AI Article Synopsis

  • The study aimed to find diagnostic biomarkers for pediatric immune thrombocytopenia (ITP) using proteomic techniques in children.
  • Researchers analyzed protein expression using a 4D-DIA approach, leading to the identification of 55 different proteins in the ITP group, with MMP-9 and THBS1 showing significant differences.
  • Validation through ELISA and ROC curves confirmed that MMP-9 was elevated and THBS1 was decreased in ITP patients, indicating their potential as biomarkers for ITP diagnosis but requiring more research.

Article Abstract

To use proteomic techniques to identify sensitive diagnostic biomarkers for paediatric immune thrombocytopenia (ITP). We selected children in ITP and control groups, using a four-dimensional data-independent acquisition approach (4D-DIA) to analyse its protein expression. The significantly differentially expressed proteins were selected for enzyme-linked immunosorbent assay (ELISA) validation in a cohort comprising 50 samples (13 healthy controls, 15 secondary thrombocytopenia controls and 22 children with ITP). Receiver operating characteristics (ROC) were generated to diagnose ITP and to assess the diagnostic effectiveness of this approach. Compared with the control group, 55 differentially expressed proteins (43 increased and 12 decreased) were determined in the ITP group. Matrix metalloproteinases-9 (MMP-9) and thrombospondin-1 (THBS1) were significantly expressed and selected for ELISA. The verification outcomes aligned with the findings from the proteomic examinations. In contrast to the control cohort, the ITP subjects exhibited markedly elevated plasma MMP-9 levels and reduced plasma THBS1 concentrations. Additionally, the ROC curves indicated the diagnostic value of these biomarkers. In conclusion, proteomics facilitates identifying the sensitive biomarkers for ITP diagnosis. We have preliminarily selected two differentially expressed proteins, MMP-9 and THBS1, whose potential role as biomarkers for diagnosing ITP requires further research.

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http://dx.doi.org/10.1111/bjh.19730DOI Listing

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