Efficient Quantitative Analysis of Carboxyalkylpyrrole Ethanolamine Phospholipids: Elevated Levels in Sickle Cell Disease Blood
作者:Junhong Guo、Hua Wang、Borys Hrinczenko、Robert G. Salomon
DOI:10.1021/acs.chemrestox.6b00152
日期:2016.7.18
γ-Hydroxy-α,β-unsaturated aldehydes, generated by oxidative damage of polyunsaturated phospholipids, form pyrrole derivatives that incorporate the ethanolamine phospholipid (EP) amino group such as 2-pentylpyrrole (PP)-EP and 2-(ω-carboxyalkyl)pyrrole (CAP)-EP derivatives: 2-(ω-carboxyethyl)pyrrole (CEP)-EP, 2-(ω-carboxypropyl)pyrrole (CPP)-EP, and 2-(ω-carboxyheptyl)pyrrole (CHP)-EP. Because EPs occur in vivo in various forms, a complex mixture of pyrrole-modified EPs with different molecular weights is expected to be generated. To provide a sensitive index of oxidative stress, all of the differences in mass related to the glycerophospholipid moieties were removed by releasing a single CAP-ethanolamine (ETN) or PP-ETN from each mixture by treatment with phospholipase D. Accurate quantization was achieved using the corresponding ethanolamine-d4 pyrroles as internal standards. The product mixture obtained by phospholipolysis of total blood phospholipids from sickle cell disease (SCD) patients was analyzed by LC-MS/MS. The method was applied to measure CAP-EP and PP-EP levels in blood plasma from clinical monitoring of SCD patients. We found uniformly elevated blood levels of CEP-EP (63.9 ± 9.7 nM) similar to mean levels in blood from age-related macular degeneration (AMD) patients (56.3 ± 37.1 nM), and 2-fold lower levels (27.6 ± 3.6 nM, n = 5) were detected in plasma from SCD patients hospitalized to treat a sickle cell crisis, although mean levels remain higher than those (12.1 ± 10.5 nM) detected in blood from healthy controls. Plasma levels of CPP-EPs from SCD clinic patients were 4-fold higher than those of SCD patients hospitalized to treat a sickle cell crisis (45.1 ± 10.9 nM, n = 5 versus 10.9 ± 3.4 nM, n = 6; p < 0.002). PP-EP concentration in plasma from SCD clinic patients is nearly 4.8-fold higher than its level in plasma samples from SCD patients hospitalized to treat a sickle cell crisis (7.06 ± 4.05 vs 1.48 ± 0.92 nM; p < 0.05). Because CAP-EPs promote angiogenesis and platelet activation, the elevated levels present in SCD blood can contribute to the hypercoaguability and vaso-occlusive events that are critical pathophysiologic features of SCD.
γ-羟基-α、β-不饱和醛类是由多不饱和磷脂氧化破坏产生的,形成了含有乙醇胺磷脂(EP)氨基的吡咯衍生物,如 2-戊基吡咯(PP)-EP 和 2-(ω-羧基烷基)吡咯(CAP)-EP 衍生物:2-(ω-羧乙基)吡咯(CEP)-EP、2-(ω-羧丙基)吡咯(CPP)-EP 和 2-(ω-羧庚基)吡咯(CHP)-EP。由于 EPs 在体内以各种形式存在,因此预计会产生分子量不同的吡咯修饰 EPs 的复杂混合物。为了提供一个灵敏的氧化应激指数,用磷脂酶 D 处理每种混合物,释放出单个 CAP-乙醇胺(ETN)或 PP-ETN,从而消除与甘油磷脂分子有关的所有质量差异。通过 LC-MS/MS 分析了镰状细胞病(SCD)患者总血液磷脂的磷脂分解产物混合物。该方法被用于检测镰状细胞病(SCD)患者临床监测血浆中 CAP-EP 和 PP-EP 的水平。我们发现,血液中的 CEP-EP 水平普遍升高(63.9 ± 9.7 nM),与老年性黄斑变性(AMD)患者血液中的平均水平(56.3 ± 37.1 nM)相似;在住院治疗镰状细胞危象的 SCD 患者血浆中检测到的 CEP-EP 水平低 2 倍(27.6 ± 3.6 nM,n = 5),但平均水平仍高于健康对照组血液中检测到的水平(12.1 ± 10.5 nM)。SCD门诊患者血浆中的CPP-EP水平比住院治疗镰状细胞危象的SCD患者高4倍(45.1 ± 10.9 nM,n = 5对10.9 ± 3.4 nM,n = 6;P < 0.002)。SCD门诊患者血浆中的PP-EP浓度比住院治疗镰状细胞危象的SCD患者血浆样本中的PP-EP浓度高出近4.8倍(7.06 ± 4.05 vs 1.48 ± 0.92 nM;p < 0.05)。由于 CAP-EPs 可促进血管生成和血小板活化,因此 SCD 血液中的 CAP-EPs 水平升高可导致高凝状态和血管闭塞事件,而这正是 SCD 的关键病理生理特征。