Proteomics: Its Promise and Pitfalls in Shaping Precision Medicine in Solid Organ Transplantation.


Journal

Transplantation
ISSN: 1534-6080
Titre abrégé: Transplantation
Pays: United States
ID NLM: 0132144

Informations de publication

Date de publication:
01 10 2023
Historique:
medline: 23 10 2023
pubmed: 23 2 2023
entrez: 22 2 2023
Statut: ppublish

Résumé

Solid organ transplantation is an established treatment of choice for end-stage organ failure. However, all transplant patients are at risk of developing complications, including allograft rejection and death. Histological analysis of graft biopsy is still the gold standard for evaluation of allograft injury, but it is an invasive procedure and prone to sampling errors. The past decade has seen an increased number of efforts to develop minimally invasive procedures for monitoring allograft injury. Despite the recent progress, limitations such as the complexity of proteomics-based technology, the lack of standardization, and the heterogeneity of populations that have been included in different studies have hindered proteomic tools from reaching clinical transplantation. This review focuses on the role of proteomics-based platforms in biomarker discovery and validation in solid organ transplantation. We also emphasize the value of biomarkers that provide potential mechanistic insights into the pathophysiology of allograft injury, dysfunction, or rejection. Additionally, we forecast that the growth of publicly available data sets, combined with computational methods that effectively integrate them, will facilitate a generation of more informed hypotheses for potential subsequent evaluation in preclinical and clinical studies. Finally, we illustrate the value of combining data sets through the integration of 2 independent data sets that pinpointed hub proteins in antibody-mediated rejection.

Identifiants

pubmed: 36808112
doi: 10.1097/TP.0000000000004539
pii: 00007890-202310000-00013
doi:

Substances chimiques

Biomarkers 0

Types de publication

Review Journal Article Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

2126-2142

Subventions

Organisme : CIHR
ID : 180351
Pays : Canada

Informations de copyright

Copyright © 2023 Wolters Kluwer Health, Inc. All rights reserved.

Déclaration de conflit d'intérêts

The authors declare no conflicts of interest.

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Auteurs

Sofia Farkona (S)

Toronto General Hospital Research Institute, University Health Network, Toronto, ON, Canada.
Soham and Shaila Ajmera Family Transplant Centre, University Health Network, Toronto, ON, Canada.

Chiara Pastrello (C)

Osteoarthritis Research Program, Division of Orthopedic Surgery, Schroeder Arthritis Institute University Health Network, Toronto, ON, Canada.
Data Science Discovery Centre for Chronic Diseases, Krembil Research Institute, Toronto Western Hospital, University Health Network, Toronto, ON, Canada.

Ana Konvalinka (A)

Toronto General Hospital Research Institute, University Health Network, Toronto, ON, Canada.
Soham and Shaila Ajmera Family Transplant Centre, University Health Network, Toronto, ON, Canada.
Department of Medicine, Division of Nephrology, University Health Network, Toronto, ON, Canada.
Department of Laboratory Medicine and Pathobiology, University of Toronto, Toronto, ON, Canada.
Institute of Medical Science, University of Toronto, Toronto, ON, Canada.
Canadian Donation and Transplantation Research Program, Edmonton, AB, Canada.

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