Proteomic Characterization of Plasma in Lemierre's Syndrome.


Journal

Thrombosis and haemostasis
ISSN: 2567-689X
Titre abrégé: Thromb Haemost
Pays: Germany
ID NLM: 7608063

Informations de publication

Date de publication:
07 Feb 2024
Historique:
pubmed: 20 10 2023
medline: 20 10 2023
entrez: 19 10 2023
Statut: aheadofprint

Résumé

 The underlying mechanisms of thrombosis in Lemierre's syndrome and other septic thrombophlebitis are incompletely understood. Therefore, in this case control study we aimed to generate hypotheses on its pathogenesis by studying the plasma proteome in patients with these conditions.  All patients with Lemierre's syndrome in the Skåne Region, Sweden, were enrolled prospectively during 2017 to 2021 as cases. Age-matched patients with other severe infections were enrolled as controls. Patient plasma samples were analyzed using label-free data-independent acquisition liquid chromatography tandem mass spectrometry. Differentially expressed proteins in Lemierre's syndrome versus other severe infections were highlighted. Functions of differentially expressed proteins were defined based on a literature search focused on previous associations with thrombosis.  Eight patients with Lemierre's syndrome and 15 with other severe infections were compared. Here, 20/449 identified proteins were differentially expressed between the groups. Of these, 14/20 had functions previously associated with thrombosis. Twelve of 14 had a suggested prothrombotic effect in Lemierre's syndrome, whereas 2/14 had a suggested antithrombotic effect.  Proteins involved in several thrombogenic pathways were differentially expressed in Lemierre's syndrome compared to other severe infections. Among identified proteins, several were associated with endothelial damage, platelet activation, and degranulation, and warrant further targeted studies.

Sections du résumé

BACKGROUND BACKGROUND
 The underlying mechanisms of thrombosis in Lemierre's syndrome and other septic thrombophlebitis are incompletely understood. Therefore, in this case control study we aimed to generate hypotheses on its pathogenesis by studying the plasma proteome in patients with these conditions.
METHODS METHODS
 All patients with Lemierre's syndrome in the Skåne Region, Sweden, were enrolled prospectively during 2017 to 2021 as cases. Age-matched patients with other severe infections were enrolled as controls. Patient plasma samples were analyzed using label-free data-independent acquisition liquid chromatography tandem mass spectrometry. Differentially expressed proteins in Lemierre's syndrome versus other severe infections were highlighted. Functions of differentially expressed proteins were defined based on a literature search focused on previous associations with thrombosis.
RESULTS RESULTS
 Eight patients with Lemierre's syndrome and 15 with other severe infections were compared. Here, 20/449 identified proteins were differentially expressed between the groups. Of these, 14/20 had functions previously associated with thrombosis. Twelve of 14 had a suggested prothrombotic effect in Lemierre's syndrome, whereas 2/14 had a suggested antithrombotic effect.
CONCLUSION CONCLUSIONS
 Proteins involved in several thrombogenic pathways were differentially expressed in Lemierre's syndrome compared to other severe infections. Among identified proteins, several were associated with endothelial damage, platelet activation, and degranulation, and warrant further targeted studies.

Identifiants

pubmed: 37857346
doi: 10.1055/a-2195-3927
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Informations de copyright

The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).

Déclaration de conflit d'intérêts

J.E. reports consulting fees from LEO Pharma and honoraria for lectures for LEO Pharma, Pfizer/BMS and Bayer AB. None of the other authors have conflicting interests.

Auteurs

David Nygren (D)

Division of Infection Medicine, Lund University, Lund, Sweden.
Department of Infectious Diseases, Skåne University Hospital, Lund/Malmö, Sweden.

Gustav Torisson (G)

Department of Infectious Diseases, Skåne University Hospital, Lund/Malmö, Sweden.
Department of Translational Medicine, Clinical Infection Medicine, Lund University, Malmö, Sweden.

Lotta Happonen (L)

Division of Infection Medicine, Lund University, Lund, Sweden.

Lisa Mellhammar (L)

Division of Infection Medicine, Lund University, Lund, Sweden.
Department of Infectious Diseases, Skåne University Hospital, Lund/Malmö, Sweden.

Adam Linder (A)

Division of Infection Medicine, Lund University, Lund, Sweden.
Department of Infectious Diseases, Skåne University Hospital, Lund/Malmö, Sweden.

Johan Elf (J)

Center of Thrombosis and Haemostasis, Skåne University Hospital, Malmö, Sweden.

Hong Yan (H)

The Swedish National Infrastructure for Biological Mass Spectrometry (BioMS), Lund University, Lund, Sweden.

Charlotte Welinder (C)

The Swedish National Infrastructure for Biological Mass Spectrometry (BioMS), Lund University, Lund, Sweden.

Karin Holm (K)

Division of Infection Medicine, Lund University, Lund, Sweden.
Department of Infectious Diseases, Skåne University Hospital, Lund/Malmö, Sweden.

Classifications MeSH