Análise proteômica de plasma de pacientes com câncer de mama utilizando lectinas vegetais e label-free LC-MSE

Abstract

The breast cancer presents one of the most commonly diagnosed types of cancer among women worldwide and in Brazil, after nonmelanoma skin cancer. It’s a clinically and biologically heterogeneous disease. Therefore, early detection of breast cancer, a reliable characterization of the disease and an accurate diagnosis are crucial to reducing mortality. The aim of this work was perform a qualitative and quantitative analyzes of plasma proteins from healthy women and from women with ductal breast cancer in different stages. For this, initially, plasma samples were depleted of IgG and albumin and then pooled into samples representative for each study group. The pools were then fractionated by immobilized plant lectins (frutalin and DAL)-affinity chromatography. Subsequently, the pools and chromatographic fractions were digested and submited to and data-independent label-free mass spectrometric analysis. The use of affinity chromatography with plant lectins prior to analysis by mass spectrometry was essential to reduce sample complexity and extend the dynamic range of proteins, and frutalin showed the best results from fractionation. A sum of all analyzes performed revealed the identification of about 445,000 peptides and more than 30,000 proteins, with redundancy between isoforms of the same group and between groups. Furthermore, in addition to fractionation, the chromatography of affinity with plant lectins were effective in isolating specific glycoforms that reflect an altered glycosylation pattern associated with the disease. Several differentially expressed proteins, some of which changes in glycosylation were identified, such as apolipoprotein A2, apolipoprotein C3, complement factors (C3, C4b and C4A), clusterin, 1-2-α-acid glycoprotein, haptoglobin, hemopexin, serum paraoxonase arylesterase, plasma retinol binding protein, plasminogen and vitronectin. Among the proteins identified, some are related to the breakdown of the extracellular matrix, lipid metabolism, oxidative stress and other characterized as acute phase proteins. Finally, the data of differential expression and possible changes in the glycosylation patterns of proteins contributes to the development of a protein profile, subject to later validation, presenting an association with the development and characterization of breast cancer in its different stages.