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Personalized evaluation based on quantitative proteomics for drug-treated patients with chronic kidney disease Free
Qing-Run Li1,†, Wan-Jia Chen2,†, Ju-Wen Shen1,†, Yi Wu1, Rong-Xia Li1, Yi-Fei Zhong2, Rong Zeng1,*, and Yue-Yi Deng2,*
1Key Laboratory of Systems Biology, Institute of Biochemistry and Cell Biology, Shanghai Institutes for Biological Sciences, Chinese Academy of Sciences, 320 Yueyang Road, Shanghai 200031, China
2Department of Nephrology, Longhua Hospital, Shanghai University of Traditional Chinese Medicine, 725 Wanping Road, Shanghai 200032, China *Correspondence to:Yue-Yi Deng, E-mail: dengyueyi@medmail.com.cn; Rong Zeng, E-mail: zr@sibs.ac.cn
J Mol Cell Biol, Volume 8, Issue 3, June 2016, 184-194,  https://doi.org/10.1093/jmcb/mjw015
Keyword: quantitative proteomic, status, drug-treated, chronic kidney disease

The patient's response to drug treatment is usually systems-wide based on multi-spots through either direct or indirect targets. Thus, the evaluation of the treatment cannot rely on single targeted biomarker, especially for complex diseases such as chronic kidney disease. In the present study, we performed a systems-wide analysis using proteomic approach to quantify changes in the proteomic profiles of the plasma from IgA nephropathy (IgAN) patients before and after treatment. In particular, the patient-to-health distances based on global proteome quantification before and after treatment were calculated and considered as quantitative readouts to measure patient divergences from the healthy condition. We found that the patient-to-health distance nicely correlated with the patient's response to drug treatment and long-term prognosis, which created a self-tracking platform for personalized evaluation. In addition, the steroid treatment plays a role in immunosuppression, while the Chinese Traditional Medicine (TCM) can modulate whole-body systems. Our results indicated that STC therapy normalized the proteomic profile more significantly than SA therapy. This work provides an omics-based and systematic platform for personalized evaluation of disease treatment. This strategy could help us to evaluate treatment outcomes and predict prognosis in patients with IgAN and other complex diseases.