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Proteomic analysis of peripheral blood polymorphonuclear cells (PBMCs) reveals alteration of neutrophil extracellular trap (NET) components in uncontrolled diabetes

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Abstract

Neutrophils have been thought to play a major role in inflammation and diabetic complications especially in poor glycemic control patients as demonstrated by their aberrant inflammatory markers. The aim of the present study was to compare neutrophil proteome profiles between diabetic patients with good glycemic control and those with poor glycemic control to see whether there might be any differences that could be related to the cause of complications which are found more commonly in the latter. Using 2-dimensional gel electrophoresis (2-DE) followed by quadrupole time of flight mass spectrometry (Q-TOF MS) and/or tandem mass spectrometry (MS/MS), we identified 35 differentially expressed proteins, some of which were protein components of neutrophil extracellular traps (NETs), in the poor glycemic control group compared to the good glycemic control group. The observed alterations of protein components of NETs included downregulation of myeloperoxidase, azurocidin (CAP37), and S100A9; and upregulation of the glycolytic enzymes transketolase and alpha-enolase. Manganese superoxide dismutase (MnSOD), functioning in cellular response and defense, was also found downregulated in the poor control group. Most of the glycolysis-related proteins were downregulated in the good control group but upregulated in the poor control group, including phosphoglycerate kinase 1 (PGK1) and L-lactate dehydrogenase B chain (LDHB). The findings of this study demonstrate the dysregulation of protein components of NETs in neutrophils in patients with poorly controlled diabetes. More specifically, these findings suggest association between NETs and inflammation in diabetes and provide further insights into the role of neutrophils in the complications of poorly controlled diabetes.

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Abbreviations

2-DE:

Two-dimensional gel electrophoresis

ACN:

Acetonitrile

AGE:

Advanced glycation end product

CAP37:

Cationic antimicrobial protein of molecular weight 37 kDa

CHAPS:

3-[(3-cholamidopropyl) dimethyl-ammonio]-1-propanesulfonate

DM:

Diabetes mellitus

DNA:

Deoxyribonucleic acid

DTT:

Dithiothreitol

EDTA:

Ethylenediaminetetraacetic acid

GAPDH:

Glyceraldehyde-3-phosphate dehydrogenase

HbA1c:

Hemoglobin A1c

HDL:

High-density lipoprotein

IEF:

Isoelectric focusing

IL:

Interleukin

LDH:

l-Lactate dehydrogenase

LDHB:

l-Lactate dehydrogenase B chain

LDL:

Low-density lipoprotein

LPS:

Lipopolysaccharide

MnSOD:

Manganese superoxide dismutase

MPO:

Myeloperoxidase

MS:

Mass spectrometry

MS/MS:

Tandem mass spectrometry

NADPH:

Nicotinamide adenine dinucleotide phosphate

NETs:

Neutrophil extracellular traps

PBMC:

Peripheral blood mononuclear cell

PBS:

Phosphate-buffered saline

PGK1:

Phosphoglycerate kinase 1

PKC:

Protein kinase C

PMA:

Phorbol 12-myristate 13-acetate

PMN:

Polymorphonuclear leukocyte

Q-TOF MS:

Quadrupole time of flight mass spectrometry

ROS:

Reactive oxygen species

SDS-PAGE:

Sodiumdeodecyl sulfate polyacrylamide gel electrophoresis

T2DM:

Type 2 diabetes mellitus

TFA:

Trifluoroacetic acid

TNF:

Tumor necrosis factor

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Acknowledgements

The authors gratefully acknowledge Kittisak Sintiprungrat for technical assistance. This study was supported by a Mahidol University Research Grant (Grant No. IRN60W0004) and a grant from the Thailand Research Fund (Grant No. IRG5980006). Umsa-ard W. was partially supported by a Siriraj Graduate Thesis Scholarship.

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JS, WU, and VT conceived the study; JS and VT designed the experiments; WU performed the experiments; WU and VT analyzed the data; and, JS wrote the manuscript. All authors approved the final manuscript.

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Correspondence to J. Soongsathitanon.

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All authors declare no personal or professional conflicts of interest, and no financial support from the companies that produce and/or distribute the drugs, devices, or materials described in this report.

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All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research ethics committee (Siriraj Institutional Review Board COA No. Si 012/2008) and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards. Written informed consent was obtained from all participants.

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Soongsathitanon, J., Umsa-Ard, W. & Thongboonkerd, V. Proteomic analysis of peripheral blood polymorphonuclear cells (PBMCs) reveals alteration of neutrophil extracellular trap (NET) components in uncontrolled diabetes. Mol Cell Biochem 461, 1–14 (2019). https://doi.org/10.1007/s11010-019-03583-y

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