Identification of serum exosome proteins in systemic sclerosis with interstitial lung disease by aptamer proteomics

Abstract Objective A major unmet need for Systemic Sclerosis (SSc) clinical management is the absence of well validated biomarkers for early diagnosis of SSc-associated interstitial lung disease (SSc-ILD). The objective of this study was to identify proteins contained within serum exosomes that may...

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Main Authors: Sonsoles Piera-Velazquez, Simon T. Dillon, Xuesong Gu, Towia A. Libermann, Sergio A. Jimenez
Format: Article
Language:English
Published: BMC 2025-07-01
Series:Arthritis Research & Therapy
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Online Access:https://doi.org/10.1186/s13075-025-03595-8
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author Sonsoles Piera-Velazquez
Simon T. Dillon
Xuesong Gu
Towia A. Libermann
Sergio A. Jimenez
author_facet Sonsoles Piera-Velazquez
Simon T. Dillon
Xuesong Gu
Towia A. Libermann
Sergio A. Jimenez
author_sort Sonsoles Piera-Velazquez
collection DOAJ
description Abstract Objective A major unmet need for Systemic Sclerosis (SSc) clinical management is the absence of well validated biomarkers for early diagnosis of SSc-associated interstitial lung disease (SSc-ILD). The objective of this study was to identify proteins contained within serum exosomes that may serve as potential biomarkers to differentiate patients with Diffuse SSc without SSc-ILD from patients with Diffuse SSc with SSc-ILD employing aptamer-based proteomics. Methods Serum exosomes were isolated from two cohorts of patients. The first cohort included 15 patients with Diffuse SSc without SSc-ILD and 14 patients with Diffuse SSc with SSc-ILD and the second cohort included 12 patients with Diffuse SSc with SSc-ILD and 12 patients with Diffuse SSc without SSc-ILD. SOMAscan aptamer proteomics was performed with the first cohort and quantified the concentration levels of 1,305 proteins. Significant associations of differentially elevated or reduced proteins (p < 0.05 |FC|>1.2) discriminating between the two SSc clinical subsets were assessed. Validation of the results obtained from the proteomics analysis of the first cohort was performed with the second cohort. Results The aptamer proteomic analysis identified 29 proteins increased and 9 proteins decreased in SSc with SSc-ILD as compared to SSc without SSc-ILD. Principal component analysis using the 20 most significantly differentially expressed proteins resulted in excellent separation of the two SSc clinical subsets. Most of the differentially increased proteins converged around enhanced inflammatory responses, immune cell activation, cell death, and abnormal vascular functions and several of them displayed a highly significant correlation with the CO Diffusion Capacity Levels. Conclusion Aptamer proteomic analysis of circulating exosomes from patients with Diffuse SSc with and without SSc-ILD identified several biologically plausible biomarkers that may be of value to differentiate these two SSc clinical subsets.
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spelling doaj-art-f4e1090bdfd3426aa3bbbeefa045b7ac2025-08-20T03:43:01ZengBMCArthritis Research & Therapy1478-63622025-07-0127111210.1186/s13075-025-03595-8Identification of serum exosome proteins in systemic sclerosis with interstitial lung disease by aptamer proteomicsSonsoles Piera-Velazquez0Simon T. Dillon1Xuesong Gu2Towia A. Libermann3Sergio A. Jimenez4Jefferson Institute of Molecular Medicine, Thomas Jefferson UniversityDivision of Interdisciplinary Medicine and Biotechnology, Beth Israel Deaconess Medical CenterDivision of Interdisciplinary Medicine and Biotechnology, Beth Israel Deaconess Medical CenterDivision of Interdisciplinary Medicine and Biotechnology, Beth Israel Deaconess Medical CenterJefferson Institute of Molecular Medicine, Thomas Jefferson UniversityAbstract Objective A major unmet need for Systemic Sclerosis (SSc) clinical management is the absence of well validated biomarkers for early diagnosis of SSc-associated interstitial lung disease (SSc-ILD). The objective of this study was to identify proteins contained within serum exosomes that may serve as potential biomarkers to differentiate patients with Diffuse SSc without SSc-ILD from patients with Diffuse SSc with SSc-ILD employing aptamer-based proteomics. Methods Serum exosomes were isolated from two cohorts of patients. The first cohort included 15 patients with Diffuse SSc without SSc-ILD and 14 patients with Diffuse SSc with SSc-ILD and the second cohort included 12 patients with Diffuse SSc with SSc-ILD and 12 patients with Diffuse SSc without SSc-ILD. SOMAscan aptamer proteomics was performed with the first cohort and quantified the concentration levels of 1,305 proteins. Significant associations of differentially elevated or reduced proteins (p < 0.05 |FC|>1.2) discriminating between the two SSc clinical subsets were assessed. Validation of the results obtained from the proteomics analysis of the first cohort was performed with the second cohort. Results The aptamer proteomic analysis identified 29 proteins increased and 9 proteins decreased in SSc with SSc-ILD as compared to SSc without SSc-ILD. Principal component analysis using the 20 most significantly differentially expressed proteins resulted in excellent separation of the two SSc clinical subsets. Most of the differentially increased proteins converged around enhanced inflammatory responses, immune cell activation, cell death, and abnormal vascular functions and several of them displayed a highly significant correlation with the CO Diffusion Capacity Levels. Conclusion Aptamer proteomic analysis of circulating exosomes from patients with Diffuse SSc with and without SSc-ILD identified several biologically plausible biomarkers that may be of value to differentiate these two SSc clinical subsets.https://doi.org/10.1186/s13075-025-03595-8Systemic sclerosisInterstitial lung diseaseAptamer proteomicsSerum exosomes
spellingShingle Sonsoles Piera-Velazquez
Simon T. Dillon
Xuesong Gu
Towia A. Libermann
Sergio A. Jimenez
Identification of serum exosome proteins in systemic sclerosis with interstitial lung disease by aptamer proteomics
Arthritis Research & Therapy
Systemic sclerosis
Interstitial lung disease
Aptamer proteomics
Serum exosomes
title Identification of serum exosome proteins in systemic sclerosis with interstitial lung disease by aptamer proteomics
title_full Identification of serum exosome proteins in systemic sclerosis with interstitial lung disease by aptamer proteomics
title_fullStr Identification of serum exosome proteins in systemic sclerosis with interstitial lung disease by aptamer proteomics
title_full_unstemmed Identification of serum exosome proteins in systemic sclerosis with interstitial lung disease by aptamer proteomics
title_short Identification of serum exosome proteins in systemic sclerosis with interstitial lung disease by aptamer proteomics
title_sort identification of serum exosome proteins in systemic sclerosis with interstitial lung disease by aptamer proteomics
topic Systemic sclerosis
Interstitial lung disease
Aptamer proteomics
Serum exosomes
url https://doi.org/10.1186/s13075-025-03595-8
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AT xuesonggu identificationofserumexosomeproteinsinsystemicsclerosiswithinterstitiallungdiseasebyaptamerproteomics
AT towiaalibermann identificationofserumexosomeproteinsinsystemicsclerosiswithinterstitiallungdiseasebyaptamerproteomics
AT sergioajimenez identificationofserumexosomeproteinsinsystemicsclerosiswithinterstitiallungdiseasebyaptamerproteomics