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Patients with congenital hypothyroidism demonstrate different altered expression of plasma fibrinogen and haptoglobin
Phaik-Har Yong1, Sarni M Junit, Fatimah Harun
1Department of Molecular Medicine, Faculty of Medicine, University of Malaya, 50603 Kuala Lumpur, Malaysia.
Insights
Congenital hypothyroidism (CH) alters plasma proteins, notably fibrinogen and haptoglobin. Treatment normalizes these protein changes, suggesting CH impacts protein structure.
Area of Science:
- Biochemistry
- Endocrinology
- Pediatrics
Background:
- Congenital hypothyroidism (CH) is a condition affecting thyroid hormone production in infants.
- Altered thyroid hormone levels can impact various metabolic processes and protein expression.
- Understanding plasma protein changes in CH is crucial for diagnosis and monitoring.
Purpose of the Study:
- To compare plasma protein profiles in treated and untreated congenital hypothyroidism (CH) patients against normal controls.
- To identify specific protein alterations associated with untreated CH.
- To assess the normalization of protein profiles upon CH treatment.
Main Methods:
- Plasma samples from CH patients and controls were analyzed using two-dimensional gel electrophoresis.
- Proteins were visualized using silver staining and lectin detection.
- Computerized densitometry was employed for quantitative analysis of protein spots.
Main Results:
- Untreated CH patients showed increased fibrinogen gamma-chain and decreased haptoglobin beta-chain expression.
- Lectin detection revealed distinct haptoglobin beta-chain isoform patterns in untreated CH patients compared to controls and treated patients.
- These alterations were normalized after CH treatment.
Conclusions:
- Plasma protein profiles in CH patients exhibit distinct changes in fibrinogen and haptoglobin.
- These alterations are reversible with thyroid hormone replacement therapy.
- Evidence suggests potential structural differences in N-glycans of haptoglobin beta-chain in untreated CH.
Objectives:
To compare the plasma protein profiles of treated and untreated congenital hypothyroidism (CH) patients with those of normal control infants.
Design And Methods:
Plasma samples were subjected to two-dimensional gel electrophoresis and silver staining or lectin detection. Resolved protein spots were analyzed by using computerized densitometry software.
Results:
The significant enhanced expression of the fibrinogen gamma-chain and reduced expression of haptoglobin beta-chain were demonstrated in the profiles of untreated CH patients using both silver staining and lectin detection methods. Lectin detection resolved only a single cluster of the haptoglobin beta-chain for the untreated patients, in contrast to five isoform clusters detected in the controls' and treated CH patients' profiles.
Conclusions:
Plasma from untreated CH patients demonstrated different altered expression of fibrinogen and haptoglobin polypeptide chains, which was normalized when patients were treated. Our data also suggest differences in structures of the N-glycans of haptoglobin beta-chain of the untreated CH patients.
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