Abstract
Urine is an ideal biological sample. It is an important source of clinical biomarkers of systemic and renal diseases and can be obtained repeatedly without causing stress. Different analytical protocols for the study of the urine proteome have been used, from the simplest electrophoresis on agarose gels to the most sensitive and complex 2DE. As with urine, a range of bodily fluids (saliva, cerebrospinal, bronchoalveolar, amniotic fluids) are amenable to the tools of proteomics. The identification and characterization of the protein content of such fluids are being used to provide novel insights into the evolutionary adaptations of farm and domestic animal species and to characterize their normal physiological state. A comprehensive review on the application of proteomics to these biological samples is presented.
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Keywords
- Saliva
- Cerebrospinal fluid
- Bronchoalveolar fluid
- Amniotic fluid
- Electrophoresis
- Veterinary medicine
- Farm animals
1 Urine
Urine, produced by healthy kidneys under normal physiological conditions, contains a relatively small amount of protein. In general, molecules with an effective radius exceeding ~4 nm are not able to pass via the glomerular filter, and most proteins and protein fragments are reabsorbed along the tubule (Geckle 2007). A few proteins are secreted by the kidney, e.g., uromodulin. The abnormal presence of protein in urine is defined as proteinuria. Proteinuria provides insights into the systemic (presence of proteins derived from plasma) and local (proteins of kidney origin) pathophysiology from a clinical perspective. As a consequence, urine is considered an ideal source for biomarkers of clinical significance. Moreover, urine samples can be obtained repeatedly, in large quantities and noninvasively.
As the study of the urinary proteome originated and developed in human medicine, a short introduction summarizing the fundamental stages of urinary proteome characterization in humans is presented. Subsequently, different analytical protocols for the study of the urinary proteome will be discussed, from the simplest assays used during clinical assessments to the most sophisticated used only for research, with some reference to their use in veterinary medicine, and a possible standard protocol for the analysis of urine applicable to normal and proteinuric samples.
1.1 Urinary Proteomics: A Long-Standing Tradition
The first studies on the protein composition of normal urine were performed in 1979, applying two-dimensional electrophoresis (2DE) at a time when this proteomic technique was still in its infancy (Anderson et al. 1979). In 2004 Oh et al. (2004) defined a preliminary urine proteome map and annotated 113 different proteins on a 2D gel by peptide mass fingerprinting. Many other studies followed in subsequent years, and recently, a number of large-scale proteomic studies have been carried out to improve our knowledge on the urinary proteome from healthy individuals. By combining data from different studies published to date, at least 3000 different proteins and peptides have been identified in urine (Molina et al. 2011; Di Meo et al. 2017). Marimuthu et al. (2011) compared the proteins identified in their study with two other large-scale studies previously performed by Adachi et al. (2006) and by Li et al. (2010). Six hundred and fifty-eight proteins were commonly identified in all three studies and thus represent a universal panel of proteins physiologically present in human urine. Out of these, albumin, uromodulin, heavy and light chains of immunoglobulins (Ig), and transferrin are the most represented. These proteins are generally classified following nephronal localization and functional criteria. Kidney secretory and structural proteins, serum and transport proteins, coagulation and complement factors, immunoglobulins, and other immune proteins, enzymes, metal-binding proteins, and lipoproteins are some of the possible functional categories reported by Candiano et al. (2010). The most abundant proteins in human healthy urine are reported in Table 1.
Wide variability of the urine proteome from healthy individuals has been related to gender, age, diet, physical exercise, drug consumption, and environmental conditions. The extent and sources of this intra- and interindividual variability have been investigated by several studies (Oh et al. 2004; Thongboonkerd et al. 2006; Nagaraj and Mann 2011; Molina et al. 2011; Liu et al. 2012; He et al. 2012; Guo et al. 2015; Pastushkova et al. 2016).
In addition, the urinary proteome is characterized by a highly dynamic range of almost five orders of magnitude (Nagaraj and Mann 2011). Therefore, the most challenging proteins to identify are low abundance proteins, and many of them are yet to be characterized. One innovative technique that has been developed to overcome this limitation is the use of beads coated with hexameric peptide ligand libraries; this allows for the enrichment of low abundant proteins while removing the most abundant ones (Decramer et al. 2008; Candiano et al. 2010; Filip et al. 2015).
Many of the proteins identified in large-scale proteomic analysis on normal human urine are now under investigation in clinical trials to validate their use as sensitive and specific biomarkers of disease. Chronic kidney disease, acute kidney injury (AKI), and diabetic nephropathy are only three of the diseases studied extensively in human medicine using proteomic techniques on urine (Andersen et al. 2010; Lhotta 2010; Devarajan 2011). Such diseases are also highly prevalent in animal medicine, which could benefit from the discovery of novel biomarkers of health.
1.2 Urinary Proteomics in Veterinary Medicine: An Unexplored but Promising Field
Despite the importance of proteomics techniques and their potential for biomarker discovery and diagnostics, high costs and limited interest by animal researchers and clinicians have resulted in few applications of proteomics to urine samples in veterinary medicine, and, as a consequence, fragmentary data are present in the literature. Pyo et al. (2003) studied the urinary proteome in cows by 2DE to search for potential biomarkers of early pregnancy. Simon et al. (2008) applied difference gel electrophoresis (DIGE) to discover biomarkers of bovine spongiform encephalopathy (BSE) in bovine urine. Nabity et al. (2011) applied DIGE and SELDI-TOF to urine samples from dogs affected by hereditary nephropathy.
More recent studies have applied proteomic techniques to explore the urinary proteome in healthy dogs, cows, and cats (Brandt et al. 2014; Bathla et al. 2015; Ferlizza et al. 2015), while the urinary proteome of pigs and other farm animals remains mostly unexplored. These preliminary studies are a starting point for future research that can focus on the proteome of urine under physiological conditions compared to that during specific clinical pathologies.
1.3 Methods and Protocols for Sample Preparation
The prerequisite for each analytical technique to obtain reliable results is the appropriate treatment of samples in order to preserve their integrity and, at the same time, avoid/remove any interference. Therefore, one of the priorities in the field of urinary proteomics is to optimize the protocol for sample preparation, due to the presence of interfering molecules and ions, of a wide dynamic range and of the differences in protein concentration between healthy/non-proteinuric and diseased/proteinuric animals.
1.3.1 Sample Collection and Stability
The discussion on sample collection procedures (free catch, cystocentesis, catheterization) is out of the scope of the present chapter, but it is important to bear in mind that they can modify the urine protein composition, particularly in animals, because it is not possible to collect 24-h urine as routinely done in humans. Although in humans it has been reported that the variation of intraday samples is limited (Khan and Packer 2006; Thongboonkerd et al. 2006), where possible, we suggest collecting a morning urine sample by free catch in order to limit variables and stress for animals.
The literature reports that urine is stable for hours at room temperature, a few days in the fridge (+4 °C), and for years in the freezer (−20 °C) (Candiano et al. 2010). Molina et al. (2011) found differences in the number of protein spots in urine samples frozen at −20 °C (without protease inhibitors) compared to fresh urine samples and to samples stored at −80 °C; therefore, we recommend storing samples at −80 °C. The use of protease inhibitors is not recommended because they may change the urinary proteome, in particular in healthy/non-proteinuric samples which contain few proteases.
1.3.2 Sample Treatment and Protein Quantification
Different protocols have been proposed to concentrate and desalt urine from healthy individuals before 2DE or SDS-PAGE, including ultrafiltration, precipitation, lyophilization, and ultracentrifugation (Thongboonkerd et al. 2006; Martin-Lorenzo et al. 2014). We recommend precipitation with trichloroacetic acid and washing the pellet with ethanol or 80% acetone as the method of choice for 2D urine proteome analysis, because this protocol provides high protein recovery yield and a large number of protein spots that can be visualized in 2D gels. An interesting alternative can be offered by centrifugal filtration with 3 kDa cutoff filters; it is less time-consuming and allows the elimination of interfering ions and metabolites and is easy to perform without chemical treatment. Different methods are available for protein quantification, from automated analysis used in the clinical laboratory to protocols applied mainly in research. In the clinical routine, urine proteins are determined by a spectrophotometric automated method based on pyrogallol red, while other methods are the preferred choice in the research field (e.g., Bradford or Lowry).
1.4 Gel-Based Proteomics: From Zone Electrophoresis to DIGE
Different electrophoretic approaches are available, characterized by increasing analytical sensitivity and protein separation performances from semiautomated agarose gel electrophoresis to 2D-DIGE. All these techniques have advantages and disadvantages when applied to urine samples obtained from farm animals.
1.4.1 Agarose Gel Electrophoresis
Agarose gel electrophoresis (AGE) and, less frequently, cellulose acetate membrane (CAM) electrophoresis are used to separate serum proteins in routine clinical analysis, but they are rarely applied to urine. Zone electrophoresis on CAM or AGE allows the separation of proteins in native conditions on the basis of the mass/charge ratio yielding the identification of four to six zones (albumin, alpha 1, alpha 2, beta 1, beta 2, and gamma globulins) (Eckersall 2008). CAM is currently seldom applied to urine samples because separated zones are relatively wide, while the resolution and limit of detection are low; as a consequence, in many laboratories, it has been replaced by AGE. AGE, generally performed on semiautomated systems, is characterized by good reproducibility for both qualitative and quantitative analysis and can be considered to be the easiest, cheapest, and fastest approach to separate, visualize, and quantify urine albumin and globulins. Ferlizza et al. (2017) applied AGE on high-resolution gels (HRE) to urine samples collected from healthy and diseased cats. The same analytical approach was previously used by Giori et al. (2011) for canine urine. These results suggest the use of HRE-AGE in clinical practice to obtain additional information useful for the evaluation of kidney function. Nevertheless, this technique presents a few disadvantages; the first relates to the low sensitivity of staining based on acid violet that limits the analysis of urine samples with protein concentrations lower than 40 mg/dL (Fig. 1). The second limitation relates to the difficulty in defining the limit of detection and thus quantification. Despite these disadvantages, AGE can be considered to be a useful diagnostic tool offering additional clinical information to urinalysis.
A method complementary to AGE, which can provide additional information to improve characterization of the urinary proteome, is SDS-AGE, also performed by semiautomated systems. This method separates proteins according to their molecular mass and allows the visualization of different protein profiles related to their nephronal origin: glomerular, tubular, or both. The glomerular pattern is characterized by high molecular mass bands (>70 kDa) that contain proteins derived from plasma due to damage of the glomerular filtration barrier. On the other hand, the tubular pattern is characterized by low molecular mass bands (<70 kDa) that contain proteins derived from impaired tubular reabsorption; a mixed pattern is characterized by the presence of both high and low molecular mass proteins. SDS-AGE has been applied by different authors to evaluate kidney function in dogs and cats affected by several pathologic conditions (Bonfanti et al. 2004; Abate et al. 2005; Schellenberg et al. 2008; Gerber et al. 2009; Giori et al. 2011; Paltrinieri et al. 2015; Lavoué et al. 2015). The predominant limitations of analysis are time-consuming protocols, the inability to cut bands for the subsequent identification by mass spectrometry (MS), and the relatively high cost of the analysis.
1.4.2 1D SDS-PAGE
The classical approach for protein separation is based on 1D SDS-PAGE; in this case, proteins are separated on the basis of their molecular mass under denaturing conditions. This method provides for veterinary medicine the best quality/price ratio, with a good resolution for protein separation, high reproducibility and high or very high sensitivity, depending on the staining used (Coomassie, silver nitrate or fluorescent), and relatively low cost (Fig. 2, Isani et al. unpublished results). This technique was used to investigate urine protein composition particularly in companion animals (Raila et al. 2007; Miyazaki et al. 2007; Schaefer et al. 2011; Lemberger et al. 2011; Brandt et al. 2014; Ferlizza et al. 2015) and to a lesser extent in farm animals and nonconventional species (Halbmayr and Schusser 2002; McLean et al. 2007; Alhaider et al. 2012). The higher sensitivity of the staining protocols allows relatively easy characterization of a healthy urine profile. SDS-PAGE allows for the visualization of different patterns (tubular, glomerular, or mixed) to identify the nephronal origin of proteins in urine. Moreover, since this technique can be performed also in nonreducing conditions, it is possible to separate proteins according to their original size allowing a better visualization of the native proteome, and nonreducing SDS-PAGE can be performed to better discriminate the different kinds of gammopathies. Furthermore, SDS-PAGE can be performed as a preparative step for subsequent protein identification by MS allowing an accurate characterization of the protein profile and the respective identification of putative biomarkers of nephropathy.
The main disadvantage of SDS-PAGE is that the electrophoretic profile of proteinuric samples can contain many protein bands, indicating a proteome too complex to allow complete separation and characterization.
1.4.3 2DE in Combination with MS, Including DIGE
The best method to separate and visualize the complexity of the urine proteome by means of gel-based proteomics is 2DE. However, in veterinary medicine, its application to urine samples is still limited and restricted to a few species (Pyo et al. 2003; Miller et al. 2004, 2014; Bathla et al. 2015; Ferlizza et al. 2015). Low reproducibility is one of the major disadvantages affecting 2DE, but this has been significantly improved in recent years. 2D-DIGE overcomes this limitation but has rarely been applied in veterinary medicine research. 2D-DIGE has been used to identify markers of BSE in bovine urine samples (Simon et al. 2008; Plews et al. 2011). In 2011, Nabity et al. applied 2D-DIGE on urine samples of dogs affected by X-linked hereditary nephropathy identifying putative markers of nephropathy.
Figure 3 presents a simplified scheme of a standard protocol used in our laboratory (Isani and Ferlizza) for urine analysis from sample collection to protein identification by mass spectrometry.
1.5 Urine Proteome and Clinical Application in Farm Animals
Despite the economic importance and the worldwide distribution of farm animals, limited data is available on the characterization of the urinary proteome of healthy animals. The authors are not aware of a complete map of the urinary proteome for any species of veterinary interest, including farm animals (cow, sheep, goat, horse). On the other hand, proteomic techniques have been applied to the characterization of other biological samples from farm animals, e.g., milk and meat, as recently reviewed (Almeida et al. 2015).
1.5.1 The Urinary Proteome of Bovine and Other Ruminants
Under normal physiological conditions, ruminant urine contains a low amount of proteins and has a basic pH that can interfere not only with the semiquantitative dipstick test used in a clinical setting but also with other analytical methods. As a consequence, attention should be paid when determining total proteins in urine of ruminants, and the use of pyrogallol red is suggested. In healthy dairy cows and heifers, mean values of 13.4 mg/dL and 19.4 mg/dL total urine proteins were, respectively, determined by the authors.
Typical 1DE profiles of urines from Friesian heifers and cows (Bos taurus) are reported in Fig. 4 (Isani et al., unpublished results). There are common bands with apparent molecular mass of 97, 86, 78, 70, 59, 38, 27, and <12 kDa, the most abundant of which probably corresponds to albumin (70 kDa).
The first characterization of bovine urine was reported by Pyo et al. (2003) applying 2DE on urine samples collected from 30 pregnant and 20 nonpregnant cows. However, of the over 200 spots detected and selected for MS identification, less than 5% could be identified due to the incomplete database annotation for the bovine species, whose genome was not sequenced at that time. Nevertheless, one of the protein spots was identified as bovine pregnancy-associated protein which showed a high correlation to pregnancy and was considered by the authors as a useful diagnostic biomarker of pregnancy in cows.
In 2015, the urine from Karan Fries cows was analyzed by 2DE leading to the identification of more than 1500 proteins (Bathla et al. 2015). These proteins were categorized by gene ontology (GO) classification. On the basis of cellular localization, identified proteins were mainly cytoplasmic (29%), extracellular (20%), or belonged to an organelle fraction (20%). Classification by molecular function indicated that a large majority of these proteins were involved in catalytic activity (32%) and binding (30%); classification by biological process categorization indicated that they were mainly involved in metabolism (25%) and cellular processes (20%). The study of Bathla et al. (2015) was the first high-throughput approach to characterize the bovine urinary proteome which provided a database and considered to be the starting point for future studies focused on biomarker discovery in cows.
Other studies have exploited and applied the potential of proteomics on urine samples aimed at discovering alternative biomarkers of BSE applicable to the development of diagnostic tests. In 2008, 2D-DIGE lead to the identification of a cluster of 16 spots containing 5 proteins, namely, clusterin, Ig gamma-2 chain C region, similar to uroguanylin, cystatin E/M, and cathelicidin 1, with differential abundance in urine of control versus BSE-infected cows (Simon et al. 2008). These proteins were considered specific for monitoring disease progression, and the authors suggested that they may also provide new information on the biochemical basis of BSE infection. Subsequently, the influence of sex, breed, and age was investigated. Results demonstrated that, at the clinical stage of the disease, these factors significantly affected the urinary proteome, through a specific panel of proteins which showed high accuracy to discriminate between control and infected cattle (Plews et al. 2011). In addition to BSE, ketosis, an important metabolic disorder affecting dairy cows during the parturition/first days of lactation periods, is a big issue in farm animal medicine that still needs early predictors. The study of Xu et al. (2015) was the first to report SELDI-TOF-MS application to the proteome of urine in large animals, leading to the identification of 11 proteins underrepresented in urine of cows affected by ketosis. Fibrinogen, C1 inhibitor, and osteopontin were associated with the inflammatory response, VGF nerve growth factor inducible and amyloid β were associated with the neuronal function, while serum amyloid A and apolipoprotein CIII were associated with lipid metabolism; the remaining four were cystatin C, transthyretin, hepcidin, and human neutrophil peptides.
Few studies have applied proteomics on urine samples from goats (Capra hircus) and sheep (Ovis aries). Ozgo et al. (2009) studied the urine proteins in young goats by SDS-PAGE to evaluate the maturation of the glomerular filtration barrier. Neonatal proteinuria and its changes during the first month were related to the presence of low molecular mass proteins (<67 kDa). The authors did not identify these proteins, but hypothesized that proteinuria was due to an adaptive mechanism for the removal of excess protein taken up with colostrum as also reported in foals (Jeffcott and Jeffcott 1974).
In 2012, Palviainen et al. (2012a) applied 2DE to urine from 12 sheep to search for novel biomarkers of acute kidney injury (AKI). AKI was induced in sheep by the administration of ketoprofen via catheterization, and urine samples were collected and analyzed by 2DE. Calbindin-D28k, retinol-binding protein, and antigen-presenting glycoprotein CD1d were detected only in the urine of the AKI group. The presence of these proteins in urine confirmed the tubular involvement during AKI in sheep, suggesting that calbindin-D28k and antigen-presenting glycoprotein CD1d proteins may represent sensitive and specific biomarkers of kidney injury. Sheep, similar to cows and humans, is a target of transmissible spongiform encephalopathies, which in this species is known as scrapie. Andrievskaia et al. (2008) applied SDS-PAGE and Western blotting on urine samples from healthy and naturally scrapie-infected sheep to detect and quantify the physiological prion protein (PrPC). PrPC was identified in very low levels in urine of healthy control animals (0.04 ng/mL), while 21% of scrapie-infected sheep presented elevated concentrations (0.6–4.7 ng/mL).
1.5.2 The Urinary Proteome of Other Farm Animals
Though the pig (Sus scrofa) is an economically important species and a consolidated model for translational medicine, data on the characterization of its urinary proteome is lacking. Our preliminary data on pig urine proteome is reported in Fig. 5 (Forni and Isani, unpublished results). Noteworthy is the low abundance of high molecular mass proteins and the presence of putative albumin at 67 kDa. The putative uromodulin at 90–100 kDa is also present in urine from healthy specimens along with many different low molecular mass proteins.
Studies on the characterization of the urinary proteome from horses (Equus caballus) are scarce. SDS-PAGE was applied for qualitative and quantitative evaluation of urine proteins in healthy and diseased horses (Halbmayr and Schusser 2002) and before and after exercise (Scarpa et al. 2007). Data were quite similar to those obtained by the authors, who analyzed urine from healthy and diseased horses (Isani et al., unpublished results) (Fig. 6). Noticeable is the presence of an abundant band at 90–100 kDa attributable to uromodulin on the basis of molecular mass, followed by putative transferrin and albumin. The presence of different thin bands between 73 and 61 kDa is intriguing; they might be albumin isoforms due to posttranslational modifications as reported in human urine (Barratt and Topham 2007). The bands at 58 and 27 kDa might be assigned to the heavy and light chains of IgG, respectively. In specimens affected by renal, gastrointestinal, and orthopedic diseases, the concentration of putative uromodulin declines, similar to observations reported also by Halbmayr and Schusser (2002). Also in horses, the decrease of uromodulin in urine seems to be a common sign of renal impairment, as reported in humans and dogs (Lhotta 2010; Raila et al. 2014). Other studies applied acetate and agarose gel electrophoresis to equine urine as a diagnostic tool for the evaluation of peripartum stress and multiple myeloma. Jeffcott and Jeffcott (1974) analyzed proteinuria in foals during the first 24 h of life reporting the presence of low molecular mass proteins and the absence of gamma globulins. Geelen et al. (1997) evidenced an increase of IgG, whereas Pusterla et al. (2004) reported that the electrophoretic pattern presented peaks in the albumin and gamma globulin zones and that the gamma globulin fraction consisted mainly of IgA.
1.5.3 The Urinary Proteome of Companion Animals
Companion animals, though less investigated than humans, can be considered good models for future application of proteomic techniques to urine of farm animals. In recent years, research has shed light on the urinary proteome of a man’s best friend. Urine of healthy dogs (Canis familiaris) is characterized by the presence of a few abundant proteins, namely, albumin, uromodulin, and immunoglobulin light chains, and in entire male adult dogs, of the prostate-specific proteins (Miller et al. 2014). Differently from other animal species, sex-specific proteins, e.g., arginine esterase similar to human prostate-specific antigen, represent most of total urine proteins in adult entire males, in contrast to females and castrated males. Similarly, in human urine, a total of 20 protein spots with more than a twofold change were identified and related to the prostate origin in males (Guo et al. 2015). The most complete characterization of the normal urinary proteome in dogs was recently performed by Brandt et al. (2014), who investigated exosomal and soluble proteins from dog urine by 1D SDS-PAGE combined with LC-MS/MS. Authors identified 391 and 214 proteins in exosomal pellets and urine supernatants, respectively. Interestingly, 52% of the exosomal fraction and 62% of soluble proteins identified in this study have been already identified in the human urinary proteome, and some of these proteins, e.g., uromodulin and retinol-binding protein, are already being used as urinary biomarkers for renal and extrarenal diseases in humans, pointing out the importance of the dog as an animal model for translational medicine.
Different studies have also applied proteomic techniques to dog urine to identify novel biomarkers of disease. In particular, the urinary proteome was investigated in dogs affected by nephropathy (Miller et al. 2004, 2014; Forterre et al. 2004; Nabity et al. 2011), different types of urinary stones (Forterre et al. 2006), transitional cell carcinoma (Bracha et al. 2014), envenomation by the bite of Vipera berus berus (Palviainen et al. 2012b), or infected by Dirofilaria immitis (Hormaeche et al. 2014) and by Leishmania infantum (Zaragoza et al. 2003; Ferlizza et al. 2013).
On the other hand, urine proteome in the domestic cat is still to be completely characterized. Only in recent years, two studies have analyzed the urinary proteome of healthy cats by 1D SDS-PAGE and 2DE (McLean et al. 2007; Ferlizza et al. 2015), yielding a preliminary proteomic map. The most abundant proteins are albumin, transferrin, uromodulin, and, in entire males, cauxin. Moreover, other low molecular mass proteins (<70 kDa) were identified as haptoglobin and Ig light chains and high molecular mass proteins (>70 kDa) as alpha-2-macroglobulin. Finally, few studies applied proteomic techniques to search for novel biomarkers in urine of cats affected by chronic kidney disease (Ferlizza et al. 2015), tubular nephropathy (Miyazaki et al. 2007), urinary tract infection, idiopathic cystitis and urolithiasis (Lemberger et al. 2011), and azotemia (Jepson et al. 2013).
2 Proteomics of Saliva and Other Bodily Fluids in Farm Animals
As with urine, a range of bodily fluids are amenable to proteomics tools. The identification and characterization of the protein content of such fluids are being used to provide novel insights into the evolutionary adaptations of farm and domestic animal species and to characterize their normal physiological state. Results can be used to understand animal physiology, improve livestock productivity and welfare, and provide biomarkers of stress and animal disease.
2.1 Proteomics of Saliva
The identification and characterization of the proteome of saliva has been pioneered in human samples, to define pathophysiological-related changes relevant to disease pathogenesis and diagnostics. Such studies provide insights into the proteome and diagnostic potential of saliva and identify it as an amenable sample readily available from farm and domestic animals for detailed proteomic analysis (Mavromati et al. 2014). However, it is clear that there is significant variation in the protein content of saliva from different mammalian species, which likely reflects distinct evolutionary and environmental lineages (de Sousa-Pereira et al. 2013).
Gland-specific saliva can be collected directly from individual salivary glands which include the parotid, submandibular, sublingual, and minor salivary glands. Their respective characterizations allow for insights into gland-specific pathology. Whole (mixed) saliva comprises secretions from each of these salivary glands in addition to constituents of non-salivary origin readily detected in the oral cavity; these include gingival crevicular fluid, expectorated bronchial and nasal secretions, serum and blood derivatives from oral wounds, bacteria and their respective products, viruses, fungi, cellular components, and food debris. Collectively, the components of whole saliva comprise a bodily fluid essential for the health of the oral cavity and which functions to facilitate maintenance of homeostasis, food digestion, and protection from pathogens. Saliva comprises a complex hypotonic aqueous solution composed of more than 99% water that contains a range of proteins, peptides, enzymes, hormones, sugars, lipids, electrolytes, and a plethora of other compounds. Saliva is a relatively easy sample to collect; collection is noninvasive and stress-free. It can be performed multiple times on the same animal and in a relatively short time. Collectively, these factors make it an ideal candidate to screen for the identification of protein/peptide biomarkers of health status.
A cross-species comparison of the proteome of saliva was performed on seven mammalian species classified into four major evolutionary groups: ungulates (which include the order Artiodactyla, sheep and cattle, and the order Perissodactyla, horse), glires (which include rodents and lagomorphs: rat and rabbit), carnivores (dog), and primates (human) (de Sousa-Pereira et al. 2015). Distinct protein profiles were observed for each group, and only seven protein families were common to all groups; common protein families included carbonic anhydrase, albumin, polymeric immunoglobulin receptor, prolactin-inducible protein, lactoperoxidase, glutathione-S-transferase P, and keratin. Collectively, these protein families have antibacterial activity, buffer capacity, and lubrication activity. This comparative approach is defining a proteomic signature characteristic of each species and their respective environmental adaptation. For example, amylase, which plays a key role during digestion since it catalyzes the hydrolysis of glycosidic bonds from diet polysaccharides such as starch, was identified in the saliva of rodents, lagomorphs, carnivores, and ungulates. In contrast, latherin was identified only in horse saliva; this is a protein family that helps mastication of large quantities of dry food and reflects an adaptive mechanism to environmental constraints for horses. Goats have a higher tolerance than sheep to plant allelochemicals in their diet which has been hypothesized to correlate with the existence of tannin-binding proteins identified in goat, but not sheep, saliva (Austin et al. 1989; Narjisse et al. 1995).
Although saliva is amenable to the tools of proteomics, several studies have highlighted the importance of standardizing the collection and handling of saliva prior to analysis. Inherent variability and experimental artifacts during sample preparation and analysis have led to the proposal and development of standardized methodologies to collect, process, and extract samples, e.g., centrifugation for removal of food debris (Vitorino et al. 2012a, b; de Sousa-Pereira et al. 2015). Consideration must also be given to the fact that the secretion of saliva into the oral cavity results in the exposure of saliva to a large number of proteolytic activities that can be of endogenous and exogenous origin and that can rapidly process and modify salivary proteins. Protease inhibitors can be advantageous, but their use can also increase sample complexity and interfere with mass spectrometry. These variables are further compounded in animal studies compared to human studies when one must also consider the variation of animal diets, the mode of digestion, and the logistics of sample collection. Such considerations include inter- and intraindividual variability (Jehmlich et al. 2013), response to age and different environmental conditions, variability due to genetic polymorphisms, and the collection of stimulated versus unstimulated samples. Saliva composition is mainly under autonomic control and changes rapidly in response to a wide range of different chemical and mechanical stimuli (D’Amato et al. 1988; Edwards and Titchen 2002, 2003; Scocco et al. 2011). All samples of saliva should be processed immediately upon collection. Analysis of porcine saliva showed that its protein composition changes during storage at −20 °C, so preservation of samples at −80 °C is recommended (Messana et al. 2008; Gutiérrez et al. 2011a).
Porcine saliva has long been used as an analytical sample for specific pathogen disease diagnosis, either by direct detection of pathogen or indirectly via the detection of specific antibodies (Gutiérrez et al. 2014). Multiple analytes have been detected and measured in porcine saliva and include haptoglobin (Hiss et al. 2003), cortisol (Ruis et al. 1997), estrone sulfate (Ohtaki et al. 1997), progesterone (Moriyoshi et al. 1996), and immunoglobulin (Van der Stede et al. 2001; Devillers et al. 2004). With the advent of increasingly sensitive instrumentation, C-reactive protein (CRP) was quantified in samples from healthy compared to diseased pigs as an indicator of pig health and welfare monitoring. The limit of detection for salivary CRP was 0.47 ng/mL, and salivary concentrations were ~322-fold lower than that of serum. Saliva samples could be stored at 20 °C for several days without compromising test results, and levels of CRP could differentiate healthy pigs from those with a variety of inflammatory conditions (Gutiérrez et al. 2009). Subsequent studies determined that while amounts of CRP were not influenced by circadian pattern, the amounts of other acute phase proteins such as haptoglobin differed according to early morning versus late afternoon sample collection; this highlights another variable (circadian rhythms) to consider for sample analysis as well as the need to report components of saliva as ranges rather than absolute values (Gutiérrez et al. 2013a). Initial studies using one- and two-dimensional electrophoresis and immunoblotting confirmed the complex dynamic nature of the porcine salivary proteome and provided 2D gel proteomic maps of salivary proteins including immunoglobulins (Gutiérrez et al. 2011b). Multiple protein isoforms are attributed to fragmentation, bacterial degradation, endogenous truncation, glycosylation, and phosphorylation. Thirteen proteins were identified by mass spectrometry (Gutiérrez et al. 2011b). Improved databases and comparative analyses increased this to 20 unique proteins and provided normalization strategies to identify a panel of biomarkers that could discriminate clinically infected pigs compared to their healthy counterparts (Gutiérrez et al. 2013b). Porcine saliva and serum share several proteins highlighting the potential for these to act as markers of general health. The most abundant porcine salivary proteins include lipocalins, in contrast to amylase which comprises up to 25% of the human salivary proteome. Porcine saliva also contains proline-rich proteins, but note that their detection on gels is stain dependent (Miller et al. 2006). Enrichment for glycoproteins using boronic acid allowed for the detection of differential expression of carbonic anhydrase VI, α-1-antichymotrypsin, and haptoglobin by 2D gel electrophoresis of saliva derived from pigs suffering rectal prolapse; interestingly, glycopatterns of haptoglobin in saliva differed to that of haptoglobin derived from serum (Gutiérrez et al. 2016).
Cows secrete on the order of 150 liters of saliva per day (Bailey 1961). A comprehensive proteome analysis of bovine saliva identified 402 salivary proteins and 45 N-linked glycoproteins using three different strategies: nontargeted, targeted, and glycocapture (Ang et al. 2011). In the nontargeted approach, four prefractionation methodologies were performed based on different physiochemical properties and included SDS-PAGE (electrophoretic mobility), off-gel fractionation (protein isoelectric point), reverse-phase HPLC (protein hydrophobicity), and strong cation exchange HPLC (peptide charge). This nontargeted approach facilitated the identification of 396 proteins by MS, only 10% (42) of which were identified in all approaches, highlighting the need for multiple complementary strategies for comprehensive analyses. The targeted approach used publicly available information to create a list of peptides for identification by mass accuracy and resolution on the mass spectrometer; it is limited by the magnitude of selected databases used to generate a user list. The glycocapture approach utilized hydrazide coupling methodology to enrich for glycosylated peptides prior to MS and provides the complete N-glycoprotein profile of bovine saliva. The most abundant proteins in bovine saliva are similar to that of human with the notable absence of amylase and the presence of short palate, lung and nasal epithelium carcinoma-associated protein 2A (BSP30), and odorant-binding protein (Ang et al. 2011). In buffalo, protein content of whole saliva has been monitored through all stages of the estrus cycle (Muthukumar et al. 2014). Collectively, 179 proteins were identified from saliva taken at different stages of the estrus cycle, but 37 of these were expressed exclusively during estrus; the expression of β-enolase and TLR 4 in saliva was validated by immunoblot as an indicator of estrus in buffalo (Muthukumar et al. 2014).
Sheep secrete on the order of 10 liters of saliva per day (Kay 1960). Separation of the ovine salivary proteome by SDS-PAGE followed by MS identified 319 protein families and a predominance of proteins associated with metabolism and inflammation (de Sousa-Pereira et al. 2015). Three hundred and twenty-four unique proteins were identified compared to only 74 unique proteins that were identified in bovine saliva when processed in the same way; for example, CATHL1 and CATHL2, members of the cathelicidin family, were identified in sheep saliva, whereas only CATHL4 was identified in bovine saliva, suggesting differential evolutionary pressures. Analysis of ovine saliva collected directly from the parotid gland comprised 260 protein spots evident by 2D gel electrophoresis, 106 of which were identified using MALDI-TOF MS and 11 by LC-MS/MS totaling 26 different proteins, several of which show evidence of phosphorylation and/or glycosylation (Lamy et al. 2009). Identified proteins function primarily as transporters (i.e., annexin, apolipoprotein, haptoglobin, serum albumin, serotransferrin, transthyretin, vitamin D-binding protein, hemoglobin, lactoferrin, lactoglobulin, casein) followed by immune modulation (e.g., immunoglobulin and antimicrobials). As with all complex protein samples, multiple fractionation and identification strategies are advised for a more comprehensive analysis of protein content. Comparison of sheep parotid gland secretions with that of goats was very similar by 2DE; only three proteins were identified as unique to goats, apolipoprotein A-IV, hemoglobin, and cathelicidin-3 precursor, compared to two proteins which were unique to sheep, clusterin and transthyretin precursor (Lamy et al. 2009). Sheep and goats that were conditioned on Quebracho tannin extract showed increased total protein content and proteomic changes in parotid saliva (Lamy et al. 2011); however, no constitutive changes in tannin-binding salivary proteins were detected.
LC-MS/MS has also been applied to saliva derived from horses (de Sousa-Pereira et al. 2015). Of the 195 unique proteins identified, 57 were found only in saliva from horses with systemic inflammation which included acute phase proteins such as serum amyloid A, fibrinogen, haptoglobin, and alpha1-acid glycoprotein (Jacobsen et al. 2014).
2.2 Proteomics of Other Bodily Fluids
Proteomic analysis has been pioneered on an assortment of alternative bodily fluids in a subset of domestic animal species including cerebrospinal fluid, bronchoalveolar lavage fluid, and amniotic fluids.
Cerebrospinal fluid (CSF) is a potential source of biomarkers of aging and neurodegenerative disorders which can be detected and characterized using the tools of proteomics. Since CSF surrounds the brain and spinal cord and acts as an intermediate between blood and nervous tissue, its proteomic content reflects the metabolic state of normal versus diseased brain tissue. Analysis of bovine CSF from 75 suspect cases of bovine spongiform encephalopathy (BSE) compared with 38 normal cattle by 2D gel electrophoresis showed consistent differences including the presence of apolipoprotein E and two unidentified proteins of 35 and 36 kDa with a pI of 5.5 (Jones et al. 1996) and as similarly observed by Hochstrasser et al. (1997). A comprehensive reference map of bovine CSF proteins has been generated and includes the identification of 66 different proteins, 58 of which had not been previously identified in bovine CSF (Brenn et al. 2009). Charge isoforms were identified for nearly all proteins. The high salt content and low amounts of protein in CSF require optimal sample preparation. The effect of four different sample treatments to ovine CSF was compared; protein precipitation with acetone or using a 2D cleanup kit showed best sample recovery in terms of protein gel spots of 2DE gels compared to the use of two different spin columns. However, the 53 kDa transthyretin tetramer was not identified in samples treated with the 2D cleanup kit but was retained in samples treated with acetone or spin columns (Chen et al. 2006). Ovine CSF has been used to study age-related changes in composition; results indicate that there is an age-related reduction in CSF turnover which has a concentrating effect, and therefore, CFS protein concentrations should be normalized according to their age-specific turnovers before comparison with samples from different age groups (Chen et al. 2010). Among 103 proteins identified in ovine CSF, 41 were differentially regulated according to photoperiod; 18 were more abundant during long days, and 23 were more abundant in short days (Teixeira-Gomes et al. 2015). Equine CSF had been analyzed for the presence of apolipoproteins associated with high-density lipoproteins; as is the case in plasma, apo A-II circulates as a homodimer, whereas there appears to be a higher percentage of acylated apo A-I in CSF compared to plasma (Puppione et al. 2012).
The respiratory health of domestic farm animals can be determined via the proteome content of bronchoalveolar lavage fluid (BALF), which contains secreted peptides and proteins derived from airway mucosa and alveolar surfaces that contribute to host defenses. The antimicrobial peptides, prophenin-2 and PR-39, and the calcium-binding protein calgranulin C were reproducibly upregulated in BALF of pigs chronically infected with Actinobacillus pleuropneumoniae (Hennig-Pauka et al. 2006). Concentrations of PR-39 were significantly (P < 0.05) increased in BALF (median of 4.8 nM) but not in serum (median of 2.5 nM) on day 21 after infection. With the advent of the Sus scrofa genome database, a comprehensive analysis of porcine BALF and methacholine-induced tracheal secretions identified 3858 porcine-specific proteins that encompass a diverse array of functions that include host defense, molecular transport, cell communication, and cytoskeletal and metabolic functions (Bartlett et al. 2013). Cattle that are subjected to stressors such as transportation, weaning, and comingling demonstrate an increased susceptibility to bacterial pneumonia which in turn is associated with elevated levels of endogenous glucocorticoids. Consistent with the initiation of an acute phase response, dexamethasone-treated cattle have increased levels of alpha-1-acid glycoprotein and alpha-1-antitrypsin in BALF which was detected by 2DE, while levels of alpha-HS-glycoprotein were decreased (Mitchell et al. 2007). Treatment with dexamethasone also induced adipocyte fatty acid-binding protein and odorant-binding protein as well as alpha-enolase, cofilin-1, and immunoglobulin J chain. Similar results were obtained in BALF samples collected from weaned and transported calves (Mitchell et al. 2008). LC-MS/MS of bovine BALF identified 88 unique proteins, of which 20 were only detected in samples collected from steers with experimentally induced clinical pneumonia with Mannheimia haemolytica (Boehmer et al. 2011). Differences in protein pattern/concentration were detected between sham- and M. haemolytica-infected steers for haptoglobin, as well as the antimicrobial peptides cathelicidin-1 and cathelicidin-4 and inter-α-trypsin inhibitor heavy chain-4. A genetic linkage study linked eight candidate genes with proteins in BALF collected from healthy and recurrent airway obstruction-affected horses (Racine et al. 2011). The equine genome allowed for the identification of 582 proteins in normal cell-free equine BALF confirming genome annotation and providing functional annotation and as well as a framework for continued analysis of the biological significance of BALF protein content (Bright et al. 2011).
Characterization of the equine amniotic fluid proteome is a prerequisite to study changes during disease associated with pregnancy and thus to identify biomarkers of health status or embryonic abnormalities (Isani et al. 2016). Thirty-four proteins were identified of which 12 were associated with the extracellular matrix highlighting their important role during the development of fetal tissues. The three most abundant proteins were albumin, major allergen Eqc1, and fibronectin. No immunoglobulin was detected in equine amniotic fluid. A reference map for the equine amniotic membrane has been established (Galera et al. 2015). From gel-based proteomics, 49 spots were excised and 43 proteins were identified by LC-MS/MS. Shotgun proteomics allowed the identification of 116 proteins; only 10 protein identifications were common to both analyses. A comparison of the proteomic profile of the chorioamnion and corresponding caruncle for buffalo embryos associated with normal or retarded development by 2D-DIGE identified decreased concentration of proteins involved with protein folding (HSP 90-alpha, calreticulin), calcium binding (annexin A1, annexin A2), and coagulation (fibrinogen alpha-chain) (P < 0.05), whereas proteins involved in protease inhibition (alpha-1-antiproteinase, serpin H1, serpin A3-8), DNA and RNA binding (heterogeneous nuclear ribonucleoproteins A2/B1 and K), chromosome segregation (serine/threonine-protein phosphatase 2A), cytoskeletal organization (ezrin), cell redox homeostasis (amine oxidase-A), and hemoglobin binding (haptoglobin) were upregulated (P < 0.05) (Balestrieri et al. 2013). The identity of 139 individual protein species was confirmed in bovine amniotic and allantoic fluids collected at day 45 of gestation using two strategies: first, 2DE combined with MALDI-TOF-MS/MS and LC-ESI-MS/MS analysis of individual protein spots and, second, a global protein snapshot of the enriched 5–50 kDa protein fraction by LC-ESI-MS/MS and LC-MALDI-TOF-MS/MS (Riding et al. 2008). Immunoglobulin was identified in bovine allantoic fluid at day 45 of gestation. Amniotic and allantoic fluids collected from pregnant ewes experimentally infected with Chlamydophila abortus or Toxoplasma gondii also contain immunoglobulin specific for antigens derived from their respective infectious agent (Marques et al. 2011, 2012). In both cases, results suggest both a maternal and fetal source of immunoglobulin.
3 Conclusions
Proteomics provides for the characterization of complex biological samples. Bodily fluids, including urine, saliva, CSF, and BALF, and amniotic fluids are readily amenable to the tools of proteomics. Though farm animals are mammals that are characterized by high homology at the genomic, proteomic, and metabolic level, it is clear that they are readily discriminated by differences in their respective proteomes. This is exemplified by the characterization of urine and saliva which provides unique insight into an animal’s normal physiological state. The continued characterization of such fluids can be used to further provide insights into how animals respond to environmental pressures, as well as defining biomarkers of pathophysiological-related changes to health and fitness.
Abbreviations
- 2DE:
-
Two-dimensional electrophoresis
- Ig:
-
Immunoglobulins
- MS:
-
Mass spectrometry
- AKI:
-
Acute kidney injury
- DIGE:
-
Difference gel electrophoresis
- BSE:
-
Bovine spongiform encephalopathy
- AGE:
-
Agarose gel electrophoresis
- CAM:
-
Cellulose acetate membrane
- HRE:
-
High-resolution electrophoresis
- PrPC:
-
Physiological prion protein
- GO:
-
Gene ontology
- CSF:
-
Cerebrospinal fluid
- BALF:
-
Bronchoalveolar fluid
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Isani, G., Ferlizza, E., Nally, J.E. (2018). Proteomic Research in Urine and Other Fluids. In: de Almeida, A., Eckersall, D., Miller, I. (eds) Proteomics in Domestic Animals: from Farm to Systems Biology. Springer, Cham. https://doi.org/10.1007/978-3-319-69682-9_7
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