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Pursuing type 1 diabetes mellitus and related complications through urinary proteomics

Title
Pursuing type 1 diabetes mellitus and related complications through urinary proteomics
Type
Article in International Scientific Journal
Year
2014
Authors
Caseiro, A
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Barros, A
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Ferreira, R
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Padrao, A
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Aroso, M
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Quintaneiro, C
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Pereira, A
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Marinheiro, R
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Vitorino, R
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Amado, F
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Journal
The Journal is awaiting validation by the Administrative Services.
Vol. 163
Pages: 188-199
ISSN: 1931-5244
Other information
Authenticus ID: P-008-S1Z
Abstract (EN): Diabetes mellitus is a chronic metabolic disease with multiple complications, and its successful management requires early diagnosis, to allow timely interventions. Here, we have comprehensively analyzed the proteome changes in urine of type 1 diabetic subjects with and without complications such as retinopathy and nephropathy. gel electrophoresis combined to liquid chromatography-tandem mass spectrometry (GeLC-MS/MS) analysis of midstream urine highlighted the mechanisms involved in disease pathogenesis as, for instance wound healing and blood coagulation in all diabetics or altered ganglioside metabolism in retinopathy, and also some urinary proteins with potential diagnosis value. From these, gelsolin and antithrombin-III appear as promising diagnosis markers for type 1 diabetes mellitus (T1DM), whereas ephrin type-B receptor 4 and vitamin K-dependent protein Z seem to be promising markers for advanced T1DM disease state presenting retinopathy and nephropathy (T1DM-R + N). Data also suggest urinary ganglioside GM2 activator and beta-hexosaminidase subunit beta as potential urinary markers of retinopathy in diabetics. Taken together, the present exploratory urinary proteomic analysis might be seen as an important starting point for studies targeting specific urinary proteins aimed at the implementation of new biomarkers for the early detection of T1DM-related microvascular complications.
Language: English
Type (Professor's evaluation): Scientific
No. of pages: 12
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