Abstract
Cystatin C (CST3) is expressed ubiquitously and implicated in several neurological diseases. It can be posttranscriptionally modified. CST3 is usually quantified in a biological sample using antibody-based methods. Posttranscriptional modification can hamper antibody-based detection systems by altering antibody-binding epitope(s). To circumvent this problem, enzymatic digestion and liquid chromatography tandem mass spectrometry (LC-MS/MS) technique can be employed to identify and measure peptides of a target protein in a complex biological mixture. This chapter describes an LC-MS/MS-based method for accurate measurement of CST3 in cerebrospinal fluid (CSF). Here, CSF was directly subjected to trypsin digestion and digested peptides were extracted using a solid-phase extraction column. Extracted peptide samples were directly used for LC-MS/MS-based identification and quantification of CST3 peptides. Comparing the concentration in a set of samples measured by LC-MS/MS with that of immunoassay shows that it was significantly higher when measured by LC-MS/MS method, suggesting it a better quantification method. This approach is particularly well suited when posttranscriptional modification of CST3 is suspected and sample volume of CSF is small.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Abrahamson M, Olafsson I, Palsdottir A, Ulvsback M, Lundwall A, Jensson O, Grubb A (1990) Structure and expression of the human cystatin C gene. Biochem J 268(2):287–294
Deng A, Irizarry MC, Nitsch RM, Growdon JH, Rebeck GW (2001) Elevation of cystatin C in susceptible neurons in Alzheimer’s disease. Am J Pathol 159(3):1061–1068. https://doi.org/10.1016/S0002-9440(10)61781-6
Angelidis C, Deftereos S, Giannopoulos G, Anatoliotakis N, Bouras G, Hatzis G, Panagopoulou V, Pyrgakis V, Cleman MW (2013) Cystatin C: an emerging biomarker in cardiovascular disease. Curr Top Med Chem 13(2):164–179
Lignelid H, Collins VP, Jacobsson B (1997) Cystatin C and transthyretin expression in normal and neoplastic tissues of the human brain and pituitary. Acta Neuropathol 93(5):494–500. https://doi.org/10.1007/s004010050644
Ohe Y, Ishikawa K, Itoh Z, Tatemoto K (1996) Cultured leptomeningeal cells secrete cerebrospinal fluid proteins. J Neurochem 67(3):964–971
Umegae N, Nagai A, Terashima M, Watanabe T, Shimode K, Kobayashi S, Masuda J, Kim SU, Yamaguchi S (2008) Cystatin C expression in ischemic white matter lesions. Acta Neurol Scand 118(1):60–67. https://doi.org/10.1111/j.1600-0404.2007.00984.x
Yasuhara O, Hanai K, Ohkubo I, Sasaki M, McGeer PL, Kimura H (1993) Expression of cystatin C in rat, monkey and human brains. Brain Res 628(1-2):85–92
Levy E, Sastre M, Kumar A, Gallo G, Piccardo P, Ghetti B, Tagliavini F (2001) Codeposition of cystatin C with amyloid-beta protein in the brain of Alzheimer disease patients. J Neuropathol Exp Neurol 60(1):94–104
Maruyama K, Ikeda S, Ishihara T, Allsop D, Yanagisawa N (1990) Immunohistochemical characterization of cerebrovascular amyloid in 46 autopsied cases using antibodies to beta protein and cystatin C. Stroke 21(3):397–403
Mori F, Tanji K, Miki Y, Wakabayashi K (2009) Decreased cystatin C immunoreactivity in spinal motor neurons and astrocytes in amyotrophic lateral sclerosis. J Neuropathol Exp Neurol 68(11):1200–1206. https://doi.org/10.1097/NEN.0b013e3181bdcdce
Tsuji-Akimoto S, Yabe I, Niino M, Kikuchi S, Sasaki H (2009) Cystatin C in cerebrospinal fluid as a biomarker of ALS. Neurosci Lett 452(1):52–55
Wilson ME, Boumaza I, Lacomis D, Bowser R (2010) Cystatin C: a candidate biomarker for amyotrophic lateral sclerosis. PLoS One 5(12):e15133. https://doi.org/10.1371/journal.pone.0015133
Zhong XM, Hou L, Luo XN, Shi HS, Hu GY, He HB, Chen XR, Zheng D, Zhang YF, Tan Y, Liu XJ, Mu N, Chen JP, Ning YP (2013) Alterations of CSF cystatin C levels and their correlations with CSF Alphabeta40 and Alphabeta42 levels in patients with Alzheimer's disease, dementia with lewy bodies and the atrophic form of general paresis. PLoS One 8(1):e55328. https://doi.org/10.1371/journal.pone.0055328
Grubb A (1992) Diagnostic value of analysis of cystatin C and protein HC in biological fluids. Clin Nephrol 38(Suppl 1):S20–S27
Nagai A, Murakawa Y, Terashima M, Shimode K, Umegae N, Takeuchi H, Kobayashi S (2000) Cystatin C and cathepsin B in CSF from patients with inflammatory neurologic diseases. Neurology 55(12):1828–1832
Nagai A, Terashima M, Harada T, Shimode K, Takeuchi H, Murakawa Y, Nagasaki M, Nakano A, Kobayashi S (2003) Cathepsin B and H activities and cystatin C concentrations in cerebrospinal fluid from patients with leptomeningeal metastasis. Clin Chim Acta 329(1-2):53–60
Shimode K, Fujihara S, Nakamura M, Kobayashi S, Tsunematsu T (1991) Diagnosis of cerebral amyloid angiopathy by enzyme-linked immunosorbent assay of cystatin C in cerebrospinal fluid. Stroke 22(7):860–866
Shimode K, Kobayashi S, Imaoka K, Umegae N, Nagai A (1996) Leukoencephalopathy-related cerebral amyloid angiopathy with cystatin C deposition. Stroke 27(8):1417–1419
Newman DJ, Thakkar H, Edwards RG, Wilkie M, White T, Grubb AO, Price CP (1995) Serum cystatin C measured by automated immunoassay: a more sensitive marker of changes in GFR than serum creatinine. Kidney Int 47(1):312–318
Farajollahi MM, Cook DB, Hamzehlou S, Self CH (2012) Reduction of non-specific binding in immunoassays requiring long incubations. Scand J Clin Lab Invest 72(7):531–539. https://doi.org/10.3109/00365513.2012.702352
Adaway JE, Keevil BG, Owen LJ (2015) Liquid chromatography tandem mass spectrometry in the clinical laboratory. Ann Clin Biochem 52(Pt 1):18–38. https://doi.org/10.1177/0004563214557678
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2019 Springer Science+Business Media, LLC, part of Springer Nature
About this protocol
Cite this protocol
Sheikh, A.M., Nagai, A. (2019). An Improved Assay for Quantitation of Cerebrospinal Fluid Cystatin C Using Liquid Chromatography Tandem Mass Spectrometry. In: SantamarÃa, E., Fernández-Irigoyen, J. (eds) Cerebrospinal Fluid (CSF) Proteomics. Methods in Molecular Biology, vol 2044. Humana, New York, NY. https://doi.org/10.1007/978-1-4939-9706-0_18
Download citation
DOI: https://doi.org/10.1007/978-1-4939-9706-0_18
Published:
Publisher Name: Humana, New York, NY
Print ISBN: 978-1-4939-9705-3
Online ISBN: 978-1-4939-9706-0
eBook Packages: Springer Protocols