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A PROTEOME-BASED APPROACH FOR THE DIAGNOSIS OF INBORN ERRORS OF IMMUNITY
Abstract
Background and Aims
Monogenic germline defects cause Human Inborn Errors of Immunity (IEI). While more than 450 responsible genes have been identified due to advances in next-generation sequencing technology, there is still room for improvement in the efficiency of genetic diagnosis. Recently, proteomics using peripheral blood mononuclear cells (PBMCs) has been well studied. However, previous proteomic studies for PBMCs have had a limitation in the coverage of protein (about 3000). Thereby, more comprehensive data is needed to gain rational insight into the molecular mechanisms underlying aberrant immune systems. This study aimed to elucidate the pathophysiology of IEI using PBMCs’ proteomics as the first-tier diagnosis of IEI, and to gain a deeper understanding of genomic etiology using integrated RNA-seq.
Methods
PBMCs were obtained from 70 IEI patients without genetic diagnosis and six healthy subjects. PBMCs’ proteomic data obtained from mass spectrometry-based proteomics were optimized by data processing and were employed to explore B- and T-cell dysfunction and elucidate pathogenic proteins.
Results
Data processing yielded optimized data for 6498 proteins among 63 IEI cases and six healthy controls. Comprehensive proteomics covered proteins even in the minor cell fractions in PBMCs and identified cell-deficient cases based on B- and T-cell specific protein profiles. Furthermore, the diagnostic analysis identified the disease-causing protein in four cases, two of which intriguingly showed no significant findings in RNA-seq.
Conclusions
Proteomics provides a deeper insight into the pathogenesis of IEI and improves the efficiency for genetic diagnosis by up to 6%. These findings suggest the utility of a proteomics based diagnostic approach for IEI.