Key result
Primary central nervous system lymphoma was associated with 66 differentially abundant proteins in cerebrospinal fluid compared to controls (fold-change > 2.0, p < 0.05).
Case-Control (n=27)
p-value: p=<0.05
Proteomic changes in the CSF of PCNSL patients are primarily associated with protein ectodomain shedding, suggesting a mechanism of tumor-cell immune evasion.
// Daniel Michael Waldera-Lupa 1 , Omid Etemad-Parishanzadeh 1 , Mareike Brocksieper 1 , Nina Kirchgaessler 1 , Sabine Seidel 2 , Thomas Kowalski 2 , Manuel Montesinos-Rongen 3 , Martina Deckert 3 , Uwe Schlegel 2, * and Kai Stühler 1, 4, * 1 Molecular Proteomics Laboratory, Institute of Molecular Medicine, Universitaetsklinikum Düsseldorf, Düsseldorf, Germany 2 Department of Neurology, Knappschaftskrankenhaus, Ruhr-University Bochum, Bochum, Germany 3 Institute of Neuropathology, University of Cologne, Cologne, Germany 4 Biologisch-Medizinisches Forschungszentrum, Heinrich-Heine-University Düsseldorf, Düsseldorf, Germany * These authors contributed equally to this work Correspondence to: Kai Stühler, email: kai.stuehler@uni-duesseldorf.de Keywords: primary central nervous system lymphoma; proteomics; cerebrospinal fluid; ectodomain shedding; protein secretion Received: June 21, 2017 Accepted: October 27, 2017 Published: November 24, 2017 ABSTRACT Primary central nervous system lymphomas (PCNSLs) are mature B-cell lymphomas confined to the central nervous system (CNS). Blood-brain barrier (BBB) dysfunction drastically alters the cerebrospinal fluid (CSF) proteome in PCNSL patients. To reveal the interaction of PCNSL tumors with CNS structures and the vasculature, we conducted a whole-proteome analysis of CSF from PCNSL patients ( n = 17 at initial diagnosis) and tumor-free controls ( n = 10) using label-free quantitative mass spectrometry. We identified 601 proteins in the CSF proteome using a one-step approach without further prefractionation, and quantified 438 proteins in detail using the Hi-N method. An immunoassay revealed that 70% of the patients in our unselected PCNSL patient cohort had BBB dysfunction. Correlation analysis indicated that 127 (30%) of the quantified proteins were likely increased in PCSNL patients due to BBB dysfunction. After the exclusion of these proteins, 66 were found to differ in abundance (fold-change > 2.0, p < 0.05) between PCNSL and control CSF proteomes, and most of those were associated with the CNS. These data also provide the first evidence that proteomic changes in CSF from PCNSL patients are mainly associated with protein ectodomain shedding, and that shedding of human leukocyte antigen class 2 proteins is a mechanism of tumor-cell immune evasion.
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Waldera-Lupa et al. (2017) conducted a case-control in Primary central nervous system lymphoma (n=27). Primary central nervous system lymphoma vs. Tumor-free controls was evaluated on Differentially abundant proteins in cerebrospinal fluid (p=<0.05). Primary central nervous system lymphoma was associated with 66 differentially abundant proteins in cerebrospinal fluid compared to controls (fold-change > 2.0, p < 0.05).
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