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Updated: Dec 23, 2025

Highly Sensitive and Quantitative Detection of Proteins and Their Isoforms by Capillary Isoelectric Focusing Method
Published on: September 19, 2018
Isoelectric point region pI≈7.4 as a treasure island of abnormal proteoforms in blood
Mohammad Pirmoradian1,2, Dag Aarsland3, Roman A Zubarev1
1Department of Medical Biochemistry and Biophysics, Karolinska Institutet, Stockholm, Sweden.
Insights
Abnormal protein forms (proteoforms) associated with neurodegenerative diseases are concentrated near pH 7.4. This finding offers a new approach for detecting Alzheimer's disease biomarkers.
Area of Science:
- Biochemistry
- Proteomics
- Neuroscience
Background:
- Human blood protein distribution shows a minimum around pH 7.4.
- Normal proteins avoid this pH to prevent precipitation.
- Abnormal proteoforms, disease indicators, can exist across the entire pH spectrum.
Purpose of the Study:
- To test the hypothesis that disease-associated proteoforms are detectable around pH 7.4.
- To investigate the potential of the pH 7.4 region as a biomarker discovery site for neurodegenerative diseases.
Main Methods:
- Blood serum from Alzheimer's disease patients was analyzed.
- Capillary isoelectric focusing separated proteins by isoelectric point (pI).
- Liquid chromatography-tandem mass spectrometry identified and quantified proteoforms.
Main Results:
- Proteoforms in the pI 7.4±0.1 region were significantly higher in patients with fast memory decline.
- This specific pI region showed greater differences between patient groups than other regions.
- Absolute separation of fast and slow decliner samples was achieved based on proteoforms at pI≈7.4.
Conclusions:
- The pI≈7.4 region acts as a "treasure island" for abnormal proteoforms.
- This finding supports the detection of neurodegenerative disease biomarkers.
- The study highlights a promising avenue for developing diagnostic tools for various diseases.
Abstract:
Theoretical distribution of isoelectric points (pI values) of human blood proteins exhibits multi-modality with a deep minimum in the range between pI 7.30 and 7.50. Considering that the pH of human blood is 7.4±0.1, normal forms of human proteins tend to eschew this specific pI region, thus avoiding charge neutrality that can result in enhanced precipitation. However, abnormal protein isoforms (proteoforms), which are the hallmarks and potential biomarkers of certain diseases, are likely to be found everywhere in the pI distribution, including this "forbidden" region. Therefore, we hypothesized that damaging proteoforms characteristic for neurodegenerative diseases are best detected around pI≈7.4. Blood serum samples from 14 Alzheimer's disease patients were isolated by capillary isoelectric focusing and analyzed by liquid chromatography hyphenated with tandem mass spectrometry. Consistent with the pI≈7.4 hypothesis, the 8 patients with fast memory decline had a significantly (p<0.003) higher concentration of proteoforms in the pI=7.4±0.1 region than the 6 patients with a slow memory decline. Moreover, protein compositions differed more from each other than for any other investigated pI region, providing absolute separation of the fast and slow decliner samples. The discovery of the "treasure island" of abnormal proteoforms in form of the pI≈7.4 region promises to boost biomarker development for a range of diseases.
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