Xu, Zhao, Ke, Yin, Feng, Qiang, Tuerdimaimaiti, Ayiguzaili, Zhang, Dandan, Dong, Lijie, and Liu, Aihua
Pseudoexfoliation syndrome (PEX) is characterized by the deposition of fibrous pseudoexfoliation material (PEXM) in the eye, and secondary glaucoma associated with this syndrome has a faster and more severe clinical course. The incidence of PEX and pseudoexfoliative glaucoma (PEXG) exhibits ethnic clustering; however, few proteomic studies related to PEX and PEXG have been conducted in Asian populations. Therefore, we aimed to conduct proteomic analysis on the aqueous humor (AH) obtained from Uyghur patients with cataracts, those with PEX and cataracts, and those with PEXG and cataracts to better understand the molecular mechanisms of the disease and identify its potential biomarkers. To this end, AH was collected from patients with cataracts (n = 10, control group), PEX with cataracts (n = 10, PEX group), and PEXG with cataracts (n = 10, PEXG group) during phacoemulsification. Label-free quantitative proteomic techniques combined with bioinformatics were used to identify and analyze differentially expressed proteins (DEPs) in the AH of PEX and PEXG groups. Then, independent AH samples (n = 12, each group) were collected to validate DEPs by enzyme-linked immunosorbent assay (ELISA). The PEX group exhibited 25 DEPs, while the PEXG group showed 44 DEPs, both compared to the control group. Subsequently, we found three newly identified proteins in both PEX and PEXG groups, wherein FRAS1-related extracellular matrix protein 2 (FREM2) and osteoclast-associated receptor (OSCAR) exhibited downregulation, whereas coagulation Factor IX (F9) displayed upregulation. Bioinformatics analysis suggested that extracellular matrix interactions, abnormal blood-derived proteins, and lysosomes were mainly involved in the process of PEX and PEXG, and the PPI network further revealed F9 may serve as a potential biomarker for both PEX and PEXG. In conclusion, this study provides new information for understanding the proteomics of AH in PEX and PEXG. Overview of pseudoexfoliation syndrome (PEX) and pseudoexfoliative glaucoma (PEXG) and the experimental procedure of our study. A) Examination of the patients with PEX. Clinical signs of PEX include a 3-ring pattern of pseudoexfoliation materials (PEXM) on the anterior lens surface, i.e., a central disc, an intermediate clear zone, and a granular peripheral zone. PEXG diagnosis is established based on PEX diagnosis and the accompanying changes in the glaucoma fundus and retinal nerve fiber layer (RNFL). a. Cup-to-disc ratio >0.9 and optic atrophy in fundus image. b. Thinning of the RNFL near the optic disc on optical coherence tomography imaging. B, C, D) Represent limitations in genetic research, clinical diagnosis and treatment, and experimental models of PEX, respectively. E) Describes epidemiological characteristics. Experimental procedure: The workflow involves collecting, digesting, and processing AH samples from patients with cataracts, PEX with cataracts, and PEXG with cataracts for LC-MS/MS proteomics and bioinformatics analysis. Subsequently, the DEPs were validated, and data were visualized (30 A H samples for label-free proteomic, 36 A H samples for ELISA). BP: biological process, CC: cellular component, MF: molecular function. [Display omitted] • We revealed the proteome of AH in Uyghur patients with PEX and PEXG. • FREM2 and OSCAR were downregulated in AH of PEX and PEXG. • F9 was upregulated in AH of PEX and PEXG. • Bioinformatics identified F9 as a potential biomarker for both PEX and PEXG. [ABSTRACT FROM AUTHOR]