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Discovery by a Proteomic Approach of Possible Early Biomarkers of Drug-induced Nephrotoxicity in Medication-overuse Headache

Overview
Journal J Headache Pain
Publisher Biomed Central
Date 2013 Apr 10
PMID 23565828
Citations 9
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Abstract

Background: Medication-overuse headache (MOH) is a chronic headache condition that results from the overuse of analgesics drugs, triptans, or other antimigraine compounds. The epidemiology of drug-induced disorders suggests that medication overuse could lead to nephrotoxicity, particularly in chronic patients. The aim of this work was to confirm and extend the results obtained from a previous study, in which we analyzed the urinary proteome of 3 MOH patients groups: non-steroidal anti-inflammatory drugs (NSAIDs), triptans and mixtures abusers, in comparison with non-abusers individuals (controls).

Methods: In the present work we employed specialized proteomic techniques, namely two-dimensional gel electrophoresis (2-DE) coupled with mass spectrometry (MS), and the innovative Surface-Enhanced Laser Desorption/Ionization Time-of-Flight mass spectrometry (SELDI-TOF-MS), to discover characteristic proteomic profiles associated with MOH condition.

Results: By 2-DE and MS analysis we identified 21 over-excreted proteins in MOH patients, particularly in NSAIDs abusers, and the majority of these proteins were involved in a variety of renal impairments, as resulted from a literature search. Urine protein profiles generated by SELDI-TOF-MS analysis showed different spectra among groups. Moreover, significantly higher number of total protein spots and protein peaks were detected in NSAIDs and mixtures abusers.

Conclusions: These findings confirm the presence of alterations in proteins excretion in MOH patients. Analysis of urinary proteins by powerful proteomic technologies could lead to the discovery of early candidate biomarkers, that might allow to identify MOH patients prone to develop potential drug overuse-induced nephrotoxicity.

Citing Articles

Candidate Genes and Proteomic Biomarkers of Serum and Urine in Medication-Overuse Headache.

Shnayder N, Sharavii V, Petrova M, Moskaleva P, Pozhilenkova E, Kaskaeva D Int J Mol Sci. 2021; 22(16).

PMID: 34445731 PMC: 8396559. DOI: 10.3390/ijms22169024.


Urinary Proteomics Reveals Promising Biomarkers in Menstrually Related and Post-Menopause Migraine.

Bellei E, Bergamini S, Rustichelli C, Monari E, Dal Porto M, Fiorini A J Clin Med. 2021; 10(9).

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Identification of Novel Biomarkers for Predicting Kidney Injury Due to Drugs Using "Omic" Strategies.

Awdishu L, Atilano-Roque A, Tuey S, Joy M Pharmgenomics Pers Med. 2020; 13:687-705.

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Exploration of candidate serum biomarkers potentially related to the chronic pain condition in Medication-overuse headache.

Pellesi L, Bellei E, Guerzoni S, Cainazzo M, Baraldi C, Monari E BMC Neurol. 2019; 19(1):239.

PMID: 31623575 PMC: 6798334. DOI: 10.1186/s12883-019-1469-1.


Urinary Proteomics in Biomarker Discovery of Kidney-Related Disorders: Diabetic Nephropathy and Drug-Induced Nephrotoxicity in Chronic Headache.

Bellei E, Monari E, Bergamini S, Pini L, Aldo T, Ozben T EJIFCC. 2018; 29(4):290-297.

PMID: 30574040 PMC: 6295592.


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