Serum albumin cysteine trioxidation is a potential oxidative stress biomarker of type 2 diabetes mellitus
Open accessAbstract
Metabolic disorders in T2DM generate multiple sources of free radicals and oxidative stress that accelerate nonenzymatic degenerative protein modifications (DPMs) such as protein oxidation, disrupt redox signaling and physiological function, and remain a major risk factor for clinical diabetic vascular complications. In order to identify potential oxidative biomarkers in the blood plasma of patients with T2DM, we used LC-MS/MS-based proteomics to profile plasma samples from patients with T2DM and healthy controls. The results showed that human serum albumin (HSA) is damaged by irreversible cysteine trioxidation, which can be a potential oxidative stress biomarker for the early diagnosis of T2DM. The quantitative detection of site-specific thiol trioxidation is technically challenging; thus, we developed a sensitive and selective LC-MS/MS workflow that has been used to discover and quantify three unique thiol-trioxidized HSA peptides, ALVLIAFAQYLQQC(SO3H)PFEDHVK (m/z 1241.13), YIC(SO3H)ENQDSISSK (m/z 717.80) and RPC(SO3H)FSALEVDETYVPK (m/z 951.45), in 16 individual samples of healthy controls (n = 8) and individuals with diabetes (n = 8). Targeted quantitative analysis using multiple reaction monitoring mass spectrometry revealed impairment of the peptides with m/z 1241.13, m/z 717.80 and m/z 951.45, with significance (P < 0.02, P < 0.002 and P < 0.03), in individuals with diabetes. The results demonstrated that a set of three HSA thiol-trioxidized peptides, which are irreversibly oxidatively damaged in HSA in the plasma of patients with T2DM, can be important indicators and potential biomarkers of oxidative stress in T2DM.
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Trioxidized peptides have potential as prognostic biomarkers of protein oxidation in human disease.
“By using a LC-MS/MS approach, they found elevated cysteine sulfonic acid in human serum albumin of type 2 diabetes (T2D) patients compared to control subjects, indicating the potential of trioxidized peptides as prognostic biomarker of protein oxidation in human disease [125].”
From Protein oxidation - Formation mechanisms, detection and relevance as biomarkers in human diseases (2021) · cites this paper as [125]
The Introduction says site-specific trioxidized human serum albumin could be a biomarker of diabetes diagnosis and prognosis. The Conclusion limits the proposed prognostic use to diabetes and says its relationship to disease severity and outcomes still needs a larger longitudinal study. The claim extends that potential to human disease generally. (LLM, conf=0.86)
Experimental — accuracy not yet measuredCysteine sulfonic acid is elevated in human serum albumin of type 2 diabetes patients compared to control subjects.
“By using a LC-MS/MS approach, they found elevated cysteine sulfonic acid in human serum albumin of type 2 diabetes (T2D) patients compared to control subjects, indicating the potential of trioxidized peptides as prognostic biomarker of protein oxidation in human disease [125].”
From Protein oxidation - Formation mechanisms, detection and relevance as biomarkers in human diseases (2021) · cites this paper as [125]
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Protein oxidation - Formation mechanisms, detection and relevance as biomarkers in human diseases
Kehm, R., Baldensperger, T., Raupbach, J., & Höhn, A. (2021) · Redox Biology · doi:10.1016/j.redox.2021.101901 · Cited by 348 · see citing works
“By using a LC-MS/MS approach, they found elevated cysteine sulfonic acid in human serum albumin of type 2 diabetes (T2D) patients compared to control subjects, indicating the potential of trioxidized peptides as prognostic biomarker of protein oxidation in human disease [125].”
Background
- Authors
- Paramasivan, S., Adav, S. S., Ngan, S. C., Dalan, R., Leow, M. K.-S., Ho, H. H., & Sze, S. K.
- Affiliations
- Nanyang Technological University (SG)
- Tan Tock Seng Hospital (SG)
- National University of Singapore (SG)
- Corresponding author
- Sze, Siu Kwan
- ORCID
- Venue
- Scientific Reports
- Published
- 2020-04-15
- Volume
- 10
- Issue
- 1
- Pages
- 6475-6475
- ISSN
- 2045-2322 (ISSN-L)
- PMC
- PMC7160123
- OpenAlex
- W3017096941
- Cited by
- 41
- References
- 2
- Citations by year
- 2026: 3 · 2025: 6 · 2024: 6 · 2023: 9 · 2022: 2 · 2021: 13 · 2020: 1 · 2015: 1
- FWCI
- 2.03
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Locations
- Scientific Reports (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- National University of Singapore (submittedVersion)
- DR-NTU (Nanyang Technological University) (submittedVersion, cc-by)
- Funders
- National Medical Research Council of Singapore (NMRC-OF-IRG-0003-2016)
- Singapore Ministry of Education (MOE2016-T2-2-018)
- Topics
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Redox biology and oxidative stress
- Health Sciences › Medicine › Biochemistry › Antioxidant Activity and Oxidative Stress
- Physical Sciences › Chemistry › Spectroscopy › Advanced Proteomics Techniques and Applications
- Keywords
- type 2 diabetes, oxidative stress, human serum albumin, thiol oxidation, oxidative stress biomarkers, plasma proteomics, early detection of diabetes
- MeSH terms
- Serum Albumin, Human, Aged, Chromatography, High Pressure Liquid, Cysteine, Diabetes Mellitus, Type 2, Female, Humans, Male, Middle Aged, Oxidation-Reduction, Prognosis, Biomarkers, Case-Control Studies, Oxidative Stress, Disease Progression, Proteomics, Early Diagnosis, Tandem Mass Spectrometry
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