Pre-eclampsia may stem from misfolded proteins in urine.Byline: ANI
Washington, Jan 31 (ANI): Scientists at Yale School of Medicine The primary teaching hospital for the school is Yale-New Haven Hospital. The school is home to the Harvey Cushing/John Hay Whitney Medical Library, one of the largest modern medical libraries, also known for its historical collections. have found that the key to pre-eclampsia could be found in proteins that misfold and aggregate in the urine.
Preeclampsia preeclampsia /pre·eclamp·sia/ (pre?e-klamp´se-ah) a toxemia of late pregnancy, characterized by hypertension, proteinuria, and edema.
n. is a common, but serious hypertension complication of pregnancy that has puzzled doctors and researchers for decades. It is also a leading cause of preterm preterm /pre·term/ (-term´) before completion of the full term; said of pregnancy or of an infant.
Delivery is the only reliable treatment for preeclampsia, and establishing a correct diagnosis can be difficult, especially in women with preexisting hypertension, lupus or kidney disease Kidney Disease Definition
Kidney disease is a general term for any damage that reduces the functioning of the kidney. Kidney disease is also called renal disease. .
Researchers claimed that these misshapen mis·shape
tr.v. mis·shaped, mis·shaped or mis·shap·en , mis·shap·ing, mis·shapes
To shape badly; deform.
mis·shap proteins can be easily detected in the urine, affording a new approach to early diagnosis of the disease.
"These results support the hypothesis that preeclampsia is a pregnancy-specific protein misfolding disease. Our urine dye test is a rapid and non-invasive test that can be used to definitively diagnose preeclampsia," said lead author on the abstract, Irina Buhimschi, M.D., associate professor in the Department of Obstetrics, Gynecology and Reproductive Sciences.
In their study, conducted on 111 pregnant women, researchers used proteomics to identify key abnormal proteins in the urine weeks before preeclampsia becomes clinically apparent.
In order to carry out their individual functions properly, proteins must fold themselves correctly into three-dimensional structures. Misfolding, or failure to fold into the intended shape, produces proteins with different properties that are mainly guided by their shape rather than their amino acid sequence. Proteins of different amino acid sequences may share common shapes when misfolded.
The scientists designed a test based on a dye that sticks to misfolded proteins and analyzed the urine of women in the study starting in the first trimester of pregnancy.
Buhimschi was able to use this simple test to identify a study participant who went on to develop severe preeclampsia and required early delivery.
Further work in Buhimschi's lab, using conformation-specific antibodies showed that misfolded shapes similar to those found in Alzheimer's disease are also present in the urine of preeclamptic women.
On the other hand, the misfolded aggregates identified in preeclampsia are composed of a group of different proteins, including SERPIN-A1 (also known as alpha-1-antitrypsin).
Buhimschi said: "This novel identification of preeclampsia as a disorder of protein misfolding opens a door for researchers that may lead to testing of new drugs or developing new therapies. Our future work will seek to determine whether the different shapes employed by the misfolded proteins in preeclampsia are linked to specific clinical symptoms and the different ways this intriguing disease manifests."
The study was presented at the Society for Maternal Fetal Medicine scientific meetings in San Diego, Calif. (ANI)
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