细胞遗传学、生物化学以及分子生物学等技术相互协作共同完成,是跨专业、跨学科的一门学科,是对近代诊断学的重大进展,已成为临床产科学的重要组成部分。
     然而,目前产前诊断工作主要局限于对胎儿异常的发现和干预,而对胎儿异常的发病因素、发病机制及预防的研究鲜见报道,因此选择适当的检查方法研究胎儿先天性发育缺陷的各种生物学变化、发病机制、疾病的相关标记分子、药物靶点、筛选高敏感性和特异性的胎儿异常标志物等势在必行,蛋白质组学的出现为我们攻克这一难题带来了希望和曙光。
     蛋白质组学是以蛋白质为研究对象,其指的是一个细胞、组织或体液中所表达的全部蛋白质。蛋白质组学研究基因组在不同时间和空间编码的全部蛋白质的组成及作用规律,动态描述基因调节,对蛋白质进行定量的测定,研究疾病、药物对生命过程的影响,以及解释基因表达调控的机制。
     蛋白质组学的研究核心是通过对常见病理个体蛋白质组的测试分析,搜索出与疾病相关的有共性的特异性蛋白质分子,为探讨发病机制,设计新药物,为疾病的早期诊断和对预后的预测提供分子水平的实验与理论依据。作为基因组学研究的拓展,蛋白质组学研究成为世界生命科学领域的一个极其活跃的部分,是功能基因组时代或“后基因组时代”的核心部分,成为生物医学领域探索性研究的强有力工具。
     蛋白质组技术是最近才开始用于生殖医学的研究,虽然在生殖医学领域尚未广泛应用,但它的出现为生殖医学研究提供了新技术,增加了新的研究方向。应用这些方法有助于全面理解产前诊断相关疾病的病理生理变化,成功确定相应的蛋白质生物标志物有可能改变产前诊断相关疾病的早期诊断和治疗。
     目前蛋白质组学研究多采用传统的蛋白组学技术,例如双向电泳、质谱等,但这些技术受到技术条件要求高、步骤繁琐、耗时冗长等因素的限制,使差异蛋白质组学研究大规模地迅速开展受到限制。表面增强激光解吸电离飞行时间质谱(Surface-enhanced laser desorption ionization time of flight massstectrometry,SELDI-TOF-MS)是近几年发展起来的一种新的蛋白质组学研究方法,融合了质谱和芯片两大技术的优点,具有高通量、高灵敏度等特点,能对样品中蛋白质进行全景式分析,进而同时发现多个特异性标志物,为肿瘤早期诊断、疗效监测等提供了崭新的技术平台。
     羊水,是指怀孕时子宫羊膜腔内的液体,是维持胎儿生命所不可缺少的重要成分,并是诊断胎儿疾病生物标志物的潜在、丰富的来源。本研究在当前正在开展的孕母血清筛查、超声筛查,超声引导下羊膜腔穿刺,羊水细胞培养及染色体核型分析的工作基础上,利用SELDI-TOF-MS蛋白质芯片飞行质谱技术研究正常胎儿与染色体异常胎儿、正常胎儿与神经系统异常胎儿的羊水蛋白质组学,建立正常胎儿羊水蛋白质组指纹图谱,利用蛋白质组学技术结合基因组学方法和生物信息学,研究比较正常胎儿与异常胎儿羊水在正常生理或病理状态下所表达的蛋白质的差异,寻找异常胎儿的特异性蛋白质分子,为探索胎儿染色体异常、胎儿神经系统畸形的病因学、发病机制、病理生理学变化提供蛋白质水平的研究依据,为异常胎儿的早期诊断提供分子标志,为染色体异常胎儿、神经系统畸形胎儿的预防、治疗、新药设计提供新的分子靶点。
     第一部分应用SELDI-TOF-MS筛选染色体异常胎儿羊水中特异性蛋白质的研究
     目的:分析染色体异常胎儿羊水和染色体正常胎儿羊水的蛋白质表达差异。方法:运用SELDI-TOF-MS技术检测染色体异常胎儿羊水和染色体正常胎儿羊水蛋白质表达图谱。胎儿羊水采用WCX2(弱阳离子交换芯片)捕获蛋白、PBSⅡC型蛋白质芯片阅读仪读取数据、Protein-Chip software 3.2软件采集数据、Biomarker wizard软件分析2组之间差异蛋白。结果:发现染色体异常胎儿羊水和染色体正常胎儿羊水的蛋白质表达图谱存在5个差异蛋白,其中4967.526Da、5258.056 Da、6868.197 Da3个蛋白及4134.51 Da 5423.397 Da2个蛋白在染色体异常组表达分别下调或上调。结论:SELDI-TOF-MS技术发现的表达于染色体正常胎儿和染色体异常胎儿羊水中的5个差异蛋白,为胎儿染色体异常的病因、发病机制、病理生理学变化提供了蛋白质水平的研究依据,可能成为预防、治疗、新药设计的新的分子靶点和早期诊断染色体异常胎儿的重要标志物。
     第二部分应用SELDI-TOF-MS筛选神经系统畸形胎儿羊水特异性蛋白质的研究
     目的:分析神经系统畸形胎儿羊水和神经系统正常胎儿羊水的蛋白质表达差异。方法:运用SELDI-TOF-MS技术检测神经系统先天畸形胎儿羊水和神经系统正常胎儿羊水蛋白质表达图谱。胎儿羊水采用WCX2(弱阳离子交换芯片)捕获蛋白、PBSⅡC型蛋白质芯片阅读仪读取数据、Protein-Chip software 3.2软件采集数据、Biomarker wizard软件分析2组之间差异蛋白。结果:发现神经系统先天畸形胎儿羊水和神经系统正常胎儿羊水的蛋白质表达图谱存在9个差异蛋白,其中4967.5Da、5258.0 Da、11717.0 Da3个蛋白及2540.4 Da、3107.1 Da、3396.8 Da、4590.965 Da、5589.2 Da、6429.4 Da6个蛋白在神经系统异常组表达分别下调或上调。结论:SELDI-TOF-MS技术发现的表达于神经系统先天畸形及神经系统正常的胎儿羊水之间的9个差异蛋白,为神经系统畸形胎儿的病因、发病机制、病理生理学变化提供了蛋白质水平的研究依据,可能成为预防、治疗、新药设计的新的分子靶点和早期诊断神经系统先天畸形胎儿的重要标志物。
     总结
     1.本研究是由影像、超声介入、遗传、基础、产科各学科相互协调配合共同完成,是一项跨专业、跨学科的综合性研究,产前筛查、诊断胎儿先天性发育缺陷的工作流程为利用SELDI-TOF-MS技术研究胎儿羊水蛋白质组学打下坚实的研究基础。
     2.应用SELDI-TOF-MS技术获得胎儿羊水蛋白质表达图谱的实验方法稳定可靠,具有良好的重复性,是研究胎儿羊水蛋白质组学的有效方法。
     3.应用SELDI-TOF-MS技术初步建立了正常胎儿、染色体异常胎儿、神经系统畸形胎儿羊水蛋白质组指纹图谱。
     4.m/z 4134.51 Da、4967.526Da、5258.056 Da、6868.197 Da、5423.397 Da的5个差异蛋白质可能是染色体异常胎儿羊水潜在的特异性生物标志物
     5.m/z 2540.4 Da、3107.1 Da、3396.8 Da、4590.965 Da、4967.5 Da、5258.0 Da、5589.2 Da、6429.4 Da、11717.0 Da的9个差异蛋白质可能是胎儿神经系统畸形羊水潜在的特异性生物标志物
     6.SELDI-TOF-MS技术在分子水平对开展胎儿先天性发育缺陷的研究工作具有广阔的应用前景。
     创新点
     1.首次在中期妊娠产前筛查、诊断胎儿先天性发育缺陷的工作流程基础上利用SELDI-TOF-MS先进技术体系对胎儿羊水进行蛋白质组学研究。
     2.首次应用SELDI-TOF-MS技术初步建立了正常胎儿、染色体异常胎儿、神经系统畸形胎儿羊水蛋白质组指纹图谱。
     3.首次在染色体异常胎儿的羊水中检测出5个差异蛋白质,它们可能是染色体异常胎儿潜在的羊水特异性生物标志物
     4.首次在神经系统畸形胎儿的羊水中筛选出9个差异蛋白质,它们可能是胎儿神经系统畸形潜在的羊水特异性生物标志物
Background and Purpose:
     Congenital defect is a widely-used term for a congenital malformation, including structural abnormalities,functional defects,metabolic disorders,genetic abnormalities and behavioral aspects of all the anomalies.In a variety of human congenital defects,their etiology and pathogenesis have not yet completely clear, but the epidemiology,genetics,molecular biology studies suggest the direct cause was genetic factors,environmental factors or the interaction of genetic factors and environmental factors.For 65-70%of anomalies there seems to be a "multi factorial" cause,meaning a complex interaction of genetic factors and environmental factors. For 20%-25%of anomalies have a purely genetic cause,only 10%of anomalies have a purely environmental cause(including physical factors,biological factors, chemical factors and nutritional factors and else).According to statistics,the incidence of congenital developmental defects of the total number of births was 2% -7%,nervous system malformations and chromosome abnormalities were the two most common defects.Reduce congenital defects,improve the quality of newborn babies are human mutual concern.Due to our country large population base and large birth population,congenital defects have become an important affecting factor to our national economic development and people normal life.Improve the quality of newborn babies is the prerequisite and foundation of improve the quality of the Chinese population,and promote China's economic prosperity and social stability development.
     Prenatal diagnosis,also known as intrauterine diagnosis or antenatal diagnosis,is employs a variety of techniques to determine the health and condition of an unborn fetus,determining the diagnosis of certain congenital,hereditary diseases,planning for selective abortion,or intrauterine treatment,reducing the birth rate of birth defects children and achieve the purpose of eugenics.Prenatal diagnosis is a major step forward in modem medical science and an important part of clinical obstetrics.In recent years,with the rapid progress of medical imaging,cell genetics, biochemistry and molecular biology,prenatal diagnosis has constantly enhanced.
     However,the current diagnostic methods are mainly limit to the discovery of fetal anomalies and reduce these the incidence of birth defects,rather than study a variety of abnormal fetal biological changes,pathogenesis,disease-related molecular markers,drug targets and else,it is imperative to select an appropriate method to inspect a variety of fetal abnormalities biological changes,pathogenesis, disease-related molecular markers,drug targets,screening of high sensitivity and specificity of fetal abnormalities markers.The emergence of proteomics has brought hope and the dawn for us to overcome this problem.
     Proteomics is the large-scale study of proteins,including all expressed proteins of cell,tissue or body fluids.Proteomics research the composition and the law of all protein encoded by genome in different time and space,the dynamic description of gene regulation,the quantitative study of proteins,the disease and drug impact to life processes,as well as the interpretation of gene expression and regulation mechanism.
     The cores of proteomics research is compare the common pathology individuals and search the specific disease-related protein molecules,in order to explore the pathogenesis,design new drugs for the disease,and provide the molecular level experimental and theoretical basis for early diagnosis and prognosis prediction.As genomics research development,proteomics research has become an extremely active part of the world's life sciences,the core of the functional genomics era or "post-genome era",and a powerful tool of the biomedical field.
     Proteomic technology is only recently beginning to be employed in pregnancy research.Although proteomics study is not widely used in reproductive medicine, but the emergence of proteomics research added a new research technology and a new research dimension to the field of reproductive medicine.Application of these high throughput methodologies in pregnancy-related pathology has contributed to the comprehension of the underlying pathophysiologies and the successful identification of relevant protein biomarkers that can potentially change early diagnosis and treatments of several medical conditions related to human pregnancy and significantly improve maternal health.
     Currently,proteomics research is mainly using the traditional proteomics techniques such as two-dimensional gel electrophoresis,mass spectrometry,but these technologies are not suitable for a large scale difference proteome study because of their high request,complicated procedure,time consuming,et al. Surface-enhanced laser desorption ionization time of flight mass spectrometry (SELDI-TOF-MS) which convergence the two major advantages of mass spectrometry and chip technology is a new proteomics research methods in recent years,which has numerour advantages,such as high-throughput,high sensitivity and eles.It has the ability of identification of potential biomarkers for a variety of diseases through overall view analysis in samples and provided a brand-new technology platform for early diagnosis and treatment efficacy monitoring tool of diseases.
     Amniotic fluid is the nourishing and protecting liquid contained by the amnion of a pregnant woman and an important and indispensable element for maintenance fetal life.The magic water can be the potential and rich biomarkers source of maternal and fetal disease.Based on the current traditional maternal serum prenatal screening,ultrasound screening for fetal malformation,ultrasound-guided puncture the amniotic cavity,amniotic cell culture,chromosome karyotype analysis,this study has been used SELDI-TOF-MS to study amniotic fluid proteomics of normal fetuses and chromosome abnormalities fetuses,normal fetuses and nervous system malformations fetuses,to establish a normal fetal amniotic fluid proteomic fingerprint / database,to study the amniotic fluid protein expressed difference between physiological and pathological state of fetuses by using proteomics, genomics and bioinformatics technologies,to search specific protein molecules for abnormal fetuses,to explore etiology,pathogenesis,pathophysiological changes in protein levels of chromosome abnormalities fetuses and nervous system malformations fetuses,to provide molecular biomarker for early diagnosis of abnormal fetuses,to avoid a heavy burden to families and society by timely prenatal diagnosis of chromosome abnormalities fetuses and nervous system malformations fetuses prevention,to provide new molecular targets for designed new prevention and treatment drugs.
     PartⅠDetection of Distinct Protein in Amniotic Fluid of Chromosome Abnormalities fetuses by SELDI-TOF-MS Technology
     Objective To detect the distinct protein in amniotic fluid between chromosome abnormalities fetuses and chromosome normal fetuses.Methods Surface-enhanced laser desorption-ionization/time-of-flight mass spectrometry was used to characterize amniotic fluid peptides in amniotic fluid between chromosome abnormalities fetuses and normal fetuses.WCX2 protein chips were used to characterize amniotic fluid peptides in amniotic fluid.Protein chips were examined in PBSⅡC protein reader,the protein profiling was collected by proteinchip software 3.1 and analyzed by Biomarker Wizard software.Results 5 distinct proteins were identified in amniotic fluid between chromosome abnormalities fetuses and normal fetuses.Compared with control group,three proteins with m/z 4967.526Da,5258.056 Da,6868.197 Da were down-regulated,and two proteins with m/z 4134.51 Da,5423.397 Da up-regulated in chromosome abnormalities fetuses.Conclusion Proteomic analysis was able to detect distinct proteins in protein profiling of amniotic fluid between chromosome abnormalities fetuses and normal fetuses.
     Objective To detect the distinct protein in amniotic fluid between nervous system malformations fetuses and normal fetuses.Methods Surface-enhanced laser desorption-ionization/time-of-flight mass spectrometry was used to characterize amniotic fluid peptides in amniotic fluid between nervous system malformations fetuses and normal fetuses.WCX2 protein chips were used to characterize amniotic fluid peptides in amniotic fluid.Protein chips were examined in PBSⅡC protein reader,the protein profiling was collected by proteinchip software 3.1 and analyzed by Biomarker Wizard software.Results 9 distinct proteins were identified in amniotic fluid between nervous system malformations fetuses and normal fetuses.Compared with control group,three proteins with m/z 4967.5Da,5258.0 Da,11717.0 Da were down-regulated,and six proteins with m/z 2540.4 Da,3107.1 Da,3396.8 Da,4590.965 Da,5589.2 Da,6429.4 Da up-regulated in nervous system malformations fetuses.Conclusion:Proteomic analysis was able to detect distinct proteins in protein profiling of amniotic fluid between nervous system malformations fetuses and normal fetuses.
     Conclusion
     1.This study is a multidisciplinary,interdisciplinary and comprehensive research coordinate with medical imaging,ultrasound intervention,genetic,basic medicine, obstetrics.The work flow of prenatal screening,prenatal diagnosis of fetal abnormality in the second trimesters had laid a solid foundation for the preliminary application of SELDI-TOF-MS in prenatal diagnosis.
     2.SELDI-TOF-MS was a stable and reliable technology for fetal amniotic fluid protein expression with good repeatability and can be an effective method for the fetal amniotic fluid proteomics.
     3.This study preliminarily established the amniotic fluid proteomic fingerprint / database of normal fetuses,chromosome abnormalities fetuses,nervous system malformations fetuses with the application of SELDI-TOF-MS SELDI technology.
     4.Five proteins peaks M / z 4134.51 Da,4967.526Da,5258.056 Da,5423.397 Da, 6868.197 Da could be specific biomarkers for chromosome abnormalities fetuses.
     5.Nine proteins peaks M / z 2540.4 Da,3107.1 Da,3396.8 Da,4590.965 Da, 4967.5 Da,5258.0 Da,5589.2 Da,6429.4 Da,11717.0 Da could be specific biomarkers for nervous system malformations fetuses.
     6.SELDI-TOF-MS technique has a broad application prospects in prenatal diagnosis.
     Main Innovative Points
     1.Based on a complete,scientific,effective work flow for congenital defect in the second trimesters,this study first used SELDI-TOF-MS to study amniotic fluid proteomics of fetuses for prenatal diagnosis.
     2.SELDI-TOF-MS technology application preliminarily established amniotic fluid proteomic fingerprint / database of normal fetuses,chromosome abnormalities fetuses and nervous system malformations fetuses.
     3.This study was the first to investigate the value of proteomic in the diagnosis of fetal chromosomal abnormalities,and five proteins could be specific biomarkers for chromosome abnormalities fetuses.
     4.This study was the first to investigate the value of proteomic in the diagnosis fetal nervous system malformations,and nine proteins could be specific biomarkers for nervous system malformations fetuses.
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