TY - JOUR A1 - Koss, Michael Janusz A1 - Hoffmann, Janosch A1 - Nguyen, Nauke A1 - Pfister, Marcel A1 - Mischak, Harald A1 - Mullen, William A1 - Husi, Holger A1 - Rejdak, Robert A1 - Koch, Frank H. A1 - Jankowski, Joachim A1 - Krueger, Katharina A1 - Bertelmann, Thomas A1 - Klein, Julie A1 - Schanstra, Joost P. A1 - Siwy, Justyna T1 - Proteomics of vitreous humor of patients with exudative age-related macular degeneration T2 - PLoS One N2 - Background: There is absence of specific biomarkers and an incomplete understanding of the pathophysiology of exudative age-related macular degeneration (AMD). Methods and findings: Eighty-eight vitreous samples (73 from patients with treatment naïve AMD and 15 control samples from patients with idiopathic floaters) were analyzed with capillary electrophoresis coupled to mass spectrometry in this retrospective case series to define potential candidate protein markers of AMD. Nineteen proteins were found to be upregulated in vitreous of AMD patients. Most of the proteins were plasma derived and involved in biological (ion) transport, acute phase inflammatory reaction, and blood coagulation. A number of proteins have not been previously associated to AMD including alpha-1-antitrypsin, fibrinogen alpha chain and prostaglandin H2-D isomerase. Alpha-1-antitrypsin was validated in vitreous of an independent set of AMD patients using Western blot analysis. Further systems biology analysis of the data indicated that the observed proteomic changes may reflect upregulation of immune response and complement activity. Conclusions: Proteome analysis of vitreous samples from patients with AMD, which underwent an intravitreal combination therapy including a core vitrectomy, steroids and bevacizumab, revealed apparent AMD-specific proteomic changes. The identified AMD-associated proteins provide some insight into the pathophysiological changes associated with AMD. Y1 - 2014 UR - http://publikationen.ub.uni-frankfurt.de/frontdoor/index/index/docId/33796 UR - https://nbn-resolving.org/urn:nbn:de:hebis:30:3-337962 SN - 1932-6203 N1 - Copyright: © 2014 Koss et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License http://creativecommons.org/licenses/by/4.0/ , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. VL - 9 IS - (5):e96895 PB - PLoS CY - Lawrence, Kan. ER -