Alterations of the peptidomic composition of peripheral plasma after portal hypertension correction by transjugular intrahepatic portosystemic shunt

 

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Alterations of the peptidomic composition of peripheral plasma after portal hypertension correction by transjugular intrahepatic portosystemic shunt

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Vera
Jankowski
Vera Jankowski vjankowski@ukaachen.de RWTH University Institute for Molecular Cardiovascular Research Aachen Germany *
Joachim Jankowski jjankowski@ukaachen.de RWTH University nstitute for Molecular Cardiovascular Research Aachen Germany -
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Portal hypertension develops in patients with advanced chronic liver diseases (CLD), especially cirrhosis and is associated with complications of the disease, such as gastrointestinal bleeding and ascites resulting in high mortality rates. The transjugular intrahepatic portosystemic shunt (TIPS) is one of the treatment options for portal hypertension, aiming to decrease portal venous pressure by establishing an artificial passage for blood from the gastrointestinal tract directly to the liver vein. This study focuses on the differences in the molecular composition of plasma samples from patients with portal hypertension before and after TIPS intervention to identify and characterise mediators influencing gut-liver cross-talk.


The plasma of 23 patients suffering from advanced CLD with portal hypertension was collected from peripheral veins before and after TIPS treatment and analysed using a well-established non-targeted chromatography-mass spectrometric (LC-MS) approach. In peripheral blood, the proteomic approach identified eleven biomolecules in the molecular range of 100 to 1,500 (m/z) with concentration differences induced by the TIPS intervention. The identified biomolecules were sequenced through MS/MS mass-spectrometry and analysed through literature mining to gain insight into their function and how they impact liver homeostasis.


Peptides originating from the parent proteins: sialomucin core protein 24 (CD164), meckelin, Histone-lysine N-methyltransferase (MLL3) and transient receptor potential cation channel subfamily V member 5 (TRPV5) were identified to be downregulated after the TIPS treatment. Similarly, the metabolites: 3-carboxy-4-methyl-5-propyl-2-furanpropionic acid (CMPF), uric acid, Dopamine, homoarginine, leucylproline and 5-methyluridine were significantly decreased after TIPS, whereas one yet unidentified low molecular-weight metabolite showed an increase after the medical procedure.


In conclusion, we identified novel biomarker candidates for portal hypertension in patients with CLD, with mechanistic clues of involvement in regulating pathological gut-liver cross-talk.

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