Blood-derived biomarkers correlate with clinical progression in Duchenne muscular dystrophy

• Background: Duchenne Muscular Dystrophy is a severe, incurable disorder caused by mutations in the dystrophin gene. The disease is characterized by decreased muscle function, impaired muscle regeneration and increased inflammation. In a clinical context, muscle deterioration, is evaluated using physical tests and analysis of muscle biopsies, which fail to accurately monitor the disease progression. Objectives: This study aims to confirm and asses the value of blood protein biomarkers as disease progression markers using one of the largest longitudinal collection of samples. Methods: A total of 560 samples, both serum and plasma, collected at three clinical sites are analyzed using a suspension bead array platform to assess 118 proteins targeted by 250 antibodies in microliter amount of samples. Results: Nine proteins are confirmed as disease progression biomarkers in both plasma and serum. Abundance of these biomarkers decreases as the disease progresses but follows different trajectories. While carbonic anhydrase 3, microtubule associated protein 4 and collagen type I alpha 1 chain decline rather constantly over time, myosin light chain 3, electron transfer flavoprotein A, troponin T, malate dehydrogenase 2, lactate dehydrogenase B and nestin plateaus in early teens. Electron transfer flavoprotein A, correlates with the outcome of 6-minutes-walking-test whereas malate dehydrogenase 2 together with myosin light chain 3, carbonic anhydrase 3 and nestin correlate with respiratory capacity. Conclusions: Nine biomarkers have been identified that correlate with disease milestones, functional tests and respiratory capacity. Together these biomarkers recapitulate different stages of the disorder that, if validated can improve disease progression monitoring.

Ämnesord

MEDICIN OCH HÄLSOVETENSKAP  -- Medicinska och farmaceutiska grundvetenskaper -- Cell- och molekylärbiologi (hsv//swe)

MEDICAL AND HEALTH SCIENCES  -- Basic Medicine -- Cell and Molecular Biology (hsv//eng)

MEDICIN OCH HÄLSOVETENSKAP  -- Klinisk medicin -- Klinisk laboratoriemedicin (hsv//swe)

MEDICAL AND HEALTH SCIENCES  -- Clinical Medicine -- Clinical Laboratory Medicine (hsv//eng)

Nyckelord

Affinity-based proteomics

disease progression

Duchenne muscular dystrophy

protein biomarkers

serum and plasma

carbonate dehydratase III

collagen type 1

dystrophin

electron transferring flavoprotein

electron transferring flavoprotein A

lactate dehydrogenase

lactate dehydrogenase B

malate dehydrogenase

malate dehydrogenase 2

microtubule associated protein 4

myosin light chain

myosin light chain 3

nestin

troponin T

unclassified drug

adolescent

adult

aged

Article

blood sampling

breathing

child

controlled study

correlation analysis

disease course

female

gene mutation

human

immunohistochemistry

longitudinal study

major clinical study

male

middle aged

mobilization

preschool child

priority journal

protein analysis

protein expression

protein microarray

school child

six minute walk test

Western blotting

young adult

Publikations- och innehållstyp

ref (ämneskategori)

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