Pediatric rheumatology

Urine proteomics by mass spectrometry identifies proteins involved in key pathogenic pathways in patients with juvenile dermatomyositis

Rheumatology (Oxford)Published Cross-sectional study

Authors' conclusion

This study confirmed the presence of several proteins in the urine of JDM patients that were previously found to be elevated in the blood of myositis patients and identified novel candidate biomarkers that require validation.

Study context

Population
JDM patients and healthy controls; first morning void urine samples
Participants
20 vs 21
Exposure
JDM vs healthy controls
  • JDMn = 20
  • Healthy controlsn = 21reference
Outcome
Urine biomarkers with significantly altered levels in JDM
Methodological detailsurine proteome profiling, multiplexing tandem mass tag, liquid chromatography-tandem mass spectrometry, ELISA validation
  • Urine proteome profiling
  • Multiplexing tandem mass tag
  • Liquid chromatography-tandem mass spectrometry
  • ELISA validation

Main finding

As reported in the abstract

Differentially altered urine proteins

Proteins detected

2348

Proteins quantified across all samples

275

Cathepsin D and galectin-3 binding protein significantly increased in urine of JDM patients

adjusted P < 0.05

Observational data: associations, not effects.

Further findings

Correlation of cathepsin D with clinical measures

Cathepsin D vs Myositis Damage Index (positive correlation), r
0.57, P < 0.05
Cathepsin D vs Childhood Myositis Assessment Scale (negative correlation), r
−0.54, P < 0.05

Original publication

Urine proteomics by mass spectrometry identifies proteins involved in key pathogenic pathways in patients with juvenile dermatomyositis. Rheumatology (Oxford). Published 20 January 2023. doi:10.1093/rheumatology/kead033

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