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Mass spectrometric immunoassay and MRM as targeted MS-based quantitative approaches in biomarker development: Potential applications to cardiovascular disease and diabetes
Authors:Hussein Yassine  Chad R. Borges  Matthew R. Schaab  Dean Billheimer  Craig Stump  Peter Reaven  Serrine S. Lau  Randall Nelson
Affiliation:1. Department of Medicine, University of Southern California, Los Angeles, CA, USA

These authors are co-first authors.;2. The Biodesign Institute, Arizona State University, Phoenix, AZ, USA

These authors are co-first authors.

Correspondence: Dr. Chad R. Borges, The Biodesign Institute at Arizona State University, P.O. Box 876601, Tempe, AZ 85287, USA

E-mail:chad.borges@asu.edu

Fax: +1-480-727-9928;3. The Biodesign Institute, Arizona State University, Phoenix, AZ, USA;4. Southwest Environmental Health Sciences Center, University of Arizona, Tucson, AZ, USA;5. Department of Medicine, University of Arizona, Tucson, AZ, USA

Southern Arizona VA Health Care Systems, Tucson, AZ, USA;6. Phoenix VA Health Care System, Phoenix, AZ, USA;7. Southwest Environmental Health Sciences Center, University of Arizona, Tucson, AZ, USA

Department of Pharmacology and Toxicology, University of Arizona, Tucson, AZ, USA

Abstract:Type 2 diabetes mellitus (T2DM) is an important risk factor for cardiovascular disease (CVD)—the leading cause of death in the United States. Yet not all subjects with T2DM are at equal risk for CVD complications; the challenge lies in identifying those at greatest risk. Therapies directed toward treating conventional risk factors have failed to significantly reduce this residual risk in T2DM patients. Thus newer targets and markers are needed for the development and testing of novel therapies. Herein we review two complementary MS-based approaches—mass spectrometric immunoassay (MSIA) and MS/MS as MRM—for the analysis of plasma proteins and PTMs of relevance to T2DM and CVD. Together, these complementary approaches allow for high-throughput monitoring of many PTMs and the absolute quantification of proteins near the low picomolar range. In this review article, we discuss the clinical relevance of the high density lipoprotein (HDL) proteome and Apolipoprotein A-I PTMs to T2DM and CVD as well as provide illustrative MSIA and MRM data on HDL proteins from T2DM patients to provide examples of how these MS approaches can be applied to gain new insight regarding cardiovascular risk factors. Also discussed are the reproducibility, interpretation, and limitations of each technique with an emphasis on their capacities to facilitate the translation of new biomarkers into clinical practice.
Keywords:Apolipoprotein A-I  Cardiovascular disease (CVD)  Diabetes  High density lipoprotein (HDL)
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