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Using Extraordinary Optical Transmission to Quantify Cardiac Biomarkers in Human Serum
Published on: December 13, 2017
Cardiac troponin T degradation in serum is catalysed by human thrombin
Alexander S Streng1, Douwe de Boer1, William P T M van Doorn1
1Department of Clinical Chemistry, Central Diagnostic Laboratory, Maastricht University Medical Centre, Maastricht, The Netherlands.
Insights
Human thrombin contributes to cardiac troponin T fragmentation in acute myocardial infarction (AMI) patients. This study suggests thrombin plays a significant role in cTnT degradation in serum, alongside other enzymes.
Area of Science:
- Biochemistry
- Cardiology
- Proteomics
Background:
- Cardiac troponin T (cTnT) fragmentation occurs in human serum post-acute myocardial infarction (AMI).
- Intracellular proteases like calpain-1 and caspase-3 cleave cTnT's N-terminus, but serum proteases responsible for extensive fragmentation remain unidentified.
Purpose of the Study:
- To investigate the potential role of human thrombin in the extensive fragmentation of cTnT observed in AMI patient serum.
Main Methods:
- Purified human cTnT was incubated with processed and unprocessed human serum.
- Experiments involved the addition of purified human thrombin or a thrombin inhibitor (PPACK).
- Techniques included immunoprecipitation, SDS-PAGE, and Western blotting to analyze cTnT fragmentation.
Main Results:
- Addition of purified thrombin to deproteinated serum increased cTnT fragmentation.
- Inhibition of thrombin in unprocessed serum reduced cTnT fragmentation.
- These findings indicate thrombin's involvement in cTnT degradation.
Conclusions:
- Multiple enzymes contribute to cTnT degradation in serum after AMI.
- Human thrombin plays a significant role in the progressive fragmentation of cTnT.
Abstract:
Cardiac troponin T (cTnT) has been shown to be present in fragmented forms in human serum after acute myocardial infarction (AMI). While calpain-1 and caspase-3 have been identified as intracellular proteases able to cleave the N-terminus of cTnT, it is still unclear which proteases are responsible for the extensive and progressive cTnT fragmentation observed in serum of AMI-patients. In this pilot study we have investigated the possibility that human thrombin may be involved in this process. Purified human cTnT was spiked in unprocessed and deproteinated serum in the presence or absence of either purified human thrombin or PPACK thrombin inhibitor. After immunoprecipitation, SDS-PAGE and Western blotting we observed an increase in cTnT fragmentation when purified thrombin was added to deproteinated serum. Consequently, the addition of thrombin inhibitor to unprocessed serum resulted in a decrease of cTnT fragmentation. Our results suggest that multiple enzymes are involved in cTnT degradation, and that thrombin plays an important role.
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