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Tandem mass tag-based quantitative proteomic profiling identifies candidate serum biomarkers of drug-induced liver injury in humans

Ravindra, Kodihalli C., Vaidya, Vishal S., Wang, Zhenyu, Federspiel, Joel D., Virgen-Slane, Richard, Everley, Robert A., Grove, Jane I., Stephens, Camilla, Ocana, Mireia F., Robles-Díaz, Mercedes, Isabel Lucena, M., Andrade, Raul J., Atallah, Edmond, Gerbes, Alexander L., Weber, Sabine, Cortez-Pinto, Helena, Fowell, Andrew J., Hussaini, Hyder, Bjornsson, Einar S., Patel, Janisha, Stirnimann, Guido, Verma, Sumita, Elsharkawy, Ahmed M., Griffiths, William J. H., Hyde, Craig, Dear, James W., Aithal, Guruprasad P., Ramaiah, Shashi K.·2023·Nature Communications

Abstract

Diagnosis of drug-induced liver injury (DILI) and its distinction from other liver diseases are significant challenges in drug development and clinical practice. Here, we identify, confirm, and replicate the biomarker performance characteristics of candidate proteins in patients with DILI at onset (DO; n = 133) and follow-up ( n = 120), acute non-DILI at onset (NDO; n = 63) and follow-up ( n = 42), and healthy volunteers (HV; n = 104). Area under the receiver operating characteristic curve (AUC) for cytoplasmic aconitate hydratase, argininosuccinate synthase, carbamoylphosphate synthase, fumarylacetoacetase, fructose-1,6-bisphosphatase 1 (FBP1) across cohorts achieved near complete separation (range: 0.94–0.99) of DO and HV. In addition, we show that FBP1, alone or in combination with glutathione S-transferase A1 and leukocyte cell-derived chemotaxin 2, could potentially assist in clinical diagnosis by distinguishing NDO from DO (AUC range: 0.65–0.78), but further technical and clinical validation of these candidate biomarkers is needed.

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Metadata

Authors
Ravindra, K. C., Vaidya, V. S., Wang, Z., Federspiel, J. D., Virgen-Slane, R., Everley, R. A., Grove, J. I., Stephens, C., Ocana, M. F., Robles-Díaz, M., Isabel Lucena, M., Andrade, R. J., Atallah, E., Gerbes, A. L., Weber, S., Cortez-Pinto, H., Fowell, A. J., Hussaini, H., Bjornsson, E. S., Patel, J., Stirnimann, G., Verma, S., Elsharkawy, A. M., Griffiths, W. J. H., Hyde, C., Dear, J. W., Aithal, G. P., & Ramaiah, S. K.
Venue
Nature Communications
Published
2023-03-03
Volume
14
Issue
1
ISSN
2041-1723
Cited by
44
References
3
Language
en

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