类风湿关节炎患者外周血单个核细胞蛋白质组学研究  

Proteomics research on the peripheral blood mononuclear cells of patients with rheumatoid arthritis

作　　者：蒋勇前[1] 梁清华[1] 熊新贵[1] 杨波[1] 区建刚[1] 曾年菊[1] 陈疆[2] 张花先[1] 何金华[3] 

机构地区：[1]中南大学湘雅医院中西医结合研究所,长沙410008 [2]中南大学湘雅医院远程医疗中心,长沙410008 [3]湖南省儿童医院免疫科

出　　处：《中华风湿病学杂志》2008年第7期456-460,共5页Chinese Journal of Rheumatology

基　　金：国家自然科学基金资助项目（30371833）

摘　　要：目的运用蛋白质组学的方法，比较正常人及早期活动性类风湿关节炎（RA）患者外周血单个核细胞（PBMCs）蛋白质的差异表达，寻找RA疾病相关致病蛋白质。方法选取9例早期活动期RA患者以及9名健康成年志愿者，用淋巴细胞分离液分离PBMCs，抽提PBMCs中的蛋白，采用固相DH梯度（IPG）双向凝胶电泳（2-DE）分离正常人及RA患者PBMCs总蛋白质。凝胶经考马斯亮蓝染色显色后，PDQuest图像分析软件进行比较分析、识别差异表达的蛋白质，对差异蛋白质点用基质辅助激光解析电离飞行时间质谱（MALDI—TOF—MS）进行鉴定，运用反转录-聚合酶链反应（RT—PCR）方法验证部分差异蛋白质。结果获得RA患者及正常人PBMCs蛋白质双向凝胶电泳图谱，平均蛋白质点数分别为556和579，匹配率分别为89．4％和88．5％，通过比较分析，差异表达蛋白质点数为23，选取18个点进行质谱鉴定，成功鉴定14个蛋白质，其中β-肌动蛋白、纤维蛋白素原β-链、载脂蛋白A—I（ApoA—I）等9个蛋白质点在RA中表达上调，硫氧还蛋白-2、谷胱甘肽S-转移酶等6个蛋白质点在RA中表达下调，这些差异蛋白质的功能涉及物质代谢、抗氧化、信号传导、能量产生及细胞骨架。并用RT—PCR方法验证差异蛋白质ApoA—I，其结果与上述蛋白质差异表达结果相符。结论在RA患者PBMCs中存在着差异表达蛋白质，这些差异蛋白质可能是RA发病的内在因素。其RT—PCR结果与蛋白质差异表达相符，证明蛋白质组研究的可靠性。Objective To explore the related protein which lead to rheumatoid arthritis （RA） and to find different proteins associated with active RA by comparing the expression levels of proteins in the peripheral blood mononuclear cells （PBMCs） of healthy individuals to patients with rheumatoid arthritis using a proteomics approach. Methods Samples of peripheral blood were collected from 9 patients diagnosed as active RA and 9 healthy individuals. PBMCs were isolated from blood using lymphocytes separation medium. The total protein was extracted from the peripheral blood mononuclear ceils. The total protein from either RA patients or normal controls was prepared by means of immobilized pH gradient based on two-dimensional gel electrophoresis. After Coomassie brilliant blue G250 staining, gel-image analysis was performed by using PDQuest. The differentially expressed proteins were identified by matrix-assisted laser desorption ionization-time-offlight mass spectrometry （MALD I-TOF-MS）. Then ApoA- I was validated by RT-PCR. Results 2-DE patterns of PBMCs from controls and RA patients were presented. The results showed that the average number of protein spots was 556 and 579 respectively, and the corresponding average matching rate was 89.4% and 88.5% respectively. Gel-image analysis revealed that there were 23 differential protein spots. Fourteen of total 18 differential protein spots were successfully identified by MALD I-TOF-MS, of which 8 proteins were upregulated such as actin beta, fibrinogen beta chain, ApoA- I ; and 6 proteins such as peroxiredoxin-2, glutathione S-transferase omega 1 were down-regulated when compared with controls. The result of ApoA- I by RT-PCR was consistent with the proteomics results. Conclusion Some differentially expressed proteins are observed in the PBMCs of patients with rheumatoid arthritis, which may play a potential role in the pathogenesis of RA.

关 键 词：关节炎 类风湿 单个核细胞 蛋白质组学 双向电泳 

分 类 号：R593.22[医药卫生—内科学]