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Clinical Biochemistry of Domestic Animals (Sixth Edition) - UMK ...

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128<br />

Chapter | 5 Proteins, Proteomics, and the Dysproteinemias<br />

3 . Polyacrylamide Gel Electrophoresis and<br />

Isoelectric Focusing<br />

The most widely used support medium for protein electrophoresis<br />

outside the diagnostic laboratory is polyacrylamide<br />

gel (PAGE). The use <strong>of</strong> this medium brings a further factor<br />

to the electrophoretic separation <strong>of</strong> protein. During the<br />

polymerization <strong>of</strong> acrylamide to form the gel used in electrophoresis,<br />

the proportion <strong>of</strong> cross-links between polymer<br />

chains can be controlled, and the gel forms a molecular<br />

sieve that slows the migration <strong>of</strong> proteins depending on size.<br />

In its original version <strong>of</strong> discontinuous polyacrylamide gel<br />

electrophoresis ( Davis, 1964 ), a strategic use <strong>of</strong> different<br />

buffer systems in the gel, in the sample, and in running buffer<br />

caused the proteins in the sample to focus into a sharp<br />

band before entering the gel. Once in the gel, separation was<br />

based on a balance <strong>of</strong> mass and charge on the protein. The<br />

most widely used modification <strong>of</strong> this system is to pretreat<br />

the proteins by heating in a solution <strong>of</strong> detergent (sodium<br />

dodecyl sulphate, SDS) and a reducing agent such as β -<br />

mercaptoethanol. These have the effect <strong>of</strong> separating any<br />

subunits held together by disulphide bonds and coating all<br />

the proteins with negative charge so that separation, with the<br />

same detergent also in the gel and buffers, is based on size<br />

alone as all protein will move to the anode because <strong>of</strong> their<br />

negative charge. This is the SDS-PAGE system introduced<br />

by Laemmli ( Laemmli, 1970 ). Separation <strong>of</strong> serum protein<br />

on SDS-PAGE increases the complexity for interpretation <strong>of</strong><br />

the electrophoretogram. The proteins are no longer grouped<br />

in the familiar globulin regions but are in a series <strong>of</strong> bands<br />

defined by relative molecular mass (M r ). The treatment and<br />

breakdown <strong>of</strong> complex proteins into their component subunits<br />

complicate interpretation. The high abundance <strong>of</strong> just a<br />

few <strong>of</strong> the proteins, such as albumin and the immunoglobulins,<br />

causes further difficulty in interpretation. Added to this<br />

are the more technically demanding methods required for<br />

SDS-PAGE such that this method is largely confined to the<br />

research laboratory. Nevertheless, separation <strong>of</strong> serum protein<br />

by SDS-PAGE has revealed disease-related changes in<br />

protein bands ( Fagliari et al. , 1998 ; Kiral et al. , 2004 ), but<br />

there has not been a widespread application <strong>of</strong> the method in<br />

diagnostic biochemistry.<br />

A further separation technique for electrophoretic<br />

fractionation <strong>of</strong> protein mixtures, introduced in the 1970s<br />

( Righetti and Drysdale, 1971 ), is isoelectric focusing<br />

(IEF). This technique, which can be performed in agarose<br />

or polyacrylamide gels, differs from other forms <strong>of</strong> electrophoresis<br />

by separating the proteins solely on the basis<br />

<strong>of</strong> their charge. The presence <strong>of</strong> special reagents, called<br />

ampholytes, in the buffer creates a pH gradient once an<br />

electric voltage is set up across the gel. Proteins in the gel<br />

move because <strong>of</strong> their relative charge, but once they reach<br />

their isoelectric point (pI) on the pH gradient, they become<br />

stationary, as they now have zero charge. Thus, an acidic<br />

protein with a negative charge will move toward the anode,<br />

but as it moves down the pH gradient the protein becomes<br />

less charged until it reaches the point where it has no net<br />

charge and it is “ focused ” at their pI. This method has a<br />

high resolution and can separate protein is<strong>of</strong>orms that have<br />

only slight charge differences caused, for instance, by glycosylation<br />

or phosphorylation <strong>of</strong> proteins. This greatly<br />

increases the potential number <strong>of</strong> bands that can be seen<br />

on IEF gels, but the method has not been adopted by diagnostic<br />

clinical biochemistry laboratories for separation <strong>of</strong><br />

serum proteins, possibly because <strong>of</strong> this great complexity.<br />

However, IEF has been used in examination <strong>of</strong> enzyme<br />

is<strong>of</strong>orms ( Eckersall and Nash, 1983 ) and can be used to<br />

identify microheterogeneity in specific serum proteins, for<br />

instance, being able to differentiate multiple forms <strong>of</strong> AGP<br />

that are caused by different degrees <strong>of</strong> glycosylation ( Itoh<br />

et al., 1993a ; Yoshida et al. , 1997 ).<br />

4 . Proteomics<br />

Protein analysis is currently going through rapid evolution<br />

that could impact the veterinary diagnostic laboratory in<br />

the not-too-distant future and is being driven by advances<br />

in proteomics. Technological developments in different<br />

disciplines have converged to produce an approach to the<br />

separation, identification, and quantification <strong>of</strong> individual<br />

proteins within a complex mixture. The objective <strong>of</strong> a<br />

proteomic investigation is to be able to identify all proteins<br />

in a tissue or fluid and to detect even small changes<br />

taking place in its composition. Although this goal is<br />

still beyond the reach <strong>of</strong> all but the best-funded research<br />

laboratories, it is probable that proteomic techniques will<br />

eventually be used in diagnosis <strong>of</strong> disease. Analysis <strong>of</strong><br />

serum or plasma protein will be at the forefront <strong>of</strong> these<br />

advances. It has been suggested that the human plasma<br />

proteome could be used to detect virtually all pathological<br />

processes because every diseased tissue is in contact<br />

with the circulation and interchanges material with plasma<br />

( Anderson and Anderson, 2002 ). As many as 1175 distinct<br />

gene products have been reported in human plasma by a<br />

combination <strong>of</strong> methods ( Anderson et al. , 2004 ), whereas<br />

289 proteins have been directly detected. However, only<br />

117 <strong>of</strong> these have been registered in the Untied States<br />

by the Food and Drug Administration under the <strong>Clinical</strong><br />

Laboratory Improvement Amendment for use in diagnostic<br />

investigation <strong>of</strong> plasma ( Anderson and Anderson, 2002 ).<br />

Investigation <strong>of</strong> the diagnostic potential <strong>of</strong> animal serum or<br />

plasma proteomes is at a much earlier stage, but it has the<br />

potential to yield many novel diagnostic applications.<br />

a . Two-Dimension Gel Electrophoresis<br />

The new science <strong>of</strong> proteomics ( James, 1997 ) initially<br />

developed from methods in which the electrophoretic<br />

techniques <strong>of</strong> IEF and SDS-PAGE were combined into<br />

two-dimensional electrophoresis (2DE) ( O’Farrell, 1975 ).<br />

Combination <strong>of</strong> these methods leads to a protein map,

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