Cleavage of cystatin C is not associated with multiple sclerosis

Ann Neurol. 2007 Aug;62(2):201-4; discussion 205. doi: 10.1002/ana.20968.

Abstract

Recently, Irani and colleagues proposed a C-terminal cleaved isoform cystatin C (12.5 kDa) in cerebrospinal fluid as a marker of multiple sclerosis. In this study, we demonstrate that the 12.5 kDa product of cystatin C is formed by degradation of the first eight N-terminal residues. Moreover, such a degradation is not specific in the cerebrospinal fluid of multiple sclerosis, but rather is given by an inappropriate sample storage at -20 degrees C. We conclude that the use of the 12.5 kDa product of cystatin C in cerebrospinal fluid might lead to a fallacious diagnosis of multiple sclerosis. Preanalytical validation procedure is mandatory for proteomics investigations.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Artifacts
  • Cystatin C
  • Cystatins / cerebrospinal fluid*
  • Cystatins / chemistry*
  • Drug Storage
  • Freezing
  • Humans
  • Molecular Weight
  • Multiple Sclerosis / cerebrospinal fluid*
  • Peptide Fragments / cerebrospinal fluid
  • Peptide Fragments / chemistry
  • Spectrometry, Mass, Matrix-Assisted Laser Desorption-Ionization

Substances

  • CST3 protein, human
  • Cystatin C
  • Cystatins
  • Peptide Fragments