Integration of metabolomics and proteomics in multiple sclerosis: From biomarkers discovery to personalized medicine

Proteomics Clin Appl. 2016 Apr;10(4):470-84. doi: 10.1002/prca.201500083. Epub 2016 Mar 11.

Abstract

Personalized medicine is the science of individualized prevention and therapy. In the last decade, advances in high-throughput approaches allowed the development of proteomic and metabolomic studies in evaluating the association of genetic and phenotypic variability with disease sensitivity and analgesic response. These considerations have more value in case of multiple sclerosis (MuS), a multifactorial disease with high heterogeneity in clinical course and treatment response. In this review, we reported and updated about proteomic and metabolomic studies for the research of new candidate biomarkers in MuS, and difficulties in their clinical applications. We focused especially on the description of both "omics" approaches that, once integrated, may synergically describe pathophysiology conditions. To prove this assumption, we rebuilt interaction between proteins and metabolites described in the literature as potential biomarkers for MuS, and a pathway analysis of these molecules was performed. The result of such speculation demonstrated a strong convergence of proteomic and metabolomic results in this field, showing also a poorness of available tools for incorporating "omics" approaches. In conclusion, the integration of Metabolomics and Proteomics may allow a more complete characterization of such a heterogeneous disease, providing further insights into personalized healthcare.

Keywords: Biomarkers; Metabolomics; Multiple sclerosis; Personalized medicine; Proteomics.

Publication types

  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • Animals
  • Biomarkers / metabolism
  • Disease Models, Animal
  • Gene Expression Regulation
  • Glial Fibrillary Acidic Protein / genetics
  • Glial Fibrillary Acidic Protein / metabolism
  • Humans
  • Interleukins / genetics
  • Interleukins / metabolism
  • Matrix Metalloproteinases / genetics
  • Matrix Metalloproteinases / metabolism
  • Metabolome / genetics*
  • Metabolomics / methods*
  • Mice
  • Molecular Targeted Therapy
  • Multiple Sclerosis / diagnosis*
  • Multiple Sclerosis / genetics*
  • Multiple Sclerosis / pathology
  • Multiple Sclerosis / therapy
  • Myelin Proteins / genetics
  • Myelin Proteins / metabolism
  • Precision Medicine
  • Protein Interaction Mapping
  • Proteomics / methods*

Substances

  • Biomarkers
  • Glial Fibrillary Acidic Protein
  • Interleukins
  • Myelin Proteins
  • Matrix Metalloproteinases