Application of proteomics to identify biomarkers of … · Application of proteomics to identify...

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Application of proteomics to identify biomarkers of myopathy Thesis submitted for the degree of DOCTOR OF PHILOSOPHY at by Theophilus Olusegun Dare 2009 Department of Experimental Medicine and Toxicology Division of Investigative Science Faculty of Medicine Imperial College London Hammersmith Hospital Campus Du Cane Road London, W12 ONN United Kingdom

Transcript of Application of proteomics to identify biomarkers of … · Application of proteomics to identify...

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Application of proteomics to identify biomarkers of myopathy

Thesis submitted for the degree of

DOCTOR OF PHILOSOPHY

at

by

Theophilus Olusegun Dare

2009

Department of Experimental Medicine and Toxicology

Division of Investigative Science

Faculty of Medicine

Imperial College London

Hammersmith Hospital Campus

Du Cane Road

London, W12 ONN

United Kingdom

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For Hayley, Lauren and Cameron

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Acknowledgements

I would like to express my sincere gratitude to Dr Robert Edwards whose expertise,

guidance and patience have been invaluable during this PhD and whose tutorship

has changed my approach to science almost beyond recognition. His advice and

kindness got me through some of my most difficult periods and I am sure that I

would not have completed this thesis without his help. I would also like to thank my

industrial supervisor, Dr Brian Sweatman, and the head of the Division of

Investigative Science at Imperial College London, Professor Martin Wilkins, for their

guidance and support during this period.

I would like to thank GlaxoSmithKline R&D for giving me the opportunity to study for

this PhD and also for the financial support. My thanks also go to my friends and

colleagues within the department of Safety Assessment at GlaxoSmithKline R&D

who were also extremely supportive during this period of study. In particular, I

would like to thank Dr Andy Nicholls, Su Moore and Dr John Haselden for their

patience and understanding during the writing-up period of this thesis. I would also

like to express my gratitude to Malcolm York, Tom Williams and Dr Ian Pyrah who

encouraged me to register for this PhD, Dr Cathy Waterfield and Dr Kevin Buchan

for their guidance in the early stages and Dr David Hassall for introducing me to the

Experimental Medicine and Toxicology group at Imperial College London. Thanks

also go to Aubrey Swain, Ian Roman, Paul McGill and Nikol Simecek for their

valuable technical help and also to my fellow part-time students at GlaxoSmithKline

R&D for their general encouragement. I would also like to thank Jim Armitage and

the rest of the Investigative Preclinical Toxicology department for making the

workplace a more enjoyable experience for 5 of the 7 days spent there every week,

and the soon-to-be Dr Mark Hodson for making the other 2 days almost bearable.

Thanks also go to my friends and colleagues within the Faculty of Medicine and the

Division of Investigative Science at Imperial College London, whose help and

fellowship was greatly appreciated. In particular, I would like to thank Dr Vahitha

Abdul Salam and Dr Zheying Zhu for their advice and practical help, and also Dr

John Cupitt for his programming expertise. Thanks also to the rest of the

department for making me feel like part of the team.

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In amongst all of these messages of gratitude, I would also like to take the

opportunity to apologise to all my family and friends for all the get-togethers I

missed, the birthdays I forgot and the phone calls I ignored. Thank you for

understanding.

A big ‘thank-you’ goes to Stephanie and Jarlath (Granma and Grampus) for their

day-to-day help. It has meant so much to me and I appreciate it immensely. Lastly,

my largest thanks are reserved for my wife, Hayley, and also for my two lovely

children, Lauren and Cameron, who supported me all the way and made huge

sacrifices in order for me to complete this PhD. I am indebted to you for your love,

support and patience, and I dedicate this thesis to the three of you in recognition of

this.

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Declaration This thesis is a summary of research conducted within the Division of

Investigative Science, Imperial College London (Hammersmith, UK), and at

GlaxoSmithKline R&D (Ware, UK). The work detailed in this thesis

demonstrates the novel uses of surface-enhanced laser desorption/ionization

and also label-free quantitative proteomics for the discovery of biomarkers of

compound-induced skeletal muscle toxicity in cultured myoblasts or myotubes.

This thesis is the result of my own work and includes nothing which is the

outcome of work done in collaboration, except where specifically indicated in

the text. None of the research described, in its entirety or in part, has been

submitted for any other qualification at any other university.

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Abstract

The assessment of skeletal muscle toxicity is important in the safety evaluation of

new chemical entities, particularly those used as lipid-lowering agents. As current

strategies for assessing myopathy are based on in vivo measurements, which

sometimes lack sensitivity and specificity, there is a need for biomarkers that better

predict myopathy and also for an approach that is more amenable to high-

throughput screening. Here, the use of cultured rat L6 myoblasts and myotubes

was explored in combination with a variety of techniques to identify potential

biomarkers, following exposure to a known experimental myotoxicant, 2,3,5,6

tetramethyl-p-phenylenediamine (TMPD), or a highly selective peroxisome

proliferator-activated receptor δ agonist, 4-[2-(3-fluoro-4-trifluoromethyl-phenyl)-4-

methyl-thiazol-5-ylmethylsulfanyl]-2-methyl-phenoxy-acetic acid (GWδ). The use of candidate biomarkers, based on the utilisation of a variety of established

and putative markers of myopathy, proved to be of little additional value in

myoblasts treated with low concentrations of TMPD. In myotubes, however,

intracellular levels of aldolase and creatine kinase appeared to be responsive

markers. Proteomic analysis of TMPD and GWδ-treated skeletal muscle cells using

surface-enhanced laser desorption/ionization-time of flight-mass spectrometry

(SELDI-TOF-MS) showed changes in the levels of 16 protein ions in myoblasts and

12 changes in myotubes, although SELDI-TOF-MS did not lend itself to the

conclusive identification of these ions. Analysis of the muscle cell proteins using

label-free quantitative proteomics was able to simultaneously quantify TMPD-

induced changes and identify the proteins involved. In this way, 8 proteins in

myoblasts and 10 proteins in myotubes were discovered to be the most responsive

proteins to treatment. Changes in the levels of Rho GDP dissociation inhibitor (GDI)

alpha in myoblasts and Myosin light chain 2 in myotubes were confirmed by

immunoblotting, and these proteins were also responsive to treatment with GWδ

and pravastatin.

In conclusion, cultured skeletal muscle cells were responsive to the effects of

potentially myotoxic agents, and proteomics was successful in identifying and

quantifying proteins that may act as biomarkers of effect.

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Contents

Acknowledgements .......................................................................................3

Declaration .....................................................................................................5

Abstract ..........................................................................................................6

Contents .........................................................................................................7

List of figures ...............................................................................................11

List of tables.................................................................................................15

Abbreviations ...............................................................................................17

1. Introduction ..............................................................................................22

1.1 Pharmaceutical safety assessment..........................................................22

1.2 Adverse drug reactions ............................................................................24

1.2.1 Target organ toxicity ......................................................................26

1.2.2 Skeletal muscle toxicity..................................................................26

1.2.3 Assessment of myopathy...............................................................30

1.2.4 Models used in toxicology..............................................................32

1.3 Tools used in biomarker discovery...........................................................33

1.3.1 Metabolic profiling..........................................................................35

1.3.2 Transcriptomics .............................................................................36

1.4 Proteomics ...............................................................................................37

1.4.1 Enzymatic digestion of proteins .....................................................40

1.4.2 Protein or peptide separation.........................................................41

1.4.3 Mass spectrometry ........................................................................43

1.4.3.1 Matrix-assisted laser desorption/ionization..............................44

1.4.3.2 Electrospray ionisation ............................................................45

1.4.3.3 Time of flight mass analysis ....................................................47

1.4.3.4 Ion trap mass analysis.............................................................50

1.4.4 Surface-enhanced laser desorption/ionization ...............................51

1.4.5 Quantitative proteomics .................................................................53

1.4.5.1 Absolute or relative quantitation ..............................................53

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1.4.5.2 Multidimensional protein identification technology...................54

1.4.5.3 GeLC-MS ................................................................................55

1.5 Summary..................................................................................................56

1.6 Hypothesis ...............................................................................................56

1.7 Project aims .............................................................................................56

2. Materials and methods ............................................................................57

2.1 Cell culture and treatment ........................................................................59

2.2 Cell morphology .......................................................................................60

2.3 Total intracellular protein..........................................................................61

2.4 MTT reduction..........................................................................................62

2.5 Biochemical analyses ..............................................................................62

2.5.1 Alanine aminotransferase ..............................................................63

2.5.2 Aspartate aminotransferase...........................................................64

2.5.3 Creatine kinase..............................................................................64

2.5.4 Lactate dehydrogenase .................................................................65

2.5.5 Aldolase .........................................................................................65

2.5.6 Meso Scale discovery markers ......................................................66

2.6 SELDI-TOF-MS analysis..........................................................................66

2.6.1 ProteinChip® preparation ...............................................................66

2.6.2 ProteinChip® mass spectrometry ...................................................68

2.6.3 SELDI-TOF-MS data pre-processing and analysis ........................69

2.6.4 SELDI-TOF-MS statistical analysis ................................................72

2.7 Label-free quantitative proteomics ...........................................................73

2.7.1 One-dimensional sodium dodecyl sulphate polyacrylamide gel-

electrophoresis .......................................................................................73

2.7.2 In-gel protein digestion ..................................................................73

2.7.3 LC-MS/MS analysis .......................................................................74

2.7.4 LS-MS/MS data analysis................................................................76

2.7.5 Immunoblotting ..............................................................................80

3. Results ......................................................................................................82

3.1 Establishment of the cell culture system ..................................................82

3.2 Effect of the test compounds on skeletal muscle cells .............................87

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3.2.1 Effect of test compounds on myoblasts .........................................87

3.2.2 Effect on test compounds myotubes..............................................91

3.3 Measurement of candidate biomarkers to discover protein biomarkers of

myopathy ...............................................................................................96

3.3.1 Effect of drug treatment on the leakage of candidate markers.......96

3.3.2 Drug-induced changes in the intracellular levels of candidate

markers...................................................................................................99

3.4 Differential protein expression profiling using SELDI-TOF-MS ..............102

3.4.1 Optimisation of SELDI-TOF-MS protein ion detection settings ....104

3.4.2 Discovery of protein profiles that discriminate between control and

treated muscle cells ..............................................................................106

3.4.3 Selection of TMPD or GWδ responsive protein ions in skeletal

muscle cells ..........................................................................................112

3.4.4 Reproducibility of SELDI-TOF-MS protein ions in muscle cells ...116

3.4.5 Validation of TMPD and GWδ responsive protein ions in skeletal

muscle cells ..........................................................................................121

3.4.6 Selection of responsive protein ion combinations in skeletal

muscle cells ..........................................................................................134

3.4.7 Identification of SELDI-TOF-MS putative biomarkers of myopathy143

3.5 Discovery of protein biomarkers of myopathy using label-free

quantitative proteomics ........................................................................152

3.5.1 1D gel-electrophoresis of rat L6 muscle cells ..............................152

3.5.2 Liquid chromatography-tandem mass spectrometry analysis of rat

muscle cell homogenates .....................................................................156

3.5.2.1 Effect of TMPD-treatment on biological processes in myoblasts

and myotubes....................................................................................176

3.5.3 Biomarker discovery in TMPD-treated skeletal muscle cells using

LC-MS/MS ............................................................................................184

3.5.3.1 Optimisation of Decyder™ MS peptide detection settings......184

3.5.3.2 Comparison of enzyme activity and protein levels.................185

3.5.3.3 Selection of putative biomarkers of TMPD-induced myopathy in

myoblasts ..........................................................................................189

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3.5.3.4 Selection of putative biomarkers of TMPD-induced myopathy in

myotubes...........................................................................................197

4. Discussion..............................................................................................206

4.1 The use of rat L6 skeletal muscle cells ..................................................207

4.2 The assessment of drug-induced cytotoxicity ........................................209

4.3 The candidate biomarker approach to biomarker discovery ..................211

4.4 SELDI-TOF-MS as a tool for biomarker discovery .................................212

4.5 The label-free approach to biomarker discovery ....................................217

4.6 Summary................................................................................................223

5. Conclusions ...........................................................................................227

References..................................................................................................229

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List of figures

Figure 1: A haematoxylin and eosin stained section of skeletal muscle........... 30

Figure 2: The differentiation of myoblasts into myotubes................................. 33

Figure 3: Strategies for MS-based protein biomarker discovery ...................... 39

Figure 4: Schematic of the basic components of a mass spectrometer ........... 43

Figure 5: Matrix-assisted laser desorption/ionization ....................................... 44

Figure 6: Electrospray ionisation...................................................................... 46

Figure 7: Time of flight mass spectrometry ...................................................... 47

Figure 8: The path of ions through a quadrupole ............................................. 48

Figure 9: Hybrid quadrupole-time of flight mass spectrometer......................... 49

Figure 10: Schematic of an ion trap ................................................................. 50

Figure 11: Schematic of SELDI-TOF-MS......................................................... 52

Figure 12: A SELDI-TOF-MS ProteinChip® array............................................. 66

Figure 13: Cluster generation using the Biomarker Wizard in Ciphergen Peaks

software .................................................................................................... 70

Figure 14: Biomarker Wizard detection settings............................................... 71

Figure 15: Noise calculation in Ciphergen Peaks software .............................. 72

Figure 16: Sectioning of one-dimensional electrophoresis gels ....................... 75

Figure 17: Schematic of quantitative Decyder™ MS differential peptide analysis

.................................................................................................................. 79

Figure 18: Set up of PVDF membrane/gel sandwich for protein transfer ......... 80

Figure 19: Establishment of the rat L6 myblast cell culture system.................. 83

Figure 20: Morphology of rat L6 myotubes treated with vehicle control alone . 85

Figure 21: Baseline biochemical levels in skeletal muscle cells....................... 86

Figure 22: Effect of a range of concentrations of TMPD on rat L6 myoblasts

following 24 hours of TMPD treatment...................................................... 88

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Figure 23: Degenerative ultrastructural changes in myoblasts caused by TMPD

treatment................................................................................................... 89

Figure 24: Effect of a range of concentrations of TMPD and GWδ on myoblasts

.................................................................................................................. 90

Figure 25: Degenerative ultrastructural changes in myotubes ......................... 92

Figure 26: Effect of a range of concentrations of TMPD on rat L6 myoblasts

following 24 hours of TMPD treatment...................................................... 93

Figure 27: Effect of a range of concentrations of TMPD and GWδ on myotubes

.................................................................................................................. 94

Figure 28: TMPD-induced changes in leakage into myoblast conditioned

medium..................................................................................................... 97

Figure 29: TMPD-induced changes in leakage into myotube conditioned

medium..................................................................................................... 98

Figure 30: TMPD-induced changes in intracellular enzymes in myoblasts .... 100

Figure 31: TMPD-induced changes in intracellular enzymes in myotubes..... 101

Figure 32: Representative SELDI-TOF-MS spectra of skeletal muscle cells from

different ProteinChip® arrays .................................................................. 103

Figure 33: Influence of Biomarker Wizard detection settings on protein ion

detection ................................................................................................. 105

Figure 34: Peaks detected in SELDI-TOF-MS spectra using selected Biomarker

Wizard detection settings........................................................................ 105

Figure 35: Principal components analysis comparing control and treated

myoblasts following SELDI-TOF-MS analysis......................................... 107

Figure 36: Principal components analysis comparing control and treated

myotubes following SELDI-TOF-MS analysis ......................................... 108

Figure 37: Partial least squares discriminant analysis (PLS-DA) comparing

control and treated myoblasts................................................................. 110

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Figure 38: Partial least squares discriminant analysis (PLS-DA) comparing

control and treated myotubes ................................................................. 111

Figure 39: Intra and inter-experiment reproducibility of SELDI-TOF-MS protein

ions in myoblasts .................................................................................... 117

Figure 40: Intra and inter-experimental reproducibility of SELDI-TOF-MS protein

ions in myotubes..................................................................................... 119

Figure 41: Responsive SELDI-TOF-MS protein ions in myoblasts................. 123

Figure 42: Responsive SELDI-TOF-MS protein ions in myotubes ................. 126

Figure 43: Levels of TMPD-responsive protein ions in myoblasts.................. 128

Figure 44: Levels of GWδ-responsive protein ions in myoblasts.................... 129

Figure 45: Representative SELDI-TOF-MS spectra showing putative biomarkers

in TMPD or GWδ-treated myoblasts ....................................................... 130

Figure 46: Levels of TMPD-responsive protein ions in myotubes .................. 131

Figure 47: Levels of GWδ-responsive protein ions in myotubes .................... 132

Figure 48: Representative SELDI-TOF-MS spectra showing putative biomarkers

of myopathy in myotubes........................................................................ 133

Figure 49: Two-dimensional scatterplots of TMPD and GWδ responsive protein

ions selected by regression analysis in myoblasts.................................. 139

Figure 50: Two-dimensional scatterplots of TMPD and GWδ responsive protein

ions selected by regression analysis in myotubes .................................. 140

Figure 51: Effect of TMPD or GWδ on rat L6 myoblasts ................................ 142

Figure 52: Effect of TMPD or GWδ on rat L6 myotubes................................. 143

Figure 53: Fractionation of 1DE gels.............................................................. 153

Figure 54: 1D gel of rat L6 myoblasts treated with vehicle control or 25µM

TMPD ..................................................................................................... 154

Figure 55: 1D gel of rat L6 myotubes treated with vehicle control or 25µM TMPD

................................................................................................................ 155

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Figure 56: Number of proteins identified in myoblasts and myotubes............ 157

Figure 57: Normal biological processes in rat L6 myoblasts .......................... 177

Figure 58: Normal biological processes in rat L6 myotubes........................... 178

Figure 59: Comparison of the normal biological process in myoblasts and

myotubes ................................................................................................ 180

Figure 60: Optimisation of detection settings in the PepDetect module of

Decyder™ MS software ........................................................................... 185

Figure 61: Relative levels of peptides used to quantify Rho GDP dissociation

factor Inhibitor (GDI) alpha...................................................................... 193

Figure 62: Example spectrum obtained following the MS/MS analysis of a

peptide from Rho GDI............................................................................. 194

Figure 63: TMPD-induced changes in the levels of Rho GDI in myoblasts.... 195

Figure 64: Rho GDI levels in myoblasts treated with GWδ or pravastatin...... 196

Figure 65: Relative levels of peptides used to quantify myosin light chain

polypeptide 2 in myotubes ...................................................................... 201

Figure 66: Example spectrum obtained following the MS/MS analysis of a

peptide from Myl2 ................................................................................... 202

Figure 67: TMPD-induced changes in the levels of myosin light chain 2 in

myotubes ................................................................................................ 203

Figure 68: Myosin light chain 2 levels in myotubes following treatment with GWδ

or Pravastatin.......................................................................................... 204

Figure 69: Summary of protein changes in myoblasts and myotubes............ 226

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List of tables

Table 1: Binding and washing buffers used for ProteinChip® preparation........ 68

Table 2: Ion trap mass spectrometer settings used for the analysis of skeletal

muscle cells .............................................................................................. 76

Table 3: Detection settings used in Decyder™ MS software ............................ 77

Table 4: Number of responsive proteins ion discovered in myoblasts ........... 113

Table 5: Number of responsive proteins ion discovered in myotubes ............ 114

Table 6: Summary of protein expression changes in myoblasts .................... 122

Table 7: Summary of protein expression changes in myotubes..................... 125

Table 8: Summary of forward stepwise regression of responsive protein ions in

control and treated myoblasts................................................................. 136

Table 9: Summary of forward stepwise regression of responsive protein ions in

control and treated myotubes ................................................................. 137

Table 10: Identification of SELDI-TOF-MS biomarkers of myopathy in myoblasts

(TMPD responders) ................................................................................ 144

Table 11: Identification of SELDI-TOF-MS putative biomarkers of myopathy in

myoblasts (GWδ responders).................................................................. 145

Table 12: Identification of SELDI-TOF-MS putative biomarkers of myopathy in

myoblasts (common responders)............................................................ 146

Table 13: Identification of SELDI-TOF-MS putative biomarkers of myopathy in

myotubes (TMPD responders)................................................................ 148

Table 14: Identification of SELDI-TOF-MS putative biomarkers of myopathy in

myotubes (GWδ responders) .................................................................. 149

Table 15: Identification of SELDI-TOF-MS putative biomarkers of myopathy in

myotubes (common responders) ............................................................ 150

Table 16: Proteins identified in rat L6 myoblasts............................................ 158

Table 17: Proteins identified in rat L6 myotubes ............................................ 166

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Table 18: Biological processes affected in TMPD-treated myoblasts ............ 182

Table 19: Biological processes affected in TMPD-treated myotubes ............. 183

Table 20: Comparison of biochemical levels with protein levels in myoblasts 187

Table 21: Comparison of biochemical levels with protein levels in myotubes 188

Table 22: Identified myoblasts cell proteins that showed differential expression

following treatment with TMPD ............................................................... 191

Table 23: Identified myotubes cell proteins that showed differential expression

following treatment with TMPD ............................................................... 198

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Chapter 1: Introduction

Abbreviations

1DE One dimensional gel electrophoresis

2DE Two dimensional gel electrophoresis

3D Three dimensional

21CFR Title 21 of the code of federal regulations

AA Amino acid

ADME Absorption distribution metabolism excretion

ADP Adenosine diphosphate

ADR Adverse drug reaction

ALD Aldolase

ALT Alanine aminotransferase

AMU Atomic mass unit

AST Aspartate aminotransferase

ATP Adenosine triphosphate

BCA Bicinchoninic acid

BH Benjamini-Hochberg

BMW Biomarker Wizard

Ca2+ Calcium ion

CAD Cationic amphiphilic drug

CHAPS 3-[(3-Cholamidopropyl)dimethylammonio]-1-propane sulfonate

CHCA Alpha-cyano-4-hydroxycinnamic acid

CK Creatine kinase

CM10 Weak cation exchange (ProteinChip® array)

CO2 Carbon dioxide

CoA Coenzyme A

CRM Charged residue model

CV Coefficient of variation

Da Dalton

DAP Dihydroxyacetone phosphate

DMD Duchenne muscular dystrophy

DMEM Dulbecco's minimum essential medium

DMSO Dimethyl sulfoxide

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DNA Deoxyribonucleic acid

D-PBS Dulbecco's phosphate buffered saline

DTT Dithiothreitol

EAM Energy-absorbing molecule

EDTA Ethylenediaminetetraacetic acid

ELISA Enzyme-linked immunosorbent assay

EM Electron microscopy

ESI Electrospray ionisation

ExPASy Expert protein analysis system

FABP3 Fatty acid binding protein 3

FBS Foetal bovine serum

FDA Food and drug administration

FDR False discovery rate

FTP File transfer protocol

GAP Glyceraldehyde-3-phosphate

GCP Good clinical practice

GDH glycerolphosphate dehydrogenase

GDP Guanosine diphosphate

GOT Glutamic oxaloacetic transaminase

GTP Guanosine triphosphate

GWδ 4-[2-(3-Fluoro-4-trifluoromethyl-phenyl)-4-methyl-thiazol-5-

ylmethylsulfanyl]-2-methyl-phenoxy}-acetic

H2O Water

H50 Hydrophobic (ProteinChip® array)

HMG 3-Hydroxy-3-methylglutarate

HPLC High performance liquid chromatography

HRP Horseradish peroxidase

ICAT Isotope-coded affinity tags

IEM Ion evaporation model

IgG Immunoglobulin G

IMAC 30 Immobilised metal affinity capture (ProteinChip® array)

IND Investigative new drug

IPG Immobilized pH gradient

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IRB Institutional review board

ITRAQ Isobaric tag for relative and absolute quantitation

LC Liquid chromatography

LDH Lactate dehydrogenase

LFQP Label-free quantitative proteomics

LM Light microscopy

LTQ Linear trap quadrupole

m/z mass:charge

MALDI Matrix-assisted laser desorption/ionization

MDH Malate dehydrogenase

MEF Myocyte enhancing factor

MES 2-(N-morpholino) ethanesulphonic acid

Mg2+ Magnesium ion

Min Minute

MRF Myogenic regulatory factor

MRM Multiple reaction monitoring

mRNA Messenger ribonucleic acid

MS Mass spectrometry

MS/MS Tandem mass spectrometry

MTT 3-(4,5-Dimethylthiazol-2-yl)-2,5-diphenyltetrazolium bromide

Mw Molecular weight

Myl2 Myosin light chain 2

Myl3 Myosin light chain 3

NAD+ Nicotinamide adenine dinucleotide

NADP+ Nicotinamide adenine dinucleotide phosphate

NCBI National center for biotechnology information

NCE Novel chemical entity

NMR Nuclear magnetic resonance

NP20 Normal phase (ProteinChip® array)

NSAID Non-steroidal anti-inflammatory drug

PAGE Polyacrylamide gel electrophoresis

PBS Phosphate buffered saline

PBS IIc Protein biology system IIc

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PCA Principal component analysis

PLS-DA Partial least squares discriminant analysis

Pos Position

PPAR Peroxisome proliferator-activated receptor

PVDF Polyvinylidene fluoride

Q-PCR Quantitative polymerase chain reaction

QQQ Triple quadrupole

R&D Research and development

RefSeq Reference sequence

RER Rough Endoplasmic Reticulum

Rev pos Reverse position

Rho GDI Rho GDP dissociation inhibitor (GDI) alpha

S/N Signal:Noise

SDS Sodium dodecyl sulphate

SELDI Surface-enhanced laser desorption/ionization

SEM Standard error of the mean

SILAC Stable isotope labelling with amino acids in cell culture

SIM Selected ion monitoring

SKDM Skeletal muscle differentiation medium

SKGM Skeletal muscle growth medium

SRF Search results file

sTnI Skeletal troponin I

TFA Trifluoroacetic acid

TIC Total ion current

TIM Triosphosphate isomerase

TMPD 2,3,5,6 Tetramethyl-p-phenylenediamine

TOF Time of flight

VC Vehicle control

VIP Variable importance of projection

Xcorr Cross-correlation

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Amino acid abbreviations

Amino acid Single letter code

Alanine AArginine RAspargine NAspartic acid DCysteine CGlutamic acid EGlutamine QGlycine GHistidine HIsoleucine ILeucine LLysine KMethionine MPhenylalanine FProline PSerine SThreonine TTryptophan WTyrosine YValine V

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Chapter 1

1. Introduction

1.1 Pharmaceutical safety assessment

The process of taking a compound from synthesis in the laboratory to the

treatment of patients in the clinic, otherwise known as drug development, is a

lengthy, complex and often ethically-questioned process, which takes place at

huge costs to research and development (R&D) companies1-6. Despite the fact

that advances in high-throughput technologies (e.g. combinatorial chemistry)

have facilitated the identification of a large number of chemical targets in the

early stages of drug development, the number of new compounds making it

through to successful product launch has reduced significantly over the past few

years, whilst the costs of research have increased7-13. These costs are

exacerbated by the fact that only a small percentage of drugs initially evaluated

make it through the approval process, due to unexpected findings in the later

stages of drug development.

Late stage drug attrition is combined with the fact that only a small proportion of

drugs that complete the regulatory process make sufficient profits to recover the

huge investments made by research companies. This could lead to sponsors

investing in drugs that are not necessarily in the therapeutic areas of greatest

need but that have the highest likelihood of being profitable14-16. As such, the

rigorous safety assessment of new drugs is paramount, as adverse drug

reactions (ADRs) are most frequently to blame for the failure of new compounds

to be registered for clinical use. In addition to the duty of drug manufacturers to

the protection of potential patients, research companies must also protect

themselves (and the industry) against negative public perception and possible

litigation arising from unexpected ADRs when new compounds are licensed for

general use17-21.

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Drug development is highly regulated by authorities such as the Food and Drug

Administration (FDA) and guided by title 21 of the code of federal regulations

(also known as 21CFR), which ensures that qualified investigators produce

appropriate regulatory data and documents in a manner compliant with good

clinical practice (GCP). In combination, scientific investigators, the FDA and

institutional review boards (IRBs) certify the credibility of research work

contributing to the registration of a novel chemical entity (NCE). Together, they

provide the public with a measure of confidence in the science behind drugs

available for clinical therapeutics22-24. Before an NCE is approved by the FDA,

pharmacology and toxicology data is generated through a series of preclinical

and clinical experiments in order to identify the most appropriate chemical

targets, and also to test the effects of potential therapeutic drugs. Information on

the efficacy of a molecule must be considered whilst, at the same time, ensuring

that there is a sufficient therapeutic index (the ratio between the toxic dose and

the therapeutic dose) so that the drug is most likely to be safe in humans during

clinical trials and also post-marketing.

The safety assessment of new compounds is typically conducted using a

combination of disciplines looking at the chemistry of the molecule during

candidate selection and the pharmacological interactions between the molecule

and its intended or unintended targets. Complications that may arise from the

bioavailability and biodistribution of the drug are investigated in absorption,

distribution, metabolism and excretion (ADME) studies. Toxicological drug

effects are usually explored preclinically through carcinogenicity, teratogenicity

and toxicity studies and the aim of these investigations is to select molecules

with the lowest probability of being associated with adverse events. Following

the submission of data from preclinical studies, a successful investigational new

drug (IND) application to the FDA allows drugs to enter the clinical phases of

investigation.

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In Phase I clinical trials, the emphasis is on testing the safety of novel chemicals

in humans before Phase II trials explore the efficacy of compounds for a specific

condition. Once these aspects of the drug have been examined, a larger

population of patients is included in Phase III studies so that the effects of the

drug on a wider, more varied set of patients can be investigated and more

information can be gained which may contribute to advertising or product

labelling. In these studies, the assessment of any other risk factors such as age,

gender or environment may also be undertaken. In some cases, a further Phase

(IV) may be included voluntarily following FDA approval, or at the request of the

FDA, in which post-marketing trials are conducted in order to provide additional

data on the drug on an even larger cohort of patients. This process ensures that

reasonable steps are taken by drug developers to ensure the safety of

patients25-32.

1.2 Adverse drug reactions

ADRs are those that may require intervention or an interruption in treatment in

order to ensure the safety of the test species under investigation, and are the

most common reason for drug attrition during the drug development process.

Despite most clinical trials being completed without major findings, due to the

comprehensive portfolio of preclinical work performed before drugs are tested in

man, the focus understandably tends to be on the low incidence of ADRs

occurring in clinical studies or when drugs are released into the general

population. This is demonstrated in the high profile case of Rofecoxib (a non-

steroidal anti-inflammatory drug (NSAID), approved in 1999 as Vioxx® for the

treatment of pain), which was withdrawn from the market in 2004 after being

associated with an increased risk of myocardial infarction33-36. A similar story is

true of the lipid-lowering compound cerivastatin (an HMG CoA reductase

inhibitor (statin)), which was withdrawn from the market in 2001 following a

number of fatal events associated with skeletal muscle toxicity in patients

exposed to the drug. Although the effects were proven not to be specific to this

class of drugs, there were considerable consequences on the reputation and

profits of the manufacturer. There were also knock-on effects on patient

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compliance with this class of compound, due to the fear of possible harmful

effects associated with long-term medication37,38.

Despite the rare situations where preclinical safety testing of a novel compound

has failed to predict adverse effects observed post-marketing, there are many

successes. In fact, statins and NSAIDs are generally considered to have a good

safety profile, as indicated by the number of drugs in these classes that are

currently prescribed clinically for the treatment of obesity or inflammation,

respectively. Current strategies for dealing with possible adverse effects include

the close monitoring of the status of skeletal muscle (for patients on lipid-

lowering drugs) or for gastrointestinal effects sometimes associated with

NSAIDs. Additionally, improvements in product labelling are sometimes

requested in order to guard against complications that may arise from the drug

being administered to more susceptible sections of the population. Improved

methods of monitoring adverse events, combined with an improved

understanding of the mechanisms behind them, would allow investigators to

monitor the effects of new molecules better during drug development39-44.

ADRs are manifested in a number of ways and the manner in which preclinical

safety assessment departments are organised within pharmaceutical

companies reflects this. Reproductive toxicology studies, for example, examine

whether drug treatment to a pregnant mother could result in birth defects,

malformations or even the death of an embryo. The need for such routine

testing was established following the tragedy of Thalidomide which was

marketed in 1957 as an anti-emetic but withdrawn from the market 4 years later

after it was associated with severe birth defects in newborns45. Another

important part of safety assessment is the screening for damage to

deoxyribonucleic acid (DNA) which can result in a genetic mutation or, in some

cases, uncontrolled cell replication and subsequent carcinogenesis. The

potential of compounds to cause mutations in DNA is usually screened using

tests such as the Ames test or the comet assay46-49.

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1.2.1 Target organ toxicity

ADRs are often considered in terms of their target or off-target effects. So called

“recurrent toxicity” issues are those that are characteristic of certain classes or

types of compounds and that may occur in studies involving these compounds.

Although the effects seen with some of these compounds may not be totally

unexpected, in most cases, the exact mechanism by which toxicity is caused

may be unknown or may be complicated. This leaves chemists to either attempt

to design out unwanted features of a molecule, whilst retaining its efficacy, or to

consider using lower doses of the compound for an alternative indication.

The direct effect on a specific susceptible organ may also be due to several

other factors, including the position of the organ. This is true of the gastro-

intestinal tract with which a drug may have an increased amount of contact,

when taken orally50,51. Other drugs may have a chemical structure that is

associated with a particular toxicity and this is demonstrated in the case of

cationic amphiphilic drugs (CADs) with which an abnormal accumulation of

phospholipids can occur within cells of the target organ. Due to the high levels

of phospholipids contained within surfactant in the lungs, this is often a target

organ (in the form of lung-congestion), as seen with amiodarone (an anti-

arrhythmic CAD-like drug for the treatment of irregular heart beat)52-54. The liver

is often a site for toxic effects due to its detoxification role, and hepatotoxicity is

most commonly the complication associated with drug attrition55-57.

1.2.2 Skeletal muscle toxicity

Skeletal muscle disorders can occur due to a wide range of factors including the

misuse of muscles, congenital disease, inflammatory, metabolic or endocrine

disorders. Symptoms vary with the degree of myopathy ranging from mild

muscle pain (myalgia), cramp or weakness to much more serious effects, such

as rhabdomyolysis. This serious, and sometimes fatal condition, is

characterised by the breakdown of skeletal muscle tissue and the release of

proteins found in high concentration in skeletal muscle (such as myoglobin) into

the circulation. These proteins migrate to the kidney where they can result in

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renal failure due to the harmful effects of these molecules to structures in the

kidney. Once detected, there are numerous procedures for the treatment of

skeletal muscle related disorders, such as resting the affected muscle groups,

more contemporary treatments such as intramuscular stimulation or even

surgery58-62.

As well as the causes of myopathy already described, myopathy can also be

drug-induced and usually results in an interruption of the nervous stimuli or a

direct effect on the muscle fibre such as trauma or ischemia, which results in

necrosis or apoptosis and subsequent cell death. Drug-induced myopathies are

perhaps one of the more preventable types of skeletal muscle injury and are a

concern to pharmaceutical companies, researchers and medical professionals

endeavouring to understand the underlying causes of these effects, which are

most frequently associated with drugs in the lipid-lowering class of compounds.

When used carefully, lipid-lowering drugs can significantly reduce the risk of

myocardial infarction due to reduced levels of circulating lipids, altered

thrombogenesis and beneficial effects on inflammatory responses. The effects

of these compounds are mainly considered to be beneficial but there are some

concerns regarding incidences of skeletal muscle toxicity seen in clinical studies

involving some compounds in this class. Although the clinical incidence of

myopathy is relatively low, the increasing number of patients being treated

chronically for hypercholesterolemia with drugs such as the aforementioned

statins and peroxisome proliferator-activated receptor (PPAR) agonists mean

that the associated myopathy is a cause for concern. Even more worrying is the

fact that combination therapy is common with such compounds and often leads

to an increased risk of myopathy and a dose-related increase in the incidence of

the more serious effects on skeletal muscle already described63-65.

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PPAR agonists are a large class of nuclear receptor proteins that act as

transcription factors to modulate the expression of genes involved in lipid

metabolism via the activation of specific receptors. These receptors (α, δ and γ)

have different roles in the regulation of pathways of mammalian metabolism

which include fatty acid oxidation and lipogenesis. The diverse physiological

functions of these receptors are based partly on their different tissue

distribution. PPAR-α is highly expressed in liver, heart, intestine and proximal

tubule cells of the kidney, PPAR-δ is expressed ubiquitously (but most

abundantly in skeletal muscle) and PPAR-γ is expressed predominantly in

adipose tissue and in the immune system. PPAR-α promotes fatty acid

oxidation under conditions of lipid catabolism such as fasting, while PPAR-γ

promotes lipogenesis in adipose tissue. Less is known about the function of

PPAR-δ, although this receptor is believed to alter the circulating lipid profile,

lipid handling in the macrophages and skeletal muscle metabolism66-69.

Peroxisome proliferators have been shown to cause an increase in the number

and size of peroxisomes in the liver, kidney and heart in rodents and are

believed to induce hepatocarcinogenesis in these species following long-term

exposure, although there is less evidence for this clinically. As muscle is a

major site for PPAR expression (especially PPAR-δ), another concern with this

class of compounds is skeletal muscle toxicity seen with these compounds and

a concerted effort is being made to understand the nature of the skeletal muscle

changes associated with PPAR agonists. The fact that a significant amount of

research is directed towards the use of these compounds as high-affinity

specific PPAR receptor agonists for the treatment of hyperglycaemia,

hyperlipidaemia and other metabolic diseases suggests that it is important to

understand whether the muscle fibre degeneration associated with these

compounds is due to altered lipid utilisation, muscle type switching or direct

toxicity70-78.

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Statins inhibit the action of 3-hydroxy-3-methylglutamyl-coenzyme-A (HMG

CoA) reductase during a rate-limiting step in cholesterol biosynthesis. As a

result, circulating cholesterol levels are decreased leading to an improved

circulating lipid profile in patients. The resulting improvement in the prognosis of

patients with regards to reduced risk of coronary heart disease and stroke is,

however, overshadowed by the risk of muscle disorders and much work tends

to be focused on monitoring the adverse effects of treatment rather than the

beneficial effects79-85.

Phenylenediamines, such as 2,3,5,6 tetramethyl-p-phenylenediamine (TMPD;

also known as Würster’s blue), are a class of compounds that specifically

induce skeletal muscle toxicity through the generation of unusually unstable

radical cations (Wϋrster salts), superoxide and hydroxyl radicals, and hydrogen

peroxide. Free radicals, such as those described, are normally prevented from

doing damage by an endogenous antioxidant system (which includes

glutathione, glutathione reductase and superoxide dismutase). Cytotoxicity

usually occurs as a result of glutathione depletion and the formation of mixed

disulphides, eventually causing damage to cells through oxidative stress due to

the rate of consumption of these protective molecules exceeding their

synthesis. TMPD has been used in toxicology experiments in vivo and in vitro

as an experimental myotoxin due to the predictable and specific nature of the

toxicity induced in skeletal muscle86-90.

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1.2.3 Assessment of myopathy

Besides the direct visualisation of cells or tissue by light or electron microscopy,

there are few reliable methods of assessing skeletal muscle toxicity in vivo

(Figure 1). Many routinely used markers for the assessment of skeletal muscle

toxicity are not ideally suited for use in a clinical setting because they are

usually non-specific to the site of injury, insensitive to small changes in the

status of skeletal muscle or their measurement requires a relatively invasive

sample collection procedure. The fact that such measurements have limited

value in the assessment of the early stages of myopathy presents a problem for

researchers evaluating the safety of NCEs. The safety of patients involved in

clinical trials is of paramount importance and, as such, more useful biomarkers

are required that may provide additional information on the mechanisms by

which myotoxicity is caused.

Figure 1: A haematoxylin and eosin stained section of skeletal muscle The effects of drug-treatment are commonly assessed in toxicology experiments by

histopathological examination of tissue sections. A transverse section of skeletal

muscle tissue taken from the upper hind limb of a female rat treated with 40μmol/kg

TMPD for 7 days is shown. Treatment with the experimental myotoxin caused single

cell necrosis in affected animals (necrotic fibres indicated by the arrows). Magnification

x40.

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Effects on skeletal muscle are routinely evaluated in toxicology studies by

measuring the circulating levels of enzymes known to be in high concentration

in skeletal muscle tissue, such as aspartate aminotransferase (AST), creatine

kinase (CK), lactate dehydrogenase (LDH) and aldolase (ALD). AST is a mainly

mitochondrial enzyme, although it is also found in the cytosol of cells. Its wide

distribution in various organs (especially the heart) means that the origins of an

increase in AST usually have to be confirmed using other biochemical markers.

LDH is an enzyme found in a variety of tissues, including liver, heart and

skeletal muscle. The enzyme is tetrameric and is composed of four subunits of

two molecules. Various combinations of these molecules result in 5 different

isoenzymes (LDH1-LDH5), and LDH5 is the isoenzyme found in the highest

concentrations in skeletal muscle. ALD is a cytosolic enzyme that is found at

particularly high levels in skeletal muscle tissue and released into the circulation

following injury to skeletal muscle. However, like the other markers discussed, it

is not specific to skeletal muscle, and is also present in other tissues, such as

kidney, liver and intestine91-93.

CK is the most commonly used, and perhaps most useful, routinely used

marker of muscle injury and is a dimeric enzyme made up of two subunits (M

and B). The three isoforms; CK-MB, CK-BB and CK-MM are in highest

concentration in cardiac muscle, brain and skeletal muscle, respectively92,93.

The measurement of CK in toxicology studies can be problematic because it

has a short half-life in the circulation and is believed to degrade rapidly in the

medium when enzyme leakage from cells is measured during in vitro

experiments. In addition, this marker lacks specificity for skeletal muscle unless

the specific isoenzymes previously mentioned are measured88. More recently,

reportedly more specific markers of skeletal muscle toxicity such as

parvalbumin, skeletal troponin I (sTnI), myosin light chain 3 (Myl3) and fatty acid

binding protein 3 (FABP3) have been proposed, but many of these are yet to be

validated and established as useful biomarkers of myopathy. Issues such as the

sensitivity and specificity of these markers to low levels of injury to skeletal

muscle have yet to be fully assessed91,94-100.

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1.2.4 Models used in toxicology

Preclinical animal studies are a legal requirement in order to demonstrate the

safety and efficacy of new compounds prior to testing in man. However, there is

a desire to replace current methods with more humane methods (where

possible), to refine the methods used in order to minimise the suffering of study

animals and also to reduce the number of animals used in studies (also known

as the 3Rs). The aim is to find alternatives to using animals where possible and,

whilst it is generally accepted that they cannot completely negate the

requirement for animal testing in drug development, ex vivo or in vitro models

are often utilised in an attempt to model certain aspects of toxicology seen in

vivo101-106. The rat L6 skeletal muscle cell line (originally isolated from primary

cultures of Rattus norvegicus thigh muscle) is often used in vitro to model the

effects of compounds on skeletal muscle tissue107-112.

Myoblasts are immature, undifferentiated cells that retain the ability in vitro to

divide and differentiate into more specialised skeletal muscle cells.

Differentiation into skeletal muscle cells (myogenesis) is regulated by a family of

myogenic regulatory factors (MRFs) that activate the expression of specific

skeletal muscle genes. Transcription factors such as MyoD and Myf5 are

expressed early in development before myogenin stimulates the fusion of

myoblasts into myotubes. MRF4 is highly expressed in myofibres when cells

withdraw from the cell cycle. The conversion of myoblasts to myotubes

correlates with the in vivo situation when repair follows damage to skeletal

muscle tissue. Satellite cells normally remain quiescent amid other cells, but

play a role in repair by proliferating and fusing together during the differentiation

process to form multinucleated myotubes, thus replacing or repairing tissue lost

through disease or injury (Figure 2) 113-117.

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Rat L6 myoblasts myotubes Myofibre

Figure 2: The differentiation of myoblasts into myotubes Rat L6 myoblasts retain the ability to proliferate in vitro and can be differentiated into

myotubes when cell culture conditions are modified. Differentiation of mononuclear

myoblasts into myotubes is confirmed by the elongation of the cells due to the fusion of

two or more myoblasts into one multinucleated cell. This in vitro system correlates with

in vivo muscle, in that satellite cells are normally present in a quiescent state, but are

activated when damage is done to skeletal muscle tissue. The subsequent proliferation

of myoblasts and their fusion into myotubes facilitates the repair of damaged skeletal

muscle tissue.

1.3 Tools used in biomarker discovery

Current guidelines for safety testing involve the use of well-established

disciplines such as histopathology and clinical chemistry which, although

generally considered fit for purpose, sometimes lack the predictivity and

sensitivity required for the safety assessment of NCEs118-121. Biological samples

such as urine, blood or more complex tissues can be analysed using relatively

novel techniques compared to those applied routinely in safety assessment

screening. The data obtained can then be interpreted using a variety of

statistical methods in order to correlate the condition of a particular patient with

specific changes or with a pattern of changes.

The need to find better ways to monitor or assess drug effects, and therefore

streamline drug development and reduce the rate of attrition of much needed

drug therapies, has been recognised by the FDA in their Critical Path Initiative.

This initiative recognises the slowdown in the registration of new drugs, and the

case has been made for R&D companies to invest in and utilise new

technologies and biomarkers when testing the safety and efficacy of new

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compounds. At the forefront of the technologies employed in biomarker

discovery are genomics, metabolic profiling and proteomics; broadly classified

as toxicogenomics122-124.

Biomarker discovery can be broadly classified into two main areas, “closed” or

“open” profiling. Measurements can be performed in a directed or closed

manner in which known molecules are specifically measured in order to

correlate the levels of a particular parameter or set of endpoints with a clinical

observation or range of observations. This approach is often applied when there

is some prior knowledge of the effects or targets of the compound. In addition,

there are usually some measures already available with which decisions on the

prognosis of a patient or the direction of drug development can be correlated

with.

An open-screening approach involves the comparison of a population of

unaffected or control subjects or cells with an identical population that have

been treated with relevant doses or concentrations of a test compound.

Molecules or patterns of molecules that may be indicative of an effect resulting

from the administration of the compound can then be discovered. Differences

observed in the levels of putative biomarkers between the different populations

that correlate well with treatment are likely to be related to treatment. Following

validation, these biomarkers may prove useful in preclinical studies and may

also translate to the clinic125-127.

Efforts are currently being made to improve the tools or markers used in safety

assessment so that they are not simply descriptive of the effects of drugs, but

are able to reliably, and reproducibly, predict these effects. Biomarkers should

be specific to the target, sensitive to low levels of injury and should also reflect

reversibility when a drug has been removed and where recovery is evident.

Biomarkers should also be easily measured and, preferably, quantifiable in

samples that do not require invasive sampling of the patient. A rapid change in

its circulatory levels after an adverse effect and a long half-life in the circulation

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are also advantageous so that the window of opportunity in which it can be

measured is sufficiently long to prevent important changes being missed. The

bridging of preclinical biomarkers to clinical studies is also a desirable feature

so that the effects of new compounds in the clinic can be reliably predicted in

preclinical studies128,129.

Biomarkers can also be classified into several types. For example, biomarkers

of toxicity can be used to indicate an existing or potential effect of a drug, whilst

disease biomarkers are reflective of the presence or absence of disease.

Mechanistic biomarkers provide information on the way in which the effect of an

external stimulus may have arisen. A biomarker can be any one of these types

or a combination of more than one type but, ultimately, surrogate endpoints are

desirable that, as previously stated, can act as a substitute for a clinical

endpoint130,131.

1.3.1 Metabolic profiling

Metabolic profiling studies examine changes in the expression of small

molecules (typically <1000Da) in response to stimuli such as drugs, disease or

the environment. It is one of a number of technical or disciplinary approaches to

the discovery of biomarkers and, in its application, nuclear magnetic resonance

(NMR) spectroscopy is often supplemented by liquid chromatography-mass

spectrometry (LC-MS). NMR or LC-MS spectra are usually considered in

combination with genomic and proteomic data in order to fully understand the

changes observed and discover metabolite profiles that may be characteristic of

perturbations to normal biochemical pathways. In toxicology studies, data

generated following the analysis of samples from control and treated subjects is

compared in order to discover differentially expressed metabolites that may be

indicative of a drug effect132-138.

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Duchenne muscular dystrophy (DMD) is caused by a mutation in the gene that

codes for dystrophin, which results in an inability to express the dystrophin

protein. This condition is characterised by muscle degeneration and

subsequently a reduced life expectancy. Diagnosis of this congenital condition

can be performed in prenatal tests or by examining DNA but it is usually

conducted by taking a muscle biopsy and performing specific

immunohistochemical staining for dystrophin. Specific profiles for DMD have

been revealed in dystrophic cardiac muscle, skeletal muscle, cerebral cortex

and cerebellum by Griffin et al139 using NMR profiling. Previous to this study,

taurine had also been proposed as a biomarker of DMD by McIntosh et al140

and these studies demonstrate the utility of metabolic profiling as a tool for

biomarker discovery.

Metabolic profiling is often conducted using urine samples due to the value of

this sample as a repository for metabolites, and the non-invasive collection of

urine samples for metabolic profiling studies is a feature of this discipline. A

large amount of useful data is usually obtained from these studies and it

provides an extensive picture of the effects of drugs on an organism. However,

the equipment used for these investigations is extremely expensive and

requires extensive laboratory resources. As with most biomarker discovery

tools, skilled scientists are required to operate the equipment and also to

analyse the complex data produced141,142.

1.3.2 Transcriptomics

Genes are often differentially expressed in response to different stimuli and

transcriptomic profiling is the study of changes in relative messenger

ribonucleic acid (mRNA) levels in response to these stimuli. Such changes can

be linked to a possible outcome of drug treatment. The work of Hirata et al143

demonstrates the value of this approach to biomarker discovery and, in this

particular study, osteopontin was proposed as a biomarker of muscle

regeneration in mice following cardiotoxin treatment.

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Transcriptomic profiling is a sensitive technique that is capable of detecting

early changes that may have been missed using other techniques. This

discipline is perhaps more suited to the discovery of mechanistic biomarkers as

changes seen tend to reflect the response of the organism to the stimulus

rather than the ultimate effect. This can be a problem though as specific

changes in mRNA expression may not be translated into the functional protein

product partly due to the possibility of alternative splicing of genes or post-

translational modifications to proteins. In addition, the technique is often

conducted using expensive DNA microarrays (e.g. Affymetrix® GeneChip

microarrays or Illumina BeadChip™ arrays) or quantitative polymerase chain

reaction (Q-PCR) reagents, and this can be restrictive when conducting large

studies144-148.

1.4 Proteomics

Proteomics is a powerful analytical tool that can be used to measure and

characterise proteins in a wide variety of biological samples. It can be used to

elucidate mechanisms of toxicity and to discover novel and, hopefully, predictive

markers of disease, toxicity or efficacy149,150. Biomarkers discovered using

proteomics are more likely to be useful in their application due to the fact that

the functional protein product is measured directly and not usually subject to

any structural modifications that may occur when, for instance, genes are

translated145,151-153. Alternative splicing of genes, post-translational modifications

or protein degradation can occur during the complex processing of genes to

active proteins. Therefore measuring the functional protein reduces the

possibility of these events affecting the predictive value of markers154-158.

Proteomics has been successfully used for biomarker discovery in several

disease and toxicity studies investigating different forms of cancer159-167,

hepatotoxicity168-173, pulmonary hypertension174-176, myocardial infarction177,

nephrotoxicity178-181 and skeletal muscle toxicity95,182-184.

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Protein profiling experiments usually consist of two main steps; protein

separation followed by identification. The separation is necessary to allow the

visualisation of proteins within a complex mixture as individual constituents. The

identification can be performed by simply obtaining a mass:charge (m/z) ratio or

can be more complicated, involving discovering the identity of interesting

proteins using MS and database searching. These steps are sometimes

followed by confirming the response of proteins using an antibody-based method

which may be able to measure proteins more specifically185-187.

Top-down proteomics investigations typically examine intact proteins without

the need to generate peptides enzymatically (or chemically) prior to MS

analysis. The term middle-up has also been used to describe the analysis of

long peptides. Gel-based techniques (e.g. one-dimensional or two-dimensional

electrophoresis) or MS-based techniques such as matrix-assisted laser

desorption/ionization-time of flight-mass spectrometry (MALDI-TOF-MS) can be

used for differential protein expression investigations in these studies.

Sometimes, proteins are then separated or isolated and peptides generated

using enzymes in order to facilitate the identification of proteins. The top-down

approach benefits from there being a greater likelihood of examining a large

proportion of the sequence of molecules. Also, post-translational modifications

are more easily detected in this way (Figure 3)188-190.

Using a bottom-up proteomic approach, a complex mixture of proteins in a

biological sample is subjected to enzymatic digestion in order to generate

peptides. The resulting peptides can then be separated using techniques such

as LC prior to MS analysis. By comparing the intensity of the peptides in

samples from control and treated subjects or by examining the ratio of tags or

labels incorporated into the peptides, protein biomarkers can then be

discovered. Proteins can also be identified using tandem MS (MS/MS) analysis

of the peptides, combined with database searching. The main advantage of this

method is that peptides are easier to detect than proteins, being smaller in size

and therefore within the upper mass limit of most high resolution mass

spectrometers (Figure 3)191,192.

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Top-

dow

nB

otto

m-u

p

Complex mixture of proteins

(e.g. plasma, whole cell

homogenate)

Separate ‘all’proteins

Digest with trypsin

Peptide MS analysis

Identify ‘all’peptides and

proteins

Profile protein composition

Isolate protein

Separate ‘all’peptides

Digest with trypsin

Peptide MS analysis

2D-gel

Protein band intensity

MALDI-TOF-MS

Ratio of tags

Database matching

Biomarkers

Tandem MS

Peptide ion intensity/ ratio of

tags

Single or multidimensional liquid chromatography

SELDI-TOF-MS

Protein ion intensity

Key:TechniqueQuantification

Figure 3: Strategies for MS-based protein biomarker discovery The top-down approach to proteomic investigations is typically used to study the

differential expression of intact proteins using techniques such as electrophoresis or

MALDI-TOF-MS. The identification of the molecules can subsequently be performed

(following the generation of peptides by enzymatic digestion) using MS in combination

with database searching. Sometimes specific tags are used to relatively quantify

peptides or proteins. More novel proteomic techniques, such as surface-enhanced

laser desorption/ionization-TOF-MS (SELDI-TOF-MS), allow the separation and

characterisation of proteins prior to MS analysis. The bottom-up approach involves the

analysis of proteolytic peptide mixtures, which can be separated and characterised

using MS for the discovery of protein biomarkers during differential peptide or protein

analysis.

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1.4.1 Enzymatic digestion of proteins

Protein identification has traditionally been performed using techniques such as

N-terminal sequencing (Edman sequencing), immunoblotting or even by

comparing the electrophoretic migration of unknown and known proteins

(standards)193,194. As previously discussed, the proteolytic cleavage of proteins

at specific amino acid residues combined with MS is another option. Protein

databases containing information on the theoretical masses of peptides

generated from proteins can then be interrogated using the peptide masses

determined experimentally in order to identify the proteins of interest. Only a few

peptides are required for the identification of proteins, but it is easier to identify

larger proteins as they are likely to generate more peptides following digestion,

therefore increasing the likelihood of detecting peptides195-197.

Enzymes, by their nature, are very specific in their interactions, and

endoproteases such as trypsin and chymotrypsin break specific peptides bonds

within proteins prior to MS analysis. For example, trypsin hydrolyses the C-

terminal of peptides to arginine or lysine residues (unless they are followed by

proline) whilst the specificity of chymotrypsin is broader and occurs at the C-

terminal to phenylalanine, tryptophan or tyrosine residues (again, unless

followed by proline).

In order to digest proteins (after a gel destaining step, if an in-gel digestion is

performed), they are usually denatured using reagents such as urea or sodium

dodecyl sulphate (SDS), sometimes with a reducing agent such as dithiothreitol.

This procedure causes the proteins to unwind and disrupt the disulphide

linkages therefore allowing the protease to access the unfolded protein. After

denaturing, the sample is incubated with an enzyme such as trypsin for a few

hours or overnight at 37°C so that proteolytic cleavage of the proteins can occur

(the time of incubation depending on the resistance of the proteins to cleavage).

As cysteine can be readily reduced or oxidised, the alkylation of the resulting

thiol groups using iodoacetamide is usually performed in order to transform the

cysteine groups to a more stable form (S-carboxyamidomethylcysteine). When

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proteins are separated by electrophoresis prior to trypsin digestion, the

reduction and alkylation steps previously described can be performed prior to

the proteins being denatured in the SDS contained within the gels194,198-201.

Trypsin tends to be the enzyme of choice due to its predictable and specific

action, the simplicity of the digestion procedure and the fact that its use usually

results in peptides that are of a suitable size to be analysed by MS. It is also

readily available, cheap, available as a pure preparation (without contamination

by chymotrypsin) and also available in a form that is less prone to the autolytic

action of the enzyme on itself202-205.

1.4.2 Protein or peptide separation

Protein or peptide separation is a critical stage in protein expression studies.

Techniques such as two-dimensional polyacrylamide gel electrophoresis (2DE)

are frequently used to separate proteins206,207. This method is theoretically

capable of separating thousands of different proteins from individual samples.

In its application, a complex protein mixture is loaded onto an immobilised pH

gradient (IPG) strip before a voltage is applied. The proteins migrate through

the gel until they reach their isoelectric point (the point at which their charge is

the same as the surrounding pH) due to the pH gradient from the top to the

bottom of the IPG strip.

The strip is then applied to a polyacrylamide gel that provides a supporting

medium through which the proteins can migrate. The strong negative charge

inherent with SDS within the gel effectively makes all the proteins the same

charge and facilitates the migration of the proteins towards the anode when a

voltage is applied across the gel. Protein separation occurs according to size as

smaller proteins move faster through the gel than larger ones. Following

separation, proteins can then be visualised by staining using Coomasie Blue,

silver or SYPRO® ruby staining (depending on the sensitivity of detection

required).

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Although it can be time-consuming and resource demanding, if it is not

automated, 2DE is a reliable and data-rich method. A gel-based approach to the

separation of proteins is useful in biomarker discovery, as it is not biased

towards a particular class of molecules on the basis on their physiochemical

properties. However, this method of separation can sometimes fail to reveal,

very low molecular weight (Mw) proteins, low abundance proteins or proteins

that do not stain well. Hydrophobic or very basic proteins are also sometimes

difficult to visualise in these gels208-210. Sometimes, one-dimensional gel

electrophoresis (1DE) is used as an alternative separation step and is simpler

and quicker to conduct although the separation of proteins is not as extensive

as 2DE. It can, however, sometimes reveal proteins that are not shown by

2DE211.

In-gel methods of digesting proteins have made it easier to first separate

proteins using electrophoresis so that peptides generated from different

sections of the gel can be introduced into the mass spectrometer in stages

using LC. This, in turn, allows a more complete analysis of all the peptides

generated from the sample(s) and the presence of SDS in the gels means that

proteins are already denatured prior to trypsin digestion.

Generated peptides are subsequently separated by LC and the individual

peptides are then analysed by MS. During LC, a liquid mobile phase is passed

over a stationary phase in the form of a column composed of chromatographic

packing (e.g. C18 for reverse-phase separations or porous beads used for ion-

exclusion chromatography). Interactions between the molecular constituents of

the samples and the stationary phase are determined by their physicochemical

properties and this determines their retention times and therefore the time at

which they are eluted from the column. LC is very amenable to automation and

therefore it is frequently used in combination with other techniques such as

MS212,213.

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1.4.3 Mass spectrometry

MS is used to obtain m/z information on peptides, proteins or other molecules

of interest and can be conducted in a number of ways, usually classified based

on the ionisation and mass analysis methods employed. The principles behind

MS ionisation remain the same though and samples are usually introduced via

an inlet and ionised in the source. Mass analysis of the resulting ions then

occurs and the quantity of the ions detected is recorded before analysis is

performed on the collected data (Figure 4). The most popular methods for

ionisation of molecules involve the use of MALDI or electrospray ionisation

(ESI) time of flight (TOF) MS (or methods analogous to these).

Mass analyser(quadrupole, time of flight,

ion-trap)

Ion source(electrospray, MALDI,

SELDI)

Inlet(direct probe, liquid

chromatography)

Detector

Data analysis

Mass analyser(quadrupole, time of flight,

ion-trap)

Ion source(electrospray, MALDI,

SELDI)

Inlet(direct probe, liquid

chromatography)

Detector

Data analysis

Figure 4: Schematic of the basic components of a mass spectrometer Samples are introduced into the mass spectrometer via an inlet. MS analysis requires

the introduction of charged and dried molecules into the mass analyser using either a

direct probe or LC. Commonly utilised ionisation methods include electrospray

ionisation or matrix-assisted laser-desorption/ionization. Analytes can then be

characterised in terms of their m/z in the mass analyser using techniques such as time

of flight or ion trap MS. Data produced can then be analysed using a number of data-

handling tools and statistical methods.

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1.4.3.1 Matrix-assisted laser desorption/ionization

Prior to mass analysis, ions must be produced and there are various methods

of ionising molecules for this purpose. MALDI is a common method for ionising

proteins and is the method of choice for large biomolecules, as other ionisation

techniques are less suitable for this purpose. In MALDI, the sample is mixed

with an energy-absorbing molecule (also known as the matrix) which is usually

a weak acid, capable of donating one or more protons to the sample molecules

(e.g. sinapinic acid or α-cyano-4-hydroxycinnamic acid (CHCA)). The resulting

crystalline protein-matrix complex is then irradiated by a 337nm nitrogen laser

during MS analysis. The matrix is vapourised by the laser and also imparts

laser energy to the molecules in the complex whilst also protecting the analytes

from any potentially harmful effects of the laser. This process facilitates the

desorption and ionisation of molecules from the surface of the MALDI target

prior to ions entering the mass analyser section of the mass spectrometer

(Figure 5).

Laser

Sample stage

To mass analyzer

Co-crystallised protein/matrix complex

+

+

+

+ + +

+

+

Matrix ionsPeptide ions

+

++

+

+ +

Figure 5: Matrix-assisted laser desorption/ionization During the process of MALDI, sample is applied to the target on the sample stage and

mixed with an energy-absorbing molecule (matrix). The matrix (usually a weak acid)

co-crystallises with the molecules within the sample to form a crystalline complex and

donates protons to the molecules within the sample. Upon irradiation with a 337nm

nitrogen laser, molecules are ionised and a voltage is applied to the sample stage,

forcing the ions away from the sample stage and into the mass analyser section of the

mass spectrometer.

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MALDI is commonly used for analysing proteins although, in its application,

issues with reproducibility can arise. When matrix is applied manually to the

MALDI target, it can sometimes be applied unevenly. This, combined with the

fact that the laser usually only irradiates a part of the MALDI target in a single

sweep or scan, and that there can be pulse to pulse variation in the laser, can

contribute variations in the signal and this can affect the overall reproducibility

of spectra. As a result, multiple scans are necessary and an average of the

multiple scans is then taken in order to allow an accurate representation of the

whole target area. Despite this, the technique has the advantage of requiring

only a small amount of protein in the analysis. It is also amenable to the

analysis of large molecules with a theoretical upper range of approximately

400kDa depending on the mass analyser used and is relatively straightforward

in its application214-216.

1.4.3.2 Electrospray ionisation

ESI is another soft ionisation method and it produces intact charged and dried

analytes, which then have the capacity to travel or “fly” in the vacuum of the

mass analyser. During ESI, the application of a high voltage between the

microcapillary and the MS inlet allows sample to be introduced into the mass

spectrometer as a fine spray via the microcapillary. The voltage applied results

in the formation of an aerosol containing charged droplets and ions of the same

polarity (depending on whether the mass spectrometer is run in positive or

negative mode) are drawn out towards the counter electrode along the

capillary. When the excess charge at the tip of the capillary overcomes surface

tension, a droplet is formed which travels through the first vacuum stage of the

mass spectrometer. The use of an inert heated drying gas (e.g. nitrogen) in this

region aids the evaporation of solvent from the droplets during this journey and

the droplet size is reduced resulting in the formation of a multiply charged,

desolvated ions217-220.

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The formation of ions occurs via evaporation of the volatile buffers and solvents

used or via fission caused by electric repulsion between like charges of the

analytes. More specifically, the ion evaporation model (IEM) and the charged

residue model (CRM) have been proposed as the mechanisms by which the

formation of charged molecules takes place. In the IEM, it is proposed that, as

the droplet shrinks, the analyte achieves sufficient energy to transfer into its

gaseous phase. Alternatively, the CRM suggests that all the solvent evaporates

leaving a bare gas phase ion which can then be analysed in the mass analyser

section of the mass spectrometer221,222.

+

+ +

+++

++++++

++++

++++++

++++

++

+

+++ + +

++

Optionalsheath liquid &

drying gas

Capillary column effluent

Charged dropletsDesolvated ions

Entrance to mass spectrometer

Heated desolvatedregion

+2kV to +5kV

++

++++

++++

++ ++

++ ++

++++

++++++

++++++++++

++++

++++++

++++++++++

++++

++++

++

+++ + +

++

Optionalsheath liquid &

drying gas

Capillary column effluent

Charged dropletsDesolvated ions

Entrance to mass spectrometer

Heated desolvatedregion

+2kV to +5kV

++

++++

++++

++

Figure 6: Electrospray ionisation During ESI, sample is introduced to the mass spectrometer via a microcapillary. The

application of a potential difference results in charged ions that are drawn along the

capillary towards a counter electrode in the volatile effluent. The use of a heated drying

gas (e.g. nitrogen) facilitates the desolvation of the ions during the production of

multiply charged ions.

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1.4.3.3 Time of flight mass analysis

The simplest form of mass analysis is conducted is a TOF mass analyser.

Molecules are ionised at the source before an accelerating potential is applied

to the sample target and facilitates the travel of the charged ions towards the

detector. The flight of the ions takes place in a field free region (vacuum) and

the time taken for ions to reach the detector in the TOF tube is directly

proportional to their mass and charge (Figure 7). Small ions reach the detector

more quickly than larger ones and this travel time is also dependent on the

charge of the molecules. This information allows the construction of a mass

spectrum using the m/z ratio plotted against the intensity of each ion detected.

Sample target

Laser

Accelerationregion

Detector

Reflectron

Ion flight path in field free region

+25kV +0kV

Figure 7: Time of flight mass spectrometry A TOF mass spectrometer is shown with a MALDI source. Ions are produced from the

sample target and accelerated into the mass analyser when a potential difference is

applied in this region. Ions then travel through the vacuum in the TOF tube towards the

detector, which records the time of arrival and the relative quantity of the ions. The time

taken for the ions to reach the detector is proportional to the mass (m) and charge (z)

of the ions and this is represented in a mass spectrum, which shows m/z on the x-axis

and relative ion intensity of the y-axis. The incorporation of a reflectron in some

instruments increases the path length for the ions and thus improves the resolution of

ions from each other although it can lead to a loss in sensitivity, as more ions can be

lost during the extended time of flight.

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The TOF tube is commonly combined with a quadrupole in which the radio

frequency (rf) and direct current (dc) voltages can be modified. In this way, ions

are transported through an electric field generated by four metal rods and these

rods can either allow all ions to pass through in full scan mode or can be

modified in selected ion monitoring (SIM) mode in order to stabilise the path of

the ions passing through the rods whilst destabilising unwanted ions. Ions with

an unstable trajectory remain undetected as they are discarded before they

reach the detector. Ions with a stable path through the rods, are detected and

quantified (Figure 8).

++

-

-

Source slit Exit slit

To detector

Quadrupole rods

Ions withvariable path

Ions with stable path

Ions in

Figure 8: The path of ions through a quadrupole Following the production of ions in the source, they are transported into the mass

spectrometer through the source slit. The quadrupole rods can be adjusted to allow all

ions to pass through to the detector. Alternatively, their radio frequency and direct

current voltages can be adjusted such that the passage of certain molecules is

favoured and they have a stable path through the quadrupole and towards the detector.

Other ions travel through with an unstable trajectory and are discarded before they

reach the detector.

Whereas, the techniques described can provide m/z information on molecules

of interest, they are unable to provide structural information, as they are soft

ionisation techniques that are incapable of breaking up molecules. This is

usually performed post-source in a collision cell where ions can be collided with

inert gases such as nitrogen, argon or helium during MS/MS analysis (termed

collision-induced dissociation (CID)). When ions are collided in this way, their

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kinetic energy is internalised and contributes to the production of ion fragments,

which can then be measured precisely in the mass analyser (Figure 9). Peptide

cleavage usually occurs along the backbone of peptides and the fragment ion

type produced following the cleavage of peptides can be described more

specifically. If it occurs at the peptide amide bond and the amino terminal

retains the charge of the ion they are termed b ions whilst, if the charge is

retained at the carboxy terminal, they are termed y ions223-226.

Multiple reaction monitoring (MRM) is usually performed using triple-quadrupole

instruments (QQQ). In such instruments, two quadrupoles and a collision cell

are combined in series (quadrupole-collision cell-quadrupole). The first

quadrupole scans for a specific parent ion, which is then fragmented by CID in

the collision cell before the specific fragments are detected and quantified in the

final quadrupole.

+

+ ++

++

++

++

++

++++++++++

++++++++++

++

++

++ ++

+++

+ ++++

Pusher Detector

Reflectron

Hexapole collision cellHexapole lens

Quadrupole mass filter

Electrosprayion source

+

+ ++

++

++

++

++

++++++++++

++++++++++

++

++

++ ++

+++

+ ++++

Pusher Detector

Reflectron

Hexapole collision cellHexapole lens

Quadrupole mass filter

Electrosprayion source

Figure 9: Hybrid quadrupole-time of flight mass spectrometer The hybrid mass spectrometer consists of a source (usually electrospray) in which

molecules are ionised prior to entering the mass spectrometer. After entry into the

mass spectrometer, they are focused by lenses to pass through the quadrupole mass

filter where specific molecules can be directed towards the collision cell. In this area,

molecules are fragmented by CID and the resulting fragments produced are then

pushed into the time of flight tube where their m/z can be accurately determined.

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1.4.3.4 Ion trap mass analysis

Ion trap instruments operate differently to other mass spectrometers in that ions

can be formed directly in the trap as well as being characterised within the

same area. Two endcap electrodes (at the entrance and exit) and two ring

electrodes provide rf and dc oscillations in order to create electric fields. Once

ions are trapped within the electric field, they can be selected and scanned

individually from the trap for mass analysis. Alternatively, they can be excited

by the application of a potential difference whilst, at the same time, an inert gas

is introduced into the trap. The subsequent collision of the ions with the collision

gas results in fragmentation of the ion (in MS/MS mode) and this can be

repeated several times (MSn)227,228.

The low mass range and the slow scanning speed of the ion trap have been

identified as being disadvantages of this type of mass spectrometer. Also, there

may be a bias towards multiply charged ions that have more kinetic energy and

therefore more chance of colliding with the inert gases within the collision cell.

This can also be considered an advantage as it effectively extends the mass

range (m/z) of peptides that can be detected. The ability to perform different

forms of MS in the same analyser, combined with the improved sensitivity over

other instruments, is also an advantage.

Ring Electrode

Ring Electrode

Entrance EndcapElectrode

Exit Endcap Electrode

Figure 10: Schematic of an ion trap In an ion trap mass spectrometer, ions are retained within the trap formed by the rf and

dc voltage applied to the endcap electrodes and the ring electrodes. Ions can then be

sequentially selected from the trap and detected. In MS/MS mode, a small amount of

energy can also be applied to ions in order to excite them before being dissociating

using an inert gas within the trap by collision-induced dissociation. In this way,

structural information on analytes of interest can be obtained.

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1.4.4 Surface-enhanced laser desorption/ionization

The demand for high-throughput proteomics has meant that more novel and

perhaps less resource-demanding technologies for screening proteins based

around MALDI, such as SELDI-TOF-MS, have been developed. In the case of

SELDI-TOF-MS, proteins are first captured using classical chromatographic

chemistries on the active areas of ProteinChip® arrays. A range of ProteinChip®

arrays are available, each designed to selectively retain or enrich specific

subsets of proteins or peptides from complex biological samples, based on the

physicochemical properties of the proteins within the sample, and also

dependent on the assay conditions specified by the user. The technique

reduces the sample preparation steps prior to MS analysis and also allows the

removal of salts and other reagents that can interfere with the process of

ionisation229-233.

ProteinChips such as CM10 (weak cation exchange), Q10 (strong anion

exchange), H50 (hydrophobic) or immobilised metal affinity capture (IMAC 30)

arrays are commonly used for differential protein expression mapping

experiments. Using these arrays, the subset of proteins retained on the array

surface can be enriched by altering assay conditions such as the pH, the salt

concentration or buffers used for binding or washing the arrays during the

protein capture process. After subsets of proteins are separated from the more

complex mixture of proteins in the sample, matrix is applied to enable the

desorption and ionisation of proteins from the ProteinChip® surface for

measurement by TOF-MS, as described for MALDI (Figure 11).

SELDI has been applied to a wide variety of sample types in differential protein

expression mapping experiments. In such experiments, researchers have

aimed to accurately predict or describe toxicological events using either a single

protein biomarker or a panel of biomarkers. The potential of SELDI has been

demonstrated in the identification of biomarkers in disease or toxicity areas

such as ovarian cancer163,234, prostate cancer165, breast cancer161,235,236,

nephritis237, pulmonary hypertension174 and myopathy95,238.

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T

Acceleratingpotential

SELDI ProteinChip® array

Time-of-flight tube

---Vacuum---

Rel

ativ

e io

n in

tens

ity

m/z

+ ++ ++

+

Det

ecto

r

Mass spectrum

Lenses

Laser source

Figure 11: Schematic of SELDI-TOF-MS The system incorporates a TOF tube in which molecules which are ionised and

desorbed from the ProteinChip® by a laser (λ=337nm) travel towards the detector. The

time taken for the molecules to reach the detector is dependent on their size and

charge. Smaller molecules reach the detector more quickly than larger proteins and

this information is used to construct a mass spectrum displaying m/z on the x-axis and

relative ion intensity on the y-axis is produced. The system is similar to MALDI-TOF-

MS except that the chemically modified surfaces of the target allow the enrichment and

subsequent analysis of specific subsets of molecules prior to MS analysis239.

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1.4.5 Quantitative proteomics

A number of MS-based methods have been applied to the relative quantification

of different analytes for the purpose of differential protein or peptide expression.

These can either make use of specific labels incorporated into the molecules or

can be label-free.

1.4.5.1 Absolute or relative quantitation

The use of a chemically labelled isotope-coded affinity tag (ICAT) allows

samples to be differentially labelled with two forms of ICAT reagent. Prior to

analysis, samples are tagged with either a light ICAT reagent (typically a biotin

affinity group with a linker that is labelled with hydrogen) or a heavy ICAT

reagent (typically a biotin affinity group with a linker that is labelled with

deuterium). Following purification of the peptides, the resulting differences in the

relative amounts of specific peptides (generated after enzyme digestion) can

then be exploited for differential protein expression mapping using MS240,241.

Isobaric tag for relative and absolute quantitation (ITRAQ) is another MS based

technique used for quantitative protein expression profiling. The N-terminus of

peptides generated by enzymatic digestion of proteins are labelled using

chemical tags, before comparing the levels of group-specific tags in control and

treated or diseased samples by LC-MS/MS. Following the identification and

relative quantitation of the different peptides using their fragmentation patterns,

differential peptide-expression can be performed, since fragmentation of the

chemical tags also results in the formation of reporter ions that can be used to

provide information on the relative concentrations of the peptides242-245.

In the case of stable isotope labelling with amino acids in cell culture (SILAC),

cells grown in culture are provided with normal amino acids or amino acids

labelled with non-radioactive heavy isotopes (grouped according to treatment).

Differences between labelled and non-labelled proteins can be determined by

MS, and therefore, changes in the levels of proteins within each sample (and

most likely due to treatment) can be distinguished246-248.

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Using standards, absolute quantitation can be achieved using these methods.

In addition, these methods offer high sensitivity, high protein coverage, and are

amenable to high-throughput proteomic analysis. However, they suffer from the

requirement for the expensive tags used which are usually patented and only

available commercially249,250,251.

1.4.5.2 Multidimensional protein identification technology

In shotgun experiments, whole samples are subjected to enzymatic digestion in

order to generate peptides. Changes in the entire peptide profile are then

examined by MS in the search for treatment related changes in protein

expression. Multidimensional protein identification technology (MudPIT) utilises

a similar whole protein digestion methodology. In this case, the protein sample

is digested and the constituent peptides are separated using two on-column LC

steps and peptides are scanned in the mass spectrometer as they leave the

second column. Peptides with a known m/z can then be identified by MS/MS

and database searching. A cation exchange column is usually used followed by

a reversed-phase column and the use of two columns allows a greater amount

of separation to be achieved than using one column252-255.

The major advantage of this technique is that it is sensitive to low abundance

proteins, mainly due to the use of sensitive MS equipment (e.g. ion trap).

However, it is sometimes difficult to resolve the nature of interesting proteins as

the analysis is not conducted using intact proteins. For this reason, it is

sometimes preferable to separate the proteins prior to the application of this

technique213,256-262.

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1.4.5.3 GeLC-MS

Sometimes proteins within the samples are separated using 1DE, before

dividing the gel into an appropriate number of sections. This results in the

separation of individual samples from each other and also divides each sample

into several different Mw regions, which can then processed separately.

Peptides from individual sections of the gel are then generated by enzymatic

digestion and the specific masses of the generated peptides can then be used

to identify the proteins using LC-MS and protein database searching. Using this

GeLC-MS approach, differential peptide analysis and protein identification is

performed simultaneously254,263,264.

Both MudPIT and GeLC-MS can collectively be considered as label-free

quantitative proteomics (LFQP) when used without labels or tags and have

proved useful in the discovery of biomarkers of lung cancer265, ovarian

cancer266 and breast cancer236. The combination of LC with MS is favourable in

that it is amenable to automation and, therefore, ideal as a method of

introducing samples into the mass spectrometer. When a vast number of ions

are detected, limitations on the sampling time or in the ability of the detector to

record information can lead to ion-suppression whereby the ionisation or

detection of molecules is adversely affected by other constituents that co-elute

with the molecules of interest. The phased introduction of peptides into the

mass spectrometer reduces the number of co-eluting peptides and therefore

increases the proportion of the proteome that can potentially be examined from

samples.

However, a disadvantage of this approach is that small proteins do not usually

generate a sufficient number of peptides to facilitate a confident identification of

the proteins. Also, the relative quantitation of peptides relies on a high degree of

accuracy when preparing samples. For example, sample loading must be equal

when 1DE is performed and gels must also be cut precisely so that accurate

comparisons can be made between different regions of the gels186,267,268.

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1.5 Summary

In this study, a variety of proteomic techniques were used to detect, measure

and characterise protein expression changes in cultured skeletal muscle cells

following the exposure of the cells to compounds shown in vivo to have

myotoxic potential. SELDI-TOF-MS was used alongside LFQP due to the

documented success of these techniques in the searching for protein

biomarkers of toxicity, combined with their potential to discover biomarkers of

myopathy in myoblasts and myotubes treated with low concentrations of the test

compounds.

1.6 Hypothesis

“Proteomic profiling can be used to identify alterations in protein expression that

are predictive of compound-induced skeletal muscle toxicity using an in vitro cell

culture system.”

1.7 Project aims

• To compare protein expression in control and treated rat L6 myoblasts and

myotubes.

• To identify changes in the protein expression profiles, and in the levels of

specific protein ions, resulting from the administration of potentially myotoxic

compounds.

• To purify and identify potential biomarkers discovered to be useful in an in

vitro rat skeletal muscle cell system.

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Chapter 2: Materials and methods

57

Chapter 2

2. Materials and methods

Materials

Rat L6 myoblasts were obtained (cryopreserved) from American Type Cell

culture (Virginia, USA). Heat-inactivated horse serum was obtained from

Invitrogen Ltd. (Paisley, UK). 4-[2-(3-Fluoro-4-trifluoromethyl-phenyl)-4-

methyl-thiazol-5-ylmethylsulfanyl]-2-methyl-phenoxy}-acetic acid (GWδ),

which is a highly selective PPAR-δ agonist, was kindly supplied by

GlaxoSmithKline R&D, Stevenage, UK.

Alanine aminotransferase (ALT), AST, CK and LDH kits were obtained from

Bayer (Newbury, UK). The ALD kit used in these investigations was supplied

by Randox laboratories (County Antrim, UK). sTnI, FABP3, parvalbumin-α

and Myl3 measurement kits were obtained from Meso Scale Discovery

(Maryland, USA).

NP20 (normal phase), H50, CM10, IMAC 30 ProteinChip® arrays and

sinapinic acid energy-absorbing molecule (EAM) were purchased from

Ciphergen Biosciences (Fremont, USA).

Precast NuPage® 10% bis(2-hydroxyethyl)-imino-tris(hydroxymethyl)-

methane (Bis-Tris) gels, SeeBlue® Plus 2 pre-stained Mw marker, 2-(N-

morpholino)ethane sulphonic acid SDS running buffer, lithium dodecyl

sulphate (LDS) sample buffer and NuPage antioxidant were obtained from

Invitrogen Ltd. Instant Blue™ was obtained from Novexin Ltd. (Cambridge,

UK). Sequencing grade modified porcine trypsin was obtained from

Promega, UK. HPLC grade acetonitrile, formic acid and methanol were

supplied by VWR international Ltd., (Lutterworth, UK). Zorbax 300-SB-C18

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traps (5 x 0.3mm2) were obtained from Agilent Scientific (Wokingham, UK)

and C18 PepMap columns (75μM internal diameter, 15cm length) were

obtained from LC Packings, (Cumberly, UK).

For immunoblotting, polyclonal Rho GDP dissociation inhibitor (GDI) alpha

(Rho GDI) and myosin light chain polypeptide 2 (Myl2) primary antibodies,

anti-rabbit immunoglobulin G (IgG), horseradish peroxidase linked secondary

antibody and biotinylated protein ladder were obtained from New England

Biolabs (Cambridge, UK). Invitrolon polyvinylidene fluoride (PVDF)

membranes, thin filter blotting paper and thick blotting paper were obtained

from Invitrogen. Kodak D19 developing solution and unifix fixing solution

were obtained from Agar Scientific (Stansted, UK) and hyperfilm ECL 18x24

was obtained from Amersham Pharmacia (Chalfont St Giles, UK).

Dulbecco’s modified Eagle’s medium (DMEM), 2,3,5,6 tetramethyl-p-

phenylene diamine (TMPD), dimethyl sulfoxide (DMSO),

penicillin/streptomycin, horse serum, foetal bovine serum (FBS), 3-(4,5-

dimethylthiazol-2-yl)-2,5-diphenyltetrazolium bromide (MTT), trifluoroacetic

acid (TFA), iodoacetamide, ammonium bicarbonate, acetic acid, Triton® X-

100, transfer buffer, Tween® and all other reagents were obtained from

Sigma-Aldrich Co. Ltd. (Poole, UK).

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Methods

2.1 Cell culture and treatment

Skeletal muscle growth medium (SKGM) was prepared by supplementing

DMEM with 10% FBS, 2mM glutamine, penicillin (100 u/ml penicillin G

sodium) and streptomycin (100μg/ml streptomycin sulphate). Skeletal muscle

differentiation medium (SKDM) was prepared by supplementing DMEM with

2% heat-inactivated horse serum, 2mM glutamine and penicillin and

streptomycin.

Prior to seeding, a vial of rat L6 myoblasts containing 1x106 cells was

removed from storage in the vapour phase of liquid nitrogen (-150°C). The

vial was then allowed to stand at room temperature (RT) for 1min before

placing the vial (without total submersion) in a water bath at 37°C, until

partially thawed. The contents of the vial were then slowly transferred to a

sterile centrifuge tube containing pre-warmed SKGM. The cell density of

myoblasts was then adjusted to 1x104 cells/ml by the addition of an

appropriate amount of SKGM. This mixture was then transferred into a

suitable number of collagen-coated flasks or plates and allowed to proliferate

by incubating the cells at 37°C in a humidified atmosphere of 5% CO2 and

95% air.

Myoblasts were maintained as an adherent culture and growth medium was

replenished every 3-4 days until at least 80% confluence was achieved. Cells

were then sub-cultured at a ratio of 1:3-1:5 as the myoblastic, proliferative

properties of cells diminish if the cells are allowed to become over-crowded.

SKGM was aspirated from the flask before rinsing the cells with Ca2+ and

Mg2+ free Dulbecco’s phosphate buffered saline (D-PBS). Trypsin/EDTA

(0.25%) was then added to the flask(s), which were then incubated for at

least 5min at 37°C to detach cells from the surface of the growth vessel. The

added trypsin was subsequently inactivated by adding a small amount of

SKGM (containing serum) to the flask. After counting the cells using a

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haemocytometer, cells were subcultured into the cell culture vessels until

sufficient numbers of cells were available for experiments. For experiments

using myotubes, myoblasts were differentiated by replacing SKGM with

SKDM, following a wash with D-PBS. Medium was replaced every 3-4 days

until a sufficient proportion (approximately 80%) of the cell population could

be distinguished as myotubes, as observed by LM (usually 10-14 days).

Differentiation into myotubes was apparent by an attenuation of the

proliferative properties of the cells, along with clear morphological changes

such as the increased presence of multinucleated cells (myotubes).

When cells were treated, a stock solution of the test compound was prepared

in neat DMSO before preparing the highest concentration by diluting the

stock solution in each experiment. Cells were then treated with a range of

concentrations of the test compounds for a period of 24h.

2.2 Cell morphology

Cells were examined by transmission electron microscopy (EM) and also by

light microscopy (LM) to check cells for signs of drug-induced damage.

These results were compared with other measures of cytotoxicity such as

total intracellular protein and MTT reduction (described in the following

sections).

Experiments were terminated by aspirating growth or differentiation medium

from cells and then washing the cells twice with D-PBS. To prepare cells for

EM, cells were washed twice (using Ca2+ and Mg2+ free D-PBS) to remove

any residual cells or growth medium. Cells were then fixed in 4%

formaldehyde/1% glutaraldehyde (v/v) for at least 1h and then centrifuged

into a pellet at 14000 x g for 1min for short-term storage prior to analysis.

Cells were processed for EM examinations by washing them five times in a

pH 7.4 sodium phosphate buffer before being fixed in 1% buffered osmium

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tetroxide for 1h and processed into Agar 100 resin. Ultra-thin sections (60-

90nm) were then prepared, stained with 5% uranyl acetate (v/v) and 2.5%

lead citrate (v/v) for 1h and then examined using a Hitachi H7500

transmission electron microscope, operated at 60-80kV. Representative

digital images were captured using the AMT Advantage Camera System

(v5.42.515).

EM examinations were qualitative assessments of general morphological

features and cells were screened for any ultrastructural abnormalities likely

to be indicative of an adverse effect of drug-treatment. The operation of the

electron microscope during EM examinations was kindly performed by Paul

McGill (Pathology, GlaxoSmithKline R&D, Ware, UK).

2.3 Total intracellular protein

Samples were prepared for the measurement of total intracellular protein by

washing the cells as previously described for cell morphology examinations.

Protein extraction buffer (containing 9M urea, 2% CHAPS and 1% DTT) was

then added to each well before the cell culture plate was incubated on a

horizontal shaker for at least 30min at 2-8°C. Cell lysates were then stored at

-80°C until analysis.

Total intracellular protein was then assessed using the bicinchoninic acid

(BCA) protein assay according to the manufacturer’s instructions269. Results

obtained were compared to the absorbances obtained at 595nm following

the analysis of samples from a standard curve (bovine serum albumin) on

the same plate.

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2.4 MTT reduction

Samples for the MTT reduction assay were analysed directly in separate

plates as the MTT assay eventually results in damage to the cells under

investigation.

Two hours before the end of each 24h experiment, 200µl of 5mg/ml MTT

reagent was added to 2ml of growth or differentiation medium in each well of

a 24-well cell culture plate before incubating the plate at 37°C, 5% CO2 and

95% humidity for a further 2h. During this period, MTT reagent was taken up

and reduced by the mitochondria of viable cells to form an insoluble

formazan product. This accumulated within the cell, as it was unable to pass

through the plasma membrane. The growth medium was then removed from

the wells of the plate and the remaining formazan product was solubilised by

adding 2ml of isopropanol to each well and incubating for 30min. The relative

absorbance of the cell lysates was then compared at 550nm270.

2.5 Biochemical analyses

Growth or differentiation medium was prepared for the evaluation of enzyme

leakage by collecting the medium from the cell culture plates and centrifuging

it at 3000 x g for 5min to ensure that samples were not contaminated with

cells. The supernatant was then collected for analysis.

Cell lysates were prepared for biochemical analysis by initially washing the

remaining cells free of growth or differentiation medium (as described

previously for total intracellular protein and EM measurements). Cells were

then lysed by adding 0.1% Triton® X-100 (v/v) and the plate incubated for

30min at 2-8°C with agitation in order to release the intracellular contents of

the cells. The lysates were then stored at -80°C until analysis.

The Advia 1650 (Bayer, Newbury, UK) is a discrete automated chemistry

analyser capable of running a wide variety of spectrophotometric assays in

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serum, urine and in vitro samples and was used to analyse the levels of the

leaked and intracellular levels of ALT, AST, CK, LDH and ALD.

Leaked and intracellular levels of sTnI, FABP3, parvalbumin-α and Myl3

were also assessed. These assays were performed using Meso Scale

Discovery technology, which uses MultiArray™ plates in combination with

electrochemiluminescence detection. Proprietary antibodies are attached to

the surface of the wells of MultiArray™ plates and are able to capture

specific analytes of interest. The use of a non-radioactive light emitting tag

on the antibodies facilitates the quantitation of markers of interest at 620nm

upon electrical stimulation of the target. The wells of the plates also

incorporate carbon electrodes which enhance the electrochemiluminescence

signal when stimulated97,271,272.

The operation of the Advia 1650 clinical chemistry analyser for the

measurement of ALT, AST, CK, LDH, ALD was kindly conducted by Aubrey

Swain (Clinical Pathology, GlaxoSmithKline R&D, Welwyn, UK) and the

operation of the Meso Scale Discovery MultiArray™ plate reader was

performed by Ian Roman (Clinical Pathology, GlaxoSmithKline R&D,

Welwyn, UK).

2.5.1 Alanine aminotransferase

The kit for the measurement of ALT contains two reagents and, during the

analysis, 20μl of sample is initially added to 80μl of a first reagent (containing

L-alanine). The measurement of ALT involves a coupled reaction which is

initiated by the addition of 16μl of a second reagent (containing α-

oxoglutarate) and ALT within the sample catalyses the conversion of L-

alanine and 2-oxoglutarate to pyruvic acid which in turn is involved in the

oxidation of NADH to NAD+. The rate of the resulting absorbance decrease is

monitored at 340nm over 5min and is directly proportional to the activity of

ALT in the sample. The method is validated by the manufacturer as being

linear between 0-1100U/L273-275.

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α-ketoglutarate + L-alanine L-glutamate + Pyruvate ALT

LDH

Pyruvate + NADH + H+ Lactate + NAD+

2.5.2 Aspartate aminotransferase

The sample volumes and assay conditions for this assay are as described for

ALT except that the first reagent contains L-aspartate instead of L-alanine. In

the first reaction, AST catalyses the reaction between α-ketoglutarate and L-

aspartate and L-glutamate and oxaloacetate are formed. In the second

reaction, malate dehydrogenase (MDH) catalyses the oxidation of NADH to

NAD+ and the rate of the resulting decrease in the absorbance of the

reaction mixture (monitored at 340nm) is directly proportional to the AST

activity in the sample. The linear range of the assay is between 0-

1000U/L275,276.

α-ketoglutarate + L-aspartate L-glutamate + Oxaloacetate AST

MDH

Oxaloacetate + NADH + H+ Malate + NAD+

2.5.3 Creatine kinase

In this assay, 80μl of the reagent (containing creatine phosphate, adenosine

diphosphate (ADP), NADP and glucose) is reacted with 8μl of sample and

incubated for 5min. The CK-catalysed reaction between creatine phosphate

and ADP results in the formation of creatine and adenosine triphosphate

(ATP). The ATP derived is, in turn, reacted with glucose and CK activity is

determined by measuring the rate of the increase in the absorbance at

340nm when NADP+ is reduced to NADPH as a result of this reaction277,278.

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ATP + glucose ADP + glucose-6-phosphate

D-glucose-6-phosphate + NADP+ 6-Phosphogluconate + NADPH + H+

Creatine phosphate + ADP Creatine + ATP CK

Hexokinase

Glucose-6-phosphate dehydrogenase

2.5.4 Lactate dehydrogenase

LDH activity is determined by exploiting the LDH-catalysed reduction of

pyruvate to lactate. In the assay, 14μl of sample is reacted with 80μl of the

working reagent (containing pyruvate and NADH) and the rate of the

decrease in the absorbance at 340nm resulting from the oxidation of NADH

to NAD+ is directly proportional to the activity of LDH279.

LDH

Pyruvate + NADH + H+ Lactate + NAD+

2.5.5 Aldolase

In measuring ALD, 20μl sample is initially incubated with 250μl of a reagent

containing fructose-1,6-diphosphate which is converted into glyceraldehyde-

3-phosphate (GAP) and dihydroxyacetone phosphate (DAP) in the presence

of ALD. Triosphosphate isomerase (TIM) is added along with

glycerolphosphate dehydrogenase (GDH) and NADH (in 6μl of a second

reagent) and this converts DAP to glycerol-1-phosphate. The simultaneous

oxidation of NADH to NAD+ is used to assess the levels of ALD by

monitoring the decrease in absorbance at 340nm280,281.

GAP DAP

DAP + NADH + H+ Glycerol-1-phosphate + NAD+

Fructose-1,6-diphosphate GAP + DAP ALD

TIM

GDH

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2.5.6 Meso Scale discovery markers

In measuring the levels of sTnI, Myl3, FABP3 and parvalbumin-α, 25μl of

assay diluent was initially added to the assay plates and incubated for 30min

at RT prior to the addition of 25μl of the sample or calibration standard. This

was followed by a 2h incubation at RT before washing each array with 0.1%

PBS-tween. The relevant specific detection antibody (25μl) was then added

to each well of the plate before another 2h incubation at RT, which was then

followed by another 0.1% PBS-tween wash of the plate. Read buffer (150μl)

was then added before measuring the absorbance of each plate at 620nm.

2.6 SELDI-TOF-MS analysis

2.6.1 ProteinChip® preparation

Samples were analysed by SELDI-TOF-MS on NP20, H50, CM10 and IMAC

30 ProteinChip® arrays in order to determine the protein expression profiles

of skeletal muscle cells under different assay conditions (Figure 12).

Active spotProteinChip® array Hydrophobic coating

Figure 12: A SELDI-TOF-MS ProteinChip® array Samples were applied to the active spot of the ProteinChip® array and incubated for

a short period. This facilitated the interaction between proteins within the sample

and the chemistry on the ProteinChip® surface (based on their physicochemical

characteristics). Non-specifically bound proteins were washed away before

specifically retained proteins were co-crystallised with a solution of EAM prior to MS

analysis.

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H50 ProteinChip® arrays were prepared for SELDI-TOF-MS analysis by

washing each array in 50% acetonitrile:water (v/v) for 5min in centrifuge

tubes (on a roller-mixer). The arrays were then allowed to air-dry for at least

30min before use. IMAC 30 ProteinChips were supplied in a metal-free form

and these were prepared for use by adding 150μl of 100mM copper sulphate

(loading buffer) to each active spot of the array and incubating it with

horizontal shaking for 10min. Loading buffer was then removed before

washing the ProteinChips for 1min with deionised water to remove excess

buffer. Other ProteinChip® arrays did not require the same preparation steps

prior to SELDI-TOF-MS analysis.

All ProteinChip® arrays were then prepared for sample addition by placing

them into a bioprocessor assembly, which allows a sample volume of up to

300μl to be applied to each spot of the array. The binding buffer (150μl in

each well) was then added and the bioprocessor was incubated on a

horizontal shaker for 5min, before again removing the buffer. This wash was

repeated once more before samples were diluted at least 10-fold in the

binding buffer and 1µg total protein of the cell lysates was applied, in

duplicate, to each spot of the ProteinChip® array. After a 60min incubation

period, samples were removed from the arrays and non-specific binding of

proteins was reduced by performing three 5min washes of the array surface

using 150μl of the washing buffer in each well. This was followed by a short

(1min) wash using deionised water to remove any excess buffer that might

interfere with MS analysis (Table 1).

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Table 1: Binding and washing buffers used for ProteinChip® preparation Binding and washing buffers used during SELDI-TOF-MS analysis of control and

treated skeletal muscle cells are shown for each array. Buffers also contained 0.1%

Triton® X-100 to reduce non-specific interactions between proteins in the sample

and the ProteinChip® surface.

ProteinChip®

arrayAssay

conditions Binding/washing buffer

NP20 H20 H20H50 10% acetonitrile 10% acetonitrile, 0.1% TFA

CM10 pH 4 100mM sodium acetate, pH 4CM10 pH 6 100mM sodium acetate, pH 6CM10 pH 8 100mM sodium acetate, pH 8

IMAC 30 Copper 100mM sodium acetate, pH 4

2.6.2 ProteinChip® mass spectrometry

Prior to MS analysis, ProteinChip® arrays were allowed to air-dry before the

addition of 0.5μl of EAM (saturated sinapinic acid solution in 50%

acetonitrile:water (v/v) containing 0.5% TFA) to each spot of the array.

Another 0.5μl of EAM was applied to each spot of the array at least 5min

after the first application before allowing the arrays to air-dry again. The

arrays were then inserted into the Ciphergen ProteinChip® Biology System

IIc (PBS IIc) for MS analysis. ProteinChips were analysed according to an

automatic data collection protocol. The ProteinChip® reader was focused on

a mass of 12kDa, optimised from 2-20kDa, set to a high mass of 100kDa.

Transients were averaged over 50% of the target area in a linear sweep (with

the mass deflector set at 1.5kDa) to generate each spectrum.

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2.6.3 SELDI-TOF-MS data pre-processing and analysis

Spectra collated following the MS analysis of ProteinChip® arrays were

normalised by total ion current (TIC) to ensure that minor irregularities in the

ionisation of protein ions (resulting from inconsistencies in procedures such

as the addition of the EAM) could be accounted for post-analysis. TIC

normalisation ensures that the area under the curve for all spectra is

constant for all spectra obtained.

Spectra were also externally calibrated for mass accuracy using a protein

standard mixture containing bovine insulin (5733.6 Da) and equine

myoglobin (16951.5 Da). This ensured that the Biomarker Wizard (BMW)

software supplied by Ciphergen was able to correctly identify SELDI-TOF-

MS protein ions with the same m/z (within the specified tolerance of 0.3%) as

a cluster whose levels could then be compared to each other in subsequent

statistical analyses (Figure 13). The use of the BMW software uses an ion

detection algorithm which identifies peaks in each spectrum based on the

signal to noise ratio (S/N) and the local valley depth of SELDI-TOF-MS

protein ions. This includes an initial first pass peak detection, followed by a

more sensitive, directed, second pass detection. The appearance of an ion is

then considered in all spectra generated from different samples within a

defined experiment, and clusters of corresponding ions that occur in spectra

produced from different samples are identified and compared. The relative

ion intensity of a particular ion or set of ions is then reported for all the

spectra as an average m/z value for the cluster of corresponding ions from

the various spectra analysed (Figure 13).

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5000 10000 15000 20000

m/z

Cluster 1 Cluster 3Cluster 2

Spectrum 1

Spectrum 2

Spectrum 3

Spectrum 4

Spectrum 5

Spectrum 6

Rel

ativ

e io

n in

tens

ity

5000 10000 15000 20000

m/z

Cluster 1 Cluster 3Cluster 2

Spectrum 1

Spectrum 2

Spectrum 3

Spectrum 4

Spectrum 5

Spectrum 6

Rel

ativ

e io

n in

tens

ity

Figure 13: Cluster generation using the Biomarker Wizard in Ciphergen Peaks software Skeletal muscle cells were grown and treated with TMPD or GWδ (section 2.1). Cell

homogenates were analysed using SELDI-TOF-MS (section 2.6) before peak

detection was performed. A representative diagram is shown to demonstrate cluster

generation in 6 SELDI-TOF-MS spectra using the BMW. The use of the BMW

allows a consistent set (or cluster) of protein ions to be selected in experiments

(based on user defined settings) so that the levels of a protein ion at the same m/z

can be compared across selected spectra. In this example, the height of the missing

peak in cluster 3 (spectrum 6) is reported at the average m/z of the other peaks in

the cluster.

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The BMW was set so that ions were initially detected if they had a S/N ratio

of at least 5 and the second pass was set at a S/N of 2 (Figure 14). This was

performed so that the effect of chemical noise from the EAM or electrical

noise from the internal machinery of the mass spectrometer was minimised

in the spectra. Ions were clustered with a mass tolerance of 0.3% between a

mass range of 2.5 and 20kDa, as the detection of ions below this range

tends to be of limited use due to the influence of ions arising from the use of

sinapinic acid as an EAM. In addition, the limited numbers of ions usually

detected above this range tend to be broad and have low S/N ratios

compared to other ions. In spectra where an ion within a cluster was missing,

an estimated ion intensity was reported. This can cause problems with

statistical analysis of the data as this sometimes leads to the inclusion of

peaks that have a relative ion intensity that is, in reality, below the sensitivity

of the instrument. In order to address this, ions with a relative ion intensity of

less than 0.5 (the average noise level calculated for spectra generated in

these experiments) were reported as 0.5 (Figure 15).

Figure 14: Biomarker Wizard detection settings Skeletal muscle cell homogenates were analysed using SELDI-TOF-MS and protein

ions were detected in the resulting spectra. The BMW detects peaks in two phases.

The initial phase determined peaks with a S/N ratio of 5, while the second pass

detected smaller peaks at those peak locations using greater sensitivity (lower S/N

of 2). Peaks were recognised as a cluster if the difference was within 0.3% of the

average m/z.

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0

1

2

3

3029.3+H

3673.2+H3706.6+H

4122.9+H4283.8+H

4777.6+HRel

ativ

e io

n in

tens

ity

m/z

x3 Magnification

0

1

2

3

3673.2+H3706.6+H

4066 +H

4122.9+H

4199 +H

4283.8+H4777.6+HR

elat

ive

ion

inte

nsity

m/z

x3 Magnification

Figure 15: Noise calculation in Ciphergen Peaks software An example of the noise calculation is shown above with the dotted line

representing the noise setting for this SELDI-TOF-MS spectrum. Ions below this

level (as shown in the magnified region in the red circle) were entered as a relative

ion intensity of 0.5. This was the average noise setting at the maximum ion height

for the spectra in this experiment and this defined the limit of sensitivity for the

measurements.

2.6.4 SELDI-TOF-MS statistical analysis

Average values for all protein ions within SELDI-TOF-MS spectra were

calculated for the replicates of each sample. A statistical analysis was then

performed in order to identify ions whose relative levels were significantly

different between treatment groups (Student’s t-test, p<0.05). This procedure

was performed in repeat experiments in order to focus on changes that were

consistent in the repeat experiments of a training dataset. A third repeat

experiment functioned as a test-dataset in which changes observed in the

training dataset were validated.

Statistical analysis was performed using Microsoft Excel (Microsoft

Corporation, Washington, USA), Statistica 8.0 (Statsoft Inc, Oklahoma,

USA), GraphPad Prism® (GraphPad software, California, USA) and SIMCA-

P+ v11.5 (Umetrics, Umeå, Sweden). Database searching for the

identification of responsive protein ions was performed using tools (e.g.

TagIdent) which were available via the Expert Protein Analysis System

(ExPASy) web-based server (www.expasy.org).

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2.7 Label-free quantitative proteomics

LFQP differential protein expression profiling experiments were conducted

using a combination of 1DE and LC-MS/MS. Skeletal muscle cells treated

with the same concentrations of TMPD and GWδ as used in SELDI-TOF-MS

protein-profiling investigations (25 and 50μM, respectively) were analysed

using this approach. Samples were prefractionated by 1DE in order to

reduce their complexity before subjecting individual gel fractions to

enzymatic digestion and measuring the relative expression of the generated

peptides using LC-MS/MS.

2.7.1 One-dimensional sodium dodecyl sulphate polyacrylamide gel-electrophoresis

Samples were prepared by denaturing 5μg total protein in lithium dodecyl

sulphate (LDS) buffer and then reducing the sample in 5mM dithiothreitol, at

70°C for 10min. Samples were then cooled to RT for 10min before alkylating

with 50mM iodoacetamide for 20min. Proteins in the samples were then

separated by 1DE using 10% Bis-Tris gels. Following electrophoresis, gels

were stained with Instant Blue™ for 15min before rinsing off excess stain with

deionised water. Gels were then examined so that differences in the intensity

of protein bands likely to have resulted from drug treatment (as indicated by

their consistency within the control or treated groups) could be identified.

2.7.2 In-gel protein digestion

Samples were prepared for LC-MS/MS analysis by cutting the gels

longitudinally into individual lanes for the different samples (6 control and 6

TMPD-treated samples) and also transversely into 11 Mw regions (Figure

16). Stain was then removed from the stained gel pieces by incubating each

gel piece in 1ml 100mM ammonium bicarbonate in 50% acetonitrile until the

gel pieces were transparent (the solution being replenished as necessary to

achieve this). Individual gel pieces were then washed in deionised water

before dehydrating in acetonitrile for at least 30min. Following this,

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acetonitrile was removed before drying the gel pieces in a vacuum

centrifuge. In-gel protein digestion was then performed by the addition of

300μl of 50mM ammonium bicarbonate containing 1ng/μl porcine trypsin and

incubating the sample at 37°C for at least 16h. After this incubation period,

peptides were extracted by the addition of 300µl 0.1% formic acid in 2%

acetonitrile:water [v/v] and mixed for 30min. An aliquot of this sample (400μl)

was removed, freeze-dried and stored until MS analysis.

2.7.3 LC-MS/MS analysis

The lyophilised sample was reconstituted in 60μl of water containing 0.1%

TFA immediately prior to mass spectrometric analysis. Peptides were applied

(in a 10μl injection) onto a Zorbax 300-SB-C18 trap (5 x 0.3mm2) and

separated by nano-LC using 75μm internal diameter, 15cm C18 Pepmap

columns. A flow rate of 250nl/min was used over a linear gradient of 0-45%

acetonitrile containing 0.1% formic acid (v/v) for 70min. Two traps and

columns were run in parallel in order to increase sample throughput although

the run order was adjusted such that samples for comparison to each other

were analysed on the same traps and columns. After LC analysis, eluted

peptides were introduced by electro-nanospray into an LTQ linear ion trap

mass spectrometer for peptide measurement and identification using the

settings detailed in Table 2.

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a) b)

c) d)

Figure 16: Sectioning of one-dimensional electrophoresis gels Skeletal muscle cells were cultured before they were treated with TMPD for 24h

(section 2.1). Proteins within the samples were separated using 1-dimensional

electrophoresis (section 2.7.1) before the gels were (a) divided longitudinally into

lanes to separate individual samples and (b) transversely into Mw regions (c) guided

by Mw markers in order to fractionate the gels prior to subjecting individual excised

sections (d) to proteolytic digestion using porcine trypsin.

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Table 2: Ion trap mass spectrometer settings used for the analysis of skeletal muscle cells Skeletal muscle cells were cultured and treated with TMPD (section 2.1). An LTQ

ion trap mass spectrometer was used to analyse the peptides generated following

1DE analysis of skeletal muscle cells (section 2.7.1) using the settings described

below.

Ion source Nanospray ionisationCapillary temperature (°C) 180Source voltage (kV) 1.4Capillary voltage (V) 3Data acquisition time (min) 70Optimised m/z range 400.0-1600.0

Data dependent settings Minimum signal required 1000 MS isolation width (Da) 2 MS normalised collision energy 35 Activation Q (v) 0.25 Activation time (ms) 30

Please note:

a) A small capillary voltage applied adds a small amount of internal energy, which can assist in the fragmentation of ions within the trap.

b) Minimum signal required refers to the minimum intensity of ions selected for MS/MS. c) MS isolation width is the error permitted for the selection of ions from the trap. d) A normalised collision energy accounts for the fact that ions at a higher m/z range require more collision

energy for fragmentation. This relationship between the m/z and the fragmentation is linear and predictable and is corrected for by this normalisation.

e) The activation Q is the radio frequency used during ion fragmentation. 2.7.4 LS-MS/MS data analysis

Bioworks Browser v3.2 (Thermo Fisher Scientific, Massachusetts, USA) was

used in combination with SEQUEST to search for protein identification

matches within a rat database of proteins and contaminants (Rattus

norvegicus RefSeq obtained from the NCBI ftp site, updated on 06/02/2008)

which contains 36612 entries282. Searches were made for all tryptic peptides

(assuming that the enzyme cleaved at both ends and also allowing for up to

two missed cleavages). Cysteine residues were treated as a fixed

modification (carboxyamidomethylation) and no variations in the other

residues were considered. The mass tolerance for the precursor and

fragment ions was set at 2.0 and 1.0 atomic mass units (amu), respectively

and chromatography data was limited to between 15 and 45min, as data

outside these times only contained a minimal number of peptides.

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Using Bioworks Browser, unified search results file (srf) files were generated

for all of the proteins measured and used to examine and compare normal

protein expression in myoblasts and myotubes. This data was also examined

to investigate changes in protein expression that may have been induced by

drug administration on a global level using all the proteins expressed in the

skeletal muscle cells.

For a more focused differential peptide expression analysis, data was

imported into Decyder™ MS software version 2.0 (GE Healthcare, Chalfont

St. Giles, UK) where peptide ions were detected using the settings described

in Table 3. Base ion chromatograms were time-aligned in the PepMatch

portion of the Decyder™ MS software (so that chromatography retention

times were consistent between different LC runs) before peptide matching

was performed using the settings also shown in Table 3.

Table 3: Detection settings used in Decyder™ MS software Peptides were detected in the PepDetect module of Decyder™ MS software using

the settings shown so that an optimal S/N was achieved. Subsequent peptide

matching between chromatographic runs was performed using the PepMatch

module of the Decyder™ MS software during differential peptide expression

analysis.

Detection settings

Crop retention time 15-45Typical peak width (min) 0.8LC peak shape tolerance (%) 20m/z shift tolerance (amu) 0.6m/s shape tolerance (%) 5Remove peptides below S/N 1.1Remove peptides of unspecified charge below S/N 1.1Include charge states 1-3

Matching settings

Tolerance for retention time matching (min) 0.5Tolerance for m/z matching (Da) 0.5

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Following the detection and matching of peptides, the levels of each peptide

detected were then assessed and compared between control (n=6) and

TMPD-treated (n=6) samples. The aim was to identify proteins that showed

consistent and reproducible differences in their levels in response to

treatment with TMPD (Student’s t-test; p<0.05).

Proteins were only considered as putative biomarkers if all the peptides

contributing to its identification showed a consistent response to treatment

(i.e. in their relative levels in samples and also in terms of being increased or

decreased). Whilst a peptide may have been detected at sufficient levels to

contribute to the identification of a protein, it was recognised that it might not

necessarily be above the limit of quantitation. As such, peptides were only

used for the quantitation of proteins if they were detected in at least half of

the samples included (6/12) to ensure that unreliable data was not used for

quantitation. The cross-correlation (Xcorr) value obtained from SEQUEST

gives an indication of how close the peptide fragment mass spectrum

obtained matches the theoretical spectrum predicted for that peptide and a

score of >2 usually indicates a good match283-285. In considering proteins as

possible biomarkers, the Xcorr value was also taken into account, as was the

correlation between the Mw region of the 1D-gel in which it was found and

the calculated Mw.

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Retention time (min)

m/z

ControlControl TreatedTreated

Peptide detection

Differential peptide analysis

ControlControl TreatedTreated

(a) (b)

(c)

(d)

Retention time (min)

m/z

K.LKGADPEDVITGAFK.V

Figure 17: Schematic of quantitative Decyder™ MS differential peptide analysis (a) All the peptides detected were initially represented in a gel-view plot where the

intensity of individual spots represented the levels at which individual peptides were

detected. (b) Peptides were then detected using user-defined settings (Table 3).

Blue boxes represent peptides selected for comparison and brown crosses show

where MS/MS data was available for the identification of peptides. (c) The intensity

of selected peptides could then be compared to determine differences in peptide

expression between control and treated samples. (d) The peptides could also be

visualised using a 3D plot. One of the peptides used in the quantitation of myosin

light chain 2 in myotubes is shown here.

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2.7.5 Immunoblotting

Compound-induced changes in the expression of some of the protein

biomarkers discovered by LC-MS/MS analysis were confirmed by Western

blotting. Cell lysates were analysed by 1DE (10μg total protein per

sample/lane; all other procedures and conditions as described in section

2.7.1). Samples were analysed along with prestained Mw markers and a

biotinylated protein ladder in order to accurately estimate protein Mw and the

transfer of proteins to the PVDF membrane.

Prior to the transfer of proteins from the gel to the PVDF membrane, thick

blotting paper was immersed until saturated in transfer buffer. A 0.45μM

(pore size) PVDF membrane was then fully immersed in methanol for 1min

followed by another 1min immersion in deionised water, before a final 5min

immersion in transfer buffer. Thin filter paper was also immersed in transfer

buffer prior to preparing a sandwich of thick blotting paper/thin filter

paper/PVDF membrane/gel/thin filter paper/thick blotting paper with the

PVDF membrane nearest the positive electrode onto the positive electrode of

a semi-dry blotter (Figure 18). Excess air was then removed from the blot by

rolling with a test tube before placing the negative electrode on top of the

sandwich and allowing the transfer of proteins to the membrane by running

the semi-dry blotter at 120mA for 1h.

+

-

+

-Gel

PVDF membrane

Thin filter paper

Thick blotting paper

Figure 18: Set up of PVDF membrane/gel sandwich for protein transfer Following 1DE, gels were set up for the transfer of separated proteins to a PVDF

membrane. Thick blotting paper and filter paper were also incorporated into a

sandwich in between the negative and positive electrode of a semi-dry blotter before

transferring proteins from the gel to the PVDF membrane by applying a charge of

120mA for 1 hour.

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Non-specific binding sites were blocked by incubating the PVDF membrane

with blocking solution (5% BSA [w/v] in 0.1% PBS/Tween) for 1h at RT with

agitation. The membrane was then washed using 0.1% PBS/Tween (3 x

5min washes). The primary antibodies were then diluted appropriately

(1:1000 for RhoGDI and 1:500 for Myl2 in blocking solution) and the

membrane incubated in the antibody solution at RT with agitation (1h for

RhoGDI and 4h for Myl2). Following this, the membrane was washed again

(3x5min with 0.1% PBS/Tween) before incubating in a solution containing the

horseradish peroxidase (HRP)-linked secondary antibody and antibiotin HRP

(at 1:2000 and 1:1000 dilution, respectively). Final washes in (3 x 5min) in

0.1% PBS/Tween were then performed prior to antibody detection.

In order to detect bound proteins, the PVDF membrane was incubated (with

agitation) with freshly prepared Lumiglo® peroxidase chemiluminescence

substrate solution for 1min before draining any excess reagent from the

membrane and placing it inside a plastic transparent wallet within a

developing cassette. Under red light conditions, hyperfilm was exposed to

the membrane for an appropriate exposure time such that films were not

over or under exposed (approximately 15s). The film was subsequently

developed by immersing the film in developer solution for 5min, followed by a

short 30s wash in tap water. This was then followed by a 5min incubation in

fixing solution followed by a 1min wash in tap water. Films were then air-

dried before examining the expression of specifically bound proteins.

Quantitative assessments of the levels of the proteins measured specifically

by immunoblotting were made using ImageJ picture processing and analysis

software available from http://rsbweb.nih.gov/ij/.

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Chapter 3

3. Results

The value of an in vitro system for assessing the myotoxic potential of novel

compounds was investigated using cultured rat L6 myoblasts and myotubes

differentiated from myoblasts. The effectiveness of different strategies for

testing the effects of test compounds on skeletal muscle was examined and

treatment-induced changes in the levels of proteins expressed in skeletal

muscle cells were assessed in order to identify possible biomarkers of

myopathy.

3.1 Establishment of the cell culture system

After seeding, myoblasts remained in the medium as unattached, spherical cells

in suspension within the growth medium (Figure 19a). After this, cells gradually

attached to the surface of collagen-coated cell culture plates and non-attached

cells were removed when the medium was replenished after 2h (Figure 19b).

Over the next 22h, cells increased to 10-15% coverage of the cell culture plate

(Figure 19c). When observed at 24h, myoblasts were spindle-shaped and were

also shown (by EM) to be present as individual cells with a single nucleus

(Figure 19d). They also displayed features of an immature, undifferentiated cell

such as an abundance of ribosomes attached to rough endoplasmic reticulum

(RER). There were also very few mitochondria and a euchromatic (often folded)

nucleus containing a prominent nucleolus and many free (unattached)

ribosomes present within the cell, indicative of an actively proliferating cell

involved in protein synthesis (Figure 19e).

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a) b) c)

x100

d) e)

x8000 x30000

Nucleus

Nucleus

RER

x100 x100

Figure 19: Establishment of the rat L6 myblast cell culture system Rat L6 myoblasts were resuscitated before a) seeding the cells as a suspension culture

(section 2.1). Cultures were then prepared for morphological examinations and cell

morphology was examined using LM and EM (section 2.2). b) During a 2h period, the

majority of myoblasts attached to the surface of collagen-coated plates, appearing as

individual spindle-shaped cells. c) Over the next 24h, cells gradually increased to 10-

15% plate coverage due to proliferation. d) Myoblasts were characterised by a

euchromatic nucleus containing a prominent nucleolus (∗) and many ribosomes, but

few other organelles within the cytoplasm. These cells also interdigitated with adjacent

cells without fusing to each other. e) As shown in the area defined by the dashed box in

(d), the cytoplasm of myoblasts also contained an abundance of ribosomes, few

mitochondria (arrows) and profiles of RER dilated with medium electron dense

material. (Magnification shown).

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After 10 days, successful myotube formation was evidenced as approximately

80% of the cells present showed features typical of mature differentiated

skeletal muscle cells (Figure 20a). LM revealed the presence of elongated

myotubes and these were shown (when examined by EM) to be multinucleated,

having been formed by the fusion of two or more myoblasts (Figure 20b). The

differentiation of myoblasts into myotubes was further confirmed by the

presence of myofilaments, although they were disorganised in their orientation

(Figure 20c). Within cultures of myotubes, a proportion of cells (approximately

5-10%) were present whose appearance was more typical of the myoblasts

shown in Figure 19.

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x8000 x30000x100

Nucleus

Nucleusa) b) c)

Figure 20: Morphology of rat L6 myotubes treated with vehicle control alone Myoblasts were initially cultured and then differentiated into myotubes over the course of 10-14 days (section 2.1). Cells were then

prepared for EM examinations (section 2.2) and (a) myotubes were distinguished by the presence of elongated cells, which were formed

by the fusion of myoblasts. b) The multinucleate nature of myotubes was apparent in this portion of the myotube and (c) the differentiated

status of the cell was further confirmed by an abundance of myofilaments characteristic of skeletal muscle, as indicated by the arrows in

the area defined by the dashed box in (b). (magnification shown).

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Intracellular levels of ALD, ALT, AST, CK, LDH, sTnI, Myl3, FABP3 and

parvalbumin-α were compared between myoblasts and myotubes in order to

examine the influence of successfully myotube formation on their levels.

Significant changes in the intracellular concentrations of ALD, ALT, AST, CK,

LDH and sTnI were observed between myoblasts and myotubes (Student’s t-

test, p<0.05). ALD and AST were increased 2-fold whilst ALT was increased 3-

fold. These changes were accompanied by a 1.4-fold reduction in LDH. The

most marked changes were in CK and sTnI, which were, increased 12 and 11-

fold, respectively, in myotubes when compared to myoblasts. Increases in the

levels of these proteins were due to myoblasts maturing into adult skeletal

muscle cells (Figure 21).

0

5

10

15

ALD ALT AST CK LD sTnI Myl3 FABP3 Parvalb.

Myo

tube

/myo

blas

trat

io

***

**

**

*

*

0

5

10

15

ALD ALT AST CK LD sTnI Myl3 FABP3 Parvalb.

Myo

tube

/myo

blas

trat

io

***

**

**

*

*

Figure 21: Baseline biochemical levels in skeletal muscle cells Skeletal muscle cells were cultured (section 2.1) and sampled for biochemical analysis

(section 2.5). The myotube/myoblast ratio was calculated as the fold-change of

individual myotube cultures (n=3) compared to the mean of myoblast cultures (n=3).

Significant increases in the intracellular levels of ALD, ALT, AST, CK and sTnI were

observed when myotubes were compared to myoblasts (Student’s t-test, p<0.05). The

dotted line represents the level at which there was no difference in the intracellular

levels of the proteins (myotube/myoblast ratio=1). The changes in the levels were due

to the maturation of myoblasts into myotubes and the largest increases were seen in

CK and sTnI (12 and 11-fold, respectively). Where visible, error bars show standard

error of the mean (SEM) and significant changes are denoted by *p<0.05, **p<0.01.

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Myoblasts were grown after being resuscitated from storage at -150°C in the

vapour phase of liquid nitrogen and displayed features characteristic of an

actively proliferating skeletal muscle cell. Following differentiation, these cells

showed very different morphological characteristics that were more typical of

skeletal muscle tissue in vivo. In addition, the intracellular levels of the

biochemical parameters measured were compared and the maturation of the

myoblasts into myotubes was corroborated by significant increases in the

intracellular concentrations of ALD, ALT, AST, CK and sTnI. These

observations confirmed that cell culture conditions could be modified so that

cells were encouraged to fuse together during differentiation and form mature

myotubes.

3.2 Effect of the test compounds on skeletal muscle cells

The effects of treating skeletal muscle cells for 24h with of a range of

concentrations (up to 100μM) of an experimental myotoxin (TMPD) or a

potentially myotoxic drug (GWδ) were investigated by examining changes in the

morphology of cells. Changes in the intracellular protein content were also

examined along with changes in the ability of cells to reduce a tetrazolium salt

to a formazan dye (MTT assay).

3.2.1 Effect of test compounds on myoblasts

Myoblasts treated with ≤25μM TMPD were indistinguishable from those treated

with vehicle alone in terms of size, shape and general appearance. Cell death

following treatment with 50 and 100μM TMPD was apparent by a reduction in

the number of intact cells due to a loss of cell-membrane integrity (Figure 22).

At these concentrations of TMPD, a small proportion of the myoblasts were

necrotic or unusually dense, degenerate cells that, on occasions, had ridge-like

folds of the membrane. Some myoblasts showed additional degenerative

ultrastructural changes such as swollen mitochondria with disrupted cristae,

increased numbers of neutral lipid droplets or evidence of cytoplasmic

vacuolation (Figure 23).

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Vehicle control 6.25μM TMPD 12.5μM TMPD

25μM TMPD 50μM TMPD 100μM TMPD

Figure 22: Effect of a range of concentrations of TMPD on rat L6 myoblasts following 24 hours of TMPD treatment. Myoblasts were cultured before being treated with the test compound (section 2.1). Morphological examinations (section 2.2) showed the

typical spindle-shaped appearance of rat L6 myoblasts. The number of intact cells was also reduced to approximately 50% and 20% when

cells were treated with 50 and 100μM TMPD, respectively. (Magnification x200).

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a) b)

X 30000 X 30000

Figure 23: Degenerative ultrastructural changes in myoblasts caused by TMPD treatment. Myoblasts were cultured before they were treated with TMPD (section 2.1) and

prepared for EM examination (section 2.2). a) Myoblasts treated with ≥ 50μM TMPD

contained vacuoles of variable size (one indicated by the arrow), a number of lipid

droplets (L) and slightly swollen mitochondria (M) with disorganised cristae. These

features were not observed in cells treated with vehicle alone. b) Interdigitations of

individual myoblasts with neighbouring cells were absent, whilst single nuclei contained

marginated chromatin and a fragmented nucleolus. Several swollen, degenerate

mitochondria and some lipid droplets were also present in the cytoplasm of affected

cells. (Magnification shown).

Total intracellular protein content was used as a measure of cell viability, as

total protein levels decrease when cell death occurs and cells are detached

from the surface of the cell culture plate and subsequently removed when

growth medium is replenished. TMPD had no significant effect on the total

intracellular protein content of myoblast cultures treated with ≤25μM TMPD

(Student’s t-test, p<0.05) and significant reductions were only observed when

myoblasts were treated with 50 and 100μM TMPD (Figure 24a). The effect of

GWδ on myoblasts was also investigated and a change in total intracellular

protein content was only observed in myoblasts treated with 100μM GWδ

(Figure 24b).

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MTT reduction was used to assess the ability of the mitochondria of healthy

cells to reduce a yellow tetrazolium salt (MTT) to an insoluble purple formazan

dye, which is assumed to be proportional to the number of viable cells

remaining in the cell culture. Significant changes in the ability of myoblasts

treated with >25μM TMPD to reduce MTT confirmed that TMPD was cytotoxic

at 50 and 100μM (Figure 24a). GWδ was not toxic to myoblasts at

concentrations of ≤50μM and the toxic effect of this compound at 100μM was

confirmed by a significant change in MTT reduction (Figure 24b).

0

0.2

0.4

0.6

0.8

1

1.2

1.4

1.6

0 10 20 30 40 50 60 70 80 90 100

[TMPD] μM

Fold

cha

nge

over

con

trol m

ean Total protein

MTT reduction***

***

**

*

a)***

*

***

***

0

0.2

0.4

0.6

0.8

1

1.2

1.4

1.6

0 10 20 30 40 50 60 70 80 90 100

[GWδ] μM

Fold

cha

nge

over

con

trol m

ean Total protein

MTT reduction

b)

** **** **

***

**

Figure 24: Effect of a range of concentrations of TMPD and GWδ on

myoblasts Myoblasts were cultured and treated with TMPD or GWδ (section 2.1). a) Intracellular

protein content was assessed (section 2.3) and was decreased significantly in

myoblasts treated with 50 and 100μM TMPD (n=8 controls and 8 treated) and (b) in

myoblasts treated with 100μM GWδ (Student’s t-test, p<0.05). This was supported by

significant reductions in MTT reduction (performed as described in section 2.4) at the

same concentrations of both test compounds. Increases in intracellular protein content

and MTT reduction may reflect an increase in cell proliferation at low concentrations of

the test compounds. Significant changes compared to controls are denoted by *p<0.05,

**p<0.01, ***p<0.001. Due to small variance, errors bars are not always visible on

these graphs. Error bars show ± SEM.

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Reductions in the intracellular levels of protein, the ability of myoblasts to

reduce MTT and changes in the morphology of myoblasts at concentrations of

50 and 100μM together demonstrated that TMPD was cytotoxic to myoblasts at

these concentrations. Similar changes in total intracellular protein, MTT

reduction and cell morphology were indicative of the toxic effect of GWδ at a

higher concentration of 100μM.

3.2.2 Effect on test compounds myotubes

Myotubes treated with 6.25, 12.5 and 25μM TMPD were identical in appearance

to cells treated with vehicle alone. Cytotoxicity was only evident in cells treated

with 50 and 100μM TMPD and was demonstrated by similar degenerative

ultrastructural changes to those described for myoblasts treated with the same

concentrations of TMPD. At these concentrations of TMPD, necrotic cells and

ridge-like folds in the plasma membrane were observed. It was also noted that,

of the viable cells remaining, a higher proportion contained a single nucleus, as

was the case with myoblasts (Figure 25). This indicated that a higher proportion

(approximately 15%) of myoblasts either failed to differentiate into myotubes or

may have been dedifferentiated into myoblasts. These changes were

accompanied by a decrease in the number of intact cells when viewed by LM

(Figure 26).

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a) b)

X 8000 X 30000

Nucleus

Figure 25: Degenerative ultrastructural changes in myotubes Myotubes were differentiated from cultured myoblasts (section 2.1). Cells were then

prepared and examined qualitatively by EM (section 2.2). a) Of the viable cells

remaining, myotubes treated with ≥50μM TMPD had an elongated shape typical of

myotubes, although some of the cells (approximately 15%) contained a single nucleus

within the cell and, in this way, resembled myoblasts (Figure 19). b) In the area defined

by the dotted box in (a) there were many vacuoles of variable size (derived from

swollen rough endoplasmic reticulum (arrows)) and some lipid droplets (L). Some

areas of disrupted myofilaments (*) that were contained within the cytoplasm of

affected myotubes are also shown. These degenerative changes were absent from

myotubes treated with vehicle control alone.

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Vehicle control 6.25μM TMPD 12.5μM TMPD

25μM TMPD 50μM TMPD 100μM TMPD

Figure 26: Effect of a range of concentrations of TMPD on rat L6 myoblasts following 24 hours of TMPD treatment. Myotubes were differentiated from myoblasts before treating them with a range of concentrations of TMPD (section 2.1). Myotubes were

then examined by light microscopy (section 2.2) and, in contrast to myoblasts, they were elongated due to the fusion of multiple myoblasts

during cell differentiation. The number of intact cells was reduced to approximately 80% and 30% plate coverage when cells were treated

with 50 and 100μM TMPD, respectively, due to drug-induced reductions in cell viability. (Magnification x200).

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The effect of TMPD on myotubes was also assessed by measuring total

intracellular protein content. Significant reductions in the intracellular levels of

protein at concentrations of 50 and 100μM demonstrated that TMPD was

cytotoxic to myotubes at these concentrations (Student’s t-test, p<0.05) (Figure

27a). The effects of GWδ were also assessed by measuring intracellular protein

content, and this compound was toxic to myotubes at a concentration of 100μM

(Figure 27b).

Significant decreases in the ability of myotubes to reduce MTT again confirmed

that TMPD was cytotoxic at 50μM and 100μM (Figure 27a). Similar changes in

MTT reduction were again indicative of the toxic effect of GWδ at a higher

concentration of 100μM (Figure 27b), as it was for myoblasts.

0

0.2

0.4

0.6

0.8

1

1.2

1.4

1.6

0 10 20 30 40 50 60 70 80 90 100

[TMPD] μM

Fold

cha

nge

over

con

trol m

ean

Total proteinMTT reduction

a)***

*****

***

***

***

***

0

0.2

0.4

0.6

0.8

1

1.2

1.4

1.6

0 10 20 30 40 50 60 70 80 90 100

[GWδ] μM

Fold

cha

nge

over

con

trol m

ean

Total proteinMTT reduction

b)

*

***

***

Figure 27: Effect of a range of concentrations of TMPD and GWδ on

myotubes Myotubes were differentiated from cultured myoblasts and treated with TMPD or GWδ

(section 2.1). a) Intracellular protein content was assessed (section 2.3) and was

measured at significantly lower levels in myotubes treated with 50 and 100μM TMPD

(n=8 controls and 8 treated) or (b) 100μM GWδ. TMPD and GWδ were toxic to

myotubes at the same concentrations observed for myoblasts as demonstrated by

significant decreases in MTT reduction at the same concentrations of the test

compounds (Student’s t-test, ≤0.05). Significant changes compared to controls are

denoted by *p<0.05, **p<0.01 or ***p<0.001. Error bars show SEM although, due to

small variance, they are not always visible on these graphs.

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These results demonstrated that the in vitro system established using

myoblasts (section 3.1) was sensitive to treatment with either an experimental

myotoxin (TMPD) or a potentially myotoxic drug (GWδ). Furthermore, the

assessment of cell morphology, total intracellular protein content and MTT

reduction showed that TMPD and GWδ realised their myotoxic potential at

concentrations of 50 and 100μM, respectively. One of the aims of this work was

to discover changes in the levels of proteins that were likely to be predictive of

drug effects rather than descriptive. As such, it was decided to focus further

biomarker discovery investigations on changes observed in skeletal muscle

cells treated with concentrations of the test compounds that were not overtly

cytotoxic (≤25μM TMPD and ≤50μM GWδ).

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3.3 Measurement of candidate biomarkers to discover protein biomarkers of myopathy

These investigations were conducted in order to determine whether a selection

of candidate biomarkers could detect drug-induced changes in the function of

skeletal muscle cells at lower concentrations of the test compounds than the

methods already described (total intracellular protein content, MTT reduction

and cell morphology). These markers were a combination of established

markers commonly used for the assessment of skeletal muscle toxicity in vivo

(CK, LDH, ALT, AST, ALD)91,92 and markers that have more recently been

proposed as biomarkers of myopathy (sTnI, Myl3, FABP3 and parvalbumin-

α)95,286,287.

3.3.1 Effect of drug treatment on the leakage of candidate markers

Circulatory levels of markers known to be in high concentration in skeletal

muscle are commonly used to determine the status of the tissue in clinical

studies or toxicology experiments. Therefore, the effect of a range of

concentrations of TMPD (up to 100μM) on the levels of the aforementioned

candidate markers in medium taken from treated cells was investigated.

In medium taken from myoblasts, the only marker that demonstrated a dose-

related increase in its levels was AST which was significantly increased at 50

and 100μM TMPD (Student’s t-test, p<0.05). sTnI and parvalbumin-α were not

detected in the medium taken from myoblasts (Figure 28).

In myotubes, both AST and sTnI were significantly increased in the medium

from cells treated with 50 and 100μM TMPD. In addition, CK and FABP3 were

also increased in myotubes treated with 100μM TMPD. Myl3 and parvalbumin-α

were not detected in the medium taken from myotubes (Figure 29).

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ALD leakage

0 25 50 75 100

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Parvalbumin-α leakage

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[TMPD]μM

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Myl3 leakage

0 25 50 75 100

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Con

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FABP3 leakage

0 25 50 75 100

0.000

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0.002

0.003

[TMPD]μM

Con

cent

ratio

n (n

g/m

l)

LDH

Figure 28: TMPD-induced changes in leakage into myoblast conditioned medium Myoblasts were grown and treated with up to 100μM TMPD (section 2.1) before

measuring the levels of ALD, ALT, AST, CK, LDH, sTnI, Myl3, FABP3 and

parvalbumin-α leaked into the medium (section 2.5). Significant dose-related increases

in the levels of AST leaked into the medium were observed in cells treated with 50 and

100μM TMPD, although cell death was already evident in cells treated with this

concentration (section 3.2). sTnI and parvalbumin-α were not detected in the medium

taken from myoblasts. Error bars show SEM deviation (where visible) and significant

changes are denoted by *p<0.05 (Student’s t-test).

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sTnI leakage

0 25 50 75 100

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Con

cent

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ALD leakage

0 25 50 75 100

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[TMPD]μM

Con

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n (n

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ALT leakage

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n (n

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AST leakage

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[TMPD]μM

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CK leakage

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n (n

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LD leakage

0 25 50 75 100

0.0000

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0.0050

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[TMPD]μM

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n (n

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******

**

Myl3 leakage

0 25 50 75 100

0.0000

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[TMPD]μM

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FABP3 leakage

0 25 50 75 100

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[TMPD]μM

Con

cent

ratio

n (n

g/m

l) **Parvalbumin-α leakage

0 25 50 75 100

0.0000

0.0025

0.0050

0.0075

0.0100

[TMPD]μM

Con

cent

ratio

n (n

g/m

l)

*

LDH

Figure 29: TMPD-induced changes in leakage into myotube conditioned medium Myotubes were differentiated from myoblasts and treated with up to 100μM TMPD

(section 2.1) before measuring the levels of candidate biomarkers leaked into the

medium (section 2.5). Significant increases in the leakage of AST and sTnI were

observed in cells treated with 50 and 100μM. These changes were accompanied by

increases in CK and FABP3 in medium taken from cells treated with 100μM TMPD.

Myl3 and parvalbumin-α were not detected in the medium taken from myotubes. Error

bars show SEM deviation and significant changes are denoted by *p<0.05, **p<0.01,

***p<0.001 (Student’s t-test).

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Leaked levels of AST (and sTnI in the case of myotubes) proved to be most

sensitive for detecting drug-induced changes in skeletal muscle cells.

Treatment-related increases in the leaked levels of these markers were

observed when cells were treated with 50 or 100μM TMPD, although these

changes were seen at concentrations already shown to be cytotoxic to

myoblasts and myotubes (section 3.2). There were also increases in the levels

of CK and FABP3 in myotubes at the highest concentration of TMPD tested

(100μM). Overall, there was no additional value in measuring the leakage of

candidate markers in the medium compared to examining changes in cell

morphology or measuring intracellular protein content or MTT reduction.

3.3.2 Drug-induced changes in the intracellular levels of candidate markers

The effect of a range of concentrations of TMPD (up to 100μM) on the

intracellular levels of ALD, ALT, AST, CK, LDH, sTnI, Myl3, FABP3 and

parvalbumin-α was also assessed.

Reductions in the levels of ALT, AST, CK, LDH and sTnI related to the cytotoxic

effect of the test compound were only observed when myoblasts were treated

with 100μM TMPD (Student’s t-test, p<0.05) (Figure 30).

The levels of AST and LDH were decreased in myotubes treated with 100μM

TMPD. The most responsive markers to the treatment of myotubes with TMPD

were ALD and CK, which were reduced following treatment with ≥12.5μM

TMPD (Figure 31).

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Intracellular ALT

0 25 50 75 100

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/l)

Intracellular ALD

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Intracellular AST

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1.5

2.0

[TMPD]μM

Enzy

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activ

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/l)

* **

****

**

***

*

Intracellular sTnI

0 25 50 75 100

0.0000

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0.0010

0.0015

[TMPD]μM

Con

cent

ratio

n (n

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Intracellular Myl3

0 25 50 75 100

0.00000

0.00005

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[TMPD]μM

Con

cent

ratio

n (n

g/m

l)

Intracellular FABP3

0 25 50 75 100

0.0000

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[TMPD]μM

Con

cent

ratio

n (n

g/m

l)

Intracellular parvalbumin-α

0 25 50 75 100

0.000

0.002

0.004

0.006

[TMPD]μM

Con

cent

ratio

n (n

g/m

l)

*

*

LDH

Figure 30: TMPD-induced changes in intracellular enzymes in myoblasts Myoblasts were grown and treated with up to 100μM TMPD (section 2.1) before the

intracellular levels of ALD, ALT, AST, CK, LDH, sTnI, Myl3, FABP3 and parvalbumin-α

were assessed (section 2.5). Significant reductions in the levels of ALT, AST, CK, LDH

and sTnI were only observed in cells treated with 100μM TMPD. These changes were

related to the toxic effects of drug-treatment. Error bars show SEM (where visible) and

significant changes are denoted by *p<0.05, **p<0.01, ***p<0.001 (Student’s t-test).

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Intracellular ALD

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/l)

Intracellular ALT

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0.015

[TMPD]μM

Enz

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/l)

Intracellular AST

0 25 50 75 1000.000

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0.075

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[TMPD]μM

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/l)

Intracellular CK

0 25 50 75 1000.0

0.1

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0.6

[TMPD]μM

Enzy

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/l)

Intracellular LD

0 25 50 75 1000.00

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0.50

0.75

1.00

[TMPD]μM

Enz

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activ

ity (u

/l)

Intracellular sTnI

0 25 50 75 1000.000

0.025

0.050

0.075

0.100

[TMPD]μM

Con

cent

ratio

n (n

g/m

l)

Intracellular Myl3

0 25 50 75 1000.0000

0.0001

0.0002

0.0003

0.0004

[TMPD]μM

Con

cent

ratio

n (n

g/m

l)

Intracellular FABP3

0 25 50 75 1000.00

0.01

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0.04

[TMPD]μM

Con

cent

ratio

n (n

g/m

l)

Intracellular parvalbumin-α

0 25 50 75 1000.000

0.005

0.010

0.015

[TMPD]μM

Con

cent

ratio

n (n

g/m

l)

*** *** ***

**

**

** **

LDH

Figure 31: TMPD-induced changes in intracellular enzymes in myotubes Myotubes were obtained by differentiating myoblasts and these cells were treated with

up to 100μM TMPD (section 2.1). Intracellular enzyme levels were assessed (section

2.5) and significant dose-related reductions in the intracellular levels of AST and LDH

were only observed in cells treated with 100μM TMPD (Student’s t-test, p<0.05). ALD

and CK were more sensitive to treatment and were reduced following treatment with

lower concentrations of TMPD (≥12.5μM TMPD). Error bars show SEM deviation and

significant changes are denoted by *p<0.05, **p<0.01, ***p<0.001.

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In the assessment of the intracellular levels of the candidate biomarkers

measured, ALD and CK were the most responsive markers to the effects of

TMPD in myotubes and were decreased when cells were treated with ≥12.5μM

TMPD. These markers were responsive at lower concentrations of the test

compound than intracellular protein content, MTT reduction and cell morphology

assessments (section 3.2) and could serve as sensitive biomarkers of myopathy

in vitro.

3.4 Differential protein expression profiling using SELDI-TOF-MS

Results described in section 3.2 demonstrated that TMPD was cytotoxic at a

concentration of 50μM in both myoblasts and myotubes and that GWδ was toxic

to both cell types at a concentration of 100μM. SELDI-TOF-MS protein profiling

was subsequently used in an attempt to discover protein ions whose levels

changed when skeletal muscle cells were treated with the test compounds.

Concentrations of the test compounds were used that were not overtly cytotoxic

with a view to discovering putative biomarkers of myopathy in myoblasts and

myotubes.

A number of different ProteinChip® arrays and assay conditions were used in

order to enrich specific subsets of proteins on the array surfaces, based on their

physicochemical characteristics (Figure 32). By using a number of different

surfaces and assay conditions, an investigation of a greater proportion of the

proteome was possible than might have been achieved using a more limited set

of assay conditions.

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5000 10000 15000 200005000 10000 15000 20000

-505

101520

-50

5

10

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5000 10000 15000 20000 5000 10000 15000 20000

NP20 myoblasts

H50 myoblasts

CM10 (pH4) myoblasts

CM10 (pH6) myoblasts

CM10 (pH8) myoblasts

IMAC myoblasts

NP20 myotubes

H50 myotubes

CM10 (pH4) myotubes

CM10 (pH6) myotubes

CM10 (pH8) myotubes

IMAC myotubes

m/z m/z

Rel

ativ

e io

n in

tens

ity

Rel

ativ

e io

n in

tens

ity

Figure 32: Representative SELDI-TOF-MS spectra of skeletal muscle cells from different ProteinChip® arrays Myoblasts and myotubes were cultured (section 2.1) and prepared for SELDI-TOF-MS analysis as described in section 2.6. Spectra

generated following SELDI-TOF-MS analysis of the cell homogenates on normal phase (NP20), hydrophobic (H50), weak cation

exchange (CM10) and immobilised metal affinity capture (IMAC 30) loaded with copper are shown. Protein expression analysis was

conducted on a variety of ProteinChip® array surfaces (and using different assay conditions) in order to modify the proteins retained from

the samples on each array. The m/z is shown on the x-axis and the relative ion intensity on the y-axis.

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3.4.1 Optimisation of SELDI-TOF-MS protein ion detection settings

Prior to differential protein expression analysis, consideration was given to

suitable BMW settings for detecting clusters of protein ions (as described in

section 2.6.3). The aim was to achieve BMW settings such that a maximal

number of protein ions could be detected with the minimal inclusion of electrical

noise from the mass spectrometer or chemical noise from reagents used during

ProteinChip® array preparation288-290.

Using SELDI-TOF-MS data generated following the analysis of myoblasts on

NP20 ProteinChip® arrays (n=6 control, 6 TMPD-treated analysed in duplicate;

total 24 spectra), BMW settings were adjusted so that ions were detected using

a range of S/N settings between 10 and 1 during the first phase of cluster

generation (Figure 14). This range was selected as a S/N setting of 1 tends to

include many ions (possibly including noise), whilst a setting of 10 may exclude

some useful ions due to its high stringency. The S/N setting in the second pass

had no significant effect on the number of ions detected as this phase simply

supplements the first phase of detection. Therefore, a default setting of 2 was

used for this phase of detection.

A suitable S/N setting of 5 was selected for the BMW based on the deduction

that the large drop in the number of ions detected from 814 (at a BMW S/N

setting of 1) to 54 ions (when the setting was at 5) was due to the exclusion of

noise (Figure 33). An example of the ions detected in myoblasts is shown in

Figure 34.

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0 1 2 3 4 5 6 7 8 9 10

0

200

400

600

800

1000

Biomarker Wizard setting (S/N)

No.

of i

ons

dete

cted

S/N setting No. ions

Decrease from previous

setting

1 814 -2 224 5903 104 1204 62 425 54 86 47 77 39 88 33 69 29 4

10 23 6

Figure 33: Influence of Biomarker Wizard detection settings on protein ion detection Myoblasts were cultured and treated with the TMPD or GWδ (section 2.1) before

analysing cell homogenates using SELDI-TOF-MS (section 2.6). In order to determine

suitable BMW detection settings, they were adjusted so that the S/N of ions included in

clusters ranged from 1-10. A S/N setting of 5 was used for the BMW in subsequent

experiments, as a setting of 10 was too stringent, leading to the exclusion of a high

proportion of ions whilst a setting of 1 resulted in the inclusion of 814 ions, which

incorporated spectral noise. S/N = signal to noise ratio.

5000 10000 15000 20000

0

2

4

m/z

Rel

ativ

e io

n in

tens

ity

Figure 34: Peaks detected in SELDI-TOF-MS spectra using selected Biomarker Wizard detection settings Myoblasts were cultured and treated with the test compounds (section 2.1) before

analysing cell homogenates by SELDI-TOF-MS (section 2.6). Suitable detection

settings (S/N of ions detected = 5 in the first pass detection) for the BMW were

obtained as shown in Figure 33 and 54 ions detected on NP20 ProteinChip® arrays in

this experiment are highlighted ( ).

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3.4.2 Discovery of protein profiles that discriminate between control and treated muscle cells

SELDI-TOF-MS analysis of 6 control and 6 treated samples on NP20, H50,

CM10 (at pH 4, 6 and 8) and IMAC 30 ProteinChip® arrays was considered as a

“SELDI-TOF-MS experiment run” during these investigations. For each SELDI-

TOF-MS experiment run, a different culture of skeletal muscle cells was

resuscitated from storage and treated with the test compounds (as described in

section 2.1). Cell homogenates were then analysed on NP20, H50, CM10 (at

pH 4, 6 and 8) and IMAC 30 ProteinChip® arrays, as described in section 2.6 to

form the dataset for a SELDI-TOF-MS experiment run.

Principal component analysis (PCA) of data generated in an initial SELDI-TOF-

MS experiment run established that the treatment of myoblasts with TMPD

(Figure 35a) and GWδ (Figure 35b) resulted in changes in the levels of some

protein ions as indicated by the separation between control and treated

myoblasts in the scores plots. Furthermore, these changes were observed in

myoblasts treated with concentrations of the test compounds at which no

adverse effects of treatment were detected by examining cell morphology or by

using measures such as MTT reduction or total intracellular protein content.

PCA of data generated following the SELDI-TOF-MS analysis of myotubes was

also conducted in order to determine whether there were any changes in the

protein ion profiles of TMPD or GWδ-treated myotubes. For both TMPD and

GWδ-treated myotubes, there was natural separation (in PC2) between control

and treated samples. This demonstrated that, as with myoblasts, treating cells

with the test compounds resulted in changes to the protein ion profiles in

myotubes (Figure 36).

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ControlTreatedControlTreateda) Scores plot (TMPD myoblasts) Control

TreatedControlTreated

b) Scores plot (GWδ myoblasts)

Principal component 1 (PC1) PC1

PC

2

-20

-10

0

10

20

-40 -30 -20 -10 0 10 20 30 40

-20

-10

0

10

20

-40 -30 -20 -10 0 10 20 30 40

-20

-10

0

10

20

-30 -20 -10 0 10 20 30

-20

-10

0

10

20

-30 -20 -10 0 10 20 30

PC

2

Figure 35: Principal components analysis comparing control and treated myoblasts following SELDI-TOF-MS analysis Myoblasts were cultured (section 2.1) and data generated following SELDI-TOF-MS

analysis of the cell lysates (section 2.6) was evaluated using PCA (including all 592

ions detected in the analysis). a) Separation between control and TMPD-treated

myoblasts is shown in the scores plot and the variation describing the separation due

to TMPD treatment in myoblasts (22%) is mainly in principal component 2 (PC2). b)

GWδ-treatment also resulted in differences between the protein ion profiles of control

and treated myoblasts, which was accounted for mainly in PC1 (17% of the variation).

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ControlTreatedControlTreateda) Scores plot (TMPD myotubes) Control

TreatedControlTreated

b) Scores plot (GWδ myotubes)

Principal component 1 (PC1) PC1

PC

2

PC

2

-20

-10

0

10

20

-30 -20 -10 0 10 20 30

-20

-10

0

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-30 -20 -10 0 10 20 30

-20

-10

0

10

20

-40 -30 -20 -10 0 10 20 30

-20

-10

0

10

20

-40 -30 -20 -10 0 10 20 30

Figure 36: Principal components analysis comparing control and treated myotubes following SELDI-TOF-MS analysis Cultured myotubes were collected (section 2.1) and data generated following SELDI-

TOF-MS analysis (section 2.6) was evaluated using PCA (including all 331 ions

detected in the analysis). a) Separation between control and TMPD-treated myotubes

is shown in the scores plot and the variation describing the separation due to TMPD

treatment in myotubes (18%) is mainly in principal component 2 (PC2). b) GWδ-

treatment also resulted in differences between the protein ion profiles of control and

treated myotubes, which was accounted for mainly in PC2 (15% of the variation).

These results demonstrated that the treatment of myotubes with TMPD and GWδ

resulted in changes to the protein ion profiles.

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PCA was unsupervised and was performed in order to determine whether there

was any natural separation between control and treated skeletal muscle cells.

The natural separation between control and treated skeletal muscle cells shown

by PCA served as evidence that treating the cells with TMPD or GWδ resulted

in changes to the protein expression profile in the cells. Partial least squares

discriminant analysis (PLS-DA) was subsequently conducted and this

supervised method of data analysis was performed in an attempt to determine

the protein ions responsible for the separation between control and treated

myoblasts previously shown by PCA. This analysis, however, resulted in the

identification of over 85 protein ions (out of a total of 592 ions) in TMPD-treated

myoblasts that had a variable importance of projection (VIP) coefficient >1

(Figure 37a and b). The VIP coefficient is a measure that summarises the

importance of each variable in the model. A VIP coefficient of >1 suggests that

an ion was an important variable in describing the separation between control

and treated samples291,292. Myoblasts treated with GWδ had over 95 ions that

had VIP coefficients >1 and that were therefore important in discriminating

between control and treated samples (Figure 37c and d).

As with myoblasts, PLS-DA was conducted in order to determine the main ions

that were changed in response to treatment with the test compounds. Again,

this was difficult to determine using this method, mainly due to the high number

of ions (331) included in the analysis. Although the scores plot showed clear

separation between control and TMPD-treated myotubes (Figure 38a and b),

there were 87 ions that had a VIP coefficient of >1. In GWδ-treated myotubes,

there was again clear separation between control and treated cells but the 97

ions with VIP coefficients of >1 again made it difficult to determine the most

important ions (Figure 38c and d).

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ControlTreatedControlTreatedc) Scores plot (GWδ myoblasts) x

yd) Loadings plot (GWδ myoblasts)

ControlTreatedControlTreateda) Scores plot (TMPD myoblasts) x

yb) Loadings plot (TMPD myoblasts)

Principal component 1 (PC1)

PC

2

Principal component 1 (PC1)

PC

2

-20

-10

0

10

20

-20 -10 0 10 20-20

-10

0

10

20

-20 -10 0 10 20 -0.2

-0.1

-0.0

0.1

0.2

-0.1 0.0 0.1

w*c

[2]

NP20 2506

NP20 3001

NP20 3012NP20 3038

NP20 3264NP20 3289

NP20 3743NP20 3815NP20 3830

NP20 3874NP20 3979

NP20 4020 NP20 4341NP20 4354NP20 4570NP20 4705NP20 4719NP20 4748

NP20 4912

NP20 5663NP20 5674NP20 5747

NP20 5761

NP20 6001NP20 6119NP20 6163NP20 6191

NP20 6259NP20 6306

NP20 6420

NP20 6588

NP20 6658

NP20 6925NP20 7026

NP20 7181NP20 7494

NP20 7507NP20 8500

NP20 9097NP20 9113NP20 9123NP20 9137NP20 9161NP20 9349

NP20 9825NP20 10270

NP20 10790NP20 12350

NP20 13840NP20 14050

NP20 15060NP20 16030NP20 17810NP20 19090H50 2586

H50 2611H50 2613H50 2615H50 2618H50 2642

H50 2672H50 2688

H50 2693

H50 2703

H50 2731H50 2754H50 2787H50 2805

H50 2894

H50 2971

H50 2982

H50 3000

H50 3010H50 3036

H50 3081H50 3094H50 3106H50 3116H50 3134H50 3186H50 3204

H50 3217

H50 3227

H50 3249H50 3261H50 3289

H50 3345H50 3376

H50 3441

H50 3469H50 3510H50 3586H50 3606

H50 3625

H50 3657H50 3679

H50 3705H50 3940

H50 3967

H50 3989H50 4005H50 4016

H50 4052

H50 4110H50 4136

H50 4193H50 4221

H50 4238H50 4267H50 4297H50 4368H50 4525H50 4628H50 4716

H50 4745

H50 4843

H50 4898

H50 4922

H50 4970H50 5021

H50 5062

H50 5221H50 5273

H50 5294

H50 5314

H50 5375

H50 5523

H50 5579

H50 5635

H50 5789

H50 5825H50 5854

H50 5946

H50 5993H50 6020H50 6076

H50 6275H50 6377

H50 6538H50 6783H50 7027

H50 7094H50 7280H50 8036H50 8543H50 8586H50 8747H50 9041H50 9144

H50 10050H50 10250

H50 10730

H50 11050H50 11150

H50 11300H50 11350

H50 11710

H50 12350H50 12710H50 14030

H50 14300

H50 15030H50 15400

H50 16860CM10 pH4 2523

CM10 pH4 2542CM10 pH4 2680

CM10 pH4 2701

CM10 pH4 2722CM10 pH4 2882CM10 pH4 2995

CM10 pH4 3042CM10 pH4 3149

CM10 pH4 3178CM10 pH4 3358

CM10 pH4 3513

CM10 pH4 3584CM10 pH4 3660CM10 pH4 3675

CM10 pH4 3747

CM10 pH4 3882

CM10 pH4 3925CM10 pH4 3979

CM10 pH4 4019CM10 pH4 4076CM10 pH4 4096

CM10 pH4 4116

CM10 pH4 4203CM10 pH4 4236

CM10 pH4 4279CM10 pH4 4337CM10 pH4 4353CM10 pH4 4424

CM10 pH4 4519CM10 pH4 4571CM10 pH4 4704CM10 pH4 4717CM10 pH4 4748CM10 pH4 4761CM10 pH4 4786CM10 pH4 4832

CM10 pH4 4866CM10 pH4 4910

CM10 pH4 4935CM10 pH4 4959CM10 pH4 4976

CM10 pH4 5002

CM10 pH4 5127

CM10 pH4 5165CM10 pH4 5216

CM10 pH4 5292

CM10 pH4 5374CM10 pH4 5492

CM10 pH4 5524CM10 pH4 5623

CM10 pH4 5656

CM10 pH4 5670CM10 pH4 5743CM10 pH4 5757

CM10 pH4 5978

CM10 pH4 5997CM10 pH4 6076CM10 pH4 6116CM10 pH4 6142CM10 pH4 6159

CM10 pH4 6187

CM10 pH4 6229CM10 pH4 6257

CM10 pH4 6271

CM10 pH4 6303

CM10 pH4 6315CM10 pH4 6345CM10 pH4 6415

CM10 pH4 6508

CM10 pH4 6581

CM10 pH4 6640

CM10 pH4 6871

CM10 pH4 6912CM10 pH4 6950

CM10 pH4 6994

CM10 pH4 7033CM10 pH4 7060

CM10 pH4 7139CM10 pH4 7179

CM10 pH4 7217CM10 pH4 7503CM10 pH4 8177CM10 pH4 8436CM10 pH4 8549CM10 pH4 8602

CM10 pH4 8666

CM10 pH4 8890CM10 pH4 9090CM10 pH4 9109

CM10 pH4 9135CM10 pH4 9150CM10 pH4 9176CM10 pH4 9348

CM10 pH4 9389CM10 pH4 9592

CM10 pH4 9967

CM10 pH4 10070CM10 pH4 10250

CM10 pH4 10960CM10 pH4 11020

CM10 pH4 11290

CM10 pH4 11700

CM10 pH4 12340

CM10 pH4 13820CM10 pH4 14020

CM10 pH4 14770CM10 pH4 14950CM10 pH4 16850CM10 pH4 17200CM10 pH4 17790CM10 pH4 18460

CM10 pH6 2523CM10 pH6 2544

CM10 pH6 2566

CM10 pH6 2592CM10 pH6 2633

CM10 pH6 2657CM10 pH6 2677

CM10 pH6 2702

CM10 pH6 2722CM10 pH6 2768CM10 pH6 2792

CM10 pH6 2835CM10 pH6 2922

CM10 pH6 2971

CM10 pH6 2997

CM10 pH6 3042

CM10 pH6 3133CM10 pH6 3150CM10 pH6 3174

CM10 pH6 3209CM10 pH6 3283CM10 pH6 3330

CM10 pH6 3361

CM10 pH6 3404

CM10 pH6 3437CM10 pH6 3496

CM10 pH6 3553CM10 pH6 3585CM10 pH6 3658

CM10 pH6 3814

CM10 pH6 3836

CM10 pH6 3882

CM10 pH6 3905CM10 pH6 3924CM10 pH6 3978CM10 pH6 4021CM10 pH6 4078

CM10 pH6 4110CM10 pH6 4223CM10 pH6 4245

CM10 pH6 4337

CM10 pH6 4352

CM10 pH6 4380

CM10 pH6 4566

CM10 pH6 4703

CM10 pH6 4717

CM10 pH6 4747

CM10 pH6 4762CM10 pH6 4789

CM10 pH6 4911

CM10 pH6 4943CM10 pH6 5095CM10 pH6 5126

CM10 pH6 5293

CM10 pH6 5373CM10 pH6 5621

CM10 pH6 5655CM10 pH6 5672

CM10 pH6 5742CM10 pH6 5758

CM10 pH6 5980CM10 pH6 5998CM10 pH6 6076CM10 pH6 6116CM10 pH6 6160

CM10 pH6 6186

CM10 pH6 6230

CM10 pH6 6259

CM10 pH6 6302

CM10 pH6 6345CM10 pH6 6373CM10 pH6 6416

CM10 pH6 6510CM10 pH6 6582

CM10 pH6 6642CM10 pH6 6686

CM10 pH6 6709CM10 pH6 6736CM10 pH6 6910CM10 pH6 7003CM10 pH6 7035

CM10 pH6 7062

CM10 pH6 7135

CM10 pH6 7177

CM10 pH6 7222

CM10 pH6 7487

CM10 pH6 8161CM10 pH6 8539CM10 pH6 8661

CM10 pH6 9093CM10 pH6 9122

CM10 pH6 9136

CM10 pH6 9149CM10 pH6 9343CM10 pH6 9390

CM10 pH6 11000

CM10 pH6 11290

CM10 pH6 11700CM10 pH6 12340CM10 pH6 13810CM10 pH6 14010

CM10 pH6 14760CM10 pH6 14940CM10 pH6 16960CM10 pH6 17190CM10 pH6 17780CM10 pH6 18440CM10 pH8 2522

CM10 pH8 2546CM10 pH8 2611

CM10 pH8 2660

CM10 pH8 2680

CM10 pH8 2702CM10 pH8 2724

CM10 pH8 2746

CM10 pH8 2767CM10 pH8 2874CM10 pH8 2924

CM10 pH8 2970CM10 pH8 2992CM10 pH8 3007

CM10 pH8 3036CM10 pH8 3077CM10 pH8 3150

CM10 pH8 3210

CM10 pH8 3283

CM10 pH8 3360

CM10 pH8 3439CM10 pH8 3501CM10 pH8 3616CM10 pH8 3659

CM10 pH8 3742

CM10 pH8 3814CM10 pH8 3827

CM10 pH8 3881

CM10 pH8 3925

CM10 pH8 3980

CM10 pH8 4021

CM10 pH8 4080

CM10 pH8 4097CM10 pH8 4115CM10 pH8 4224CM10 pH8 4245

CM10 pH8 4338

CM10 pH8 4354CM10 pH8 4543CM10 pH8 4562

CM10 pH8 4704CM10 pH8 4747CM10 pH8 4762CM10 pH8 4789CM10 pH8 4815

CM10 pH8 4913CM10 pH8 4946

CM10 pH8 5216CM10 pH8 5294CM10 pH8 5374CM10 pH8 5522CM10 pH8 5621

CM10 pH8 5657CM10 pH8 5673CM10 pH8 5744

CM10 pH8 5760 CM10 pH8 5979CM10 pH8 5999

CM10 pH8 6056

CM10 pH8 6077CM10 pH8 6118

CM10 pH8 6143CM10 pH8 6161

CM10 pH8 6187CM10 pH8 6229

CM10 pH8 6260CM10 pH8 6303

CM10 pH8 6346

CM10 pH8 6374CM10 pH8 6416

CM10 pH8 6511

CM10 pH8 6541CM10 pH8 6582

CM10 pH8 6643CM10 pH8 6687

CM10 pH8 6907CM10 pH8 6951

CM10 pH8 7005

CM10 pH8 7037CM10 pH8 7179

CM10 pH8 7488CM10 pH8 7503

CM10 pH8 8190

CM10 pH8 8494

CM10 pH8 8540CM10 pH8 8650

CM10 pH8 9078CM10 pH8 9093

CM10 pH8 9121CM10 pH8 9135CM10 pH8 9341

CM10 pH8 9390CM10 pH8 9599

CM10 pH8 10250CM10 pH8 10960CM10 pH8 11300CM10 pH8 11670CM10 pH8 12280CM10 pH8 12340

CM10 pH8 13810CM10 pH8 14010CM10 pH8 14950CM10 pH8 15990CM10 pH8 16970CM10 pH8 17760CM10 pH8 18440IMAC 2511

IMAC 2538

IMAC 2551IMAC 2561IMAC 2578IMAC 2594IMAC 2616

IMAC 2658

IMAC 2682IMAC 2692IMAC 2700

IMAC 2716IMAC 2736IMAC 2756

IMAC 2854IMAC 2878IMAC 2920

IMAC 2959IMAC 2990IMAC 3012

IMAC 3028IMAC 3047

IMAC 3065IMAC 3077IMAC 3084IMAC 3100IMAC 3155

IMAC 3177IMAC 3205IMAC 3356IMAC 3397

IMAC 3493IMAC 3615

IMAC 3658

IMAC 3795IMAC 3824IMAC 3882

IMAC 3925

IMAC 4058IMAC 4115IMAC 4225

IMAC 4567

IMAC 4588

IMAC 4705IMAC 4746

IMAC 4843

IMAC 4909IMAC 4939IMAC 4995IMAC 5211IMAC 5289IMAC 5426

IMAC 5523IMAC 5620IMAC 5790

IMAC 5979

IMAC 5998

IMAC 6051

IMAC 6116

IMAC 6160

IMAC 6186

IMAC 6230

IMAC 6259

IMAC 6302

IMAC 6344

IMAC 6415

IMAC 6579

IMAC 6622IMAC 6684

IMAC 6709IMAC 6737

IMAC 6873

IMAC 6928IMAC 6952IMAC 6991

IMAC 7034IMAC 7062

IMAC 7177IMAC 7222

IMAC 7493IMAC 8194

IMAC 8557

IMAC 8600

IMAC 9119IMAC 9138

IMAC 9166

IMAC 9389IMAC 9595IMAC 9792IMAC 9941IMAC 9978IMAC 10060

IMAC 10240IMAC 11010

IMAC 11300

IMAC 11700IMAC 13830

IMAC 14040IMAC 14760IMAC 16860IMAC 16960IMAC 17800IMAC 18450

$M3.DA1

$M3.DA2

-0.2

-0.1

-0.0

0.1

0.2

-0.1 0.0 0.1

w*c

[2]

NP20 2506

NP20 3001

NP20 3012NP20 3038

NP20 3264NP20 3289

NP20 3743NP20 3815NP20 3830

NP20 3874NP20 3979

NP20 4020 NP20 4341NP20 4354NP20 4570NP20 4705NP20 4719NP20 4748

NP20 4912

NP20 5663NP20 5674NP20 5747

NP20 5761

NP20 6001NP20 6119NP20 6163NP20 6191

NP20 6259NP20 6306

NP20 6420

NP20 6588

NP20 6658

NP20 6925NP20 7026

NP20 7181NP20 7494

NP20 7507NP20 8500

NP20 9097NP20 9113NP20 9123NP20 9137NP20 9161NP20 9349

NP20 9825NP20 10270

NP20 10790NP20 12350

NP20 13840NP20 14050

NP20 15060NP20 16030NP20 17810NP20 19090H50 2586

H50 2611H50 2613H50 2615H50 2618H50 2642

H50 2672H50 2688

H50 2693

H50 2703

H50 2731H50 2754H50 2787H50 2805

H50 2894

H50 2971

H50 2982

H50 3000

H50 3010H50 3036

H50 3081H50 3094H50 3106H50 3116H50 3134H50 3186H50 3204

H50 3217

H50 3227

H50 3249H50 3261H50 3289

H50 3345H50 3376

H50 3441

H50 3469H50 3510H50 3586H50 3606

H50 3625

H50 3657H50 3679

H50 3705H50 3940

H50 3967

H50 3989H50 4005H50 4016

H50 4052

H50 4110H50 4136

H50 4193H50 4221

H50 4238H50 4267H50 4297H50 4368H50 4525H50 4628H50 4716

H50 4745

H50 4843

H50 4898

H50 4922

H50 4970H50 5021

H50 5062

H50 5221H50 5273

H50 5294

H50 5314

H50 5375

H50 5523

H50 5579

H50 5635

H50 5789

H50 5825H50 5854

H50 5946

H50 5993H50 6020H50 6076

H50 6275H50 6377

H50 6538H50 6783H50 7027

H50 7094H50 7280H50 8036H50 8543H50 8586H50 8747H50 9041H50 9144

H50 10050H50 10250

H50 10730

H50 11050H50 11150

H50 11300H50 11350

H50 11710

H50 12350H50 12710H50 14030

H50 14300

H50 15030H50 15400

H50 16860CM10 pH4 2523

CM10 pH4 2542CM10 pH4 2680

CM10 pH4 2701

CM10 pH4 2722CM10 pH4 2882CM10 pH4 2995

CM10 pH4 3042CM10 pH4 3149

CM10 pH4 3178CM10 pH4 3358

CM10 pH4 3513

CM10 pH4 3584CM10 pH4 3660CM10 pH4 3675

CM10 pH4 3747

CM10 pH4 3882

CM10 pH4 3925CM10 pH4 3979

CM10 pH4 4019CM10 pH4 4076CM10 pH4 4096

CM10 pH4 4116

CM10 pH4 4203CM10 pH4 4236

CM10 pH4 4279CM10 pH4 4337CM10 pH4 4353CM10 pH4 4424

CM10 pH4 4519CM10 pH4 4571CM10 pH4 4704CM10 pH4 4717CM10 pH4 4748CM10 pH4 4761CM10 pH4 4786CM10 pH4 4832

CM10 pH4 4866CM10 pH4 4910

CM10 pH4 4935CM10 pH4 4959CM10 pH4 4976

CM10 pH4 5002

CM10 pH4 5127

CM10 pH4 5165CM10 pH4 5216

CM10 pH4 5292

CM10 pH4 5374CM10 pH4 5492

CM10 pH4 5524CM10 pH4 5623

CM10 pH4 5656

CM10 pH4 5670CM10 pH4 5743CM10 pH4 5757

CM10 pH4 5978

CM10 pH4 5997CM10 pH4 6076CM10 pH4 6116CM10 pH4 6142CM10 pH4 6159

CM10 pH4 6187

CM10 pH4 6229CM10 pH4 6257

CM10 pH4 6271

CM10 pH4 6303

CM10 pH4 6315CM10 pH4 6345CM10 pH4 6415

CM10 pH4 6508

CM10 pH4 6581

CM10 pH4 6640

CM10 pH4 6871

CM10 pH4 6912CM10 pH4 6950

CM10 pH4 6994

CM10 pH4 7033CM10 pH4 7060

CM10 pH4 7139CM10 pH4 7179

CM10 pH4 7217CM10 pH4 7503CM10 pH4 8177CM10 pH4 8436CM10 pH4 8549CM10 pH4 8602

CM10 pH4 8666

CM10 pH4 8890CM10 pH4 9090CM10 pH4 9109

CM10 pH4 9135CM10 pH4 9150CM10 pH4 9176CM10 pH4 9348

CM10 pH4 9389CM10 pH4 9592

CM10 pH4 9967

CM10 pH4 10070CM10 pH4 10250

CM10 pH4 10960CM10 pH4 11020

CM10 pH4 11290

CM10 pH4 11700

CM10 pH4 12340

CM10 pH4 13820CM10 pH4 14020

CM10 pH4 14770CM10 pH4 14950CM10 pH4 16850CM10 pH4 17200CM10 pH4 17790CM10 pH4 18460

CM10 pH6 2523CM10 pH6 2544

CM10 pH6 2566

CM10 pH6 2592CM10 pH6 2633

CM10 pH6 2657CM10 pH6 2677

CM10 pH6 2702

CM10 pH6 2722CM10 pH6 2768CM10 pH6 2792

CM10 pH6 2835CM10 pH6 2922

CM10 pH6 2971

CM10 pH6 2997

CM10 pH6 3042

CM10 pH6 3133CM10 pH6 3150CM10 pH6 3174

CM10 pH6 3209CM10 pH6 3283CM10 pH6 3330

CM10 pH6 3361

CM10 pH6 3404

CM10 pH6 3437CM10 pH6 3496

CM10 pH6 3553CM10 pH6 3585CM10 pH6 3658

CM10 pH6 3814

CM10 pH6 3836

CM10 pH6 3882

CM10 pH6 3905CM10 pH6 3924CM10 pH6 3978CM10 pH6 4021CM10 pH6 4078

CM10 pH6 4110CM10 pH6 4223CM10 pH6 4245

CM10 pH6 4337

CM10 pH6 4352

CM10 pH6 4380

CM10 pH6 4566

CM10 pH6 4703

CM10 pH6 4717

CM10 pH6 4747

CM10 pH6 4762CM10 pH6 4789

CM10 pH6 4911

CM10 pH6 4943CM10 pH6 5095CM10 pH6 5126

CM10 pH6 5293

CM10 pH6 5373CM10 pH6 5621

CM10 pH6 5655CM10 pH6 5672

CM10 pH6 5742CM10 pH6 5758

CM10 pH6 5980CM10 pH6 5998CM10 pH6 6076CM10 pH6 6116CM10 pH6 6160

CM10 pH6 6186

CM10 pH6 6230

CM10 pH6 6259

CM10 pH6 6302

CM10 pH6 6345CM10 pH6 6373CM10 pH6 6416

CM10 pH6 6510CM10 pH6 6582

CM10 pH6 6642CM10 pH6 6686

CM10 pH6 6709CM10 pH6 6736CM10 pH6 6910CM10 pH6 7003CM10 pH6 7035

CM10 pH6 7062

CM10 pH6 7135

CM10 pH6 7177

CM10 pH6 7222

CM10 pH6 7487

CM10 pH6 8161CM10 pH6 8539CM10 pH6 8661

CM10 pH6 9093CM10 pH6 9122

CM10 pH6 9136

CM10 pH6 9149CM10 pH6 9343CM10 pH6 9390

CM10 pH6 11000

CM10 pH6 11290

CM10 pH6 11700CM10 pH6 12340CM10 pH6 13810CM10 pH6 14010

CM10 pH6 14760CM10 pH6 14940CM10 pH6 16960CM10 pH6 17190CM10 pH6 17780CM10 pH6 18440CM10 pH8 2522

CM10 pH8 2546CM10 pH8 2611

CM10 pH8 2660

CM10 pH8 2680

CM10 pH8 2702CM10 pH8 2724

CM10 pH8 2746

CM10 pH8 2767CM10 pH8 2874CM10 pH8 2924

CM10 pH8 2970CM10 pH8 2992CM10 pH8 3007

CM10 pH8 3036CM10 pH8 3077CM10 pH8 3150

CM10 pH8 3210

CM10 pH8 3283

CM10 pH8 3360

CM10 pH8 3439CM10 pH8 3501CM10 pH8 3616CM10 pH8 3659

CM10 pH8 3742

CM10 pH8 3814CM10 pH8 3827

CM10 pH8 3881

CM10 pH8 3925

CM10 pH8 3980

CM10 pH8 4021

CM10 pH8 4080

CM10 pH8 4097CM10 pH8 4115CM10 pH8 4224CM10 pH8 4245

CM10 pH8 4338

CM10 pH8 4354CM10 pH8 4543CM10 pH8 4562

CM10 pH8 4704CM10 pH8 4747CM10 pH8 4762CM10 pH8 4789CM10 pH8 4815

CM10 pH8 4913CM10 pH8 4946

CM10 pH8 5216CM10 pH8 5294CM10 pH8 5374CM10 pH8 5522CM10 pH8 5621

CM10 pH8 5657CM10 pH8 5673CM10 pH8 5744

CM10 pH8 5760 CM10 pH8 5979CM10 pH8 5999

CM10 pH8 6056

CM10 pH8 6077CM10 pH8 6118

CM10 pH8 6143CM10 pH8 6161

CM10 pH8 6187CM10 pH8 6229

CM10 pH8 6260CM10 pH8 6303

CM10 pH8 6346

CM10 pH8 6374CM10 pH8 6416

CM10 pH8 6511

CM10 pH8 6541CM10 pH8 6582

CM10 pH8 6643CM10 pH8 6687

CM10 pH8 6907CM10 pH8 6951

CM10 pH8 7005

CM10 pH8 7037CM10 pH8 7179

CM10 pH8 7488CM10 pH8 7503

CM10 pH8 8190

CM10 pH8 8494

CM10 pH8 8540CM10 pH8 8650

CM10 pH8 9078CM10 pH8 9093

CM10 pH8 9121CM10 pH8 9135CM10 pH8 9341

CM10 pH8 9390CM10 pH8 9599

CM10 pH8 10250CM10 pH8 10960CM10 pH8 11300CM10 pH8 11670CM10 pH8 12280CM10 pH8 12340

CM10 pH8 13810CM10 pH8 14010CM10 pH8 14950CM10 pH8 15990CM10 pH8 16970CM10 pH8 17760CM10 pH8 18440IMAC 2511

IMAC 2538

IMAC 2551IMAC 2561IMAC 2578IMAC 2594IMAC 2616

IMAC 2658

IMAC 2682IMAC 2692IMAC 2700

IMAC 2716IMAC 2736IMAC 2756

IMAC 2854IMAC 2878IMAC 2920

IMAC 2959IMAC 2990IMAC 3012

IMAC 3028IMAC 3047

IMAC 3065IMAC 3077IMAC 3084IMAC 3100IMAC 3155

IMAC 3177IMAC 3205IMAC 3356IMAC 3397

IMAC 3493IMAC 3615

IMAC 3658

IMAC 3795IMAC 3824IMAC 3882

IMAC 3925

IMAC 4058IMAC 4115IMAC 4225

IMAC 4567

IMAC 4588

IMAC 4705IMAC 4746

IMAC 4843

IMAC 4909IMAC 4939IMAC 4995IMAC 5211IMAC 5289IMAC 5426

IMAC 5523IMAC 5620IMAC 5790

IMAC 5979

IMAC 5998

IMAC 6051

IMAC 6116

IMAC 6160

IMAC 6186

IMAC 6230

IMAC 6259

IMAC 6302

IMAC 6344

IMAC 6415

IMAC 6579

IMAC 6622IMAC 6684

IMAC 6709IMAC 6737

IMAC 6873

IMAC 6928IMAC 6952IMAC 6991

IMAC 7034IMAC 7062

IMAC 7177IMAC 7222

IMAC 7493IMAC 8194

IMAC 8557

IMAC 8600

IMAC 9119IMAC 9138

IMAC 9166

IMAC 9389IMAC 9595IMAC 9792IMAC 9941IMAC 9978IMAC 10060

IMAC 10240IMAC 11010

IMAC 11300

IMAC 11700IMAC 13830

IMAC 14040IMAC 14760IMAC 16860IMAC 16960IMAC 17800IMAC 18450

$M3.DA1

$M3.DA2

-20

-10

0

10

20

-40 -30 -20 -10 0 10 20 30 40

-20

-10

0

10

20

-40 -30 -20 -10 0 10 20 30 40 -0.2

-0.1

-0.0

-0.1 0.0 0.1

w*c

[2]

NP20 2506

NP20 3001

NP20 3012NP20 3038NP20 3264NP20 3289

NP20 3743

NP20 3815NP20 3830NP20 3874NP20 3979NP20 4020NP20 4341NP20 4354

NP20 4570

NP20 4705NP20 4719NP20 4748

NP20 4912NP20 5663

NP20 5674NP20 5747

NP20 5761

NP20 6001NP20 6119NP20 6163NP20 6191NP20 6259

NP20 6306

NP20 6420

NP20 6588

NP20 6658

NP20 6925

NP20 7026NP20 7181

NP20 7494

NP20 7507NP20 8500

NP20 9097

NP20 9113

NP20 9123NP20 9137

NP20 9161NP20 9349

NP20 9825

NP20 10270NP20 10790NP20 12350

NP20 13840

NP20 14050NP20 15060NP20 16030

NP20 17810NP20 19090H50 2586

H50 2611

H50 2613

H50 2615H50 2618

H50 2642H50 2672

H50 2688H50 2693

H50 2703

H50 2731H50 2754H50 2787H50 2805H50 2894

H50 2971

H50 2982

H50 3000

H50 3010

H50 3036

H50 3081

H50 3094

H50 3106

H50 3116

H50 3134H50 3186

H50 3204

H50 3217H50 3227H50 3249H50 3261

H50 3289

H50 3345H50 3376H50 3441H50 3469H50 3510

H50 3586H50 3606H50 3625H50 3657

H50 3679H50 3705

H50 3940H50 3967

H50 3989

H50 4005H50 4016

H50 4052

H50 4110H50 4136

H50 4193H50 4221

H50 4238H50 4267H50 4297

H50 4368H50 4525H50 4628H50 4716

H50 4745H50 4843H50 4898H50 4922

H50 4970H50 5021

H50 5062H50 5221H50 5273

H50 5294H50 5314H50 5375H50 5523H50 5579

H50 5635

H50 5789

H50 5825H50 5854H50 5946H50 5993H50 6020 H50 6076H50 6275H50 6377

H50 6538

H50 6783

H50 7027H50 7094

H50 7280H50 8036

H50 8543H50 8586

H50 8747H50 9041

H50 9144H50 10050

H50 10250

H50 10730

H50 11050H50 11150

H50 11300H50 11350

H50 11710

H50 12350

H50 12710

H50 14030

H50 14300H50 15030H50 15400

H50 16860CM10 pH4 2523

CM10 pH4 2542CM10 pH4 2680

CM10 pH4 2701

CM10 pH4 2722CM10 pH4 2882

CM10 pH4 2995

CM10 pH4 3042

CM10 pH4 3149

CM10 pH4 3178

CM10 pH4 3358CM10 pH4 3513CM10 pH4 3584

CM10 pH4 3660CM10 pH4 3675

CM10 pH4 3747

CM10 pH4 3882CM10 pH4 3925

CM10 pH4 3979

CM10 pH4 4019

CM10 pH4 4076CM10 pH4 4096

CM10 pH4 4116CM10 pH4 4203

CM10 pH4 4236CM10 pH4 4279

CM10 pH4 4337CM10 pH4 4353

CM10 pH4 4424

CM10 pH4 4519CM10 pH4 4571CM10 pH4 4704

CM10 pH4 4717

CM10 pH4 4748CM10 pH4 4761CM10 pH4 4786

CM10 pH4 4832

CM10 pH4 4866

CM10 pH4 4910

CM10 pH4 4935CM10 pH4 4959

CM10 pH4 4976

CM10 pH4 5002

CM10 pH4 5127

CM10 pH4 5165

CM10 pH4 5216

CM10 pH4 5292

CM10 pH4 5374

CM10 pH4 5492CM10 pH4 5524

CM10 pH4 5623

CM10 pH4 5656CM10 pH4 5670

CM10 pH4 5743

CM10 pH4 5757

CM10 pH4 5978CM10 pH4 5997

CM10 pH4 6076

CM10 pH4 6116

CM10 pH4 6142CM10 pH4 6159

CM10 pH4 6187

CM10 pH4 6229CM10 pH4 6257CM10 pH4 6271

CM10 pH4 6303

CM10 pH4 6315CM10 pH4 6345

CM10 pH4 6415

CM10 pH4 6508

CM10 pH4 6581

CM10 pH4 6640

CM10 pH4 6871

CM10 pH4 6912

CM10 pH4 6950CM10 pH4 6994

CM10 pH4 7033CM10 pH4 7060CM10 pH4 7139

CM10 pH4 7179CM10 pH4 7217

CM10 pH4 7503CM10 pH4 8177

CM10 pH4 8436

CM10 pH4 8549

CM10 pH4 8602

CM10 pH4 8666

CM10 pH4 8890

CM10 pH4 9090CM10 pH4 9109

CM10 pH4 9135

CM10 pH4 9150CM10 pH4 9176

CM10 pH4 9348

CM10 pH4 9389CM10 pH4 9592

CM10 pH4 9967CM10 pH4 10070

CM10 pH4 10250 CM10 pH4 10960CM10 pH4 11020

CM10 pH4 11290

CM10 pH4 11700

CM10 pH4 12340CM10 pH4 13820

CM10 pH4 14020CM10 pH4 14770

CM10 pH4 14950

CM10 pH4 16850CM10 pH4 17200CM10 pH4 17790CM10 pH4 18460

CM10 pH6 2523

CM10 pH6 2544

CM10 pH6 2566

CM10 pH6 2592

CM10 pH6 2633

CM10 pH6 2657

CM10 pH6 2677

CM10 pH6 2702CM10 pH6 2722

CM10 pH6 2768CM10 pH6 2792

CM10 pH6 2835

CM10 pH6 2922

CM10 pH6 2971CM10 pH6 2997

CM10 pH6 3042

CM10 pH6 3133CM10 pH6 3150CM10 pH6 3174

CM10 pH6 3209

CM10 pH6 3283

CM10 pH6 3330CM10 pH6 3361

CM10 pH6 3404

CM10 pH6 3437

CM10 pH6 3496CM10 pH6 3553

CM10 pH6 3585

CM10 pH6 3658

CM10 pH6 3814

CM10 pH6 3836CM10 pH6 3882CM10 pH6 3905

CM10 pH6 3924

CM10 pH6 3978CM10 pH6 4021CM10 pH6 4078

CM10 pH6 4110CM10 pH6 4223

CM10 pH6 4245

CM10 pH6 4337

CM10 pH6 4352

CM10 pH6 4380

CM10 pH6 4566

CM10 pH6 4703CM10 pH6 4717

CM10 pH6 4747

CM10 pH6 4762CM10 pH6 4789

CM10 pH6 4911

CM10 pH6 4943

CM10 pH6 5095CM10 pH6 5126

CM10 pH6 5293

CM10 pH6 5373

CM10 pH6 5621

CM10 pH6 5655CM10 pH6 5672CM10 pH6 5742CM10 pH6 5758

CM10 pH6 5980

CM10 pH6 5998CM10 pH6 6076CM10 pH6 6116

CM10 pH6 6160

CM10 pH6 6186CM10 pH6 6230CM10 pH6 6259CM10 pH6 6302

CM10 pH6 6345

CM10 pH6 6373

CM10 pH6 6416

CM10 pH6 6510CM10 pH6 6582

CM10 pH6 6642CM10 pH6 6686

CM10 pH6 6709CM10 pH6 6736

CM10 pH6 6910CM10 pH6 7003

CM10 pH6 7035

CM10 pH6 7062

CM10 pH6 7135CM10 pH6 7177CM10 pH6 7222CM10 pH6 7487

CM10 pH6 8161

CM10 pH6 8539

CM10 pH6 8661

CM10 pH6 9093

CM10 pH6 9122

CM10 pH6 9136

CM10 pH6 9149

CM10 pH6 9343CM10 pH6 9390

CM10 pH6 11000CM10 pH6 11290CM10 pH6 11700

CM10 pH6 12340

CM10 pH6 13810

CM10 pH6 14010

CM10 pH6 14760CM10 pH6 14940CM10 pH6 16960CM10 pH6 17190

CM10 pH6 17780CM10 pH6 18440

CM10 pH8 2522CM10 pH8 2546

CM10 pH8 2611CM10 pH8 2660CM10 pH8 2680

CM10 pH8 2702CM10 pH8 2724CM10 pH8 2746CM10 pH8 2767

CM10 pH8 2874

CM10 pH8 2924

CM10 pH8 2970

CM10 pH8 2992CM10 pH8 3007

CM10 pH8 3036CM10 pH8 3077

CM10 pH8 3150CM10 pH8 3210

CM10 pH8 3283

CM10 pH8 3360

CM10 pH8 3439

CM10 pH8 3501

CM10 pH8 3616CM10 pH8 3659

CM10 pH8 3742

CM10 pH8 3814CM10 pH8 3827 CM10 pH8 3881CM10 pH8 3925

CM10 pH8 3980CM10 pH8 4021

CM10 pH8 4080

CM10 pH8 4097

CM10 pH8 4115

CM10 pH8 4224

CM10 pH8 4245CM10 pH8 4338

CM10 pH8 4354

CM10 pH8 4543

CM10 pH8 4562

CM10 pH8 4704CM10 pH8 4747

CM10 pH8 4762

CM10 pH8 4789

CM10 pH8 4815

CM10 pH8 4913CM10 pH8 4946

CM10 pH8 5216

CM10 pH8 5294CM10 pH8 5374

CM10 pH8 5522

CM10 pH8 5621

CM10 pH8 5657CM10 pH8 5673

CM10 pH8 5744CM10 pH8 5760CM10 pH8 5979

CM10 pH8 5999

CM10 pH8 6056

CM10 pH8 6077CM10 pH8 6118

CM10 pH8 6143

CM10 pH8 6161CM10 pH8 6187

CM10 pH8 6229CM10 pH8 6260

CM10 pH8 6303

CM10 pH8 6346

CM10 pH8 6374

CM10 pH8 6416

CM10 pH8 6511CM10 pH8 6541

CM10 pH8 6582CM10 pH8 6643

CM10 pH8 6687CM10 pH8 6907

CM10 pH8 6951

CM10 pH8 7005CM10 pH8 7037

CM10 pH8 7179CM10 pH8 7488

CM10 pH8 7503

CM10 pH8 8190

CM10 pH8 8494

CM10 pH8 8540

CM10 pH8 8650

CM10 pH8 9078

CM10 pH8 9093

CM10 pH8 9121

CM10 pH8 9135CM10 pH8 9341

CM10 pH8 9390

CM10 pH8 9599

CM10 pH8 10250

CM10 pH8 10960CM10 pH8 11300

CM10 pH8 11670

CM10 pH8 12280CM10 pH8 12340

CM10 pH8 13810CM10 pH8 14010CM10 pH8 14950

CM10 pH8 15990CM10 pH8 16970CM10 pH8 17760CM10 pH8 18440

IMAC 2511

IMAC 2538IMAC 2551IMAC 2561IMAC 2578

IMAC 2594

IMAC 2616

IMAC 2658

IMAC 2682IMAC 2692IMAC 2700

IMAC 2716

IMAC 2736

IMAC 2756

IMAC 2854IMAC 2878

IMAC 2920IMAC 2959IMAC 2990IMAC 3012IMAC 3028

IMAC 3047IMAC 3065IMAC 3077IMAC 3084IMAC 3100IMAC 3155IMAC 3177IMAC 3205IMAC 3356IMAC 3397IMAC 3493IMAC 3615IMAC 3658IMAC 3795

IMAC 3824

IMAC 3882IMAC 3925

IMAC 4058IMAC 4115

IMAC 4225IMAC 4567IMAC 4588IMAC 4705IMAC 4746

IMAC 4843IMAC 4909IMAC 4939

IMAC 4995IMAC 5211IMAC 5289IMAC 5426

IMAC 5523IMAC 5620

IMAC 5790

IMAC 5979IMAC 5998IMAC 6051

IMAC 6116IMAC 6160IMAC 6186IMAC 6230IMAC 6259

IMAC 6302IMAC 6344IMAC 6415IMAC 6579IMAC 6622IMAC 6684IMAC 6709IMAC 6737IMAC 6873IMAC 6928IMAC 6952IMAC 6991

IMAC 7034IMAC 7062

IMAC 7177IMAC 7222

IMAC 7493IMAC 8194

IMAC 8557IMAC 8600

IMAC 9119IMAC 9138IMAC 9166

IMAC 9389IMAC 9595IMAC 9792IMAC 9941IMAC 9978

IMAC 10060

IMAC 10240IMAC 11010

IMAC 11300IMAC 11700IMAC 13830IMAC 14040IMAC 14760IMAC 16860IMAC 16960IMAC 17800

IMAC 18450

$M4.DA1

$M4.DA2

-0.2

-0.1

-0.0

-0.1 0.0 0.1

w*c

[2]

NP20 2506

NP20 3001

NP20 3012NP20 3038NP20 3264NP20 3289

NP20 3743

NP20 3815NP20 3830NP20 3874NP20 3979NP20 4020NP20 4341NP20 4354

NP20 4570

NP20 4705NP20 4719NP20 4748

NP20 4912NP20 5663

NP20 5674NP20 5747

NP20 5761

NP20 6001NP20 6119NP20 6163NP20 6191NP20 6259

NP20 6306

NP20 6420

NP20 6588

NP20 6658

NP20 6925

NP20 7026NP20 7181

NP20 7494

NP20 7507NP20 8500

NP20 9097

NP20 9113

NP20 9123NP20 9137

NP20 9161NP20 9349

NP20 9825

NP20 10270NP20 10790NP20 12350

NP20 13840

NP20 14050NP20 15060NP20 16030

NP20 17810NP20 19090H50 2586

H50 2611

H50 2613

H50 2615H50 2618

H50 2642H50 2672

H50 2688H50 2693

H50 2703

H50 2731H50 2754H50 2787H50 2805H50 2894

H50 2971

H50 2982

H50 3000

H50 3010

H50 3036

H50 3081

H50 3094

H50 3106

H50 3116

H50 3134H50 3186

H50 3204

H50 3217H50 3227H50 3249H50 3261

H50 3289

H50 3345H50 3376H50 3441H50 3469H50 3510

H50 3586H50 3606H50 3625H50 3657

H50 3679H50 3705

H50 3940H50 3967

H50 3989

H50 4005H50 4016

H50 4052

H50 4110H50 4136

H50 4193H50 4221

H50 4238H50 4267H50 4297

H50 4368H50 4525H50 4628H50 4716

H50 4745H50 4843H50 4898H50 4922

H50 4970H50 5021

H50 5062H50 5221H50 5273

H50 5294H50 5314H50 5375H50 5523H50 5579

H50 5635

H50 5789

H50 5825H50 5854H50 5946H50 5993H50 6020 H50 6076H50 6275H50 6377

H50 6538

H50 6783

H50 7027H50 7094

H50 7280H50 8036

H50 8543H50 8586

H50 8747H50 9041

H50 9144H50 10050

H50 10250

H50 10730

H50 11050H50 11150

H50 11300H50 11350

H50 11710

H50 12350

H50 12710

H50 14030

H50 14300H50 15030H50 15400

H50 16860CM10 pH4 2523

CM10 pH4 2542CM10 pH4 2680

CM10 pH4 2701

CM10 pH4 2722CM10 pH4 2882

CM10 pH4 2995

CM10 pH4 3042

CM10 pH4 3149

CM10 pH4 3178

CM10 pH4 3358CM10 pH4 3513CM10 pH4 3584

CM10 pH4 3660CM10 pH4 3675

CM10 pH4 3747

CM10 pH4 3882CM10 pH4 3925

CM10 pH4 3979

CM10 pH4 4019

CM10 pH4 4076CM10 pH4 4096

CM10 pH4 4116CM10 pH4 4203

CM10 pH4 4236CM10 pH4 4279

CM10 pH4 4337CM10 pH4 4353

CM10 pH4 4424

CM10 pH4 4519CM10 pH4 4571CM10 pH4 4704

CM10 pH4 4717

CM10 pH4 4748CM10 pH4 4761CM10 pH4 4786

CM10 pH4 4832

CM10 pH4 4866

CM10 pH4 4910

CM10 pH4 4935CM10 pH4 4959

CM10 pH4 4976

CM10 pH4 5002

CM10 pH4 5127

CM10 pH4 5165

CM10 pH4 5216

CM10 pH4 5292

CM10 pH4 5374

CM10 pH4 5492CM10 pH4 5524

CM10 pH4 5623

CM10 pH4 5656CM10 pH4 5670

CM10 pH4 5743

CM10 pH4 5757

CM10 pH4 5978CM10 pH4 5997

CM10 pH4 6076

CM10 pH4 6116

CM10 pH4 6142CM10 pH4 6159

CM10 pH4 6187

CM10 pH4 6229CM10 pH4 6257CM10 pH4 6271

CM10 pH4 6303

CM10 pH4 6315CM10 pH4 6345

CM10 pH4 6415

CM10 pH4 6508

CM10 pH4 6581

CM10 pH4 6640

CM10 pH4 6871

CM10 pH4 6912

CM10 pH4 6950CM10 pH4 6994

CM10 pH4 7033CM10 pH4 7060CM10 pH4 7139

CM10 pH4 7179CM10 pH4 7217

CM10 pH4 7503CM10 pH4 8177

CM10 pH4 8436

CM10 pH4 8549

CM10 pH4 8602

CM10 pH4 8666

CM10 pH4 8890

CM10 pH4 9090CM10 pH4 9109

CM10 pH4 9135

CM10 pH4 9150CM10 pH4 9176

CM10 pH4 9348

CM10 pH4 9389CM10 pH4 9592

CM10 pH4 9967CM10 pH4 10070

CM10 pH4 10250 CM10 pH4 10960CM10 pH4 11020

CM10 pH4 11290

CM10 pH4 11700

CM10 pH4 12340CM10 pH4 13820

CM10 pH4 14020CM10 pH4 14770

CM10 pH4 14950

CM10 pH4 16850CM10 pH4 17200CM10 pH4 17790CM10 pH4 18460

CM10 pH6 2523

CM10 pH6 2544

CM10 pH6 2566

CM10 pH6 2592

CM10 pH6 2633

CM10 pH6 2657

CM10 pH6 2677

CM10 pH6 2702CM10 pH6 2722

CM10 pH6 2768CM10 pH6 2792

CM10 pH6 2835

CM10 pH6 2922

CM10 pH6 2971CM10 pH6 2997

CM10 pH6 3042

CM10 pH6 3133CM10 pH6 3150CM10 pH6 3174

CM10 pH6 3209

CM10 pH6 3283

CM10 pH6 3330CM10 pH6 3361

CM10 pH6 3404

CM10 pH6 3437

CM10 pH6 3496CM10 pH6 3553

CM10 pH6 3585

CM10 pH6 3658

CM10 pH6 3814

CM10 pH6 3836CM10 pH6 3882CM10 pH6 3905

CM10 pH6 3924

CM10 pH6 3978CM10 pH6 4021CM10 pH6 4078

CM10 pH6 4110CM10 pH6 4223

CM10 pH6 4245

CM10 pH6 4337

CM10 pH6 4352

CM10 pH6 4380

CM10 pH6 4566

CM10 pH6 4703CM10 pH6 4717

CM10 pH6 4747

CM10 pH6 4762CM10 pH6 4789

CM10 pH6 4911

CM10 pH6 4943

CM10 pH6 5095CM10 pH6 5126

CM10 pH6 5293

CM10 pH6 5373

CM10 pH6 5621

CM10 pH6 5655CM10 pH6 5672CM10 pH6 5742CM10 pH6 5758

CM10 pH6 5980

CM10 pH6 5998CM10 pH6 6076CM10 pH6 6116

CM10 pH6 6160

CM10 pH6 6186CM10 pH6 6230CM10 pH6 6259CM10 pH6 6302

CM10 pH6 6345

CM10 pH6 6373

CM10 pH6 6416

CM10 pH6 6510CM10 pH6 6582

CM10 pH6 6642CM10 pH6 6686

CM10 pH6 6709CM10 pH6 6736

CM10 pH6 6910CM10 pH6 7003

CM10 pH6 7035

CM10 pH6 7062

CM10 pH6 7135CM10 pH6 7177CM10 pH6 7222CM10 pH6 7487

CM10 pH6 8161

CM10 pH6 8539

CM10 pH6 8661

CM10 pH6 9093

CM10 pH6 9122

CM10 pH6 9136

CM10 pH6 9149

CM10 pH6 9343CM10 pH6 9390

CM10 pH6 11000CM10 pH6 11290CM10 pH6 11700

CM10 pH6 12340

CM10 pH6 13810

CM10 pH6 14010

CM10 pH6 14760CM10 pH6 14940CM10 pH6 16960CM10 pH6 17190

CM10 pH6 17780CM10 pH6 18440

CM10 pH8 2522CM10 pH8 2546

CM10 pH8 2611CM10 pH8 2660CM10 pH8 2680

CM10 pH8 2702CM10 pH8 2724CM10 pH8 2746CM10 pH8 2767

CM10 pH8 2874

CM10 pH8 2924

CM10 pH8 2970

CM10 pH8 2992CM10 pH8 3007

CM10 pH8 3036CM10 pH8 3077

CM10 pH8 3150CM10 pH8 3210

CM10 pH8 3283

CM10 pH8 3360

CM10 pH8 3439

CM10 pH8 3501

CM10 pH8 3616CM10 pH8 3659

CM10 pH8 3742

CM10 pH8 3814CM10 pH8 3827 CM10 pH8 3881CM10 pH8 3925

CM10 pH8 3980CM10 pH8 4021

CM10 pH8 4080

CM10 pH8 4097

CM10 pH8 4115

CM10 pH8 4224

CM10 pH8 4245CM10 pH8 4338

CM10 pH8 4354

CM10 pH8 4543

CM10 pH8 4562

CM10 pH8 4704CM10 pH8 4747

CM10 pH8 4762

CM10 pH8 4789

CM10 pH8 4815

CM10 pH8 4913CM10 pH8 4946

CM10 pH8 5216

CM10 pH8 5294CM10 pH8 5374

CM10 pH8 5522

CM10 pH8 5621

CM10 pH8 5657CM10 pH8 5673

CM10 pH8 5744CM10 pH8 5760CM10 pH8 5979

CM10 pH8 5999

CM10 pH8 6056

CM10 pH8 6077CM10 pH8 6118

CM10 pH8 6143

CM10 pH8 6161CM10 pH8 6187

CM10 pH8 6229CM10 pH8 6260

CM10 pH8 6303

CM10 pH8 6346

CM10 pH8 6374

CM10 pH8 6416

CM10 pH8 6511CM10 pH8 6541

CM10 pH8 6582CM10 pH8 6643

CM10 pH8 6687CM10 pH8 6907

CM10 pH8 6951

CM10 pH8 7005CM10 pH8 7037

CM10 pH8 7179CM10 pH8 7488

CM10 pH8 7503

CM10 pH8 8190

CM10 pH8 8494

CM10 pH8 8540

CM10 pH8 8650

CM10 pH8 9078

CM10 pH8 9093

CM10 pH8 9121

CM10 pH8 9135CM10 pH8 9341

CM10 pH8 9390

CM10 pH8 9599

CM10 pH8 10250

CM10 pH8 10960CM10 pH8 11300

CM10 pH8 11670

CM10 pH8 12280CM10 pH8 12340

CM10 pH8 13810CM10 pH8 14010CM10 pH8 14950

CM10 pH8 15990CM10 pH8 16970CM10 pH8 17760CM10 pH8 18440

IMAC 2511

IMAC 2538IMAC 2551IMAC 2561IMAC 2578

IMAC 2594

IMAC 2616

IMAC 2658

IMAC 2682IMAC 2692IMAC 2700

IMAC 2716

IMAC 2736

IMAC 2756

IMAC 2854IMAC 2878

IMAC 2920IMAC 2959IMAC 2990IMAC 3012IMAC 3028

IMAC 3047IMAC 3065IMAC 3077IMAC 3084IMAC 3100IMAC 3155IMAC 3177IMAC 3205IMAC 3356IMAC 3397IMAC 3493IMAC 3615IMAC 3658IMAC 3795

IMAC 3824

IMAC 3882IMAC 3925

IMAC 4058IMAC 4115

IMAC 4225IMAC 4567IMAC 4588IMAC 4705IMAC 4746

IMAC 4843IMAC 4909IMAC 4939

IMAC 4995IMAC 5211IMAC 5289IMAC 5426

IMAC 5523IMAC 5620

IMAC 5790

IMAC 5979IMAC 5998IMAC 6051

IMAC 6116IMAC 6160IMAC 6186IMAC 6230IMAC 6259

IMAC 6302IMAC 6344IMAC 6415IMAC 6579IMAC 6622IMAC 6684IMAC 6709IMAC 6737IMAC 6873IMAC 6928IMAC 6952IMAC 6991

IMAC 7034IMAC 7062

IMAC 7177IMAC 7222

IMAC 7493IMAC 8194

IMAC 8557IMAC 8600

IMAC 9119IMAC 9138IMAC 9166

IMAC 9389IMAC 9595IMAC 9792IMAC 9941IMAC 9978

IMAC 10060

IMAC 10240IMAC 11010

IMAC 11300IMAC 11700IMAC 13830IMAC 14040IMAC 14760IMAC 16860IMAC 16960IMAC 17800

IMAC 18450

$M4.DA1

$M4.DA2

Figure 37: Partial least squares discriminant analysis (PLS-DA) comparing control and treated myoblasts Cultured control and treated myoblasts (section 2.1) were collected and spectra

generated following SELDI-TOF-MS analysis (section 2.6) were evaluated using PLS-

DA. a) Separation between control and TMPD-treated myoblasts is shown in the

scores plot following the supervised analysis. b) The loadings plot is shown for

illustrative purposes and 85 ions had a VIP coefficient of >1 which suggests that the

variables were important in the model. c) Separation between control and GWδ-treated

myoblasts is shown in the scores plot. b) Again, the loadings plot is shown for

illustrative purposes and, in this case, 95 ions had a VIP coefficient of >1. This data

demonstrated the difficulty in discovering the most influential ions when all 592 peaks

detected on ProteinChip® arrays were included in the analysis.

Page 111: Application of proteomics to identify biomarkers of … · Application of proteomics to identify biomarkers of myopathy ... electrophoresis ... quantitative proteomics ...

Chapter 3: Results

111

ControlTreatedControlTreatedc) Scores plot (TMPD myotubes) x

yd) Loadings plot (TMPD myotubes)

ControlTreatedControlTreateda) Scores plot (TMPD myotubes) x

yb) Loadings plot (TMPD myotubes)

Principal component 1 (PC1)

PC

2

Principal component 1 (PC1)

PC

2

-20

-10

0

10

20

-30 -20 -10 0 10 20

-20

-10

0

10

20

-30 -20 -10 0 10 20

-0.1

0.0

0.1

0.2

-0.1 0.0 0.1 0.2

w*c

[2]

NP20 3002NP20 3012NP20 3037NP20 3263NP20 3814NP20 3829

NP20 4020

NP20 4340NP20 4356NP20 5753

NP20 6305

NP20 6588

NP20 7027

NP20 9138NP20 9825

NP20 10280

NP20 11340

NP20 12360

NP20 13850NP20 14050

NP20 15070NP20 16040NP20 17830NP20 19090H50 2504H50 2572H50 2599

H50 2615H50 2643H50 2678H50 2703H50 2970

H50 2999

H50 3009

H50 3035H50 3094H50 3106H50 3133

H50 3187H50 3204

H50 3218H50 3248H50 3260H50 3290

H50 3345H50 3357H50 3388H50 3509H50 3600H50 3624H50 3654H50 3702H50 3940 H50 3987H50 4004

H50 4015

H50 4049H50 4111H50 4146

H50 4179H50 4194H50 4207H50 4221H50 4238H50 4263

H50 4300H50 4503H50 4628H50 4902H50 4966

H50 5019H50 5064H50 5116

H50 5156H50 5212H50 5269H50 5526H50 5633H50 5851

H50 5946

H50 6024H50 6076H50 6109H50 6271H50 7028

H50 7123H50 7279H50 8033H50 8121H50 9036H50 9779H50 10040H50 10270H50 11040H50 11300H50 11700H50 12710H50 13840H50 14030H50 16820H50 18910

CM10 pH4 2537CM10 pH4 2609CM10 pH4 2657

CM10 pH4 2700

CM10 pH4 2717CM10 pH4 2761

CM10 pH4 2862CM10 pH4 2922

CM10 pH4 3044

CM10 pH4 3182

CM10 pH4 3363CM10 pH4 3437

CM10 pH4 3481

CM10 pH4 3584CM10 pH4 4110

CM10 pH4 4337

CM10 pH4 4354

CM10 pH4 4932

CM10 pH4 4959

CM10 pH4 4975

CM10 pH4 5002

CM10 pH4 5138CM10 pH4 5165

CM10 pH4 5298

CM10 pH4 5392

CM10 pH4 5537

CM10 pH4 5655CM10 pH4 5743

CM10 pH4 6230

CM10 pH4 6272CM10 pH4 6579

CM10 pH4 6914

CM10 pH4 7486

CM10 pH4 8176

CM10 pH4 8600CM10 pH4 8641

CM10 pH4 9165

CM10 pH4 9972

CM10 pH4 10250

CM10 pH4 11010CM10 pH4 11290CM10 pH4 11700

CM10 pH4 12340

CM10 pH4 13820CM10 pH4 14020CM10 pH4 14760

CM10 pH4 15800CM10 pH4 17800CM10 pH4 18490CM10 pH4 18920

CM10 pH6 2522CM10 pH6 2640CM10 pH6 2700

CM10 pH6 2723

CM10 pH6 2870

CM10 pH6 2883

CM10 pH6 2921CM10 pH6 2988

CM10 pH6 3044

CM10 pH6 3158

CM10 pH6 3178

CM10 pH6 3358CM10 pH6 3401

CM10 pH6 3494

CM10 pH6 3658

CM10 pH6 3742CM10 pH6 3813CM10 pH6 3977

CM10 pH6 4081

CM10 pH6 4131

CM10 pH6 4225CM10 pH6 4253

CM10 pH6 4337CM10 pH6 4353

CM10 pH6 4379

CM10 pH6 4542

CM10 pH6 4746

CM10 pH6 4815CM10 pH6 4911CM10 pH6 5141

CM10 pH6 5375CM10 pH6 5532

CM10 pH6 5655CM10 pH6 5671CM10 pH6 5742

CM10 pH6 5758

CM10 pH6 5978

CM10 pH6 6270CM10 pH6 6313

CM10 pH6 6578CM10 pH6 6642CM10 pH6 6685CM10 pH6 6907

CM10 pH6 7015

CM10 pH6 7486CM10 pH6 7502

CM10 pH6 8158CM10 pH6 8467CM10 pH6 8535

CM10 pH6 8888

CM10 pH6 9126

CM10 pH6 9389CM10 pH6 9596

CM10 pH6 9967

CM10 pH6 10260

CM10 pH6 11290

CM10 pH6 12340

CM10 pH6 13810CM10 pH6 14010CM10 pH6 17780CM10 pH6 18450

CM10 pH8 2522

CM10 pH8 2546

CM10 pH8 2588CM10 pH8 2662

CM10 pH8 2701CM10 pH8 2723CM10 pH8 2809

CM10 pH8 2869

CM10 pH8 2882CM10 pH8 2927

CM10 pH8 2969

CM10 pH8 2987

CM10 pH8 3043

CM10 pH8 3077CM10 pH8 3209CM10 pH8 3364

CM10 pH8 3382

CM10 pH8 3438

CM10 pH8 3491

CM10 pH8 3659

CM10 pH8 3741CM10 pH8 3820

CM10 pH8 3978

CM10 pH8 4081

CM10 pH8 4096

CM10 pH8 4338

CM10 pH8 4354

CM10 pH8 4379

CM10 pH8 4433CM10 pH8 4450

CM10 pH8 4542

CM10 pH8 4747CM10 pH8 5283CM10 pH8 5376

CM10 pH8 5657CM10 pH8 5673

CM10 pH8 5744 CM10 pH8 5760

CM10 pH8 5788

CM10 pH8 5978

CM10 pH8 6175

CM10 pH8 6231CM10 pH8 6272CM10 pH8 6314

CM10 pH8 6580

CM10 pH8 6643CM10 pH8 6686

CM10 pH8 6913

CM10 pH8 7017CM10 pH8 7488

CM10 pH8 7502

CM10 pH8 8179

CM10 pH8 8469

CM10 pH8 9120

CM10 pH8 9158CM10 pH8 9392CM10 pH8 9596

CM10 pH8 10260CM10 pH8 11300

CM10 pH8 12330CM10 pH8 13820

CM10 pH8 14020

CM10 pH8 15690CM10 pH8 16960CM10 pH8 17620

CM10 pH8 17780

IMAC 2552IMAC 2646

IMAC 2657

IMAC 2695

IMAC 2718

IMAC 2923

IMAC 2985IMAC 3006

IMAC 3042IMAC 3157IMAC 3177

IMAC 3366IMAC 3437

IMAC 3808IMAC 3823

IMAC 3974IMAC 4130

IMAC 4253

IMAC 4401

IMAC 4595

IMAC 4842

IMAC 4955

IMAC 5080IMAC 5274IMAC 5298

IMAC 5536

IMAC 5579

IMAC 5653IMAC 5739

IMAC 6228IMAC 6269IMAC 6312IMAC 6578

IMAC 6829

IMAC 6921IMAC 7493

IMAC 8194IMAC 8602IMAC 8643

IMAC 9157

IMAC 9390

IMAC 9711IMAC 9974

IMAC 10240IMAC 11020

IMAC 11290

IMAC 11700

IMAC 12340

IMAC 12700IMAC 13830IMAC 14020

IMAC 14760

IMAC 17810$M3.DA1

$M3.DA2

-0.1

0.0

0.1

0.2

-0.1 0.0 0.1 0.2

w*c

[2]

NP20 3002NP20 3012NP20 3037NP20 3263NP20 3814NP20 3829

NP20 4020

NP20 4340NP20 4356NP20 5753

NP20 6305

NP20 6588

NP20 7027

NP20 9138NP20 9825

NP20 10280

NP20 11340

NP20 12360

NP20 13850NP20 14050

NP20 15070NP20 16040NP20 17830NP20 19090H50 2504H50 2572H50 2599

H50 2615H50 2643H50 2678H50 2703H50 2970

H50 2999

H50 3009

H50 3035H50 3094H50 3106H50 3133

H50 3187H50 3204

H50 3218H50 3248H50 3260H50 3290

H50 3345H50 3357H50 3388H50 3509H50 3600H50 3624H50 3654H50 3702H50 3940 H50 3987H50 4004

H50 4015

H50 4049H50 4111H50 4146

H50 4179H50 4194H50 4207H50 4221H50 4238H50 4263

H50 4300H50 4503H50 4628H50 4902H50 4966

H50 5019H50 5064H50 5116

H50 5156H50 5212H50 5269H50 5526H50 5633H50 5851

H50 5946

H50 6024H50 6076H50 6109H50 6271H50 7028

H50 7123H50 7279H50 8033H50 8121H50 9036H50 9779H50 10040H50 10270H50 11040H50 11300H50 11700H50 12710H50 13840H50 14030H50 16820H50 18910

CM10 pH4 2537CM10 pH4 2609CM10 pH4 2657

CM10 pH4 2700

CM10 pH4 2717CM10 pH4 2761

CM10 pH4 2862CM10 pH4 2922

CM10 pH4 3044

CM10 pH4 3182

CM10 pH4 3363CM10 pH4 3437

CM10 pH4 3481

CM10 pH4 3584CM10 pH4 4110

CM10 pH4 4337

CM10 pH4 4354

CM10 pH4 4932

CM10 pH4 4959

CM10 pH4 4975

CM10 pH4 5002

CM10 pH4 5138CM10 pH4 5165

CM10 pH4 5298

CM10 pH4 5392

CM10 pH4 5537

CM10 pH4 5655CM10 pH4 5743

CM10 pH4 6230

CM10 pH4 6272CM10 pH4 6579

CM10 pH4 6914

CM10 pH4 7486

CM10 pH4 8176

CM10 pH4 8600CM10 pH4 8641

CM10 pH4 9165

CM10 pH4 9972

CM10 pH4 10250

CM10 pH4 11010CM10 pH4 11290CM10 pH4 11700

CM10 pH4 12340

CM10 pH4 13820CM10 pH4 14020CM10 pH4 14760

CM10 pH4 15800CM10 pH4 17800CM10 pH4 18490CM10 pH4 18920

CM10 pH6 2522CM10 pH6 2640CM10 pH6 2700

CM10 pH6 2723

CM10 pH6 2870

CM10 pH6 2883

CM10 pH6 2921CM10 pH6 2988

CM10 pH6 3044

CM10 pH6 3158

CM10 pH6 3178

CM10 pH6 3358CM10 pH6 3401

CM10 pH6 3494

CM10 pH6 3658

CM10 pH6 3742CM10 pH6 3813CM10 pH6 3977

CM10 pH6 4081

CM10 pH6 4131

CM10 pH6 4225CM10 pH6 4253

CM10 pH6 4337CM10 pH6 4353

CM10 pH6 4379

CM10 pH6 4542

CM10 pH6 4746

CM10 pH6 4815CM10 pH6 4911CM10 pH6 5141

CM10 pH6 5375CM10 pH6 5532

CM10 pH6 5655CM10 pH6 5671CM10 pH6 5742

CM10 pH6 5758

CM10 pH6 5978

CM10 pH6 6270CM10 pH6 6313

CM10 pH6 6578CM10 pH6 6642CM10 pH6 6685CM10 pH6 6907

CM10 pH6 7015

CM10 pH6 7486CM10 pH6 7502

CM10 pH6 8158CM10 pH6 8467CM10 pH6 8535

CM10 pH6 8888

CM10 pH6 9126

CM10 pH6 9389CM10 pH6 9596

CM10 pH6 9967

CM10 pH6 10260

CM10 pH6 11290

CM10 pH6 12340

CM10 pH6 13810CM10 pH6 14010CM10 pH6 17780CM10 pH6 18450

CM10 pH8 2522

CM10 pH8 2546

CM10 pH8 2588CM10 pH8 2662

CM10 pH8 2701CM10 pH8 2723CM10 pH8 2809

CM10 pH8 2869

CM10 pH8 2882CM10 pH8 2927

CM10 pH8 2969

CM10 pH8 2987

CM10 pH8 3043

CM10 pH8 3077CM10 pH8 3209CM10 pH8 3364

CM10 pH8 3382

CM10 pH8 3438

CM10 pH8 3491

CM10 pH8 3659

CM10 pH8 3741CM10 pH8 3820

CM10 pH8 3978

CM10 pH8 4081

CM10 pH8 4096

CM10 pH8 4338

CM10 pH8 4354

CM10 pH8 4379

CM10 pH8 4433CM10 pH8 4450

CM10 pH8 4542

CM10 pH8 4747CM10 pH8 5283CM10 pH8 5376

CM10 pH8 5657CM10 pH8 5673

CM10 pH8 5744 CM10 pH8 5760

CM10 pH8 5788

CM10 pH8 5978

CM10 pH8 6175

CM10 pH8 6231CM10 pH8 6272CM10 pH8 6314

CM10 pH8 6580

CM10 pH8 6643CM10 pH8 6686

CM10 pH8 6913

CM10 pH8 7017CM10 pH8 7488

CM10 pH8 7502

CM10 pH8 8179

CM10 pH8 8469

CM10 pH8 9120

CM10 pH8 9158CM10 pH8 9392CM10 pH8 9596

CM10 pH8 10260CM10 pH8 11300

CM10 pH8 12330CM10 pH8 13820

CM10 pH8 14020

CM10 pH8 15690CM10 pH8 16960CM10 pH8 17620

CM10 pH8 17780

IMAC 2552IMAC 2646

IMAC 2657

IMAC 2695

IMAC 2718

IMAC 2923

IMAC 2985IMAC 3006

IMAC 3042IMAC 3157IMAC 3177

IMAC 3366IMAC 3437

IMAC 3808IMAC 3823

IMAC 3974IMAC 4130

IMAC 4253

IMAC 4401

IMAC 4595

IMAC 4842

IMAC 4955

IMAC 5080IMAC 5274IMAC 5298

IMAC 5536

IMAC 5579

IMAC 5653IMAC 5739

IMAC 6228IMAC 6269IMAC 6312IMAC 6578

IMAC 6829

IMAC 6921IMAC 7493

IMAC 8194IMAC 8602IMAC 8643

IMAC 9157

IMAC 9390

IMAC 9711IMAC 9974

IMAC 10240IMAC 11020

IMAC 11290

IMAC 11700

IMAC 12340

IMAC 12700IMAC 13830IMAC 14020

IMAC 14760

IMAC 17810$M3.DA1

$M3.DA2

-20

-10

0

10

20

-20 -10 0 10 20

-20

-10

0

10

20

-20 -10 0 10 20

-0.1

0.0

0.1

0.2

-0.2 -0.1 -0.0 0.1

w*c

[2]

NP20 3002

NP20 3012

NP20 3037NP20 3263

NP20 3814NP20 3829

NP20 4020

NP20 4340

NP20 4356

NP20 5753

NP20 6305

NP20 6588

NP20 7027

NP20 9138

NP20 9825

NP20 10280

NP20 11340

NP20 12360NP20 13850

NP20 14050NP20 15070

NP20 16040NP20 17830NP20 19090

H50 2504H50 2572H50 2599H50 2615

H50 2643

H50 2678H50 2703

H50 2970

H50 2999

H50 3009

H50 3035

H50 3094

H50 3106

H50 3133

H50 3187

H50 3204H50 3218H50 3248

H50 3260H50 3290H50 3345H50 3357H50 3388

H50 3509H50 3600

H50 3624

H50 3654H50 3702H50 3940

H50 3987

H50 4004H50 4015

H50 4049

H50 4111

H50 4146H50 4179

H50 4194

H50 4207H50 4221

H50 4238H50 4263

H50 4300

H50 4503H50 4628H50 4902

H50 4966

H50 5019H50 5064

H50 5116H50 5156H50 5212

H50 5269H50 5526

H50 5633

H50 5851H50 5946

H50 6024

H50 6076

H50 6109

H50 6271H50 7028H50 7123

H50 7279

H50 8033

H50 8121

H50 9036H50 9779H50 10040H50 10270

H50 11040H50 11300

H50 11700

H50 12710H50 13840H50 14030H50 16820H50 18910

CM10 pH4 2537CM10 pH4 2609

CM10 pH4 2657

CM10 pH4 2700

CM10 pH4 2717

CM10 pH4 2761CM10 pH4 2862CM10 pH4 2922

CM10 pH4 3044

CM10 pH4 3182CM10 pH4 3363CM10 pH4 3437

CM10 pH4 3481CM10 pH4 3584

CM10 pH4 4110

CM10 pH4 4337CM10 pH4 4354

CM10 pH4 4932CM10 pH4 4959

CM10 pH4 4975

CM10 pH4 5002

CM10 pH4 5138

CM10 pH4 5165

CM10 pH4 5298

CM10 pH4 5392

CM10 pH4 5537

CM10 pH4 5655CM10 pH4 5743

CM10 pH4 6230

CM10 pH4 6272

CM10 pH4 6579

CM10 pH4 6914

CM10 pH4 7486CM10 pH4 8176 CM10 pH4 8600

CM10 pH4 8641

CM10 pH4 9165CM10 pH4 9972

CM10 pH4 10250

CM10 pH4 11010

CM10 pH4 11290

CM10 pH4 11700

CM10 pH4 12340CM10 pH4 13820

CM10 pH4 14020

CM10 pH4 14760CM10 pH4 15800

CM10 pH4 17800

CM10 pH4 18490CM10 pH4 18920

CM10 pH6 2522

CM10 pH6 2640

CM10 pH6 2700CM10 pH6 2723CM10 pH6 2870CM10 pH6 2883

CM10 pH6 2921

CM10 pH6 2988

CM10 pH6 3044

CM10 pH6 3158

CM10 pH6 3178

CM10 pH6 3358CM10 pH6 3401CM10 pH6 3494

CM10 pH6 3658

CM10 pH6 3742CM10 pH6 3813

CM10 pH6 3977

CM10 pH6 4081

CM10 pH6 4131

CM10 pH6 4225

CM10 pH6 4253

CM10 pH6 4337

CM10 pH6 4353

CM10 pH6 4379CM10 pH6 4542

CM10 pH6 4746

CM10 pH6 4815

CM10 pH6 4911

CM10 pH6 5141

CM10 pH6 5375

CM10 pH6 5532

CM10 pH6 5655CM10 pH6 5671

CM10 pH6 5742

CM10 pH6 5758

CM10 pH6 5978CM10 pH6 6270CM10 pH6 6313CM10 pH6 6578

CM10 pH6 6642CM10 pH6 6685

CM10 pH6 6907

CM10 pH6 7015

CM10 pH6 7486

CM10 pH6 7502CM10 pH6 8158

CM10 pH6 8467

CM10 pH6 8535

CM10 pH6 8888CM10 pH6 9126

CM10 pH6 9389

CM10 pH6 9596

CM10 pH6 9967

CM10 pH6 10260

CM10 pH6 11290CM10 pH6 12340

CM10 pH6 13810

CM10 pH6 14010

CM10 pH6 17780

CM10 pH6 18450CM10 pH8 2522

CM10 pH8 2546CM10 pH8 2588

CM10 pH8 2662

CM10 pH8 2701

CM10 pH8 2723

CM10 pH8 2809

CM10 pH8 2869

CM10 pH8 2882

CM10 pH8 2927

CM10 pH8 2969

CM10 pH8 2987

CM10 pH8 3043

CM10 pH8 3077

CM10 pH8 3209

CM10 pH8 3364

CM10 pH8 3382

CM10 pH8 3438

CM10 pH8 3491

CM10 pH8 3659

CM10 pH8 3741

CM10 pH8 3820CM10 pH8 3978

CM10 pH8 4081

CM10 pH8 4096

CM10 pH8 4338

CM10 pH8 4354

CM10 pH8 4379

CM10 pH8 4433CM10 pH8 4450

CM10 pH8 4542CM10 pH8 4747

CM10 pH8 5283

CM10 pH8 5376

CM10 pH8 5657

CM10 pH8 5673CM10 pH8 5744

CM10 pH8 5760

CM10 pH8 5788

CM10 pH8 5978

CM10 pH8 6175CM10 pH8 6231

CM10 pH8 6272

CM10 pH8 6314CM10 pH8 6580

CM10 pH8 6643

CM10 pH8 6686

CM10 pH8 6913CM10 pH8 7017

CM10 pH8 7488

CM10 pH8 7502

CM10 pH8 8179

CM10 pH8 8469

CM10 pH8 9120CM10 pH8 9158CM10 pH8 9392

CM10 pH8 9596

CM10 pH8 10260

CM10 pH8 11300

CM10 pH8 12330CM10 pH8 13820

CM10 pH8 14020

CM10 pH8 15690CM10 pH8 16960CM10 pH8 17620

CM10 pH8 17780IMAC 2552IMAC 2646

IMAC 2657

IMAC 2695

IMAC 2718

IMAC 2923IMAC 2985IMAC 3006IMAC 3042IMAC 3157IMAC 3177IMAC 3366IMAC 3437IMAC 3808IMAC 3823IMAC 3974IMAC 4130IMAC 4253IMAC 4401

IMAC 4595IMAC 4842

IMAC 4955IMAC 5080

IMAC 5274

IMAC 5298

IMAC 5536

IMAC 5579IMAC 5653

IMAC 5739IMAC 6228IMAC 6269IMAC 6312

IMAC 6578

IMAC 6829

IMAC 6921

IMAC 7493IMAC 8194

IMAC 8602

IMAC 8643

IMAC 9157IMAC 9390

IMAC 9711IMAC 9974

IMAC 10240IMAC 11020IMAC 11290

IMAC 11700

IMAC 12340

IMAC 12700IMAC 13830

IMAC 14020

IMAC 14760IMAC 17810

$M4.DA1

$M4.DA2

-0.1

0.0

0.1

0.2

-0.2 -0.1 -0.0 0.1

w*c

[2]

NP20 3002

NP20 3012

NP20 3037NP20 3263

NP20 3814NP20 3829

NP20 4020

NP20 4340

NP20 4356

NP20 5753

NP20 6305

NP20 6588

NP20 7027

NP20 9138

NP20 9825

NP20 10280

NP20 11340

NP20 12360NP20 13850

NP20 14050NP20 15070

NP20 16040NP20 17830NP20 19090

H50 2504H50 2572H50 2599H50 2615

H50 2643

H50 2678H50 2703

H50 2970

H50 2999

H50 3009

H50 3035

H50 3094

H50 3106

H50 3133

H50 3187

H50 3204H50 3218H50 3248

H50 3260H50 3290H50 3345H50 3357H50 3388

H50 3509H50 3600

H50 3624

H50 3654H50 3702H50 3940

H50 3987

H50 4004H50 4015

H50 4049

H50 4111

H50 4146H50 4179

H50 4194

H50 4207H50 4221

H50 4238H50 4263

H50 4300

H50 4503H50 4628H50 4902

H50 4966

H50 5019H50 5064

H50 5116H50 5156H50 5212

H50 5269H50 5526

H50 5633

H50 5851H50 5946

H50 6024

H50 6076

H50 6109

H50 6271H50 7028H50 7123

H50 7279

H50 8033

H50 8121

H50 9036H50 9779H50 10040H50 10270

H50 11040H50 11300

H50 11700

H50 12710H50 13840H50 14030H50 16820H50 18910

CM10 pH4 2537CM10 pH4 2609

CM10 pH4 2657

CM10 pH4 2700

CM10 pH4 2717

CM10 pH4 2761CM10 pH4 2862CM10 pH4 2922

CM10 pH4 3044

CM10 pH4 3182CM10 pH4 3363CM10 pH4 3437

CM10 pH4 3481CM10 pH4 3584

CM10 pH4 4110

CM10 pH4 4337CM10 pH4 4354

CM10 pH4 4932CM10 pH4 4959

CM10 pH4 4975

CM10 pH4 5002

CM10 pH4 5138

CM10 pH4 5165

CM10 pH4 5298

CM10 pH4 5392

CM10 pH4 5537

CM10 pH4 5655CM10 pH4 5743

CM10 pH4 6230

CM10 pH4 6272

CM10 pH4 6579

CM10 pH4 6914

CM10 pH4 7486CM10 pH4 8176 CM10 pH4 8600

CM10 pH4 8641

CM10 pH4 9165CM10 pH4 9972

CM10 pH4 10250

CM10 pH4 11010

CM10 pH4 11290

CM10 pH4 11700

CM10 pH4 12340CM10 pH4 13820

CM10 pH4 14020

CM10 pH4 14760CM10 pH4 15800

CM10 pH4 17800

CM10 pH4 18490CM10 pH4 18920

CM10 pH6 2522

CM10 pH6 2640

CM10 pH6 2700CM10 pH6 2723CM10 pH6 2870CM10 pH6 2883

CM10 pH6 2921

CM10 pH6 2988

CM10 pH6 3044

CM10 pH6 3158

CM10 pH6 3178

CM10 pH6 3358CM10 pH6 3401CM10 pH6 3494

CM10 pH6 3658

CM10 pH6 3742CM10 pH6 3813

CM10 pH6 3977

CM10 pH6 4081

CM10 pH6 4131

CM10 pH6 4225

CM10 pH6 4253

CM10 pH6 4337

CM10 pH6 4353

CM10 pH6 4379CM10 pH6 4542

CM10 pH6 4746

CM10 pH6 4815

CM10 pH6 4911

CM10 pH6 5141

CM10 pH6 5375

CM10 pH6 5532

CM10 pH6 5655CM10 pH6 5671

CM10 pH6 5742

CM10 pH6 5758

CM10 pH6 5978CM10 pH6 6270CM10 pH6 6313CM10 pH6 6578

CM10 pH6 6642CM10 pH6 6685

CM10 pH6 6907

CM10 pH6 7015

CM10 pH6 7486

CM10 pH6 7502CM10 pH6 8158

CM10 pH6 8467

CM10 pH6 8535

CM10 pH6 8888CM10 pH6 9126

CM10 pH6 9389

CM10 pH6 9596

CM10 pH6 9967

CM10 pH6 10260

CM10 pH6 11290CM10 pH6 12340

CM10 pH6 13810

CM10 pH6 14010

CM10 pH6 17780

CM10 pH6 18450CM10 pH8 2522

CM10 pH8 2546CM10 pH8 2588

CM10 pH8 2662

CM10 pH8 2701

CM10 pH8 2723

CM10 pH8 2809

CM10 pH8 2869

CM10 pH8 2882

CM10 pH8 2927

CM10 pH8 2969

CM10 pH8 2987

CM10 pH8 3043

CM10 pH8 3077

CM10 pH8 3209

CM10 pH8 3364

CM10 pH8 3382

CM10 pH8 3438

CM10 pH8 3491

CM10 pH8 3659

CM10 pH8 3741

CM10 pH8 3820CM10 pH8 3978

CM10 pH8 4081

CM10 pH8 4096

CM10 pH8 4338

CM10 pH8 4354

CM10 pH8 4379

CM10 pH8 4433CM10 pH8 4450

CM10 pH8 4542CM10 pH8 4747

CM10 pH8 5283

CM10 pH8 5376

CM10 pH8 5657

CM10 pH8 5673CM10 pH8 5744

CM10 pH8 5760

CM10 pH8 5788

CM10 pH8 5978

CM10 pH8 6175CM10 pH8 6231

CM10 pH8 6272

CM10 pH8 6314CM10 pH8 6580

CM10 pH8 6643

CM10 pH8 6686

CM10 pH8 6913CM10 pH8 7017

CM10 pH8 7488

CM10 pH8 7502

CM10 pH8 8179

CM10 pH8 8469

CM10 pH8 9120CM10 pH8 9158CM10 pH8 9392

CM10 pH8 9596

CM10 pH8 10260

CM10 pH8 11300

CM10 pH8 12330CM10 pH8 13820

CM10 pH8 14020

CM10 pH8 15690CM10 pH8 16960CM10 pH8 17620

CM10 pH8 17780IMAC 2552IMAC 2646

IMAC 2657

IMAC 2695

IMAC 2718

IMAC 2923IMAC 2985IMAC 3006IMAC 3042IMAC 3157IMAC 3177IMAC 3366IMAC 3437IMAC 3808IMAC 3823IMAC 3974IMAC 4130IMAC 4253IMAC 4401

IMAC 4595IMAC 4842

IMAC 4955IMAC 5080

IMAC 5274

IMAC 5298

IMAC 5536

IMAC 5579IMAC 5653

IMAC 5739IMAC 6228IMAC 6269IMAC 6312

IMAC 6578

IMAC 6829

IMAC 6921

IMAC 7493IMAC 8194

IMAC 8602

IMAC 8643

IMAC 9157IMAC 9390

IMAC 9711IMAC 9974

IMAC 10240IMAC 11020IMAC 11290

IMAC 11700

IMAC 12340

IMAC 12700IMAC 13830

IMAC 14020

IMAC 14760IMAC 17810

$M4.DA1

$M4.DA2

Figure 38: Partial least squares discriminant analysis (PLS-DA) comparing control and treated myotubes Cultured control and treated myotubes (section 2.1) were collected and spectra

generated following SELDI-TOF-MS analysis (section 2.6) were evaluated using PLS-

DA. a) Separation between control and TMPD-treated myotubes is shown in the scores

plot following the supervised analysis. b) The loadings plot is shown for illustrative

purposes only and 87 ions had a VIP coefficient of >1 which suggests that the

variables were important in the model. c) Separation between control and GWδ-treated

myotubes is shown in the scores plot. b) Again, the loadings plot is shown for

illustrative purposes and, in this case, 97 ions had a VIP coefficient of >1. When all 331

peaks detected on ProteinChip® arrays were included in the analysis, it was difficult to

determine the most influential ions.

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Chapter 3: Results

112

These results demonstrated that the treatment of myoblasts and myotubes with

TMPD or GWδ resulted in changes in their pattern of protein expression. This

was demonstrated by PCA of data generated following the SELDI-TOF-MS

analysis of skeletal muscle cells on a variety of ProteinChip® arrays. Although

PLS-DA showed clear separation between control and treated samples, it was

not an appropriate method for determining the main ions that changed in

response to treatment, due to the high number of variables entered into the

analyses. The loadings plots generated resulted in the discovery of a high

number of ions that could be considered as important in the models and the

inclusion of all the ions detected may have lead to the inclusion of some

unsuitable protein ions. Because of this, it was decided to focus on the levels of

specific ions and determine whether individual ions where responsive to

treatment using a univariate approach, rather than the multivariate one

described here.

3.4.3 Selection of TMPD or GWδ responsive protein ions in skeletal

muscle cells

Changes in the expression of specific protein ions were examined in order to

determine whether their levels were changed significantly in response to

treatment with either TMPD or GWδ (Student’s t-test, p<0.05). SELDI-TOF-MS

data from the same SELDI-TOF-MS experiment run described in section 3.4.2

was examined and consideration was also given to the possibility of false

discoveries, where a number of false positives may have occurred by chance.

In order to address this, a correction for multiple testing was applied in the form

of a Benjamini-Hochberg false discovery rate (BH-FDR)293. Another commonly

used method for correcting for an expected number of false discoveries was

also applied in the form of a Bonferroni correction294. Ions that were changed in

response to treatment here were validated in an independent repeat SELDI-

TOF-MS experiment run.

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Chapter 3: Results

113

When changes in the levels of protein ions in myoblasts were examined, these

methods resulted in the exclusion of a large proportion of the responsive protein

ions initially discovered. Despite this, 3 protein ions (1 ion at m/z 5743 on CM10

arrays at pH 8 and 2 ions at m/z 8557 and 9389 on IMAC arrays) were

significantly changed in response to TMPD treatment following correction with

the milder form of correction (BH-FDR). The ion at m/z 8557 was also included

as being responsive to TMPD treatment following the application of the

Bonferroni correction (Table 4). None of the ions were included when GWδ

treatment was considered. However, in the repeat SELDI-TOF-MS experiment

run (No. 2), only the levels of the ion at m/z 5743 were significantly altered in

response to TMPD treatment although this same ion was ultimately excluded by

both the BH-FDR and Bonferroni corrections.

Table 4: Number of responsive proteins ion discovered in myoblasts Myoblasts were cultured and treated with TMPD or GWδ for 24h (section 2.1) prior to

SELDI-TOF-MS analysis (section 2.6). The number of proteins ions whose levels were

significantly altered in response to treatment is shown along with the number of

responsive proteins ions discovered after correction for the BH-FDR or using a

Bonferroni correction (Students t-test, p<0.05). The number of selected protein ions

was vastly reduced when the corrections for multiple testing were applied suggesting

that these corrections may have been too harsh in this case. Use of the BH-FDR

correction resulted in the inclusion of 3 ions at m/z 5743, 8557 and 9389 for TMPD-

treated myoblasts whilst a Bonferroni correction resulted in the inclusion of just 1 ion at

m/z 8557.

TMPD GWδ TMPD GWδ TMPD GWδ

NP20 10 8 0 0 0 0 54H50 9 6 0 0 0 0 109

CM10 (pH 4) 15 11 0 0 0 0 112CM10 (pH6) 17 14 0 0 0 0 107CM10 (pH8) 18 19 1 0 0 0 106

IMAC 30 11 13 2 0 1 0 103

ProteinChip array

Number of responsive protein ionsNumber of

ions detectedNo correction BH-FDR Bonferroni

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When changes in the levels of protein ions measured in myotubes were

examined following correction for multiple testing, a higher number of protein

ions remained than was observed in myoblasts. As with myoblasts, the BH-FDR

correction resulted in the inclusion of a higher number of ions than the

Bonferroni correction (Table 5).

Table 5: Number of responsive proteins ion discovered in myotubes Myotubes were cultured and treated with TMPD or GWδ for 24h (section 2.1) before

SELDI-TOF-MS analysis was conducted (section 2.6). The number of responsive

protein ions is shown before and after correction for multiple testing using the BH-FDR

or using the Bonferroni correction. In most cases, the number of responsive protein

ions was vastly reduced as these correction methods apply a threshold to the p value

obtained.

TMPD GWδ TMPD GWδ TMPD GWδ

NP20 4 5 2 2 2 1 24H50 29 8 15 12 3 2 77

CM10 (pH 4) 1 1 1 1 1 1 50CM10 (pH 6) 8 6 1 0 1 0 61CM10 (pH 8) 18 17 1 1 1 1 66

IMAC 30 30 25 21 19 2 2 53

ProteinChip array

Number of responsive protein ions Number of ions

detectedNo correction BH-FDR Bonferroni

More protein ions were included after the corrections for multiple testing were

applied than there were with myoblasts. Following a BH-FDR correction in the

initial SELDI-TOF-MS experiment run (No. 1), a total of 41 ions were shown as

being responsive to treatment with TMPD in myotubes (35 ions for GWδ). When

the Bonferroni correction was applied to the same data, the number of

responsive ions was reduced to only 10 ions (7 for GWδ). Of these, only the

levels of ions at m/z 5298 (on CM10 arrays at pH 4) and 6588 (on NP20 arrays)

were still changed significantly in the repeat SELDI-TOF-MS experiment run

experiment (No. 2). However, the ion at m/z 6588 was excluded by the

Bonferroni correction in all cases despite that its levels were significantly

changed in response to treatment (Student’s t-test, p<0.05).

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The BH-FDR and the Bonferroni correction are sometimes considered to be

severe methods for accounting for false discovery and this appeared to be the

case for myoblasts295. Only 1 ion at m/z 5743 resulted that was changed in

response to the treatment of myoblasts with TMPD in an initial SELDI-TOF-MS

experiment run (No. 1). However, even this ion was eventually excluded after

the correction thresholds were applied in an independent SELDI-TOF-MS

experiment run (No. 2).

When SELDI-TOF-MS data from myotubes was examined, a higher number of

protein ions were included after the correction thresholds were applied in the

initial SELDI-TOF-MS experiment run (No. 1) than there were for myoblasts.

However, a high number of those ions were not included when tested in an

independent repeat SELDI-TOF-MS experiment run. Despite this, an ion at m/z

5298 was still included.

The risks associated with accepting the changes from a single experiment were

also recognised during these investigations and it was therefore decided to

address the possibility of false discovery by repeating experiments and looking

for consistent changes in the levels of protein ions in different, independent

SELDI-TOF-MS experiment runs.

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3.4.4 Reproducibility of SELDI-TOF-MS protein ions in muscle cells

Prior to differential protein expression experiments, an investigation into SELDI-

TOF-MS reproducibility was conducted. Data from two repeat SELDI-TOF-MS

experiment runs (No.s 1 and 2) were considered as a training dataset whilst the

findings from these experiments were validated in a third independent SELDI-

TOF-MS experiment run (test dataset, No. 3). An investigation into the

variability of the ions detected using the biomarker settings described in section

2.6.3 was conducted in order to gain an appreciation for the intra and inter-

experimental variability of the SELDI-TOF-MS data generated on CM10

ProteinChip® arrays (at pH 4) in the training dataset (SELDI-TOF-MS

experiment run (No.3).

In myoblasts, the average coefficient of variation in the levels of the 112 protein

ions detected was 27% in the first SELDI-TOF-MS experiment run. In the repeat

SELDI-TOF-MS experiment run of the training dataset, the coefficient of

variation was 25%. The levels of 12 of the 112 protein ions measured by

SELDI-TOF-MS were significantly different between the two repeat experiments

(Student’s t-test, p<0.05) (Figure 39). In myotubes, the average CV% for the 50

ions measured in the first experiment run was 24% and was 17% in the second

experiment run. The levels of 4 of the 50 ions measured were significantly

different between repeat experiment runs (Figure 40).

These results demonstrated that whilst some of the ions detected by SELDI-

TOF-MS demonstrated a degree of intra and inter-experimental variability, the

majority of the ions were reproducible within acceptable limits as determined by

their CV% and significance testing between the repeat experiments. Also the

reproducibility appears to be comparable with that obtained by other SELDI-

TOF-MS users296-298. The source of the variation may be difficult to pinpoint

without additional investigations but these results highlighted the need to

examine changes observed within experiment runs before examining changes

across different repeat SELDI-TOF-MS experiment runs.

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Figure 39: Intra and inter-experiment reproducibility of SELDI-TOF-MS protein ions in myoblasts Myoblasts were cultured (section 2.1) and untreated myoblasts were analysed using SELDI-TOF-MS on CM10 ProteinChip® arrays (pH

4). The CV% for all of the ions detected is shown and the red line is set at 30% which is the approximate CV% commonly observed in

SELDI-TOF-MS experiments by other users. The levels of the ions detected were compared between 2 repeat SELDI-TOF-MS

experiment runs in order to evaluate inter-experiment reproducibility. The filled bars (12/112) represent the ions whose levels varied

significantly between the 2 repeat experiments and significant changes are denoted by *p<0.05, **p<0.01, p<0.001(Student’s t-test). Error

bars represent SEM where visible.

0

10

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013

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852

1719

817

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1846

3

m/z

CV%

SELDI-TOF-MS experiment 1

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Figure 39 continued

0

10

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2523

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4279

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4571

4704

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5165

5216

5292

5374

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5757

5978

5997

6076

6116

6142

6159

6187

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6257

6271

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704

1234

013

821

1401

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765

1494

716

852

1719

817

790

1846

3

m/z

CV%

*

*

**

*

** **

*

**

*

**

***

*

***

SELDI-TOF-MS experiment 2

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Figure 40: Intra and inter-experimental reproducibility of SELDI-TOF-MS protein ions in myotubes Myotubes were cultured (section 2.1) and untreated myotubes were analysed using SELDI-TOF-MS on CM10 ProteinChip® arrays (pH 4).

The CV% for all of the ions detected is shown and the red line is set at 30% which is the approximate CV% commonly observed in SELDI-

TOF-MS experiments by other users. The levels of the ions detected were compared between 2 repeat SELDI-TOF-MS experiments in

order to evaluate inter-experiment reproducibility. The filled bars (4/50) represent the ions whose levels varied significantly between the 2

repeat experiments and significant changes are denoted by *p<0.05, **p<0.01 (Student’s t-test). Error bars represent SEM where visible.

0

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SELDI-TOF-MS experiment 1

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Figure 40 continued

0

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*

SELDI-TOF-MS experiment 2

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3.4.5 Validation of TMPD and GWδ responsive protein ions in skeletal

muscle cells

Differential protein expression was investigated further in the two repeat SELDI-

TOF-MS experiment runs of the training dataset (No.s 1 and 2). In order to

ensure that the same ions were compared between the different defined

experiments, SELDI-TOF-MS data from both experiment series was combined

before clusters of protein ions were detected using the BMW (as described in

section 2.6.3). Differentially expressed ions were considered for further

statistical analyses if the ion was consistently expressed at significantly different

levels between control and treated samples in both repeat experiment runs of

the training dataset (Student’s t-test, p<0.05). This consideration for the

consistency of the response of individual protein ions effectively reduced the p

value for selected protein ions to less than 0.0025 (i.e. p=0.052).

A total of 592 protein ions were detected in myoblasts on 6 different types of

ProteinChip® array using the BMW settings described in section 2.6.3. The

treatment of myoblasts with 25μM TMPD resulted in a consistent increase in the

levels of 3 protein ions at m/z 5743, 6910 and 7177 along with a decrease in the

levels of 7 ions at m/z, 6306, 6420, 9097, 9113, 9123, 9137 and 9161 in the two

repeat experiments of the training dataset. These changes were detected on a

combination of NP20 and CM10 (pH 4 and 6) ProteinChip® arrays (Table 6 and

Figure 41a).

Treating myoblasts with 50μM GWδ resulted in a significant increase in the

levels of 6 ions at m/z 4910, 4913, 5655, 7177, 7222 and 13814. These

changes were accompanied by a decrease in the levels of 7 protein ions at m/z,

6306, 6420, 9097, 9113, 9123, 9137 and 11708. The changes associated with

GWδ treatment were detected on a combination of NP20, H50 and CM10 (pH4,

6 and 8) ProteinChip® arrays. Also, the levels of the ions at m/z 6306, 6420,

7177, 9097, 9113, 9123 and 9137 were changed in response to treatment with

both TMPD and GWδ (Table 6 and Figure 41b).

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Table 6: Summary of protein expression changes in myoblasts Myoblasts were cultured, treated with the test compounds (section 2.1) and analysed

using SELDI-TOF-MS (section 2.6). The total number of protein ions detected (section

2.6.3) on each type of ProteinChip® array and in 2 repeat SELDI-TOF-MS experiments

that formed the training dataset is shown. Cell homogenates from control myoblasts

were compared with TMPD or GWδ-treated samples. Spectra from both experiments

were combined before ion detection was performed simultaneously for both

experiments in order to ensure the generation of consistent clusters of protein ions

using the BMW. The number of ions that were responsive to treatment in each of the

repeat experiments and those that were consistently responsive to treatment are

shown (Student’s t-test, p<0.05).

TMPD GWδ TMPD GWδ TMPD GWδ

NP20 10 8 29 26 7 6 54H50 9 6 52 47 0 1 109

CM10 (pH 4) 15 11 32 30 1 1 112CM10 (pH6) 17 14 35 29 2 4 107CM10 (pH8) 18 19 21 22 0 1 106

IMAC 30 11 13 2 2 0 0 103

ProteinChip array Experiment 1 Experiment 2 Combined

Number of responsive protein ions Total number of ions

detected

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-1.0

-0.5

0.0

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10 p

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CM

10 p

H6

6910

NP

20 9

161

CM

10 p

H4

4910

CM

10 p

H8

4913

CM

10 p

H6

5655

CM

10 p

H6

7222

H50

117

08

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10 p

H6

1381

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306

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420

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7177

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097

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20 9

137

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Rel

ativ

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vel

TMPD responders GWδ responders Common responders

+1.0

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TMPD responders GWδ responders Common responders

Figure 41: Responsive SELDI-TOF-MS protein ions in myoblasts Rat L6 myoblasts were cultured and treated with 25μM TMPD or 50μM GWδ for 24h

(section 2.1). Samples were then analysed on NP20, CM10 (at pH 4, 6 and 8) and

IMAC 30 ProteinChip® arrays (section 2.6). Protein ions whose levels were consistently

changed in response to treatment with a) TMPD or b) GWδ in two repeat SELDI-TOF-

MS experiment runs are shown by solid bars (Student’s t-test, p<0.05). Ions whose

levels changed in response to treatment with TMPD are grouped on the left, those that

changed following GWδ treatment are grouped in the middle section and those ions

that changed following the treatment of myoblasts with both test compounds are

grouped on the right. Error bars show ± SEM.

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Proteins whose ion levels were consistently changed in myotubes in response

to treatment with TMPD or GWδ were identified using a similar approach to that

used for myoblasts. Again, SELDI-TOF-MS data generated in the 2 repeat

SELDI-TOF-MS experiment runs of a training dataset was examined to discover

protein ions whose levels were consistently changed in response to treatment

(Student’s t-test, p<0.05).

In myotubes, 331 protein ions were detected using the different ProteinChip®

arrays and assay conditions previously described for myoblasts (section 2.6).

The treatment of myotubes with 25µM TMPD resulted in a significant increase

(in the training dataset) in the levels of 4 protein ions at m/z 3158, 3978, 5298,

and 6305 along with a decrease in the levels of 6 ions at m/z 4815, 5579, 6312,

6578, 6588 and 12357. These ions were detected on a combination of NP20,

IMAC and CM10 (pH4 and 6) ProteinChip® arrays. Treating myoblasts with

50μM GWδ resulted in an increase in the levels of 4 ions at m/z 3158, 5298,

6305 and 9126 and a decrease in the levels of 3 ions at m/z 5753, 6588 and

12357. The levels of the ions at m/z 3158, 5298, 6305, 6588 and 12357 were

responsive to treatment with both test compounds (Table 7 and Figure 42).

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Table 7: Summary of protein expression changes in myotubes Myotubes were grown (section 2.1) and analysed using SELDI-TOF-MS (section 2.6).

Cell homogenates from control myotubes were compared with TMPD or GWδ-treated

samples and the total number of protein ions detected (section 2.6.3) on each type of

ProteinChip® array in the training dataset is shown. Spectra were combined and protein

ions were detected simultaneously for both SELDI-TOF-MS experiments in order to

ensure the generation of consistent clusters of protein ions using the BMW and those

ions that were responsive in each of the repeat experiments are shown (Student’s t-

test, p<0.05).

TMPD GWδ TMPD GWδ TMPD GWδ

NP20 4 5 9 8 3 4 24H50 29 25 12 8 0 0 77

CM10 (pH 4) 1 1 4 7 1 1 50CM10 (pH6) 8 6 16 10 2 2 61CM10 (pH8) 18 17 11 9 1 0 66

IMAC 30 30 25 4 2 3 0 53

Total number of ions

detected

ProteinChip array Experiment 1 Experiment 2 Combined

Number of responsive protein ions

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-1.0

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C 5

579

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C 6

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C 6

578

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753

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+2.0

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Figure 42: Responsive SELDI-TOF-MS protein ions in myotubes Rat L6 myotubes were differentiated from cultured myoblasts and treated with TMPD or

GWδ for 24h (section 2.1). Samples were then analysed on NP20, CM10 (at pH 4, 6

and 8) and IMAC 30 ProteinChip® arrays (section 2.6). Ions whose levels were

consistently changed in response to treating myotubes with a) TMPD or b) GWδ are

shown by solid bars (Student’s t-test, p<0.05). Ions whose levels were changed

following treatment with TMPD are grouped on the left, those changed following GWδ

treatment are grouped in the middle section and those ions that changed following

treatment with both test compounds are grouped on the right. Error bars show ± SEM.

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The levels of protein ions that were consistently responsive to treatment with

the test compounds were examined in an independent repeat third SELDI-TOF-

MS experiment run (No. 3) in order to determine the most consistent of the

changes observed in the training dataset. The levels of 7 out of the 10 protein

ions originally found (at m/z 9161, 6306, 7177, 9097, 9113, 9123 and 9137)

were significantly altered in response to the treatment of myoblasts with TMPD

as they were in the two SELDI-TOF-MS experiment runs that formed the

training dataset. However, the levels of the other 3 ions originally tested were

not significantly changed in the test dataset (Figure 43). This included an ion at

m/z 5743, which had also been selected as being responsive to treatment with

TMPD after the BH-FDR and Bonferroni corrections, but was excluded by the

corrections in the repeat SELDI-TOF-MS experiment run No. 2 (section 3.4.2).

A similar story was true for myoblasts treated with GWδ in that ions at m/z 6306,

7177, 9097, 9113, 9123, 9137 and 9161 were significantly changed in response

to treatment, as they were in the training dataset but the levels 7 of the 13 ions

examined were not changed in the test dataset (Figure 44). Representative

SELDI-TOF-MS putative biomarkers in myoblasts are shown in Figure 45.

Protein ions in myotubes whose levels were consistently changed treated with

TMPD or GWδ were also examined in the myotubes test dataset to see whether

they were still responsive in the independent test dataset. The levels of 3

protein ions at m/z 4815, 3185 and 5298 were changed significantly in response

to treatment with TMPD although the levels of 7 other ions tested were not

changed significantly when tested (Figure 46) (Student’s t-test, p>0.05).

Amongst these, an ion at m/z 5298 was also selected in myotubes when the

corrections for multiple testing were applied (BH-FDR and Bonferroni) and this

may be a more robust marker than others found during these analyses. In the

case of GWδ, the levels of the 7 ions tested were not significantly different to

those in control myotubes (Figure 47). Representative SELDI-TOF-MS putative

biomarkers in myotubes are shown in Figure 48.

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CM

10 p

H4

5743

CM

10 p

H6

6910

NP

20 9

161

NP

20 6

306

NP

20 6

420

CM

10 p

H6

7177

NP

20 9

097

NP

20 9

113

NP

20 9

123

NP

20 9

137

0

1

2

3

4

5

6

7

8

9

Rel

ativ

e io

n in

tens

ity

TMPD responders Common responders

**

**

**

** ** ****

ControlTreatedControlTreatedControlTreated

Figure 43: Levels of TMPD-responsive protein ions in myoblasts Myoblasts were grown and treated with 25μM TMPD (section 2.1) before SELDI-TOF-

MS analysis on different ProteinChip® arrays (section 2.6). Proteins that were

responsive to treatment in two repeat experiments of the training dataset were tested in

an independent third dataset to examine their robustness as putative biomarkers of

myopathy. All of the proteins examined showed similar responses to treatment with the

test compound although significant differences were only observed in the levels of

protein ions examined at m/z 6306, 7177, 9097, 9113, 9123, 9137 and 9161 (Student’s

t-test, p<0.05). Where visible, bars show mean of the control or treated group and

significant changes are denoted by **p<0.01.

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CM

10 p

H4

4910

CM

10 p

H8

4912

CM

10 p

H6

5655

CM

10 p

H6

7222

H50

117

08

CM

10 p

H6

1381

4

NP2

0 63

06

NP2

0 64

20

CM

10 p

H6

7177

NP2

0 90

97

NP2

0 91

13

NP2

0 91

23

NP2

0 91

37

0

1

2

3

4

5

6

7

8

Rel

ativ

e io

n in

tens

ity

ControlTreatedControlTreatedControlTreated

*

*

***

****

GWδ responders Common responders

Figure 44: Levels of GWδ-responsive protein ions in myoblasts

Myoblasts were grown and treated (section 2.1) with 50μM GWδ prior to SELDI-TOF-

MS analysis (section 2.6). The levels of proteins that were responsive to treatment in

the training dataset were examined in an independent test dataset. All protein ions

examined showed similar responses to treatment with GWδ but significant differences

were only observed in the levels of protein ions at m/z 6306, 7222, 9097, 9113, 9123

and 9137 (Student’s t-test, p<0.05). Where visible, the bars show the mean of the

control or treated group and significant changes are denoted by *p<0.05 and **p<0.01.

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5000 6000 7000 8000

0

2

4

6 6306+H

m/z

5000 10000 15000 20000

-505

101520

-505

1015

-505

101520

-505

101520

-505

101520

0

5

10

15

5000 10000 15000 20000

m/z

Rel

ativ

e io

n in

tens

ityNP20

H50

CM10 (pH4)

CM10 (pH6)

CM10 (pH8)

IMAC-30

NP20

6000 6500 7000 7500 8000 85000

5

15

m/z

7177+H

CM10 (pH6)

10

9000 9500 100000

2

4

m/z

NP2012 34

5

9097+H19113+H29123+H39137+H49161+H5

7222+H

Figure 45: Representative SELDI-TOF-MS spectra showing putative biomarkers in TMPD or GWδ-treated myoblasts

Rat L6 myoblasts were cultured and treated with 25μM TMPD or 50μM GWδ for 24h (section 2.1). SELDI-TOF-MS analysis was

conducted (section 2.6) and protein ions at m/z 6306, 7177, 7222, 9097, 9113, 9123, 9137 and 9161 (detected on NP20 and CM10

ProteinChip® arrays) were consistently responsive to treatment with TMPD or GWδ in both the training and test datasets. The m/z is

shown on the x-axis and the relative ion intensity is displayed on the y-axis.

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CM

10 p

H8

3978

CM

10 p

H6

4815

IMAC

557

9

IMAC

631

2

IMAC

657

8

CM

10 p

H6

3158

CM

10 p

H4

5298

NP2

0 63

05

NP2

0 65

88

NP2

0 12

357

0.0

0.5

1.0

1.5

2.0

2.5

3.0

3.5

4.0

4.5

5.0

5.5

6.0

6.5

Rel

ativ

e io

n in

tens

ity

ControlTreatedControlTreatedControlTreated

TMPD responders Common responders

*

*

**

Figure 46: Levels of TMPD-responsive protein ions in myotubes Myotubes were cultured and treated (section 2.1) with 25μM TMPD prior to SELDI-TOF-

MS analysis (section 2.6). The levels of proteins that were responsive to treatment in the

training dataset were examined in a test dataset. All protein ions examined showed similar

responses to those observed in the training dataset but significant differences in their

levels were only observed in ions at m/z 3158, 4815 and 5298 (Student’s t-test, p<0.05).

Where visible, bars show the mean of the control or treated group and significant changes

are denoted by *p<0.05 and **p<0.01.

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NP2

0 57

53

CM

10 p

H6

9126

CM

10 p

H6

3158

CM

10 p

H4

5298

NP2

0 63

05

NP2

0 65

88

NP2

0 12

357

0.0

2.5

5.0

7.5

Rel

ativ

e io

n in

tens

ity

ControlTreatedControlTreatedControlTreated

GWδ responders Common responders

Figure 47: Levels of GWδ-responsive protein ions in myotubes

Myotubes were cultured and treated with 50μM GWδ (section 2.1) prior to SELDI-TOF-MS

analysis (section 2.6). Proteins that were responsive to treatment in the training dataset

were validated in the test dataset. All protein ions examined showed similar responses to

treatment with GWδ but, in this case, none of the changes were statistically significant

(Student’s t-test, p>0.05). Where visible, bars show the mean of the control or treated

group.

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5000 5100 5200 5300 5500

0

2.5

5

7.5

5400

m/z

5298+H

4600 4800 5000 5200

0

0.5

1

1.5

2

m/z

4815+H

5000 10000 15000 20000

-505

101520

-505

1015

-505

101520

-505

101520

-505

101520

-505

1015

5000 10000 15000 20000

NP20

H50

CM10 (pH4)

CM10 (pH6)

CM10 (pH8)

IMAC-30

m/z

Rel

ativ

e io

n in

tens

ity

CM10 (pH4)

CM10 (pH6)

3158+H

2500 3000 3500 4000

-1

0

1

2

3

4CM10 (pH6)

Figure 48: Representative SELDI-TOF-MS spectra showing putative biomarkers of myopathy in myotubes Rat L6 myotubes were cultured and treated with TMPD or GWδ for 24h (section 2.1). SELDI-TOF-MS analysis was conducted (section

2.6) and protein ions at m/z 3158, 4815 and 5298 (detected on CM10 ProteinChip® arrays) were consistently responsive to treatment

with TMPD in repeat experiments. The m/z is displayed on the x-axis and the relative ion intensity is displayed on the y-axis.

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A number of approaches to discovering the most robust markers of TMPD or

GWδ treatment were attempted in these SELDI-TOF-MS investigations. The

need for multiple approaches to the analysis of this data perhaps demonstrated

the difficulty in determining the most useful protein ions. SELDI-TOF-MS was

useful in discovering protein ions that were consistently responsive to the

effects of treatment with the test compounds although the changes observed

were relatively small changes and were difficult to distinguish amongst the

background variation of their levels. When the levels of potentially useful protein

ions were evaluated in the test dataset, they were either increased or

decreased in response to treatment as previously observed some of the

changes were not statistically significant when investigated in independent

repeat SELDI-TOF-MS experiments.

3.4.6 Selection of responsive protein ion combinations in skeletal muscle cells

In the previous section, protein ions that were responsive to treatment with

25μM TMPD or 50μM GWδ (Figure 41 and Figure 42) were discovered.

However, not all of the protein ions suspected to be useful based on initial

SELDI-TOF-MS experiments were verified successfully when examined in the

test dataset. These ions still responded moderately to treatment and it was

believed that, despite the changes in the levels of some of the protein ions

being statistically insignificant (Student’s t-test, p>0.05), a combination of

protein ions may have increased the ability to discriminate between control and

treated cells when compared to the individual ions.

In order to investigate the use of multiple protein ions, those ions whose levels

were changed in response to TMPD or GWδ treatment in the 2 repeat SELDI-

TOF-MS experiment runs (No.s 1 and 2) were entered into a forward stepwise

regression analysis (p to enter of 0.05, p to remove of 0.06). Those that were

responsive to treatment with TMPD were used in the regression analysis for

TMPD-treated cells and those ions whose levels were changed in response to

GWδ treatment were used for GWδ-treated cells. Regression analysis was then

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135

used in order to discover protein ions whose levels correlated well with

treatment but that also contributed independently to the model (had a low

covariance with each other). In a forward stepwise regression analysis, each

variable is evaluated for its effectiveness in distinguishing between control and

treated samples. If the variable assessed does not improve the model, it is

removed and the utility of another variable is assessed in the next step of the

analysis. This is continued until only variables that contribute significantly to the

model remain299. This analysis was repeated using data from the test dataset

(SELDI-TOF-MS experiment run No. 3) in order to validate findings from the

training dataset (SELDI-TOF-MS experiment runs 1 and 2).

When considering myoblasts, forward stepwise regression analysis of SELDI-

TOF-MS data from the training dataset resulted in the inclusion of 3 protein ions

at m/z 5743, 6420 and 7177 in a model that described the differences between

control myoblasts and those treated with TMPD. When regression analysis was

repeated using data from the test dataset, the ions at m/z 6420 and 7177 were

again selected as being useful when considered together. These same two

protein ions were also selected by stepwise regression analysis when SELDI-

TOF-MS data from control and GWδ-treated myoblasts was examined (in both

the training and test dataset) (Table 8). Therefore, in combination, these 2

proteins ions were consistently useful in discriminating between control and

treated myoblasts.

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Table 8: Summary of forward stepwise regression of responsive protein ions in control and treated myoblasts Myoblasts were cultured and treated with TMPD or GWδ (section 2.1). Protein ions that

were responsive to treatment were observed in spectra generated following SELDI-

TOF-MS analysis of cell homogenates (section 2.6) in 2 repeat experiments and a

forward stepwise regression analysis of these ions was performed (p to enter of 0.05, p

to remove of 0.06). A repeat regression analysis using SELDI-TOF-MS data from an

independent test dataset allowed selected ions to be validated and ions at m/z 6420

and 7177 were useful for characterising control and TMPD or GWδ-treated myoblasts.

Training dataset Test dataset

p value p value

1 6420 NP20 0.002 <0.001

2 7177 CM10 (pH 6) 0.016 <0.001

3 5743 CM10 (pH 4) 0.041 0.72

1 7177 CM10 (pH 6) <0.001 0.001

2 6420 NP20 <0.001 <0.001

ProteinChip array

TMPD

GWδ

Test compound Step m/z

Correlation between the protein ions resulting from regression analysis was also

considered in order to ensure that the ions selected contributed independently

to the discrimination between control and treated myoblasts. The correlation

coefficients for ions shown in Table 8 were examined and the variables at m/z

6420 and 7177 had low correlation coefficients when compared to each other

(between -0.3 and -0.1 for myoblasts treated with TMPD or <0.1 when GWδ-

treated myoblasts were considered). This suggested that these protein ions

contributed independently to the model describing the differences between

control and treated myoblasts300,301.

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Forward stepwise regression analysis was also applied to SELDI-TOF-MS data

from the training dataset of myotubes and resulted in the inclusion of 5 protein

ions at m/z 3158, 3978, 4815, 5298 and 6578 that correlated well with TMPD

treatment. The ions at m/z 5298 and 4815 were consistently useful in the model

when data from the test dataset was considered in a repeat regression analysis.

However, when considering control and GWδ-treated myotubes, ions at m/z

5298 and 6305 that were initially selected by regression analysis were not

effective at discriminating between control and treated myotubes when tested

using an independent dataset (Table 9).

Table 9: Summary of forward stepwise regression of responsive protein ions in control and treated myotubes

Myotubes were cultured and treated with TMPD or GWδ (section 2.1). Protein ions

within the samples were observed in spectra following SELDI-TOF-MS analysis

(section 2.6). A forward stepwise regression analysis of responsive protein ions from

the training dataset determined the ions that contributed significantly to the

discrimination between control and treated myotubes (Student’s t-test, p<0.05). A

repeat regression analysis using SELDI-TOF-MS data from an independent test

dataset allowed selected ions to be validated and ions at m/z 5298 and 4815 resulted

from this analysis that were useful for TMPD-treated myotubes.

Training dataset Test dataset

p value p value

1 5298 CM10 pH 4 <0.001 <0.001

2 4815 CM10 pH 6 <0.001 0.003

3 3978 CM10 pH 8 <0.001 0.649

4 3158 CM10 pH 6 <0.001 0.804

5 6578 IMAC 30 <0.001 0.995

1 5298 CM10 pH 4 <0.001 0.087

2 6305 NP20 0.020 0.072

Test compound Step m/z ProteinChip

array

GWδ

TMPD

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The correlation coefficients for protein ions selected by regression analysis and

validated successfully in the test dataset were examined for ions (at m/z 5298

and 4815) selected following the analysis of SELDI-TOF-MS data from control

and TMPD or GWδ-treated myotubes. The correlation coefficients were low for

these variables (r is between -0.3 and -0.1 for TMPD-treated cells or <0.1, when

examining GWδ treatment) and this demonstrated that the ions selected

contributed independently to the discrimination between control and TMPD-

treated myotubes.

From the previous forward regression analysis, ions at m/z 6420 and 7177 were

shown to contribute significantly and independently to the discrimination

between control and TMPD or GWδ-treated myoblasts (Student’s t-test,

p<0.05). When these ions were considered individually, they were unable to

discriminate completely between control and treated myoblasts (Figure 43 and

Figure 44). When these ions were considered together, their discriminatory

power was greater and they were able to separate control and TMPD-treated

(Figure 49a) or control and GWδ-treated myoblasts (Figure 49b) completely.

When the ions at m/z 5298 and 4815 were examined individually their levels

changed significantly in response to TMPD-treatment (Student’s t-test, p<0.05)

(Figure 46). Complete separation between control and TMPD-treated myotubes

was possible when they were used together although it was not possible when

the ions were considered separately (Figure 50a). Ions at 6305 and 5298 were

not changed significantly when examined individually in GWδ-treated myotubes

in the test dataset (Figure 47). Even the combined power of these ions was not

sufficient to discriminate completely between control and GWδ-treated

myotubes although only 2/6 treated samples were classified incorrectly (Figure

50b).

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m/z 7177

m/z

642

0

3.0 3.5 4.0 4.5 5.0 5.5 6.0 6.5 7.0 7.5 8.00.4

0.6

0.8

1.0

1.2

1.4

1.6

1.8

2.0

2.2

2.4

2.6

2.8

m/z 7177

m/z

642

0

3 4 5 6 7 8 90.4

0.6

0.8

1.0

1.2

1.4

1.6

1.8

2.0

2.2

2.4

2.6

2.8

3.0a) b)

Control Treated

TMPD myoblasts GWδ myoblasts

Figure 49: Two-dimensional scatterplots of TMPD and GWδ responsive

protein ions selected by regression analysis in myoblasts Myoblasts were cultured and treated with TMPD or GWδ (section 2.1). Following

SELDI-TOF-MS analysis (Section 2.6), protein ions at m/z 6420 and 7177 were

selected by forward stepwise regression analysis for their combined ability to

discriminate between a) control and TMPD-treated myoblasts and b) control and GWδ-

treated myoblasts. The broken line in the scatterplots shows the discrimination

between control and treated myoblasts, based on the combined intensities of the ions

shown.

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m/z 5298

m/z

481

5

2.0 2.5 3.0 3.5 4.0 4.5 5.0 5.5 6.00.5

0.6

0.7

0.8

0.9

1.0

1.1

m/z 5298

m/z

630

5

2.5 3.0 3.5 4.0 4.5 5.0 5.5 6.0 6.5 7.0 7.50.4

0.5

0.6

0.7

0.8

0.9

1.0

1.1

Control Treated

a) b)TMPD myotubes GWδ myotubes

Figure 50: Two-dimensional scatterplots of TMPD and GWδ responsive

protein ions selected by regression analysis in myotubes Myotubes were cultured and treated with TMPD or GWδ (section 2.1). Following

SELDI-TOF-MS analysis (Section 2.6), protein ions at m/z 5298 and 4815 were

selected by forward stepwise regression analysis for their combined ability to

discriminate between a) control and TMPD-treated myotubes. Ions at 6305 and 5298

were tested for their combined power to discriminate between b) control and GWδ-

treated myotubes and they only misclassified 2/6 treated myotubes. The broken line in

the scatterplots shows the discrimination between control and treated myotubes, based

on the combined intensities of the ions shown.

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141

These results demonstrated that whilst some of the protein ions selected by

univariate analysis may not have been validated successfully in the test dataset,

there was the possibility of combining protein ions in order to increase their

discriminatory power. This was the case with TMPD and GWδ-treated

myoblasts and also with TMPD-treated myotubes and complete separation

between control and treated samples was possible using a combination of

responsive protein ions even where it had previously not been possible with

individual ions. Despite the increased power of protein ion combinations, 2/6

GWδ-treated myotubes were still misclassified as control samples (false

negatives).

The levels of ions at m/z 6420 and 9137 that were seen to be useful in

discriminating between control and treated myoblasts were assessed in cells

treated with lower concentrations of the test compounds. However, neither the

levels of the ion at m/z 6420 nor the ion at m/z 9137 were responsive to

treatment with <25μM TMPD or <50μM GWδ (Figure 51).

An ion at m/z 5298 was changed significantly when examined individually in the

test dataset (Student’s t-test, p<0.05) and it was also selected by regression

analysis. The levels of this ion in myotubes treated with lower concentrations of

TMPD and GWδ than were used previously were also investigated but they

were not changed in response to treatment with <25μM TMPD or <50μM GWδ

(Figure 52).

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0

0.5

1

1.5

2

2.5

VC 6.25 12.5 25 50

[Drug] μM

Rel

ativ

e io

n in

tens

ity

m/z 6420

*

TMPD GWδ

0

1

2

3

4

5

6

7

VC 6.25 12.5 25 50

[Drug] μM

Rel

ativ

e io

n in

tens

ity

m/z 9137

** **

TMPD GWδ

Figure 51: Effect of TMPD or GWδ on rat L6 myoblasts Myoblasts were grown and tested with a range of concentrations of up to 25μM TMPD

or up to 50μM GWδ (section 2.1) before SELDI-TOF-MS analysis of cell homogenates

(section 2.6). Changes in the levels of putative protein ion biomarkers of myopathy at

m/z 6420 and 9137 in myoblasts treated with lower concentrations of the test

compounds than previously used were examined. These ions were not responsive to

the treatment of myoblasts with <25μM TMPD or <50μM GWδ. VC = vehicle control.

Error bars show ± SEM. Significant changes are denoted by *p <0.05, **p<0.01.

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0

1

2

3

4

5

6

VC 6.25 12.5 25 50

[Drug] μM

Rel

ativ

e io

n in

tens

ity

m/z 5298

**

**

TMPD GWδ

Figure 52: Effect of TMPD or GWδ on rat L6 myotubes Myotubes were differentiated from myoblasts and tested with a range of concentrations

of up to 25μM TMPD or up to 50μM GWδ (section 2.1) prior to SELDI-TOF-MS analysis

(section 2.6). Changes in the levels of a protein ion at m/z 5298 in myotubes treated

with lower concentrations of the test compounds than previously used were examined.

This ion was not responsive to the treatment of myotubes with <25μM TMPD or <50μM

GWδ. VC = vehicle control. Error bars show ± SEM. Significant changes are denoted

by **p<0.01.

3.4.7 Identification of SELDI-TOF-MS putative biomarkers of myopathy

Attempts were made to identify the protein ions discovered as putative

biomarkers of myopathy in previous sections. The ExPASy server (provided by

the Swiss institute of Bioinformatics and linked to the UniProt consortium

knowledgebase) was interrogated using the Mw of putative biomarkers

discovered by SELDI-TOF-MS. The charge (z) of the protein ions detected by

SELDI-TOF-MS was taken as equal to one and the database was also

interrogated with z equal to 1, 2 or 3 to account for multiply charged ions.

Protein dimerisation was also accounted for and an error of 0.1% (the expected

error for a SELDI-TOF-MS external calibration) in the interrogated mass was

accounted for.

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The masses of the ions discovered by SELDI-TOF-MS were also checked

against those of proteins ions identified by LC-MS/MS (described in detail in

section 3.5). The advantage of this method of verification was that the peptides

and proteins included in the search were measured directly in this study and

were not selected solely on the basis of a Mw match for the responsive ions

discovered in myoblasts (Table 10-Table 12) or those discovered in myotubes

(Table 13-Table 15).

Table 10: Identification of SELDI-TOF-MS biomarkers of myopathy in myoblasts (TMPD responders) Myoblasts were cultured and treated with 25μM TMPD for 24h (section 2.1). Protein

ions at m/z 5743, 6910 and 9181 were responsive to the treatment of myoblasts with

TMPD when measured using SELDI-TOF-MS (section 2.6). Mw information available

on the ExPASy database was interrogated using the TagIdent tool in order to discover

possible matches for the ions detected on ProteinChip® arrays. LC-MS/MS data

generated following the analysis of myoblasts cell homogenates was also interrogated

via Bioworks Browser (section 3.5). Although several possible identifications were

available for each of the ions when TagIdent was used, no possible identifications were

provided from the LC-MS/MS data.

TMP

D

Gw

d

Com

mon

Protein Accession code Calculated Mw (Da) Charge (z)

Cytochrome c, somatic NP_036971 11474 1a

Vesicle-associated membrane protein 3 NP_476438 11480 1a

Vesicle-associated membrane protein 5 NP_446007 11495 1a

Octadecaneuropeptide NP_114054 1912 3

39S ribosomal protein L41, mitochondrial NP_001013444 13818 1a

Trefoil factor 1 NP_476470 6912 1

60S ribosomal protein L41 NP_620783 3456 2

Protein B-Myc NP_001013181 18317 1a

60S ribosomal protein L21 NP_445782 18335 1a

UDP-N-acetylglucosamine transferase subunit ALG13 homolog NP_001013973 18329 1a

Corticotropin P01194 4582 2

TagIdent UniProtKB/Swiss-Prot search

Average relative level SEM

-0.7 0.04

0.26

0.09CM10 pH 6

CM10 pH 4

-

- -

-

NP20

0.8

0.46910

5743

9161

SELDI-TOF-MS m/z (z=1)

ProteinChip® array

-

-

Responsive to treatment with

a) Charge (z) = 1 but the possibility of dimerisation was considered

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Table 11: Identification of SELDI-TOF-MS putative biomarkers of myopathy in

myoblasts (GWδ responders)

Myoblasts were grown and treated with 50μM GWδ for 24h (section 2.1). The protein

ions shown were responsive to treatment when measured using SELDI-TOF-MS

(section 2.6). The TagIdent tool (available via the ExPASy server) was used to assign

possible matches for the ions detected on ProteinChip® arrays. LC-MS/MS data was

also cross-referenced via Bioworks Browser (section 3.5). No possible identifications

were provided by TagIdent for the ions at m/z 4910 and 4913. Also, no identifications

were provided by interrogating LC-MS/MS data.

TMP

D

Gw

d

Com

mon

Protein Accession code Calculated Mw (Da) Charge (z)

4910 CM10 pH 4 - - 0.7 0.22 - - - -

4913 CM10 pH 8 - - 0.6 0.17 - - - -

Ig lambda-2 chain C region P20767 11318 1a

Vesicle-associated membrane protein 8 NP_114015 11320 1a

7222 CM10 pH 6 - - 0.4 0.04 Apelin-31 NP_113800 3607 2

Neighbor of COX4 NP_001012165 23406 1a

Coiled-coil domain-containing protein 153 NP_001013975 23407 1a

Membrane-associated progesterone receptor component 2 NP_001008375 23403 1a

Regulator of G-protein signaling 18 NP_001040549 27645 1a

N-terminal acetyltransferase complex ARD1 subunit homolog B NP_001019913 27623 1a

Pyridoxal phosphate phosphatase PHOSPHO2 NP_001007643 27627 1a

Monocyte to macrophage differentiation protein NP_001007674 27649 1a

39S ribosomal protein L41, mitochondrial NP_001013444 13818 1

Trefoil factor 1 NP_476470 6912 2

TagIdent UniProtKB/Swiss-Prot search

SELDI-TOF-MS m/z (z=1)

ProteinChip® array

Responsive to treatment with

SEM

5655 CM10 pH 6 -

Average relative level

- - 0.180.6

- 0.05-0.6-11708

CM10 pH 613814

H50

0.5 0.13-

a) Charge (z) = 1 but the possibility of dimerisation was considered

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Table 12: Identification of SELDI-TOF-MS putative biomarkers of myopathy in myoblasts (common responders) Myoblasts were grown and treated with 25μM TMPD or 50μM GWδ (section 2.1). The

protein ions shown were responsive to treatment with both compounds when measured

using SELDI-TOF-MS (section 2.6). TagIdent was used to assign possible matches for

the protein ions. The probability that the assignment of the ion at m/z 9123 as 40S

ribosomal protein S21 (NP_112372) was correct was increased as it was identified

directly in myoblasts using LC-MS/MS (section 3.5) and also showed a similar

response to treatment with TMPD (relative level in TMPD-treated myoblasts = -0.3).

TMP

D

Gw

d

Com

mon

Protein Accession code Calculated Mw (Da) Charge (z)

Tubulin-specific chaperone A NP_001013263 12613 1a

Pituitary adenylate cyclase-activating polypeptide 27 NP_058685.1 3149 1

Somatostatin-28 NP_036791.1 3151 1

Nuclear transition protein 2 NP_058753.2 12849 1a

Cystatin-12 NP_714956.1 12829 1a

WAP four-disulfide core domain protein 12 NP_001008866.1 6425 1

Serine protease inhibitor Kazal-type 7 Q6IE51 6418 1

Melanotropin beta P01194 2141 3

Potassium voltage-gated channel subfamily E member 2 NP_598287.1 14357 1a

Transmembrane protein 100 NP_001017479.1 14352 1a

Atriopeptin-2 NP_036744.1 2389 3

Melanin-concentrating hormone NP_036757.1 2389 3

Protein ARMET P0C5H9 18207 1a

Epithelial membrane protein 3 NP_110474 18198 1a

Secretin NP_073161 3028 3

TagIdent UniProtKB/Swiss-Prot search

SELDI-TOF-MS m/z (z=1)

ProteinChip® array

Responsive to treatment with

NP20 -

-

--

-

-

9097

-

NP20 -

0.080.5

-0.5 0.04

-0.6 0.04

Average relative level SEM

-0.7 0.03

CM10 pH 6

6306

6420

7177

NP20

a) Charge (z) = 1 but the possibility of dimerisation was considered

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Table 12 continued

TMP

D

Gw

d

Com

mon

Protein Accession code Calculated Mw (Da) Charge (z)

Gremlin-1 NP_062155 18239 1a

Protein ARMET P0C5H9 18207 1a

Alpha-S2-casein-like B NP_775129 18244 1a

Small muscular protein NP_445847 9121 1

C-terminal peptide NP_036758 3041 3

Gremlin-1 NP_062155 18239 1a

Interleukin-18 NP_062038 18261 1a

Alpha-S2-casein-like B NP_775129 18244 1a

40S ribosomal protein S21 NP_112373 9127 1

Small muscular protein NP_445847 9121 1

C-terminal peptide NP_036758 3041 3

Protein max NP_071546 18272 1a

Interleukin-18 NP_062038 18261 1a

T-cell surface glycoprotein CD3 gamma chain NP_001071114 18285 1a

40S ribosomal protein S21 NP_112373 9127 1

QRF-amide NP_937843 4572 2

9123

9137 -

0.03-0.7-

Responsive to treatment with

-

0.03-0.7

NP20

NP20 - 0.03-0.7

-NP20

TagIdent UniProtKB/Swiss-Prot search

-

Average relative level SEMSELDI-TOF-MS

m/z (z=1)ProteinChip®

array

9113

a) Charge (z) = 1 but the possibility of dimerisation was considered

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Table 13: Identification of SELDI-TOF-MS putative biomarkers of myopathy in myotubes (TMPD responders) Myotubes were differentiated from myoblasts and treated with 25μM TMPD for 24h

(section 2.1). The protein ions shown were responsive to treatment when measured

using SELDI-TOF-MS (section 2.6). Mw information available on the ExPASy server

was interrogated using the TagIdent tool in order to discover possible matches for the

ions detected on ProteinChip® arrays. LC-MS/MS data generated following 1DE

analysis of myotubes was also interrogated via Bioworks Browser (section 3.5). No

identification possibilities were available for ions at m/z 3978 or 4815 although the ion

at m/z 6578 was a possible match with transcription elongation factor B (SIII),

polypeptide 2 (NP_ 112391) which was detected and identified by LC-MS/MS.

TMP

D

Gw

d

Com

mon

Protein Accession code Calculated Mw (Da) Charge (Z)

3978 CM10 pH 8 - - 0.95 0.18 - - - -

4815 CM10 pH 6 - - -0.4 0.04 - - - -

5579 IMAC-30 - - -0.2 0.05 Beta-defensin 11 NP_001032594.1 5581 1

6312 IMAC-30 - - -0.3 0.04 Tubulin-specific chaperone A NP_001013263.1 12613 1a

Protein JTB NP_062086.1 13160 1a

Bone morphogenetic protein 4 NP_036959.2 13155 1a6578 0.04-0.2--IMAC-30

Average relative level SEM

TagIdent UniProtKB/Swiss-Prot search

SELDI-TOF-MS m/z (z=1)

ProteinChip® array

Responsive to treatment with

a) Charge (z) = 1 but the possibility of dimerisation was considered

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Table 14: Identification of SELDI-TOF-MS putative biomarkers of

myopathy in myotubes (GWδ responders)

Myotubes were cultured and treated with 50μM GWδ (section 2.1). The protein ions

shown were responsive to treatment when measured using SELDI-TOF-MS (section

2.6). TagIdent was used to assign possible matches for the protein ions based on Mw

information (with a tolerance of 0.1%, which is typical of SELDI-TOF-MS mass

accuracy). No identification possibilities were provided when LC-MS/MS data was

interrogated.

TMP

D

Gw

d

Com

mon

Protein Accession code Calculated Mw (Da) Charge (Z)

60S acidic ribosomal protein P1 NP_001007605.1 11498 1a

Vesicle-associated membrane protein 5 NP_446007.1 11495 1a

Gremlin-1 NP_062155.1 18239 1a

Interleukin-18 NP_062038.1 18261 1a

Alpha-S2-casein-like B NP_775129.1 18244 1a

40S ribosomal protein S21 NP_112373.1 9127 1

Small muscular protein NP_445847.1 9121 1

C-terminal peptide NP_036758.1 3041 3

SELDI-TOF-MS m/z (z=1)

ProteinChip® array

Responsive to treatment with

-9126

5753 0.0799

-

-

0.421.3

Average relative level SEM

CM10 pH 6

TagIdent UniProtKB/Swiss-Prot search

-0.5NP20 -

a) Charge (z) = 1 but the possibility of dimerisation was considered

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Table 15: Identification of SELDI-TOF-MS putative biomarkers of myopathy in myotubes (common responders) Myotubes were differentiated from myoblasts and treated with 25μM TMPD or 50μM

GWδ (section 2.1). The protein ions shown were responsive to treatment when

measured using SELDI-TOF-MS (section 2.6) and TagIdent was used to assign

possible matches based on Mw information. No identification possibilities were

provided when LC-MS/MS data was interrogated. TM

PD

Gw

d

Com

mon

Protein Accession code Calculated Mw (Da) Charge (Z)

3158 CM10 pH 6 - - 1.3 0.23 - - - -

NADH-ubiquinone oxidoreductase NP_062096.1 10598 1

Endothelin-3 NP_001071118.1 2647 2

Tubulin-specific chaperone A NP_001013263.1 12613 1a

Pituitary adenylate cyclase-activating polypeptide 27 NP_058685.1 3149 2

Somatostatin-28 NP_036791.1 3151 2

Transcription elongation factor B polypeptide 2 NP_112391.1 13170 1a

Prolactin release-inhibiting factor 1 NP_036899.1 6585 1

Synaptogyrin-2 NP_446005.1 24711 1a

Regulator of G-protein signaling 19 NP_067693.1 24738 1a

Phosphatidylcholine transfer protein NP_058921.1 24734 1a

Neuron-specific vesicular protein calcyon NP_620270.1 24718 1a

60S ribosomal protein L10a NP_112327.1 24700 1a

Acyl-protein thioesterase 1 NP_037138.1 24709 1a

RPA-interacting protein NP_001028232.1 24710 1a

Sentrin-specific protease 8 NP_001012355.1 24728 1a

Transmembrane protein 204 NP_001009620.1 24701 1a

Follistatin-related protein 3 NP_446081.1 24719 1a

Fibroblast growth factor-binding protein 1 NP_072125.1 24696 1a

Macrophage migration inhibitory factor NP_112313.1 12346 1

Oligosaccharyl transferase subunit DAD1 NP_620265.1 12366 1

60S ribosomal protein L40 NP_113875.1 6182 2

SELDI-TOF-MS m/z (z=1)

ProteinChip® array

Responsive to treatment with

Average relative level SEM

- 0.080.8

0.01-0.4

0.35

0.07

1.3

-0.4

-

NP20

- -

--

NP20

NP20

-

-

12357

6588

6305

5298

TagIdent UniProtKB/Swiss-Prot search

CM10 pH 4

a) Charge (z) = 1 but the possibility of dimerisation was considered

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The levels of several protein ions changed in response to the treatment of

skeletal muscle cells with either TMPD or GWδ. Although the changes seen by

SELDI-TOF-MS were useful in discriminating between control and treated cells,

this technique does not routinely provide the identifications of the proteins

measured on ProteinChip® arrays. The attempts made to conclusively identify

the responsive protein ions based on Mw information and using the TagIdent

tool available via the ExPASy server led to the inclusion of several possibilities.

The interrogation of LC-MS/MS data generated following the analysis of skeletal

muscle cells treated in the same way provided another possible means for

verifying the identity of responsive proteins that had been measured in the

samples. Furthermore, their response to treatment could be compared to that

observed by SELDI-TOF-MS.

For most cases, this method of discovering the identity of the protein ions

discovered was not useful, as the mass accuracy provided by SELDI-TOF-MS

does not allow the options for the identity of the proteins to be narrowed down

sufficiently to facilitate a conclusive identification of the proteins. The only

possible exception was for an ion that was responsive to the treatment of

myoblasts with TMPD and GWδ (at m/z 9123). The possibility that the identity of

this ion was 40S ribosomal protein S21 (NP_112373) was increased as the

protein was also measured by LS-MS/MS. Also comparing the response of the

protein as measured by SELDI-TOF-MS and LC-MS/MS increased the

likelihood of a correct identification although it is still not conclusive. Despite the

lack of a definite identification, the changes observed using SELDI-TOF-MS

could still be considered as part of an anonymous screening approach. An

approach to biomarker discovery that would facilitate the simultaneous

identification of the markers of interest alongside the quantitation would be

advantageous.

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3.5 Discovery of protein biomarkers of myopathy using label-free quantitative proteomics

An anonymous approach to the discovery of compound-induced changes in the

levels of proteins in skeletal muscle cells was described in section 3.4. The

identity of the ions was not readily available and the dynamic range of the

observations was restricted to between 2 and 20kDa due to limitations in

SELDI-TOF-MS. A label-free approach to the identification of biomarkers of

compound effects was also attempted using skeletal muscle cells treated with a

concentration of TMPD that was not seen to be overtly cytotoxic to skeletal

muscle cells (25μM).

Replicate cell lysate proteins were prefractionated by size using 1DE and the

resultant polyacrylamide gel was sectioned before generating peptides through

the enzymatic digestion of the proteins in each Mw section of the gel. The

resulting peptide ions were then detected, quantified and identified using LC-

MS/MS before treatment-induced changes in the relative levels of some of the

putative protein biomarkers were confirmed using immunoblotting.

3.5.1 1D gel-electrophoresis of rat L6 muscle cells

Samples were separated by 1DE along with Mw markers ranging from 3-

198kDa, and gels were divided into sections as described in section 2.7.1

(Figure 53). The low Mw region (<3kDa) was excluded from further analyses as

proteins in this region generated an insufficient number of peptides to facilitate a

reliable identification (>2 peptides).

There were no treatment-related changes in the intensities of the protein bands

on 1D gels following the analysis of myoblasts (Figure 54) or myotubes (Figure

55). Although this meant that clear changes in specific areas of the gel could

not be focused on in future experiments, this method provided an effective way

of separating proteins within the samples.

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M C C C C C C T T T T TM

198

98

62

49

38

28

17

14

6

3

C C C C C C T T T T TMw(kDa)

98

62

49

38

28

17

14

6

3

Slice 11

Slice 10

Slice 9

Slice 7

Slice 6

Slice 5Slice 4Slice 3

Slice 2

Slice 1

Slice 8

TM C C C C C C T T T T TM

198

98

62

49

38

28

17

14

6

3

C C C C C C T T T T TMw(kDa)

98

62

49

38

28

17

14

6

3

Slice 11

Slice 10

Slice 9

Slice 7

Slice 6

Slice 5Slice 4Slice 3

Slice 2

Slice 1

Slice 8Slice 8

T

Figure 53: Fractionation of 1DE gels Skeletal muscle cells were cultured and treated with 25μM TMPD (section 2.1). 1DE

was performed (section 2.7.1) and the resulting gels were cut transversely into 11 Mw

regions and longitudinally into lanes in order to separate samples (along the dotted

lines). In each gel, 6 control samples and 6 TMPD-treated samples were analysed,

resulting in 132 individual sections in which in-gel protein digestion was subsequently

performed using trypsin in order to generate peptides. M= Mw markers, C = control

samples and T = TMPD-treated samples.

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M C C C C C C T T T T TMC C C C C C T T T T T

Slice 11

Slice 10

Slice 9

Slice 8

Slice 7

Slice 6

Slice 5Slice 4Slice 3Slice 2

Slice 1198

98

62

49

38

28

17

14

6

3

Mw(kDa)

98

62

49

38

28

17

14

6

3

TM C C C C C C T T T T TMC C C C C C T T T T T

Slice 11

Slice 10

Slice 9

Slice 8

Slice 7

Slice 6

Slice 5Slice 4Slice 3Slice 2

Slice 1198

98

62

49

38

28

17

14

6

3

Mw(kDa)

98

62

49

38

28

17

14

6

3

T

Figure 54: 1D gel of rat L6 myoblasts treated with vehicle control or 25µM TMPD Myoblasts were cultured and treated with 25μM TMPD (section 2.1). In each gel,

proteins in 6 control samples (C) and 6 TMPD-treated samples (T) were separated

(section 2.7.1) and the resulting gels were divided as shown in Figure 53. M= Mw

markers, C = control samples and T = TMPD-treated samples. Mw markers are shown

(M) and the positions where the gels were sliced are shown on the right.

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M C C C C C C T T T T T TMC T T T T T T

198

98

62

49

38

28

17

14

6

3

Mw(kDa)

98

62

49

38

28

17

14

6

3Slice 11

Slice 10

Slice 9

Slice 8

Slice 7

Slice 6

Slice 5Slice 4Slice 3Slice 2

Slice 1

M C C C C C C T T T T T TMC T T T T T T

198

98

62

49

38

28

17

14

6

3

Mw(kDa)

98

62

49

38

28

17

14

6

3

198

98

62

49

38

28

17

14

6

3

Mw(kDa)

98

62

49

38

28

17

14

6

3Slice 11

Slice 10

Slice 9

Slice 8

Slice 7

Slice 6

Slice 5Slice 4Slice 3Slice 2

Slice 1

Figure 55: 1D gel of rat L6 myotubes treated with vehicle control or 25µM TMPD Myotubes were differentiated from myoblasts and treated with 25μM TMPD (section

2.1). Proteins in 6 control samples (C) and 6 TMPD-treated samples (T) were

separated (section 2.7.1) and the resulting gels were divided as shown in Figure 53.

M= Mw markers, C = control samples and T = TMPD-treated samples. Mw markers are

shown (M) and the positions where the gels were sliced are shown on the right.

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3.5.2 Liquid chromatography-tandem mass spectrometry analysis of rat muscle cell homogenates

In the next stage of LFQP analysis, the peptides generated by enzymatic

digestion of the 1D gel sections were detected, measured and identified

simultaneously using a nano-LC system coupled with an LTQ-mass

spectrometer for automated LC-MS/MS analysis (section 2.7.3). This was

performed in order to ascertain whether treating cells with a low concentration

of TMPD (25μM) resulted in any changes in the levels of the peptide ions

measured in myoblasts and myotubes.

The expression of peptides was initially examined using search results files (srf)

generated using Bioworks Browser (as described in section 2.7.3). Proteins in

each Mw region were identified by at least two unique peptides during their

identification. In addition, the p value for the protein detected was <0.05 in order

to ensure confidence in the protein identification and proteins and peptides that

did not meet these criteria were excluded. In general, proteins were detected

within the Mw region that correlated with their calculated m/z although some

error was allowed for unexpected electrophoretic migration of proteins within the

gel. All the proteins detected reliably in control and treated cells are considered

here and the effects of treatment on the expression of proteins in considered in

subsequent sections. The proteins detected and identified in myoblasts are

detailed in Table 16. Proteins identified in myotubes are described in Table 17.

In total 2100 peptides were detected and 1314 (63%) of these contributed to the

identification of proteins in myoblasts. Out of the total number of peptides

detected, 1664 (79%) of the total number of peptides detected contributed to

the identification of proteins in myotubes. In myoblasts (and when considering

both control and treated cells), a total of 217 proteins were identified ranging

from 8249 to 918957 Da in size and 269 proteins were identified in myotubes

(ranging from 5763 to 918957). Of these proteins, 155 were common to both

myoblasts and myotubes (Figure 56).

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62(436)

114(786)

155(878)

62(436)

114(786)

155(878)

Figure 56: Number of proteins identified in myoblasts and myotubes Myoblasts and myotubes were cultured (section 2.1) and the proteins in skeletal

muscle cell homogenates were separated by 1DE (section 2.7.1). Peptides were

generated from the different sections of the 1D gel by trypsin digestion and these were

detected, measured and identified by LC-MS/MS (sections 2.7.2 and 2.7.3). A total of

331 proteins were identified in myoblasts and myotubes. Of these proteins, 62 (19%)

and 114 (34%) were unique to myoblasts and myotubes, respectively. 155 (47%) of the

proteins identified were common to both the immature and differentiated form of the rat

L6 skeletal muscle cells. In identifying these proteins, a total of 2100 peptides were

measured (1314 in myoblasts and 1664 in myotubes).

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Table 16: Proteins identified in rat L6 myoblasts Myoblasts were cultured (section 2.1) and cell homogenates were analysed by 1DE (section 2.7.1). Separated skeletal muscle cell samples were

divided into Mw regions in the resulting gel and peptides were generated by trypsin digestion. Peptides detected, measured and identified by LC-

MS/MS are shown (section 2.7.3). Only proteins identified reliably by two or more peptides are included.

Protein NCBI accession code Mw (Da) p value

Number of peptides used for

identification

Number of gel sections

detected in

MW regions detected in (No. peptides in each region)

Detected in control

myoblasts

Detected in treated

myoblasts

Also detected in myotubes

Mw range 6-14kDa

ATP synthase, H+ transporting, mitochondrial F0 complex, subunit E

NP_536729.1 8249 1.1E-04 2 1 3-6 (1)

D-dopachrome tautomerase NP 077045.1 13125 1.9E-04 2 2 6-14 (2)Heat shock 10 kDa protein 1 NP 037098.1 10869 7.4E-11 6 12 6-14 (12)Prothymosin alpha NP 068508.1 12375 9.0E-10 3 2 14-17 (2)Ribosomal protein S21 NP 112373.1 9122 9.2E-05 3 2 6-14 (2)S100 calcium binding protein A10 NP 112376.1 11067 8.7E-05 2 1 6-14 (1)S100 calcium binding protein A6 NP 445937.1 10028 6.4E-04 2 1 3-6 (1)S100 calcium-binding protein A4 NP 036750.1 11769 3.5E-06 6 15 3-6 (3), 6-14 (12)Thioredoxin NP 446252.1 11666 6.7E-08 5 12 6-14 (12)

Mw range 14-28kDa

Calmodulin 3 NP 036650.1 16827 6.8E-10 2 5 14-17 (5)Cytochrome c oxidase, subunit Va NP 665726.1 16119 1.5E-05 2 2 6-14 (2)Hemoglobin, epsilon 2 NP 001019976.1 16378 1.4E-04 2 1 75-98 (1)Histone cluster 1, H2aa NP 068611.1 14275 1.1E-08 4 18 14-17 (6), 3-6 (2), 6-14 (10)Lectin, galactoside-binding, soluble, 1 NP 063969.1 14847 1.5E-09 6 12 6-14 (12)Profilin 1 NP 071956.2 14948 1.1E-09 5 5 6-14 (5)Ribosomal protein S14 NP 073163.1 16249 7.5E-08 4 3 14-17 (3)Ribosomal protein S19 NP 001032423.1 16076 6.6E-05 6 5 14-17 (5)Superoxide dismutase 1, soluble NP 058746.1 15902 3.0E-09 4 4 14-17 (4)

Mw range 28-38kDa

Acidic (leucine-rich) nuclear phosphoprotein 32 family, member B

NP_571986.1 31042 5.4E-07 2 1 28-38 (1)

ADP-ribosylation factor 5 NP 077063.1 20517 2.5E-05 2 1 14-17 (1)Aldo-keto reductase family 1, member B10 (aldose reductase)

NP_001013102.1 35976 5.5E-04 2 1 28-38 (1)

Aldo-keto reductase family 1, member B8 NP 775159.1 36168 7.7E-04 3 2 28-38 (2)Aldo-keto reductase family 1, member C-like 2 NP 001008343.1 34478 1.2E-04 2 4 28-38 (4)Annexin A4 NP 077069.3 35871 9.7E-05 4 2 28-38 (2)

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Table 16 continued

Protein NCBI accession code Mw (Da) p value

Number of peptides used for

identification

Number of gel sections

detected in

MW regions detected in (No. peptides in each region)

Detected in control

myoblasts

Detected in treated

myoblasts

Also detected in myotubes

Mw range 28-38kDa continued

Annexin A5 NP 037264.1 35722 2.2E-09 13 12 28-38 (12)Calcyclin binding protein NP 001004208.1 26525 5.7E-04 2 1 28-38 (1)Calumenin isoform b NP 001029070.1 37124 6.3E-10 3 11 38-49 (11)Chloride intracellular channel 1 NP 001002807.1 26964 6.6E-14 6 8 28-38 (8)Chloride intracellular channel 4 (mitochondrial) NP 114006.1 28615 1.8E-09 3 3 28-38 (3)Cofilin 1 NP 058843.1 18521 1.0E-06 3 5 17-28 (5)Diaphorase (NADH/NADPH) NP 058696.2 30927 1.4E-10 9 12 28-38 (12)F-actin capping protein beta subunit NP 001005903.1 30609 2.8E-05 2 1 28-38 (1)Glutaredoxin 3 NP 116003.2 37825 3.4E-04 2 1 98-198 (1)Glutathione S-transferase omega 1 NP 001007603.1 27665 1.4E-06 2 1 28-38 (1)Guanine nucleotide binding protein, beta polypeptide 2-like 1

NP_570090.1 35073 5.3E-09 4 8 28-38 (8)

Heterogeneous nuclear ribonucleoprotein A1 NP 058944.1 34191 1.2E-11 9 9 28-38 (5), 38-49 (4)Heterogeneous nuclear ribonucleoprotein C (C1/C2) NP 001020804.1 32837 1.3E-04 3 2 38-49 (2)Laminin receptor 1 NP 058834.1 32803 8.9E-15 8 20 28-38 (8), 38-49 (12)L-lactate dehydrogenase B NP 036727.1 36589 5.7E-10 4 8 28-38 (8)Malate dehydrogenase 1, NAD (soluble) NP 150238.1 36460 5.7E-09 5 6 28-38 (6)Malate dehydrogenase, mitochondrial NP 112413.2 35661 4.9E-11 9 11 28-38 (11)Myoglobin NP 067599.1 17146 4.1E-04 2 1 14-17 (1)Non-metastatic cells 2, protein (NM23B) expressed in NP 114021.2 17272 6.6E-05 4 6 14-17 (6)NudC domain containing 2 NP 001009621.1 17663 2.4E-05 2 1 14-17 (1)PDZ and LIM domain 1 NP 059061.1 35503 6.9E-13 5 12 38-49 (12)Peptidylprolyl isomerase A (cyclophilin A) NP 058797.1 17863 3.4E-10 7 11 14-17 (11)Peptidylprolyl isomerase B NP 071981.1 22788 1.6E-09 2 3 14-17 (1), 17-28 (2)Peroxiredoxin 1 NP 476455.1 22095 1.1E-05 4 12 14-17 (1), 17-28 (11)Peroxiredoxin 2 NP 058865.1 21770 4.9E-05 4 9 14-17 (1), 17-28 (8)Peroxiredoxin 4 NP 445964.1 30988 4.6E-04 2 2 17-28 (2)Peroxiredoxin 5 precursor NP 446062.1 22165 3.7E-07 3 1 14-17 (1)Phosphatidylethanolamine binding protein NP 058932.1 20788 4.6E-11 2 2 17-28 (2)Phosphoglycerate mutase 2 (muscle) NP 059024.1 28737 1.6E-08 3 5 28-38 (5)Prohibitin 2 NP 001013053.1 33292 1.6E-08 7 7 28-38 (7)Proliferating cell nuclear antigen NP 071776.1 28730 2.9E-12 6 9 28-38 (9)Proteasome (prosome, macropain) subunit, alpha type 4 NP 058977.1 29479 1.0E-06 3 7 28-38 (7)Proteasome (prosome, macropain) subunit, alpha type 7 NP 001008218.1 27839 3.5E-09 5 5 28-38 (5)RAN, member RAS oncogene family NP 445891.1 24408 2.4E-08 4 11 17-28 (6), 28-38 (5)Rho GDP dissociation inhibitor (GDI) alpha NP 001007006.1 23393 4.7E-12 5 14 17-28 (6), 28-38 (8)Ribosomal protein L11 NP 001020910.1 19012 5.8E-06 3 3 17-28 (3)Ribosomal protein S3 NP 001009239.1 26657 4.6E-12 13 11 6-14 (1), 28-38 (10)

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Table 16 continued

Protein NCBI accession code Mw (Da) p value

Number of peptides used for

identification

Number of gel sections

detected in

MW regions detected in (No. peptides in each region)

Detected in control

myoblasts

Detected in treated

myoblasts

Also detected in myotubes

Mw range 28-38kDa continued

Secreted protein, acidic, cysteine-rich (osteonectin) NP 036788.1 34274 6.3E-10 2 1 38-49 (1)Solute carrier family 25, member 5 NP 476443.1 32880 2.2E-07 3 2 98-198 (1), 28-38 (1)Splicing factor, arginine/serine-rich 10 NP 476460.1 33646 2.4E-06 2 1 38-49 (1)Splicing factor, arginine/serine-rich 2 NP 001009720.1 25461 1.3E-04 2 6 28-38 (6)Splicing factor, arginine/serine-rich 7 NP 001034124.1 17880 3.5E-10 3 3 28-38 (3)Stathmin 1 NP 058862.1 17278 5.2E-05 3 3 14-17 (3)Transgelin NP 113737.1 22588 3.3E-07 6 12 14-17 (1), 17-28 (11)Transgelin 2 NP 001013145.1 22379 2.4E-06 2 5 14-17 (1), 17-28 (4)Tropomyosin 1, alpha isoform c NP 001029242.1 32828 2.9E-07 8 9 28-38 (4), 38-49 (5)Tropomyosin 1, alpha isoform h NP 001029246.1 28679 2.1E-09 13 20 28-38 (12), 38-49 (8)Tropomyosin 2 NP 001019516.1 32938 4.4E-08 11 20 28-38 (9), 38-49 (11)Tropomyosin 3, gamma isoform 1 NP 476556.2 28692 1.6E-08 10 12 28-38 (12)Tropomyosin 3, gamma isoform 2 NP 775134.1 29017 1.6E-06 2 6 28-38 (6)Tropomyosin 4 NP 036810.1 28492 4.3E-11 14 12 28-38 (12)Tyrosine 3-monooxgenase/tryptophan 5-monooxgenase activation protein, beta polypeptide

NP_062250.1 28037 4.6E-09 3 3 28-38 (3)

Tyrosine 3-monooxygenase/tryptophan 5-monooxygenase activation protein

NP_113791.1 29103 2.6E-05 5 6 28-38 (6)

Tyrosine 3-monooxygenase/tryptophan 5-monooxygenase activation protein, eta polypeptide

NP_037184.1 28194 5.6E-04 4 2 28-38 (2)

Tyrosine 3-monooxygenase/tryptophan 5-monooxygenase activation protein, gamma polypeptide

NP_062249.1 28285 1.4E-11 4 9 28-38 (9)

Tyrosine 3-monooxygenase/tryptophan 5-monooxygenase activation protein, theta polypeptide

NP_037185.1 27761 5.1E-10 3 6 28-38 (6)

Tyrosine 3-monooxygenase/tryptophan 5-monooxygenase activation protein, zeta polypeptide

NP_037143.2 27754 1.4E-12 8 13 17-28 (1), 28-38 (12)

Ubiquitin-conjugating enzyme E2N NP 446380.1 17113 1.6E-06 2 2 14-17 (2)Voltage-dependent anion channel 1 NP 112643.1 30737 1.3E-06 3 2 28-38 (2)Voltage-dependent anion channel 2 NP 112644.1 31726 3.4E-06 4 7 28-38 (7)V-set domain containing T cell activation inhibitor 1 NP 001019415.1 30644 3.4E-04 2 1 38-49 (1)

Mw range 38-49kDa

Actin, alpha 1, skeletal muscle NP_062085.1 42024 9.0E-13 17 60 >198 (10), 75-98 (10), 98-198 (12), 49-62 (1), 28-38 (6), 38-49

(12), 14-17 (2), 6-14 (7)Aldolase A-like 1 NP 001013965.1 39467 1.1E-08 8 12 38-49 (12)

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Table 16 continued

Protein NCBI accession code Mw (Da) p value

Number of peptides used for

identification

Number of gel sections

detected in

MW regions detected in (No. peptides in each region)

Detected in control

myoblasts

Detected in treated

myoblasts

Also detected in myotubes

Mw range 38-49kDa continued

Annexin A1 NP 037036.1 38805 2.3E-12 20 13 28-38 (1), 38-49 (12)Annexin A2 NP_063970.1 38654 3.1E-11 20 27 >198 (2), 6-14 (2), 28-38 (11), 38-

49 (12)ARP2 actin-related protein 2 homolog NP 001009268.1 44705 6.2E-06 2 1 38-49 (1)Calreticulin NP 071794.1 47966 1.8E-07 4 4 49-62 (4)Eukaryotic translation initiation factor 4A2 NP 001008336.1 46373 3.4E-10 5 12 38-49 (12)Fructose-bisphosphate aldolase A NP 036627.1 39327 1.0E-30 4 12 38-49 (12)Glutamate oxaloacetate transaminase 2 NP 037309.1 47284 4.1E-06 2 1 38-49 (1)Heterogeneous nuclear ribonucleoprotein A3 isoform a NP 937765.1 39628 4.1E-07 5 3 28-38 (1), 38-49 (2)Heterogeneous nuclear ribonucleoprotein F NP 001032362.1 45701 8.9E-10 4 3 38-49 (3)Keratin 13 NP_001004021.1 47699 6.2E-07 5 8 >198 (3), 14-17 (1), 75-98 (1), 98-

198 (1), 3-6 (2)Keratin 15 NP_001004022.1 48840 2.7E-06 4 10 >198 (2), 75-98 (1), 62-75 (1), 38-

49 (1), 14-17 (1), 3-6 (3), 6-14 (1)Keratin 19 NP 955792.1 44609 2.3E-04 3 4 3-6 (3), 6-14 (1)Nucleosome assembly protein 1-like 4 NP 001012170.1 43890 6.0E-07 2 1 49-62 (1)Phosphoglycerate kinase 2 NP 001012130.1 44981 4.6E-11 3 6 38-49 (6)Poly(rC) binding protein 2 NP 001013241.1 38556 4.1E-04 3 3 38-49 (3)Protein disulfide isomerase-associated 6 NP 001004442.1 48730 2.1E-10 6 12 38-49 (12)RAB3A interacting protein (rabin3)-like 1 NP 599238.1 41881 4.4E-04 2 1 62-75 (1)Serine (or cysteine) peptidase inhibitor, clade H, member NP 058869.1 46488 2.1E-13 10 19 75-98 (7), 38-49 (12)

Mw range 49-62kDa

Aldehyde dehydrogenase 3A1 NP 114178.1 50307 1.6E-09 12 21 49-62 (9), 38-49 (12)Apoptosis antagonizing transcription factor NP 446172.1 59461 8.2E-04 2 1 75-98 (1)ATP synthase, H+ transporting, mitochondrial F1 complex, alpha subunit 1, cardiac muscle

NP_075581.1 59717 2.1E-09 8 14 49-62 (10), 28-38 (4)

Caldesmon 1 NP 037278.1 60548 2.0E-11 9 12 75-98 (12)Cathepsin F NP 001029282.1 51796 4.1E-05 2 2 75-98 (2)Chaperonin containing TCP1, subunit 2 (beta) NP 001005905.1 57422 1.6E-06 4 6 49-62 (6)Chaperonin containing TCP1, subunit 3 (gamma) NP 954522.1 60608 3.7E-06 5 6 62-75 (6)Chaperonin containing TCP1, subunit 5 (epsilon) NP 001004078.1 59499 9.3E-07 4 2 62-75 (2)Chaperonin containing Tcp1, subunit 6A (zeta 1) NP 001028856.1 57981 4.8E-08 8 9 49-62 (9)Chaperonin subunit 4 (delta) NP 877966.1 58063 3.5E-07 4 8 49-62 (8)Cortactin isoform B NP 068640.2 56907 8.4E-05 3 2 75-98 (2)Dihydropyrimidinase-like 3 NP 037066.1 61928 8.1E-09 4 11 75-98 (11)Eukaryotic translation elongation factor 1 alpha 2 NP_036792.2 50422 9.4E-07 7 27 >198 (2), 98-198 (2), 49-62 (7),

28-38 (4), 38-49 (12)Glucose-6-phosphate dehydrogenase NP 058702.1 59338 4.3E-06 2 1 49-62 (1)

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Table 16 continued

Protein NCBI accession code Mw (Da) p value

Number of peptides used for

identification

Number of gel sections

detected in

MW regions detected in (No. peptides in each region)

Detected in control

myoblasts

Detected in treated

myoblasts

Also detected in myotubes

Mw range 49-62kDa continued

Glutamate dehydrogenase 1 NP 036702.1 61377 6.2E-10 6 9 49-62 (9)Heterogeneous nuclear ribonucleoprotein K NP 476482.1 50944 3.7E-11 5 10 49-62 (10)HLA-B associated transcript 1 NP 579834.2 49004 4.1E-04 2 2 38-49 (2)Keratin 10 NP_001008804.1 56471 2.4E-10 10 52 >198 (10), 75-98 (2), 98-198 (6),

49-62 (5), 62-75 (1), 28-38 (5), 38-49 (1), 14-17 (6), 3-6 (10), 6-

Keratin 14 NP 001008751.1 52651 2.6E-06 2 1 >198 (1)Keratin 4 NP_001008806.1 57631 1.1E-04 5 24 >198 (3), 75-98 (1), 49-62 (3), 28-

38 (6), 38-49 (3), 14-17 (1), 17-28 (2), 3-6 (3), 6-14 (2)

Keratin 42 NP_001008816.1 50182 1.6E-06 7 22 >198 (3), 75-98 (1), 98-198 (1), 49-62 (2), 38-49 (2), 14-17 (3), 3-

6 (8), 6-14 (2)Keratin 5 NP 899162.1 61889 6.4E-06 7 3 14-17 (1), 98-198 (1), 38-49 (1)Keratin 77 NP_001008807.1 57220 1.0E-08 7 120 >198 (11), 75-98 (11), 98-198

(12), 49-62 (12), 62-75 (11), 28-38 (11), 38-49 (11), 14-17 (9), 17-

28 (9) 3-6 (12) 6-14 (11)Mitochondrial aldehyde dehydrogenase 2 NP 115792.1 56453 9.9E-10 2 1 49-62 (1)Mitochondrial ATP synthase beta subunit NP 599191.1 56319 2.2E-10 7 12 49-62 (11), 38-49 (1)PCTAIRE protein kinase 1 isoform b NP 112339.1 52490 1.6E-05 2 1 49-62 (1)Phenylalanyl-tRNA synthetase 2, mitochondrial NP 001013157.1 55130 2.8E-04 2 1 28-38 (1)Prolyl 4-hydroxylase, beta polypeptide NP 037130.1 56829 5.1E-11 19 12 49-62 (12)Prosaposin NP 037145.1 61084 5.1E-04 2 1 6-14 (1)Protein disulfide-isomerase A3 NP 059015.1 56554 2.0E-08 17 12 49-62 (12)Pyruvate kinase, muscle NP 445749.1 57781 2.1E-11 15 14 49-62 (12), 62-75 (2)Ribonuclease/angiogenin inhibitor 1 NP 620805.1 49873 1.1E-08 3 3 38-49 (3)Solute carrier family 3, member 2 NP 062156.1 58036 3.5E-06 2 1 75-98 (1)Tubulin, beta 5 NP 775125.1 49639 4.5E-10 2 18 49-62 (6), 38-49 (12)Vimentin NP_112402.1 53700 4.9E-12 32 48 3-6 (12), 6-14 (12), 49-62 (12),

38-49 (12)

Mw range 62-70kDa

Alpha-fetoprotein NP 036625.1 68341 3.1E-04 2 2 38-49 (2)Calnexin NP 742005.1 67213 1.6E-13 3 12 75-98 (12)Eukaryotic translation initiation factor 4B NP 001008325.1 69023 5.1E-07 6 6 75-98 (6)Ezrin NP 062230.1 69348 1.5E-08 3 1 75-98 (1)

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Table 16 continued

Protein NCBI accession code Mw (Da) p value

Number of peptides used for

identification

Number of gel sections

detected in

MW regions detected in (No. peptides in each region)

Detected in control

myoblasts

Detected in treated

myoblasts

Also detected in myotubes

Mw range 62-70kDa continued

Fragile X mental retardation 1 NP 434691.1 65591 4.8E-04 2 1 62-75 (1)Keratin 2 NP_001008899.1 69085 9.9E-10 7 16 >198 (5), 98-198 (2), 49-62 (1),

62-75 (1), 38-49 (2), 14-17 (2), 3-6 (1), 6-14 (2)

Keratin 75 NP 001008828.1 62130 2.3E-05 3 2 >198 (2)

Mw range 70-98kDa

Moesin NP 110490.1 67697 1.9E-04 7 4 75-98 (4)Radixin NP 001005889.2 68501 2.9E-09 8 16 75-98 (12), 62-75 (4)WD repeat domain 1 NP 001014157.1 66140 8.5E-06 3 3 62-75 (3)Cd44 molecule NP 037056.2 85865 5.9E-05 2 1 62-75 (1)Dynein cytoplasmic 1 intermediate chain 2 NP 446332.1 71134 3.9E-04 2 1 75-98 (1)Eukaryotic translation elongation factor 1 delta NP 001013122.1 72083 3.4E-09 5 11 28-38 (11)Eukaryotic translation elongation factor 2 NP 058941.1 95223 1.6E-13 20 17 75-98 (12), 98-198 (5)F-box protein 11 NP 853662.1 93983 7.1E-05 2 1 38-49 (1)Gelsolin NP 001004080.1 86014 2.4E-07 4 6 75-98 (6)Heat shock 105kDa/110kDa protein 1 NP 001011901.1 96357 5.2E-06 2 5 75-98 (5)Heat shock 70kD protein 1-like NP 997711.1 70505 2.1E-11 7 21 75-98 (9), 62-75 (12)Heat shock protein 4 NP 705893.1 93997 2.1E-06 4 2 75-98 (2)Heat shock protein 5 NP 037215.1 72303 1.2E-10 17 21 75-98 (10), 62-75 (11)Heat shock protein 8 NP 077327.1 70827 4.7E-11 12 21 75-98 (9), 62-75 (12)Heat shock protein 90, alpha (cytosolic), class A member 1

NP_786937.1 84762 5.2E-13 17 12 75-98 (12)

Lamin A isoform C2 NP 001002016.1 71856 5.3E-07 17 19 75-98 (12), 49-62 (2), 62-75 (5)Neural cell adhesion molecule 1 NP 113709.1 94599 1.4E-07 4 9 98-198 (9)Neurolysin (metallopeptidase M3 family) NP 446422.2 80231 8.2E-04 2 1 38-49 (1)Nuclear RNA export factor 1 NP 067590.1 70318 9.9E-05 2 1 6-14 (1)Poly(A) binding protein, cytoplasmic 1 NP 599180.1 70656 3.0E-05 4 4 75-98 (4)Protein disulfide isomerase-associated 4 NP 446301.1 72761 1.2E-05 4 8 75-98 (8)RAD17 homolog NP 001019949.1 77233 4.0E-04 2 1 >198 (1)Ribonucleotide reductase M1 NP 001013254.1 90236 9.7E-04 2 1 75-98 (1)Signal transducer and activator of transcription 5A NP 058760.1 90776 7.5E-04 3 1 >198 (1)TNF receptor-associated protein 1 NP 001034090.1 80411 1.1E-08 4 5 75-98 (5)Transferrin NP 001013128.1 76346 2.5E-04 2 2 75-98 (2)Transient receptor potential cation channel, subfamily C, member 1

NP_446010.1 87561 9.3E-04 2 1 75-98 (1)

Transketolase NP 072114.1 71141 2.1E-06 4 1 62-75 (1)Valosin-containing protein NP 446316.1 89293 1.8E-08 14 12 75-98 (12)

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Table 16 continued

Protein NCBI accession code Mw (Da) p value

Number of peptides used for

identification

Number of gel sections

detected in

MW regions detected in (No. peptides in each region)

Detected in control

myoblasts

Detected in treated

myoblasts

Also detected in myotubes

Mw range 98-198kDa continued

Actinin, alpha 1 NP 112267.1 102896 3.2E-12 23 15 75-98 (12), 98-198 (3)Aldehyde oxidase 3 NP 001008527.1 146656 1.1E-05 2 1 38-49 (1)Alpha actinin 4 NP 113863.2 104849 2.8E-10 21 12 75-98 (12)ATP-binding cassette, sub-family C (CFTR/MRP), member 2

NP_036965.1 173273 4.1E-04 2 1 49-62 (1)

Clathrin, heavy chain (Hc) NP 062172.1 191476 8.5E-08 17 10 98-198 (10)Coatomer protein complex, subunit beta 1 NP 542959.1 106943 6.0E-05 2 1 75-98 (1)Coatomer protein complex, subunit beta 2 (beta prime) NP 068533.1 102486 2.7E-06 3 5 75-98 (4), 98-198 (1)Collagen, type I, alpha 2 NP 445808.1 129486 8.7E-13 18 12 98-198 (12)Collagen, type II, alpha 1 NP 037061.1 134488 1.5E-05 3 1 98-198 (1)Collagen, type III, alpha 1 NP 114474.1 138851 1.6E-09 9 6 98-198 (6)Cullin-associated and neddylation-dissociated 1 NP 446456.1 136275 1.7E-06 9 6 98-198 (6)Exportin 1, CRM1 homolog NP 445942.1 122959 1.2E-04 2 1 28-38 (1)Fibronectin type III domain containing 1 NP 001033704.1 188873 1.0E-04 2 1 3-6 (1)Glutamyl-prolyl-tRNA synthetase NP 001019409.1 166675 3.7E-12 3 2 98-198 (2)Golgi apparatus protein 1 NP 058907.1 133469 6.7E-04 3 1 98-198 (1)Inter-alpha trypsin inhibitor, heavy chain 3 NP 059047.1 99036 5.7E-04 2 1 98-198 (1)Kinesin family member 5B NP 476550.1 109463 1.8E-06 2 1 98-198 (1)Leucine-rich PPR-motif containing NP 001008519.1 156553 5.1E-08 2 1 98-198 (1)Leucyl-tRNA synthetase NP 001009637.1 134192 9.1E-05 3 2 98-198 (2)Microtubule-associated protein 4 NP 001019449.1 110233 5.7E-07 5 4 98-198 (4)Phosphoinositide-3-kinase, class 3 NP 075247.1 101470 2.2E-04 3 1 49-62 (1)Pregnancy-zone protein NP 665722.1 167053 3.2E-04 2 1 >198 (1)Rho-associated coiled-coil containing protein kinase 1 NP 112360.1 159526 8.9E-04 2 1 98-198 (1)SEC31 homolog A NP 148981.1 135266 5.7E-07 5 5 98-198 (5)Staphylococcal nuclease domain containing 1 NP 073185.2 101889 9.6E-09 8 7 75-98 (7)TAO kinase 3 NP 001019425.1 105408 1.9E-04 2 1 28-38 (1)Thrombospondin 1 NP 001013080.1 129588 1.0E-05 3 3 98-198 (3)Ubiquitin-activating enzyme E1 NP 001014102.1 117713 6.1E-06 2 2 75-98 (2)

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Table 16 continued

Protein NCBI accession code Mw (Da) p value

Number of peptides used for

identification

Number of gel sections

detected in

MW regions detected in (No. peptides in each region)

Detected in control

myoblasts

Detected in treated

myoblasts

Also detected in myotubes

Mw range >198kDa

A-kinase anchor protein 6 NP 072140.1 254192 3.4E-04 2 1 75-98 (1)Alpha-spectrin 2 NP 741984.2 284418 4.3E-08 13 5 >198 (5)ATP-binding cassette, sub-family A (ABC1), member 2 NP 077372.1 270753 4.1E-04 2 1 75-98 (1)Cadherin, EGF LAG seven-pass G-type receptor 3 (flamingo homolog, Drosophila)

NP_112610.1 359128 4.0E-04 2 1 38-49 (1)

Fatty acid synthase NP 059028.1 272477 2.9E-09 8 13 >198 (10), 98-198 (3)HLA-B associated transcript 2 NP 997627.1 228905 6.9E-04 2 1 >198 (1)Inositol 1,4,5-triphosphate receptor, type 2 NP 112308.1 306861 6.8E-04 2 1 62-75 (1)Kalirin, RhoGEF kinase NP 114451.1 336374 3.3E-04 2 1 14-17 (1)Multiple PDZ domain protein NP 062069.1 218455 6.7E-04 2 1 6-14 (1)Myosin, heavy chain 10, non-muscle NP 113708.1 228823 1.5E-07 5 9 98-198 (9)Myosin, heavy chain 9, non-muscle NP 037326.1 226196 7.2E-12 42 22 >198 (10), 98-198 (12)Nestin NP 037119.1 198625 8.2E-12 8 7 >198 (7)Piccolo isoform 1 NP 064483.1 552380 1.6E-04 2 1 >198 (1)Plectin 1 NP 071796.1 533214 1.5E-12 118 15 >198 (12), 98-198 (3)Spectrin repeat containing, nuclear envelope 1 NP 001025080.1 918957 1.8E-04 2 1 >198 (1)Spectrin, beta, non-erythrocytic 1 NP 001013148.1 273415 8.3E-05 6 3 >198 (2), 28-38 (1)

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Table 17: Proteins identified in rat L6 myotubes Myotubes were cultured (section 2.1) and cell homogenates were analysed by 1DE (section 2.7.1). Separated skeletal muscle cell samples were then

divided into Mw regions in the resulting gel and peptides were generated by trypsin digestion. Peptides detected, measured and identified by LC-

MS/MS are shown here (section 2.7.3). Only proteins identified reliably by two or more peptides are included.

Protein NCBI accession code Mw (Da) p value

Number of peptides used for

identification

MW regions detected in (No. peptides in each region)

Detected in control

myotubes

Detected in treated

myotubes

Also detected in myoblasts

Mw range 3-6kDa

ATP synthase, H+ transporting, mitochondrial F1 complex, epsilon subunit

NP_620799.1 5763 1.8E-04 2 3-6 (4)

Mw range 6-14kDa

ATP synthase, H+ transporting, mitochondrial F0 complex, subunit E

NP_536729.1 8249 5.0E-06 2 6-14 (5), 3-6 (5)

D-dopachrome tautomerase NP 077045.1 13125 6.0E-06 3 6-14 (3)Heat shock 10 kDa protein 1 NP 037098.1 10869 2.5E-11 6 6-14 (12)Prothymosin alpha NP 068508.1 12375 7.0E-10 5 14-17 (12)S100 calcium-binding protein A4 NP 036750.1 11769 8.3E-06 4 6-14 (12), 3-6 (9)Thioredoxin NP 446252.1 11666 2.5E-07 6 6-14 (11)Vesicle-associated membrane protein 2 NP 036795.1 12683 6.9E-06 3 6-14 (1), 14-17 (1)

Mw range 14-17kDa

Calmodulin 3 NP 036650.1 16827 2.6E-13 3 14-17 (11)Epididymal secretory protein E1 NP 775141.1 16353 4.3E-04 2 14-17 (1)Eukaryotic translation initiation factor 5A NP 001028853.1 16821 2.6E-05 3 14-17 (2)Histone cluster 1, H2aa NP_068611.1 14275 1.5E-08 5 >198 (1), 17-28 (6), 28-38 (2), 6-

14 (11), 14-17 (12), 3-6 (2)Lectin, galactoside-binding, soluble, 1 NP 063969.1 14847 2.1E-09 6 6-14 (12)Phosphoprotein enriched in astrocytes 15A NP 001013249.1 15031 6.0E-04 2 14-17 (1)Profilin 1 NP 071956.2 14948 1.3E-10 5 6-14 (7)Profilin 2 NP 110500.1 16104 3.6E-09 2 6-14 (1)Ribosomal protein S14 NP 073163.1 16249 1.8E-09 4 14-17 (12)Ribosomal protein S19 NP 001032423.1 16076 8.0E-05 6 14-17 (10)Ribosomal protein S23 NP 511172.1 15798 4.4E-05 3 14-17 (5)Superoxide dismutase 1, soluble NP 058746.1 15902 3.7E-10 5 14-17 (12)X-linked eukaryotic translation initiation factor 1A NP 001008773.2 16502 8.3E-04 2 14-17 (1)

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Table 17 continued

Protein NCBI accession code Mw (Da) p value

Number of peptides used for

identification

MW regions detected in (No. peptides in each region)

Detected in control

myotubes

Detected in treated

myotubes

Also detected in myoblasts

Mw range 17-28kDa

Adenine phosphoribosyl transferase NP 001013079.1 19533 4.6E-05 2 17-28 (2)Adenylate kinase 1 NP 077325.2 21570 1.3E-10 3 17-28 (11)Adenylate kinase 3 NP 037350.1 25422 1.5E-06 7 17-28 (12)ADP-ribosylation factor 5 NP 077063.1 20517 1.1E-05 2 14-17 (10)ATP synthase, H+ transporting, mitochondrial F1 complex, delta subunit precursor

NP_620806.1 17584 4.1E-08 2 14-17 (4)

Chloride intracellular channel 1 NP 001002807.1 26964 1.2E-13 3 28-38 (2)Cofilin 1 NP 058843.1 18521 5.2E-13 4 17-28 (12)Crystallin, alpha B NP 037067.1 20076 1.5E-04 3 6-14 (4)Cysteine and glycine-rich protein 1 NP 058844.1 20600 2.0E-07 3 17-28 (5)Cysteine and glycine-rich protein 2 NP 803174.2 20912 1.2E-10 3 17-28 (9)Cytidine monophosphate (UMP-CMP) kinase 1, cytosolic

NP_001020826.1 25816 1.0E-04 3 17-28 (1)

Cytochrome c oxidase subunit IV isoform 1 NP 058898.1 19502 1.1E-06 2 6-14 (4)Glutathione S-transferase omega 1 NP 001007603.1 27665 3.4E-07 2 28-38 (1)Mitochondrial ATP synthase, O subunit NP 620238.1 23383 5.1E-10 5 17-28 (5)Myosin light chain, phosphorylatable, fast skeletal muscle

NP_036737.1 18957 5.4E-12 12 17-28 (2), 14-17 (12)

Non-metastatic cells 2, protein (NM23B) expressed in

NP_114021.2 17272 1.8E-07 4 14-17 (11)

Parkinson disease protein 7 NP 476484.1 19961 2.0E-05 4 17-28 (4)Peptidylprolyl isomerase A (cyclophilin A) NP 058797.1 17863 1.5E-10 6 14-17 (12)Peptidylprolyl isomerase B NP 071981.1 22788 1.7E-09 5 17-28 (12)Peroxiredoxin 1 NP 476455.1 22095 6.5E-08 6 17-28 (12)Peroxiredoxin 2 NP 058865.1 21770 1.3E-06 4 17-28 (11)Peroxiredoxin 5 precursor NP 446062.1 22165 1.8E-11 4 14-17 (12)Peroxiredoxin 6 NP 446028.1 24803 5.6E-06 4 17-28 (3)Phosphatidylethanolamine binding protein NP 058932.1 20788 4.1E-14 4 17-28 (12)Proteasome (prosome, macropain) subunit, alpha type 5

NP_058978.1 26374 1.4E-05 2 17-28 (2)

Proteasome (prosome, macropain) subunit, alpha type 7

NP_001008218.1 27839 3.0E-08 6 28-38 (7)

Proteasome (prosome, macropain) subunit, beta type 1

NP_446042.1 26462 1.0E-05 3 17-28 (4)

Proteasome (prosome, macropain) subunit, beta type 6

NP_476440.2 25273 7.5E-08 2 17-28 (12)

Proteasome beta 3 subunit NP 058981.1 22949 8.7E-08 2 17-28 (2)RAB11a, member RAS oncogene family NP 112414.1 24378 1.6E-08 3 17-28 (5)RAB7A, member RAS oncogene family NP 076440.1 23489 4.8E-10 7 17-28 (11)RAN, member RAS oncogene family NP 445891.1 24408 7.6E-09 5 17-28 (4), 28-38 (6)

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Table 17 continued

Protein NCBI accession code Mw (Da) p value

Number of peptides used for

identification

MW regions detected in (No. peptides in each region)

Detected in control

myotubes

Detected in treated

myotubes

Also detected in myoblasts

Mw range 17-28kDa continued

Rho GDP dissociation inhibitor (GDI) alpha NP 001007006.1 23393 4.9E-12 4 17-28 (8), 28-38 (10)Ribosomal protein L11 NP 001020910.1 19012 6.1E-10 5 17-28 (12)Ribosomal protein S3 NP 001009239.1 26657 3.4E-08 7 28-38 (8), 6-14 (1), >198 (1)Splicing factor, arginine/serine-rich 2 NP 001009720.1 25461 1.2E-04 2 28-38 (7)Splicing factor, arginine/serine-rich 7 NP 001034124.1 17880 1.0E-06 2 28-38 (1)Stathmin 1 NP 058862.1 17278 4.4E-06 3 14-17 (12)Stathmin-like 2 NP 445892.1 20743 1.4E-05 2 14-17 (3)Superoxide dismutase 2 NP 058747.1 24659 1.6E-07 6 17-28 (12)Transgelin NP 113737.1 22588 8.1E-07 10 17-28 (12)Transgelin 2 NP 001013145.1 22379 3.8E-05 3 17-28 (8)Transmembrane emp24 protein transport domain containing 9

NP_001009703.1 27011 2.9E-05 2 17-28 (1)

Troponin C type 1 (slow) NP 001029277.1 18409 6.6E-10 4 14-17 (10)Trypsin 10 precursor NP 001004097.1 26109 3.2E-06 2 49-62 (1), 62-75 (2)Tyrosine 3-monooxygenase/tryptophan 5-monooxygenase activation protein, theta polypeptide

NP_037185.1 27761 1.1E-09 2 28-38 (6)

Tyrosine 3-monooxygenase/tryptophan 5-monooxygenase activation protein, zeta polypeptide

NP_037143.2 27754 2.6E-13 9 17-28 (1), 28-38 (12)

Ubiquitin-conjugating enzyme E2N NP 446380.1 17113 1.4E-06 3 14-17 (11)

Mw range 28-38kDa

Aldo-keto reductase family 1, member A1 (aldehyde reductase)

NP_112262.1 36483 2.6E-07 5 28-38 (5)

Aldo-keto reductase family 1, member C-like 2 NP 001008343.1 34478 2.6E-04 3 28-38 (2)Annexin A4 NP 077069.3 35871 5.3E-09 6 28-38 (5)Annexin A5 NP 037264.1 35722 1.9E-07 13 17-28 (3), 28-38 (12)Calponin 3, acidic NP 062232.1 36412 2.8E-04 2 38-49 (1)Calumenin isoform b NP 001029070.1 37124 1.6E-08 2 38-49 (10)Chloride intracellular channel 4 (mitochondrial) NP 114006.1 28615 1.9E-05 2 28-38 (1)Diaphorase (NADH/NADPH) NP 058696.2 30927 1.0E-09 8 28-38 (11)Dimethylarginine dimethylaminohydrolase 2 NP 997697.1 29669 5.0E-04 2 28-38 (1)Electron-transfer-flavoprotein, alpha polypeptide NP 001009668.1 34929 5.2E-04 3 28-38 (3)Endoplasmic reticulum protein 29 NP 446413.1 28557 4.1E-07 5 17-28 (2), 28-38 (3)F-actin capping protein beta subunit NP 001005903.1 30609 1.1E-05 4 28-38 (4)Guanine nucleotide binding protein, beta polypeptide 2-like 1

NP_570090.1 35073 5.4E-09 3 28-38 (11)

Heterogeneous nuclear ribonucleoprotein A1 NP 058944.1 34191 1.7E-11 8 38-49 (4), 28-38 (8)Laminin receptor 1 NP 058834.1 32803 1.1E-15 6 38-49 (8), 28-38 (5)

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Table 17 continued

Protein NCBI accession code Mw (Da) p value

Number of peptides used for

identification

MW regions detected in (No. peptides in each region)

Detected in control

myotubes

Detected in treated

myotubes

Also detected in myoblasts

Mw range 28-38kDa continued

L-lactate dehydrogenase B NP 036727.1 36589 3.0E-09 4 28-38 (6)Malate dehydrogenase 1, NAD (soluble) NP 150238.1 36460 1.2E-09 8 28-38 (10)Malate dehydrogenase, mitochondrial NP 112413.2 35661 1.0E-30 11 28-38 (11)PDZ and LIM domain 1 NP 059061.1 35503 1.4E-10 3 38-49 (8)Peroxiredoxin 3 NP 071985.1 28303 7.1E-07 4 17-28 (8)Peroxiredoxin 4 NP 445964.1 30988 1.5E-06 3 17-28 (12)Phosphoglycerate mutase 2 (muscle) NP 059024.1 28737 1.5E-08 4 28-38 (10)Prohibitin 2 NP 001013053.1 33292 4.2E-09 6 28-38 (8)Proliferating cell nuclear antigen NP 071776.1 28730 9.8E-11 3 28-38 (4)Protease (prosome, macropain) 28 subunit, alpha NP 058960.2 28617 2.4E-05 3 28-38 (5)Proteasome (prosome, macropain) subunit, alpha type 3

NP_058976.1 28401 3.3E-06 2 28-38 (1)

Proteasome (prosome, macropain) subunit, alpha type 4

NP_058977.1 29479 1.5E-07 2 28-38 (9)

Ribosomal protein S6 NP 058856.1 28663 2.5E-04 3 3-6 (3)Secreted protein, acidic, cysteine-rich (osteonectin)

NP_036788.1 34274 1.2E-11 3 38-49 (4)

Solute carrier family 25, member 5 NP 476443.1 32880 4.8E-05 2 >198 (1)Tropomyosin 1, alpha isoform c NP 001029242.1 32828 1.4E-08 9 38-49 (9), 28-38 (11)Tropomyosin 1, alpha isoform h NP 001029246.1 28679 4.3E-10 14 38-49 (9), 28-38 (12)Tropomyosin 2 NP 001019516.1 32938 1.7E-08 11 38-49 (11), 28-38 (7)Tropomyosin 3, gamma isoform 1 NP 476556.2 28692 2.4E-08 10 28-38 (10)Tropomyosin 4 NP 036810.1 28492 9.0E-11 11 28-38 (11)Troponin T type 2 (cardiac) NP 036808.1 35709 2.2E-07 2 38-49 (1)Troponin T type 3 (skeletal, fast) NP 113720.1 30338 6.8E-07 2 28-38 (3)Tyrosine 3-monooxgenase/tryptophan 5-monooxgenase activation protein, beta polypeptide

NP_062250.1 28037 1.9E-09 3 28-38 (6)

Tyrosine 3-monooxygenase/tryptophan 5-monooxygenase activation protein

NP_113791.1 29103 4.4E-09 9 28-38 (11)

Tyrosine 3-monooxygenase/tryptophan 5-monooxygenase activation protein, eta polypeptide

NP_037184.1 28194 7.0E-05 3 28-38 (3)

Tyrosine 3-monooxygenase/tryptophan 5-monooxygenase activation protein, gamma polypeptide

NP_062249.1 28285 5.2E-11 4 28-38 (11)

Voltage-dependent anion channel 1 NP 112643.1 30737 8.7E-09 3 28-38 (10)Voltage-dependent anion channel 2 NP 112644.1 31726 1.0E-07 5 28-38 (10)

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Table 17 continued

Protein NCBI accession code Mw (Da) p value

Number of peptides used for

identification

MW regions detected in (No. peptides in each region)

Detected in control

myotubes

Detected in treated

myotubes

Also detected in myoblasts

Mw range 38-49kDa

Actin, alpha 1, skeletal muscle NP_062085.1 42024 4.9E-13 18 98-198 (11), >198 (5), 75-98 (11), 38-49 (12), 49-62 (4), 17-28 (8), 28-38 (11), 6-14 (12), 14-17

Aldolase A-like 1 NP 001013965.1 39467 9.8E-09 6 38-49 (12)Annexin A1 NP 037036.1 38805 1.0E-13 18 38-49 (12), 28-38 (11)Annexin A2 NP 063970.1 38654 1.5E-10 17 38-49 (12), 28-38 (11), >198 (2)Dynactin 2 NP 001004239.1 44121 4.9E-04 2 38-49 (1)Eukaryotic translation initiation factor 4A2 NP 001008336.1 46373 4.8E-08 3 38-49 (3)Farnesyl diphosphate synthase (farnesyl pyrophosphate synthetase, dimethylallyltranstransferase, gera

NP_114028.1 40778 9.3E-10 2 38-49 (1)

Fructose-bisphosphate aldolase A NP 036627.1 39327 1.0E-30 5 38-49 (8)Glutamate oxaloacetate transaminase 2 NP 037309.1 47284 2.5E-07 4 38-49 (4)Heterogeneous nuclear ribonucleoprotein F NP 001032362.1 45701 3.2E-09 3 38-49 (7)Integrin-linked kinase-associated serine/threonine phosphatase 2C

NP_072128.1 42718 6.7E-04 2 49-62 (1)

Isocitrate dehydrogenase 3 (NAD+) alpha NP 446090.1 39588 8.3E-07 2 38-49 (1), 28-38 (3)Keratin 13 NP 001004021.1 47699 1.4E-05 2 98-198 (1), 14-17 (1)Keratin 15 NP_001004022.1 48840 1.9E-06 3 17-28 (1), 3-6 (2), 6-14 (1), >198

(1), 14-17 (1)Lysosomal-associated membrane protein 1 NP 036989.1 43941 4.9E-04 2 75-98 (1)Phosphoglycerate kinase 2 NP 001012130.1 44981 2.2E-10 3 38-49 (2)Protein disulfide isomerase-associated 6 NP 001004442.1 48730 3.5E-12 6 38-49 (12)Pyruvate dehydrogenase (lipoamide) beta NP 001007621.1 38957 1.3E-10 2 28-38 (1)Septin 2 NP 476489.1 41566 1.2E-04 2 38-49 (1)Serine (or cysteine) peptidase inhibitor, clade H, member 1

NP_058869.1 46488 8.5E-14 8 38-49 (12), 49-62 (2), 6-14 (2)

Serum deprivation response NP 001007713.1 46358 1.7E-11 2 49-62 (2)Ubiquinol cytochrome c reductase core protein 2 NP 001006971.1 48366 1.5E-04 2 38-49 (1)

Mw range 49-62kDa

Aldehyde dehydrogenase 3A1 NP_114178.1 50307 2.9E-11 18 38-49 (12), 49-62 (11), 17-28 (1), 75-98 (1)

Aldehyde dehydrogenase 9A1 NP 071609.2 54015 2.0E-06 5 49-62 (7)Ankyrin repeat, SAM and basic leucine zipper domain containing 1

NP_570106.1 53107 4.6E-05 2 14-17 (1)

Annexin A11 NP 001011918.1 54126 4.7E-08 2 49-62 (3)ATP synthase, H+ transporting, mitochondrial F1 complex, alpha subunit 1, cardiac muscle

NP_075581.1 59717 4.4E-12 14 49-62 (12), 28-38 (10)

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Table 17 continued

Protein NCBI accession code Mw (Da) p value

Number of peptides used for

identification

MW regions detected in (No. peptides in each region)

Detected in control

myotubes

Detected in treated

myotubes

Also detected in myoblasts

Mw range 49-62kDa continued

Caldesmon 1 NP 037278.1 60548 8.9E-12 18 62-75 (12)Chaperonin containing TCP1, subunit 2 (beta) NP 001005905.1 57422 8.9E-10 8 49-62 (9)Chaperonin containing TCP1, subunit 3 (gamma) NP 954522.1 60608 3.8E-06 6 49-62 (10)Chaperonin containing TCP1, subunit 5 (epsilon) NP 001004078.1 59499 8.2E-07 6 49-62 (7)Chaperonin containing Tcp1, subunit 6A (zeta 1) NP 001028856.1 57981 2.4E-12 7 49-62 (6)Chaperonin subunit 4 (delta) NP 877966.1 58063 2.7E-06 6 49-62 (3)Dihydropyrimidinase-like 3 NP 037066.1 61928 3.6E-07 6 62-75 (11)Dipeptidylpeptidase 7 NP 114179.1 55079 2.3E-06 3 49-62 (4)Dynein, cytoplasmic 1 light intermediate chain 2 NP 112288.1 54711 4.5E-05 2 49-62 (1)EH-domain containing 4 NP 647540.1 61429 1.6E-04 2 49-62 (1)Enabled homolog NP 001012150.1 58792 7.8E-05 3 62-75 (4)Eukaryotic translation elongation factor 1 alpha 2 NP 036792.2 50422 2.9E-07 7 38-49 (12), 49-62 (1), 98-198 (1)Glutamate dehydrogenase 1 NP 036702.1 61377 2.5E-10 9 49-62 (12)Heterogeneous nuclear ribonucleoprotein K NP 476482.1 50944 1.4E-11 7 49-62 (11)Katanin p60 subunit A-like 1 NP 001006957.1 55166 2.2E-04 2 38-49 (1)Keratin 10 NP_001008804.1 56471 2.0E-07 7 98-198 (3), >198 (5), 75-98 (2),

49-62 (1), 17-28 (2), 28-38 (2), 6-14 (3), 14-17 (2), 3-6 (12)

Keratin 14 NP 001008751.1 52651 1.3E-08 3 6-14 (1), >198 (1), 3-6 (1)Keratin 4 NP_001008806.1 57631 2.9E-05 4 98-198 (1), 75-98 (2), 17-28 (2),

28-38 (2), 6-14 (6), 14-17 (1), 3-6 Keratin 42 NP_001008816.1 50182 8.6E-06 4 6-14 (2), 3-6 (2), 98-198 (2),

>198 (6), 75-98 (1)Keratin 5 NP 899162.1 61889 3.6E-05 3 3-6 (2)Keratin 77 NP_001008807.1 57220 3.7E-09 6 98-198 (11), >198 (10), 62-75

(9), 75-98 (7), 38-49 (11), 49-62 (10), 17-28 (9), 28-38 (10), 6-14

(12) 14-17 (12) 3-6 (12)Mitochondrial aldehyde dehydrogenase 2 NP 115792.1 56453 3.9E-11 7 49-62 (7)Mitochondrial ATP synthase beta subunit NP 599191.1 56319 1.0E-10 10 38-49 (6), 49-62 (11)Myosin binding protein H NP 114001.1 52624 7.1E-05 2 49-62 (2)PC4 and SFRS1 interacting protein 1 NP 786941.1 59603 3.8E-04 2 38-49 (1)Plasma glutamate carboxypeptidase NP 113828.1 51937 6.3E-09 3 49-62 (9)Procollagen-proline, 2-oxoglutarate 4-dioxygenase (proline 4-hydroxylase), alpha polypeptide I

NP_742059.2 60860 4.1E-04 3 49-62 (2)

Prolyl 4-hydroxylase, beta polypeptide NP 037130.1 56829 4.4E-15 22 49-62 (12), 6-14 (1)Prosaposin NP 037145.1 61084 6.1E-07 3 6-14 (11), 3-6 (1)Protein disulfide-isomerase A3 NP 059015.1 56554 1.1E-09 17 49-62 (12)

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172

Table 17 continued

Protein NCBI accession code Mw (Da) p value

Number of peptides used for

identification

MW regions detected in (No. peptides in each region)

Detected in control

myotubes

Detected in treated

myotubes

Also detected in myoblasts

Mw range 49-62kDa continued

Pyruvate kinase, muscle NP 445749.1 57781 1.0E-30 19 49-62 (12)T-complex 1 NP 036802.1 60322 4.8E-12 4 49-62 (2)Trimethyllysine hydroxylase, epsilon NP 596878.2 50884 5.9E-04 2 49-62 (1)Tubulin, beta 5 NP 775125.1 49639 5.6E-10 3 38-49 (11), 49-62 (4)Tubulin, beta 6 NP 001020846.1 50027 2.6E-04 3 49-62 (2)Vimentin NP_112402.1 53700 1.9E-13 38 >198 (3), 75-98 (5), 38-49 (12),

49-62 (12), 6-14 (11), 3-6 (12)

Mw range 62-70kDa

Alpha isoform of regulatory subunit A, protein phosphatase 2

NP_476481.1 65281 1.5E-04 2 49-62 (1)

Calnexin NP 742005.1 67213 5.9E-12 4 62-75 (10), 75-98 (4)Eukaryotic translation initiation factor 4B NP 001008325.1 69023 2.0E-09 6 75-98 (8)FK506 binding protein 9 NP 001007647.1 63087 4.7E-05 2 62-75 (1)Glucose phosphate isomerase NP 997475.1 62787 1.1E-06 2 49-62 (2)Inner membrane protein, mitochondrial NP 001030100.1 67135 3.2E-09 3 75-98 (4)Kelch repeat and BTB (POZ) domain containing 10

NP_476539.1 68170 1.0E-06 4 62-75 (3)

Keratin 2 NP_001008899.1 69085 4.4E-09 3 28-38 (1), 6-14 (1), >198 (2), 62-75 (1), 3-6 (1)

Lamin B1 NP 446357.1 66566 2.3E-07 9 62-75 (9)Matrix metalloproteinase 14 (membrane-inserted) NP 112318.1 66038 4.3E-05 2 38-49 (1)Moesin NP 110490.1 67697 2.1E-11 5 62-75 (9)PDZ and LIM domain 5 NP 445778.1 63161 1.3E-04 2 62-75 (4)Radixin NP 001005889.2 68501 7.8E-08 10 28-38 (1), 62-75 (11), 75-98 (1)REC8 homolog NP 001011916.1 67832 8.9E-04 2 75-98 (1)Spermatogenesis associated 18 NP 955406.2 63844 9.0E-04 2 6-14 (1)WD repeat domain 1 NP 001014157.1 66140 1.2E-14 4 49-62 (2)X-prolyl aminopeptidase (aminopeptidase P) 1, soluble

NP_571988.1 69613 6.0E-06 3 62-75 (6)

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Table 17 continued

Protein NCBI accession code Mw (Da) p value

Number of peptides used for

identification

MW regions detected in (No. peptides in each region)

Detected in control

myotubes

Detected in treated

myotubes

Also detected in myoblasts

Mw range 70-98kDa

Aconitase 2, mitochondrial NP 077374.2 85380 3.3E-11 11 75-98 (11)Acyl-Coenzyme A dehydrogenase, very long chain

NP_037023.1 70705 7.1E-04 2 62-75 (1)

ATP-binding cassette, sub-family B, member 7, mitochondrial precursor

NP_997683.1 82506 7.1E-04 2 28-38 (2)

Cadherin 13 NP 620244.1 78037 6.7E-05 5 75-98 (3)Cd44 molecule NP 037056.2 85865 2.8E-06 2 62-75 (2)Coiled-coil domain containing 33 NP 001014113.1 87710 2.2E-04 2 98-198 (1)DEAD (Asp-Glu-Ala-Asp) box polypeptide 1 NP 445866.1 82445 4.7E-04 2 75-98 (1)Eukaryotic translation elongation factor 1 delta NP 001013122.1 72083 8.1E-09 4 28-38 (11)Eukaryotic translation elongation factor 2 NP 058941.1 95223 1.0E-14 18 98-198 (1), 75-98 (11)Gelsolin NP 001004080.1 86014 1.1E-10 11 75-98 (10)Heat shock 105kDa/110kDa protein 1 NP 001011901.1 96357 5.7E-06 3 75-98 (2)Heat shock 70kD protein 1-like NP 997711.1 70505 1.8E-11 8 62-75 (12)Heat shock protein 4 NP 705893.1 93997 3.2E-08 5 75-98 (5)Heat shock protein 5 NP 037215.1 72303 1.1E-16 31 62-75 (12)Heat shock protein 8 NP 077327.1 70827 1.1E-14 17 62-75 (12)Heat shock protein 90, alpha (cytosolic), class A member 1

NP_786937.1 84762 7.2E-14 19 75-98 (11)

KH-type splicing regulatory protein (FUSE binding protein 2)

NP_598286.1 74181 1.2E-07 3 75-98 (1)

Lamin A isoform C2 NP_001002016.1 71856 1.3E-13 33 49-62 (10), 98-198 (1), 62-75 (12), 75-98 (8)

Major vault protein NP 073206.2 95739 3.8E-04 2 75-98 (1)Neural cell adhesion molecule 1 NP 113709.1 94599 1.3E-07 12 98-198 (11), 75-98 (1)Nexilin (F actin binding protein) isoform b NP 631977.1 71899 1.7E-05 4 75-98 (2)Nucleolar protein 10 NP 001014098.1 80188 6.6E-04 3 49-62 (1), 3-6 (1)Plasticity related gene 1 NP 001001508.1 83309 3.8E-04 2 >198 (1)Poly(A) binding protein, cytoplasmic 1 NP 599180.1 70656 5.5E-09 9 62-75 (11)Procollagen-lysine 1, 2-oxoglutarate 5-dioxygenase 1

NP_446279.1 83560 1.6E-07 2 75-98 (1)

Protein disulfide isomerase-associated 4 NP 446301.1 72761 1.1E-07 5 62-75 (8), 75-98 (9)Protein phosphatase 1, regulatory subunit 10 NP 075240.1 92771 4.9E-04 2 75-98 (1)Signal transducer and activator of transcription 3 NP 036879.1 87983 9.2E-05 2 14-17 (2)Squamous cell carcinoma antigen recognized by T cells

NP_113784.1 90984 9.3E-04 2 62-75 (1)

TNF receptor-associated protein 1 NP 001034090.1 80411 4.4E-09 2 75-98 (5)Transducin (beta)-like 3 NP 001008278.1 88316 3.0E-04 3 62-75 (1)Transketolase NP 072114.1 71141 2.1E-11 10 62-75 (10)Valosin-containing protein NP 446316.1 89293 2.8E-11 21 75-98 (11)Zinc finger protein 111 NP 579857.1 85367 8.1E-05 2 38-49 (1)

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Table 17 continued

Protein NCBI accession code Mw (Da) p value

Number of peptides used for

identification

MW regions detected in (No. peptides in each region)

Detected in control

myotubes

Detected in treated

myotubes

Also detected in myoblasts

Mw range 98-198kDa

Actinin, alpha 1 NP 112267.1 102896 3.5E-12 30 98-198 (7), 75-98 (11)Adaptor-related protein complex 1, beta 1 subunit NP 058973.1 104522 7.8E-04 2 75-98 (1)Alpha actinin 4 NP 113863.2 104849 2.0E-11 24 98-198 (3), 75-98 (11)Clathrin, heavy chain (Hc) NP 062172.1 191476 1.9E-09 20 98-198 (11)Coatomer protein complex, subunit beta 2 (beta prime)

NP_068533.1 102486 2.2E-11 3 >198 (2)

Collagen, type I, alpha 2 NP 445808.1 129486 2.9E-09 16 98-198 (7)Collagen, type III, alpha 1 NP 114474.1 138851 1.2E-11 11 98-198 (7)Cullin-associated and neddylation-dissociated 1 NP 446456.1 136275 1.2E-06 4 98-198 (2)Dynactin 1 NP 077044.1 141842 4.0E-04 2 98-198 (1)Golgi apparatus protein 1 NP 058907.1 133469 1.7E-04 2 98-198 (1)Integrin alpha 7 NP 110469.1 124117 1.5E-04 2 75-98 (1)Kinesin family member 5B NP 476550.1 109463 1.3E-09 3 75-98 (3)

Mw range 98-198kDa continued

Lethal giant larvae homolog 1 NP 690057.1 112424 3.0E-06 2 75-98 (1)Leucine-rich PPR-motif containing NP 001008519.1 156553 7.4E-07 4 98-198 (3)LIM domain 7 NP 001001515.1 195450 1.0E-09 4 98-198 (4)Methylenetetrahydrofolate dehydrogenase 1 NP 071953.1 100932 9.3E-04 2 75-98 (1)Microtubule-associated protein 4 NP 001019449.1 110233 2.1E-06 9 98-198 (9)Na+/K+ -ATPase alpha 1 subunit NP 036636.1 112982 2.1E-06 3 98-198 (2)Proteasome (prosome, macropain) 26S subunit, non-ATPase, 2

NP_001026809.1 100124 3.2E-08 3 75-98 (2)

SEC31 homolog A NP 148981.1 135266 1.8E-08 5 98-198 (3)Staphylococcal nuclease domain containing 1 NP 073185.2 101889 2.6E-06 6 75-98 (6)Thrombospondin 1 NP 001013080.1 129588 5.0E-05 3 98-198 (3)Thyroid hormone receptor associated protein 3 NP 001009693.1 108188 1.0E-04 2 3-6 (1)Ubiquitin-activating enzyme E1 NP 001014102.1 117713 2.6E-10 12 98-198 (2), 75-98 (11)

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Table 17 continued

Protein NCBI accession code Mw (Da) p value

Number of peptides used for

identification

MW regions detected in (No. peptides in each region)

Detected in control

myotubes

Detected in treated

myotubes

Also detected in myoblasts

Mw range >198kDa

Acetyl-coenzyme A carboxylase alpha NP 071529.1 265023 3.0E-04 2 62-75 (1)Alpha-spectrin 2 NP 741984.2 284418 9.3E-12 17 49-62 (1), >198 (5)Citron (rho-interacting, serine/threonine kinase 21)

NP_001025082.1 235161 4.2E-04 4 38-49 (1)

Fatty acid synthase NP 059028.1 272477 5.6E-09 9 >198 (5)Insulin-like growth factor 2 receptor NP 036888.1 273220 3.7E-05 2 >198 (1)Kalirin, RhoGEF kinase NP 114451.1 336374 8.2E-04 2 3-6 (1)Myeloid/lymphoid or mixed-lineage leukemia (trithorax homolog, Drosophila); translocated to, 4

NP_037349.1 207548 7.6E-04 2 28-38 (1)

Myosin, heavy chain 10, non-muscle NP 113708.1 228823 2.6E-05 3 >198 (2)Myosin, heavy chain 3, skeletal muscle, embryonic

NP_036736.1 223718 1.0E-30 62 98-198 (12), >198 (5)

Myosin, heavy chain 9, non-muscle NP 037326.1 226196 2.2E-13 33 98-198 (10), >198 (5)Nestin NP 037119.1 198625 1.2E-11 25 >198 (5)Phosphatidylinositol 4-kinase a NP 071637.1 231169 6.6E-04 2 >198 (1)Phosphodiesterase 4D interacting protein NP 071777.1 261879 7.3E-04 2 75-98 (1)Plectin 1 NP 071796.1 533214 3.4E-12 78 17-28 (4), 98-198 (8), >198 (5)Sodium channel, voltage-gated, type III, alpha NP 037251.1 221241 2.4E-05 2 38-49 (1)Spectrin repeat containing, nuclear envelope 1 NP 001025080.1 918957 3.1E-04 6 38-49 (2), 98-198 (1)Spectrin, beta, non-erythrocytic 1 NP 001013148.1 273415 9.1E-11 6 >198 (1)Sperm flagellar 2 NP 072142.1 200840 3.8E-04 2 38-49 (1)ZUBR1 NP 001034115.1 573472 6.7E-04 2 62-75 (1)

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3.5.2.1 Effect of TMPD-treatment on biological processes in myoblasts and myotubes

Protein expression was investigated on a global level (using all the proteins

identified using the srf files in Bioworks Browser). The nature of proteins

expressed in control myoblasts was examined in order to appreciate the

ongoing biological processes in untreated myoblasts. A list of proteins unique to

control myoblasts was interrogated using the Panther classification tool

available at www.pantherdb.org. Proteins present in treated myoblasts and

those in control or treated myotubes were not considered at this stage of the

analysis.

From the analysis of control myoblasts, it was revealed that myoblasts were

mainly involved in the biological processes of maintaining their shape and

structure and also their motility (as evidenced by 45 out of 180 proteins

examined in this analysis being involved in these functions). Myoblasts were

also heavily involved in the essential process of protein metabolism and

modification, which could involve protein synthesis, modification, or

degradation, most likely as part of the growth and cell turnover processes that

are typical of most proliferating cells (Figure 57).

In myotubes, the main biological processes that the cells were involved in were

the same as described for myoblasts. In this case, however, protein metabolism

and modification were the predominant processes as shown by 57 of 228

proteins considered being involved. In the case of myotubes, 42/228 proteins

were involved in maintaining cell structure and motility (Figure 58).

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4542

27

21 20 2017

1513 13

10 10 97 6

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Figure 57: Normal biological processes in rat L6 myoblasts Myoblasts were grown (section 2.1) and the proteome of the cells was investigated using LC-MS/MS (section 2.7) in order to understand the normal

biological processes ongoing within the cells. Out of 180 proteins investigated, 45 proteins were involved in maintaining the shape and structure of the

cell, whilst 42 were involved in protein metabolism and modification. A total of 23 biological processes were identified that are natural to this cell type,

although it was not possible to classify the function of all of the proteins examined (biological process unclassified). Biological processes for which >1

protein could be associated with involved were included.

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57

42

28 2725 25

22 22

1715

1311

8 8 7 6 6 6 5 4 3 3 2 2

0

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60

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and

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Cel

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Nuc

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Imm

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No.

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Figure 58: Normal biological processes in rat L6 myotubes Myotubes were differentiated from myoblasts (section 2.1) and their constituent proteins were measured using LC-MS/MS (section 2.7) in order to

understand the normal biological processes characteristic of this cell type. Out of 228 proteins examined, 57 proteins were involved in protein

metabolism and modification whilst 42 were involved in maintaining the shape and structure of the cell. A total of 24 biological processes were identified

that are natural to this cell type although the function of some of the proteins was not clear (biological process unclassified). Biological processes with

which <2 proteins could be associated with were not included in the analysis.

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The biological processes ongoing in myoblasts and myotubes were compared

directly in order to investigate the differences in the crucial biological processes

in both cell types. The number of proteins involved in each of the biological

processes already described were compared so that it could be determined

whether cell differentiation resulted in (or from) changes in some of the

processes already described.

In the classification of the biological processes affected when myoblasts were

matured into myotubes, biological processes such as lipid and fatty acid

metabolism, cell proliferation and differentiation, electron transport and muscle

contraction were increased in myotubes when compared to myoblasts (Figure

59). Lipid and fatty acid metabolism is a common route for energy production in

many biological systems302-304. In addition, skeletal muscle is an organ rich in

mitochondria and this is a major site for fatty acid metabolism via the β-

oxidation of fatty acids and also via the electron transport chain (which was

another upregulated biological process in myotubes)305,306.

Cell proliferation and differentiation were classified together and it is likely that

the increase in this biological process in myotubes was mainly due to an

increase in the expression of proteins involved in the differentiation of myoblasts

into myotubes. The differentiation of myoblasts into myotubes was further

evidenced by the increase in the number of proteins involved in muscle

contraction, which is a function more specific to mature skeletal muscle cells.

This ties in with the presence of myofilaments in myotubes, as observed by EM

(section 3.1, Figure 20). Apoptosis was downregulated in myotubes and this

may be a consequence of a reduced amount of cell proliferation, which is more

typical of undifferentiated myoblasts, and therefore a reduced turnover of cells

in the corresponding cultures307.

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-0.5

0.0

0.5

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Rel

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vel

Figure 59: Comparison of the normal biological process in myoblasts and myotubes Myoblasts and myotubes were cultured (section 2.1) and their protein expression was evaluated by LC-MS/MS (section 2.7) and the biological

processes ongoing in myoblasts and myotubes were compared. The number of proteins involved in each of the biological processes (in myotubes) is

shown relative to the number involved in myoblasts and processes such as lipid and fatty-acid metabolism, electron transport, cell differentiation and

muscle contraction were upregulated. These processes could be considered to be typical of mature, mitochondria-rich skeletal muscle requiring energy

for muscle contraction.

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The effect of TMPD administration on the overall protein expression in

myoblasts was also investigated by examining proteins that were uniquely

expressed in either control myoblasts or in TMPD-treated myoblasts. For the

most part, proteins that were reduced or absent in myoblasts as a result of

TMPD-treatment were replaced by other proteins that were involved in the

same biological processes (e.g. cell adhesion, cell structure and motility or

immunity and defence).

Changes in the expression of cell cycle proteins and those involved in apoptosis

or lipid, fatty acid and steroid metabolism may have been a consequence of a

proliferative response to drug treatment whereby programmed cell death was

decreased and more cells were encouraged to enter the cell cycle in order to

replace damaged or unhealthy cells. The increase in energy production (as

evidenced by increased oxidation of fatty acids) may reflect an increased

energy requirement in myoblasts treated low concentrations of TMPD (Table

18).

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Table 18: Biological processes affected in TMPD-treated myoblasts Protein expression in cultured myoblasts (section 2.1) was investigated using LC-

MS/MS (section 2.7) in order to investigate TMPD-induced changes in the number of

proteins involved in particular biological processes. The biological processes appeared

to be unaffected but changes in apoptosis, lipid metabolism and cell cycle proteins

resulted from TMPD treatment.

Biological process No. of proteins Biological process No. of

proteins

Apoptosis 3 ReducedBiological process unclassified 7 Biological process unclassified 2 Reduced

Blood circulation and gas exchange 2 IncreasedCarbohydrate metabolism 2 ReducedCell adhesion 2 Cell adhesion 2 UnchangedCell cycle 3 Cell cycle 7 Increased

Cell proliferation and differentiation 2 IncreasedCell structure and motility 6 Cell structure and motility 6 UnchangedDevelopmental processes 2 Developmental processes 2 UnchangedImmunity and defense 5 Immunity and defense 4 ReducedIntracellular protein traffic 5 Intracellular protein traffic 3 Reduced

Lipid, fatty acid and steroid metabolism 3 IncreasedNeuronal activities 2 ReducedNucleoside, nucleotide and nucleic acid metabolism 11

Nucleoside, nucleotide and nucleic acid metabolism 3 ReducedOther metabolism 3 Increased

Protein metabolism and modification 8 Protein metabolism and modification 9 IncreasedProtein targeting and localization 2 Protein targeting and localization 2 UnchangedSignal transduction 6 Signal transduction 7 IncreasedTransport 4 Transport 7 Increased

Proteins present in control myoblast only Proteins present in treated myoblast onlyResponse to

treatment

The effect of TMPD administration on the overall protein expression in

myotubes was also investigated. As with myoblasts, some biological processes

were unaffected and homeostasis was maintained by proteins that were

reduced as a result of treatment being replaced by other proteins (e.g.

intracellular protein traffic). Increases in cell cycle proteins and those involved

with cell structure and motility may again reflect increased cell proliferation to

replace or repair damaged cells. With respect to this, the biological pathways

behind the lack of a change in cell proliferation proteins and the decrease in

those involved in protein metabolism may reflect the fact that the cell was able

to cope adequately with the change in biological functions (Table 19).

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Table 19: Biological processes affected in TMPD-treated myotubes Protein expression in cultured myotubes (section 2.1) was investigated by LC-MS/MS

(section 2.7) in order to investigate changes in the number of proteins involved in

specific biological processes. Changes in cell cycle and cell structure proteins may be

a consequence of increased cell proliferation in response to TMPD treatment.

Biological process No, of proteins Biological process No, of

proteins

Biological process unclassified 9 Biological process unclassified 4 ReducedCarbohydrate metabolism 2 Reduced

Cell adhesion 2 IncreasedCell cycle 2 Cell cycle 8 IncreasedCell proliferation and differentiation 2 Cell proliferation and differentiation 2 UnchangedCell structure and motility 3 Cell structure and motility 9 IncreasedDevelopmental processes 4 Developmental processes 3 ReducedElectron transport 2 ReducedImmunity and defense 4 ReducedIntracellular protein traffic 6 Intracellular protein traffic 7 IncreasedLipid, fatty acid and steroid metabolism 3 Lipid, fatty acid and steroid metabolism 5 IncreasedMuscle contraction 3 ReducedNeuronal activities 2 Neuronal activities 2 UnchangedNucleoside, nucleotide and nucleic acid metabolism 6 Nucleoside, nucleotide and nucleic acid

metabolism 4 Reduced

Other metabolism 2 IncreasedProtein metabolism and modification 13 Protein metabolism and modification 7 Reduced

Protein targeting and localization 2 IncreasedSignal transduction 2 Signal transduction 9 IncreasedTransport 2 Transport 6 Increased

Response to treatment

Proteins present in control myotube only Proteins present in treated myotube only

This approach to analysing this data was useful in representing an overall

impression of the process in which both myoblasts and myotubes were involved

with. Both myoblasts and myotubes are derived from the same cell and

therefore closely related. This is reflected in the cells appearing to be involved

in similar normal biological processes. In addition, the myotubes cultures

contained a proportion of myoblasts (as described in section 3.1) and this may

also have contributed to some of the similarities in the biological processes

described for each cell type.

This semi-quantitative approach to the analysis of all the LC-MS/MS data

generated allowed a general appreciation of the overall changes in myoblasts

and myotubes but a more detailed analysis looking into the levels of expression

of particular proteins was required. The use of Decyder™ differential analysis

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software was used to specifically detect, match and analyse protein levels in

control and treated skeletal muscle cells and is described in the next section.

3.5.3 Biomarker discovery in TMPD-treated skeletal muscle cells using LC-MS/MS

Decyder™ MS software was used in combination with Bioworks Browser to

compare the relative levels of peptides from different samples (based on

retention time and m/z). The use of the aforementioned software allowed the

comparison of the relative intensities of peptides between control and treated

samples.

3.5.3.1 Optimisation of Decyder™ MS peptide detection settings

Following LC-MS/MS analysis of skeletal muscle cells, the PepDetect module of

Decyder™ MS software was used to detect a consistent number of peptides

across the spectra generated (as described in section 2.7.4). Chemical or

electrical noise can interfere with the interpretation of MS data, and so different

detection settings were investigated so that a maximal number of ions could be

included without including excessive background noise.

Using data generated following the LC-MS/MS analysis of peptides generated

from the >198kDa Mw region of a control myoblasts sample in a 1D gel,

PepDetect settings were adjusted so that ions were detected using a range of

S/N settings between 0.1 and 2 during the detection. This range was selected

as using a S/N setting of 0.1 may tend to include too many ions (including

spectral noise) due to the filtering criteria being relatively relaxed. Alternatively,

a setting of 2 may exclude some useful ions due to its high stringency for the

acceptance of ions.

A suitable S/N (to exclude) setting of 1.1 was selected for the PepDetect

module of the Decyder™ MS software as this appeared to be the setting at

which a maximal number of peptides could be detected before the setting was

changed to 1.2 and the stringency of the setting became exclusive of some ions

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that may prove useful. The setting at 1.1 reduces the risk of including peptides

that may be unreliable (Figure 60).

0

20

40

60

80

100

120

140

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180

0.0 0.2 0.4 0.6 0.8 1.0 1.2 1.4 1.6 1.8 2.0

Remove peptides below S/N

No.

pep

tides

det

ecte

d

Figure 60: Optimisation of detection settings in the PepDetect module of Decyder™ MS software Myoblasts were cultured (section 2.1) and proteins in the sample were separated by

1DE (section 2.7.1). Peptides were then generated from sections of the 1D gel and

detected by LC-MS/MS (sections 2.7.2 and 2.7.3). In order to determine suitable

settings for peptide detection in the PepDetect module of Decyder™ MS software,

settings were adjusted so that the S/N of ions excluded ranged from 0.1 to 2. A S/N

setting of 1.1 was used in subsequent experiments, as a setting of 2 was too stringent,

leading to the possible exclusion of some potentially useful ions whilst a setting of 0.1

may lead to the inclusion of ions that were affected by chemical or electrical noise. S/N

= signal to noise ratio.

3.5.3.2 Comparison of enzyme activity and protein levels

In order to verify the TMPD-induced changes observed biochemically, changes

observed using the assays described in section 3.3 were compared with

changes in their protein levels as measured by LC-MS/MS. However, this

comparison was only possible for CK, ALD and parvalbumin in myoblasts

(Table 20) and only for CK, ALT, AST, ALD, sTnI and Myl3 in myotubes (Table

21). In doing this, only the peptides used in the quantification of ALD (in

myoblasts) and for ALD and AST (in myotubes) were based on reliable

identifications of the protein (based on 2 or more peptides with a p value of

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<0.05) and these proteins are also listed in Table 16. The remaining

comparisons were either based on proteins identified using only 1 peptide or

peptides in which the confidence in the identification was unacceptable

(p>0.05). As such, these comparisons are only a guide and may serve as

further confirmation of the changes observed using biochemical assays.

In comparing changes in the biochemical levels of markers in myoblasts with

the protein levels measured by LC-MS/MS, only 1 peptide was significantly

reduced in its levels. However, a 2 fold decrease in the levels of a peptide used

to quantify CK (K.SQEEYPDLSK.H) was not backed up by changes in the other

peptide used in its measurement (-.MPFGNTHNKFK.L), despite the fact that

biochemical measure of CK did demonstrate that this marker was decreased

following treatment with 25μM TMPD. As a result of the conflicting changes in

peptides from the same protein, this measurement cannot be relied on. Also,

the peptides used were not identified with a high level of confidence (p>0.05)

making it possible that even the peptides used in the quantitation may have

been incorrectly identified (Table 20).

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Table 20: Comparison of biochemical levels with protein levels in myoblasts Changes in the levels of biochemical markers in myoblasts treated with TMPD (Figure

30) were compared with changes observed in the corresponding proteins using data

generated by LC-MS/MS. Only the comparisons in the levels of ALD are based on

reliable identifications (based on >1 peptide with a p value of <0.05). Only a change in

the level of one of the peptides used to measure CK was observed (-

.MPFGNTHNKFK.L) and this was not backed up by the changes seen in the other

peptide used to quantify CK (K.SQEEYPDLSK.H). No significant reduction in the levels

of CK were observed biochemically in cells treated with 25μM TMPD (Student’s t-test,

p<0.05).

Description NCBI MW Peptide used for quantitation

No. peptides used in

quantitation (control/treated)

Fold change compared to

control

Muscle creatine kinase NP_036662.1 42992 -.MPFGNTHNKFK.L 4/4 1.4K.SQEEYPDLSK.H 3/3 0.5

L-lactate dehydrogenase A NP_058721.1 36427 Insufficient peptides for quantitation - -

Glutamic-pyruvate transaminase (alanine aminotransferase)

NP_112301.1 55074 Insufficient peptides for quantitation - -

Glutamic-oxaloacetic transaminase 1, soluble (aspartate aminotransferase)

NP_036703.1 46299 Insufficient peptides for quantitation - -

Fructose-bisphosphate aldolase A NP_036627.1 39327 K.ELADIAHR.I 5/5 1.0K.ADDGRPFPQVIK.S 6/4 0.8

Troponin I type 1 (skeletal, slow) NP_058880.1 21711 Insufficient peptides for quantitation -

Parvalbumin NP_071944.1 11918 K.GFSSDARDLSAK.E 6/6 0.1Myosin, light chain 3, alkali; ventricular, skeletal, slow

NP_036738.1 22142 Insufficient peptides for quantitation - -

Fatty acid binding protein 3, muscle and heart

NP_077076.1 14766 Insufficient peptides for quantitation - -

No significant changes were observed by LC-MS/MS in the levels of the

candidate markers in myotubes (Student’s t-test, p<0.05). This reflects what

was observed when the intracellular levels of each marker was measured more

specifically using the biochemical assays. The comparisons made here

between the biochemical levels and the measured proteins levels perhaps

suggest that there was increased sensitivity with the biochemical assays when

measuring these candidate biomarkers (Table 21).

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Table 21: Comparison of biochemical levels with protein levels in myotubes Changes in the levels of biochemical markers in myotubes treated with TMPD were

compared with changes observed in the corresponding proteins using data generated

by LC-MS/MS. Only the comparisons in the levels of AST and ALD are based on

reliable identifications (based on >1 peptide with a p value of <0.05). None of the

changes observed were significant, and this reflects what was observed biochemically

despite the fact that both CK and ALD were observed to be reduced in cells treated

with 25μM TMPD when measured more specifically (Student’s t-test, p<0.05).

Description NCBI MW Peptide used for quantitation

No. peptides used in

quantitation (control/treated)

Fold change compared to

control

Muscle creatine kinase NP_036662.1 42992 K.GGDDLDPNYVLSSR.V 5/4 0.9L-lactate dehydrogenase A NP_058721.1 36427 Insufficient peptides for quantitation - -

Glutamic-pyruvate transaminase (alanine aminotransferase)

NP_112301.1 55074 K.LMSVRLCPPVPGQALMDMVVSPPTPSEPSFK.Q

5/3 0.8

Glutamic-oxaloacetic transaminase 1, soluble (aspartate aminotransferase)

NP_036703.1 46299 R.IAATILTSPDLR.K 3/3 0.8

Fructose-bisphosphate aldolase A NP_036627.1 39327 K.ADDGRPFPQVIK.S 6/6 1.3K.ELADIAHR.I 3/4 1.3

Troponin I type 1 (skeletal, slow) NP_058880.1 21711 R.KNVEAMSGMEGR.K 2/2 1.6Parvalbumin NP_071944.1 11918 Insufficient peptides for quantitation - -

Myosin, light chain 3, alkali; ventricular, skeletal, slow

NP_036738.1 22142 K.ITYGQCGDVLR.A 6/6 1.3

Fatty acid binding protein 3, muscle and heart

NP_077076.1 14766 Insufficient peptides for quantitation - -

Comparing the activity of the candidate biomarkers measured in section 3.3

with the protein levels measured by LC-MS/MS was not useful as it would

appear as if the majority of the parameters measured biochemically (and more

specifically) were either more suitable for detection or measurement using the

specific assays described earlier. It is also possible that the effect of treatment

was on the activity of the enzymes measured and not their proteins levels.

Here, it was not possible to verify the changes observed biochemically using

LC-MS/MS data.

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3.5.3.3 Selection of putative biomarkers of TMPD-induced myopathy in myoblasts

At least 2 peptides with a p value <0.05 were required to ensure confidence in

the conclusive identification of proteins (as described in section 3.5.2). Whilst it

was acceptable for the peptides used in the identification to be detected in only

one sample, this would not provide a sufficient number of samples from which a

reliable quantitation of the protein could be made. As such, in a first pass filter

of Decyder™ MS software output, the identification of proteins was considered

separately from the measurement of peptides.

The levels of proteins were only compared if the constituent peptides were

observed on at least 50% (6/12) of the total number of observable occasions.

This meant that a sufficient number of peptides could be measured to facilitate

a reliable assessment of TMPD-induced changes and significant changes in the

levels of the peptides could then be identified (Student’s t-test, p<0.05).

Consideration was also given to consistency in the response of all the peptides

chosen for measurement to TMPD-treatment across different samples, in terms

of the magnitude of change and also in terms of whether the peptides were

increased or decreased.

The levels of individual peptides were also examined in order to ensure the

accuracy of peptide selection by the PepDetect module of the Decyder™ MS

software. This was performed so that peptides were not selected erroneously

and also so that peptide matches were not overlooked due to slight shifts in the

retention time or in the measured m/z of peptides. In such instances, peptides

that should have been matched were manually selected, deselected or their

charge assignment corrected manually in order to accurately reflect the true

nature of the measured peptides.

Using this relatively strict approach to putative biomarker selection, 8 proteins (4

up-regulated and 4 down-regulated) ranging in Mw from 15-919kDa were

differentially expressed in myoblasts as a result of treating the cells with TMPD.

The magnitude of the changes ranged from 1.2 to 5.6-fold. The responsive

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proteins were diverse in their biological functions and classified as being

involved in biological processes such as cell structure and motility (2),

metabolism (1), protein metabolism and modification (3) and signal transduction

(2) (Table 22).

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Table 22: Identified myoblasts cell proteins that showed differential expression following treatment with TMPD Myoblasts were cultured and treated with TMPD for 24h (section 2.1). Proteins within the samples were then separated by 1DE (section

2.7.1) before the resulting gel was divided into sections. Peptides generated from these sections were analysed by LC-MS/MS in order to

determine any TMPD-induced changes in the expression of proteins in myoblasts. Proteins (8) were shown to differ significantly in their

expression as a result of TMPD-treatment (Student’s t-test, p<0.05). Of these proteins, the levels of 4 were increased and 4 were

decreased.

Proteins Peptides used for quantitation

No. ions measured in control/treated

Fold change Probability

Overall fold change ± SEM

(CV)

Cell structure and motility

Keratin 2 (KRT2) NP_001008899.1 Cytoplasm 69a) 98-198 7b) R.GFSSGSAVVSGGSR.R (+2) 4.36 5/5 +1.6 0.009 +1.6

Keratin 19 (KRT19) NP_955792.1 Cytoplasm 45a) 14-17 3b) R.LAADDFR.T (+1) 2.22 6/4 +5.5 0.04 +5.6 ±0.1

R.LASYLDKVR.A (+2) 3.32 6/4 +5.7 0.004 (3%)

Metabolism

Aldehyde dehydrogenase family 3, member A1 (ALDH3A1)

NP_114178.1 Cytoplasm 50 38-49 12b) K.SLLNEEAHK.A (+2) 2.33 6/6 -1.5 0.04 -1.5 ±0.1

R.EKPLALYVFSNNEK.V (+3) 4.42 6/6 -1.4 0.02 (11%)

Subcellular location

Comparison between control and TMPD-treated

Name (gene name) NCBI accession code

Mean Xcorr

Peptide (charge)Mw (kDa)

Mw region (kDa)

identified in

No. of unique peptide ions

used in identification

a) There was a discrepancy between the calculated Mw and the region of the gel in which the protein was detected. It is possible that a post-translational modification to the protein may have

occurred or that the protein may have been fragmented or digested prior to detection.

b) More peptides were used in the identification of these proteins but some of the peptides were below the level of quantitation. Therefore, only peptides suitable for measurement were used

in determining the levels of the protein.

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Table 22 continued Proteins Peptides used for quantitation

No. ions measured in control/treated

Fold change Probability

Overall fold change ± SEM

(CV)

Protein metabolism and modification

Serine [or cysteine] proteinase inhibitor, clade H (SERPINH1)

NP_058869.1 Extracellular Space 47 38-49 10b) K.HLAGLGLTEAIDK.N (+2) 3.04 6/5 -1.7 0.0009 -1.8 ±0.2

K.KPVEAAAPGTAEK.L (+3) 4.12 5/5 -2.0 0.03 (13%)

Eukaryotic translation initiation factor 4B (EIF4B)

NP_001008325.1 Cytoplasm 69a) 6-14 6b) K.DETKVDGVSTTK.G (+2) 2.21 6/6 -1.4 0.03 -1.4

Spectrin repeat containing, nuclear envelope 1 (SYNE1)

NP_001025080.1 Nucleus 919a) 75-98 2b) K.LSEFVVTK.I (+2) 2.25 6/6 +1.2 0.02 +1.2

Signal transduction

Rho GDP dissociation inhibitor [GDI] alpha (ARHGDIA)

NP_001007006.1 Cytoplasm 23 28-38 5b) R.VAVSADPNVPNVIVTR.L (+2) 4.75 6/6 +2.0 0.03 +2.1 ±0.1

K.SIQEIQELDKDDESLRK.Y (+2) 4.36 4/5 +2.2 0.04 (7%)

Lectin, galactose binding, soluble 1 (LGALS1)

NP_063969.1 Extracellular Space 15 6-14 6b) K.VRGELAPDAK.S (+2) 2.69 6/6 -2.0 0.004 -1.7 ±0.2

K.SFVLNLGK.D (+2) 2.7 5/6 -1.4 0.01 (17%)

K.DSNNLCLHFNPR.F (+3) 3.61 5/5 -1.7 0.03

Mean Xcorr

Comparison between control and TMPD-treatedMw region

(kDa) identified in

No. of unique peptide ions

used in identification

Peptide (charge)Name (gene name) NCBI accession code Subcellular location Mw

(kDa)

a) There was a discrepancy between the calculated Mw and the region of the gel in which the protein was detected. It is possible that a post-translational modification to the protein may have

occurred or that the protein may have been fragmented or digested prior to detection.

b) More peptides were used in the identification of these proteins but some of the peptides were below the level of quantitation. Therefore, only peptides suitable for measurement were used

in determining the levels of the protein.

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After finding a reliable profile of proteins whose levels were changed following

the treatment of myoblasts with TMPD (Table 22), data generated by LC-

MS/MS was examined further in order to reveal a single protein that might be

suitable for further investigation of the protein levels using an alternative method

to LFQP. In doing this, the certainty in the identification (as evidenced by the

number of peptides used in the identification and the mean Xcorr value) and the

magnitude of change was taken into consideration.

Rho GDP dissociation inhibitor (GDI) alpha (NP_001007006.1) was selected as

the calculated Mw (23kDa) correlated well with the Mw region in which the

protein was measured (28-38kDa). Two peptides were used to quantify the

protein, and the observation that levels of the peptides in individual samples

correlated well with each other, increased the certainty in the measurement of

the protein levels. In addition, an overall 2.1-fold increase in the levels of the

protein was observed in response to TMPD treatment (Figure 61). An example

of the mass spectra obtained is shown in Figure 62.

Control Treated0

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R.VAVSADPNVPNVIVTR.L

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n=6

n=6

n=4

n=5

Figure 61: Relative levels of peptides used to quantify Rho GDP dissociation factor Inhibitor (GDI) alpha Myoblasts were grown and treated with 25μM TMPD for 24h (section 2.1). Proteins in

cell homogenates were separated by 1DE and peptides were generated from sections

of the 1D gel (section 2.7). The levels of Rho GDI were increased significantly (2.1-fold)

in response to treatment (Student’s t-test, p<0.05). The individual sample identities are

displayed on the graph to show the correlation between the different peptide levels in

each individual sample.

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300 400 500 600 700 800 900 1000 1100 1200 1300 1400 1500 1600 1700 1800m/z

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yy7+1

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543.2

yy13+2

691.5bb 13

+1

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1163.3yy4

+1

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+1

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+1

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+1

1480.6

a)

b)

VAVSADPNVPNVIVTR

Pos AA b-ions y-ions Rev pos

1 V 100.08 - 162 A 171.11 1551.85 153 V 270.18 1480.81 144 S 357.21 1381.74 135 A 428.25 1294.71 126 D 543.28 1223.67 117 P 640.33 1108.65 108 N 754.37 1011.59 99 V 853.44 897.55 810 P 950.49 798.48 711 N 1064.54 701.43 612 V 1163.61 587.39 513 I 1276.69 488.32 414 V 1375.76 375.24 315 T 1476.81 276.17 216 R - 175.12 1

m/z

Rel

ative

abun

danc

e

Figure 62: Example spectrum obtained following the MS/MS analysis of a peptide from Rho GDI Myoblasts were cultured and treated with 25μM TMPD (section 2.1). a) In combination, the 2 peptides used in the quantitation of Rho GDI covered 20%

of the total protein and b) The example MS/MS spectrum shown is from 1 of 2 peptides used to quantify the protein. Identified b-ions and y-ions in the

spectrum and the corresponding table are coloured blue and red, respectively, and this spectrum was typical of the spectra used to sequence this

peptide. Pos, position; AA, Amino acid; Rev pos, reverse sequence position.

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TMPD-induced increases in the level of Rho GDI observed by LC-MS/MS were

confirmed by immunoblotting in order to verify the changes seen. Homogenates

from myoblasts treated with a range of concentrations of TMPD (0-25μM) were

probed specifically for Rho GDI myoblasts using a polyclonal antibody raised in

rabbits. Rho GDI was significantly increased 1.4 and 1.6 times in myoblasts

treated with 12.5 and 25μM TMPD, respectively (Figure 63).

60708090

100110120130140150160

-5 0 5 10 15 20 25

Control 6.25μMTMPD

12.5μMTMPD

25μMTMPD

[TMPD] (μM)

% c

hang

e ov

erco

ntro

l mea

n

**

Figure 63: TMPD-induced changes in the levels of Rho GDI in myoblasts Myoblasts were cultured and treated with a range of concentrations of TMPD (section

2.1). TMPD-induced increases in the levels of Rho GDI originally observed by LC-

MS/MS were confirmed by immunoblotting using a polyclonal antibody measuring Rho

GDI (section 2.7.5). Increases of 1.4 and 1.6-fold in this protein were observed

following treatment with 12.5μM and 25μM TMPD, respectively. Error bars show ±

SEM and significant changes are denoted by *p<0.05, **p<0.01.

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The effect of other potential myotoxins on the levels of Rho GDI in myoblasts

was also investigated. Treating myoblasts with 6.25, 12.5, 25 and 50μM GWδ

had no significant effect on the levels of Rho GDI treated although it did

increase (Students t-test; p<0.05). Myoblasts treated with pravastatin, which is

another potentially myotoxic lipid-lowering compound were increased 2.6 and

1.9-fold when cells were treated with 50 and 100μM of the compound (Figure

64).

40

60

80

100

120

140

160

180

-5 0 5 10 15 20 25 30 35 40 45 50

Control 12.5μMGWδ

25μMGWδ

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Pravastatin50μM

Pravastatin100μM

Pravastatin

[GWδ] (μM)

% c

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Control 12.5μMGWδ

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Pravastatin50μM

Pravastatin100μM

Pravastatin

[GWδ] (μM)

% c

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**

0 25 50 75 1000 25 50 75 100[Pravastatin] (μM)

Figure 64: Rho GDI levels in myoblasts treated with GWδ or pravastatin

Myoblasts were cultured and treated with a range of concentrations of GWδ or

pravastatin (section 2.1). The levels of Rho GDI were investigated following the

treatment of myoblasts with these test compounds in order to assess whether

increases in the levels of Rho GDI were replicated using other potentially myotoxic

compounds (section 2.7.5). Treating myoblasts with GWδ had no significant effect on

the levels of Rho GDI but a 2.6 and 1.9-fold increase was observed when cells were

treated with 50 and 100μM, respectively, of pravastatin (Student’s t-test, p<0.05). Error

bars show ± SEM and significant changes are denoted by *p<0.05, **p<0.01.

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3.5.3.4 Selection of putative biomarkers of TMPD-induced myopathy in myotubes

Using the same approach described for myoblasts in section 3.5.3.3, differential

expression analysis of peptides generated from control and TMPD-treated rat

L6 myotubes revealed that the levels of 10 proteins were differentially

expressed in response to drug-treatment (Student’s t-test, p<0.05). Out of these

proteins, 9 were measured at decreased levels in treated cells when compared

to controls and 1 protein was up-regulated. The magnitude of the changes

ranged from 1.3 to 2.6-fold. The proteins were classified according to their

biological function and they included proteins that affected biological processes

such as the cell cycle (3), electron transport (3), muscle contraction (1) and

protein metabolism and modification (3) (Table 23).

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Table 23: Identified myotubes cell proteins that showed differential expression following treatment with TMPD Myotubes were differentiated from myoblasts and treated with TMPD (section 2.1). Proteins within the samples were then separated by

1DE before analysing peptides generated from different sections of the resulting gel by LC-MS/MS (section 2.7). Proteins (10) were

shown to differ significantly in their expression as a result of TMPD-treatment (Student’s t-test, p<0.05). Of these proteins, the level of 1

proteins was increased and 9 were decreased.

Proteins Peptides used for quantitation

No. ions measured in control/treated

Fold change Probability

Overall fold change ± SEM

(CV)

Cell cycle

Caldesmon 1 (CALD1) NP_037278.1 Cytoplasm 60 62-75 18b) R.LEQYTNAIEGTK.A (+2) 4.24 6/6 -1.3 0.04 -1.3

Proteasome 26S subunit, non-ATPase, 2 (PSMD2)

NP_001026809.1 Cytoplasm 100a) 14-17 3b) R.ELDIMEPK.V (+2) 2.14 5/4 -1.7 0.006 -1.7

WD repeat domain 1 (WDR1) NP_001014157.1 Extracellular Space 66 49-62 4b) K.YAPSGFYIASGDISGK.L (+2) 4.96 6/6 +2.6 0.001 +2.6

Electron transport

ATP synthase, H+ transporting, mitochondrial F1 c (ATP5D)

NP_620806.1 Cytoplasm 18 14-17 2 K.AQSELSGAADEAAR.A (+2) 5.07 6/6 -1.7 0.004 -1.5 ±0.1

R.IEANEALVK.A (+2) 2.65 5/6 -1.4 0.04 (11%)

Cytochrome c oxidase subunit IV isoform 1 (COX4I1)

NP_058898.1 Cytoplasm 19 6-14 2b) K.VNPIQGFSAK.W (+2) 2.78 6/6 -1.3 0.03 -1.3

Nucleoside diphosphate kinase B (NME2) NP_114021.2 17 14-17 4b) R.GDFCIQVGR.N (+2) 3.33 6/6 -2.0 0.003 -1.9 ±0.1

R.NIIHGSDSVESAEK.E (+2) 3.85 6/6 -1.7 0.04 (10%)

K.DRPFFPGLVK.Y (+2) 2.7 6/5 -2.0 0.01

Mean Xcorr

Comparison between control and TMPD-treatedNo. of unique peptide ions

used in identification

Mw region (kDa)

identified inPeptide (charge)Name (gene name) NCBI accession

codeMw

(kDa)Subcellular location

a) There was a discrepancy between the calculated Mw and the region of the gel in which the protein was detected. It is possible that a post-translational modification to the protein may have

occurred or that the protein may have been fragmented or digested prior to detection.

b) More peptides were used in the identification of these proteins but some of the peptides were below the level of quantitation. Therefore, only peptides suitable for measurement were used

in determining the levels of the protein.

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Table 23 continued.

Proteins Peptides used for quantitation

No. ions measured in control/treated

Fold change Probability

Overall fold change ± SEM

(CV)

Muscle contraction

Myosin, light polypeptide 2 (MYL2) NP_036737.1 Cytoplasm 19 14-17 12b) K.LKGADPEDVITGAFK.V (+3) 4.63 6/6 -2.5 0.02 -2.0 ±0.1

K.GADPEDVITGAFK.V (+2) 4.55 6/6 -2.0 0.03 (15%)

K.NICYVITHGDAKDQE.- (+3) 4.94 6/6 -2.0 0.006

R.FSQEEIK.N (+2) 2.54 6/5 -2.0 0.01

K.EAFTVIDQNR.D (+2) 4.37 6/6 -1.7 0.08

Protein metabolism and modification

Ribosomal protein S14 (RPS14) NP_073163.1 Cytoplasm 16 14-17 4b) K.TPGPGAQSALR.A (+2) 3.11 6/6 -1.7 0.005 -1.7

R.IEDVTPIPSDSTR.R (+2) 4.19 6/5 -1.7 0.004

Ribosomal protein S19 (RPS19) NP_001032423.1 Cytoplasm 16 14-17 6b) K.DVNQQEFVR.A (+2) 3.49 5/4 -1.7 0.009 -1.8 ±0.2

R.VLQALEGLK.M (+1) 2.69 3/5 -2.0 0.001 (13%)

Ubiquitin-conjugating enzyme E2N (UBE2N)

NP_446380.1 Cytoplasm 17 14-17 3b) R.LLAEPVPGIK.A (+2) 2.46 6/6 -1.4 0.04 -1.4

Name (gene name) NCBI accession code Subcellular location Mw

(kDa) Peptide (charge)Mw region

(kDa) identified in

No. of unique peptide ions

used in identification

Mean Xcorr

Comparison between control and TMPD-treated

a) There was a discrepancy between the calculated Mw and the region of the gel in which the protein was detected. It is possible that a post-translational modification to the protein may have

occurred or that the protein may have been fragmented or digested prior to detection.

b) More peptides were used in the identification of these proteins but some of the peptides were below the level of quantitation. Therefore, only peptides suitable for measurement were used

in determining the levels of the protein.

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In myotubes, the levels of myosin light chain polypeptide 2 (NP_036737.1) were

decreased 2-fold in response to treatment with 25μM TMPD. There was also a

reasonable degree of correlation between the calculated Mw (19kDa) and the

gel slice in which the protein was measured (14-17kDa). In quantifying its

levels, 5 peptides were used which increased the certainty that its levels were

measured accurately. The correlation between the levels of the peptides used in

the measurement of the protein in different samples was also good (Figure 65).

In order to confirm the changes in the levels of myosin light chain 2 (Myl2)

observed by LC-MS/MS, homogenates from myotubes treated with a range of

concentrations of TMPD (0-25μM) were probed specifically for Myl2 using a

rabbit polyclonal antibody to the protein. Myl2 was significantly decreased 2.4-

fold in cells treated with as low as 6.25μM TMPD (Student’s t-test, p<0.05). The

levels of Myl2 were also reduced from control levels (2.3 and 2.4-fold) when

myotubes were treated with 12.5μM and 25μM TMPD, respectively (Figure 67).

An example of the mass spectra obtained is shown in Figure 66.

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Figure 65: Relative levels of peptides used to quantify myosin light chain polypeptide 2 in myotubes Myotubes were differentiated from myoblasts and treated with 25μM TMPD for 24h

(section 2.1). Proteins in myotubes were separated by 1DE and peptides were

generated from fractions of the gel (section 2.7). The levels of Myl2 were decreased

significantly (2-fold) in response to treatment (Student’s t-test, p<0.05). 5 different

peptides contributed to the quantitation of the protein and the identity of each sample is

displayed on the graph to show the correlation between the 5 different peptide levels in

each individual sample.

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Figure 66: Example spectrum obtained following the MS/MS analysis of a peptide from Myl2

Myotubes were cultured and treated with 25μM TMPD (section 2.1). a) In combination, the 5 peptides used in the quantitation of Myl2 covered 34% of

the total protein. a) The example MS/MS spectrum shown is from 1 of 5 peptides used to quantify Myl2. Identified b-ions and y-ions in the spectrum and

the corresponding table are coloured blue and red, respectively, and this spectrum was typical of the spectra used to sequence the peptide.

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102030405060708090

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Figure 67: TMPD-induced changes in the levels of myosin light chain 2 in myotubes Myotubes were differentiated from myoblasts and treated with a range of

concentrations of TMPD (section 2.1). Reductions in the levels of Myl2 originally

observed by LC-MS/MS were confirmed by immunoblotting using a rabbit polyclonal

antibody to Myl2 (section 2.7.5). The sensitivity of the myotubes to TMPD was

demonstrated by a 2.4-fold reduction in the levels of Myl2 when cells were treated with

a low concentration of the compound (6.25μM). Significant reductions of 2.3 and 2.4-

fold in the levels of this protein compared to control samples were also observed

following treatment with 12.5μM and 25μM TMPD, respectively (Student’s t-test;

p<0.05). Error bars show ± SEM and significant changes are denoted by *p<0.05,

**p<0.01.

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The levels of Myl2 in myotubes treated with a range of concentrations of other

potential myotoxins (GWδ and pravastatin) were also investigated. There were

no statistically significant changes in the levels of this protein in cells treated

with 12.5, 25 and 50μM GWδ (Students t-test; p<0.05). This was also true of

myotubes treated with 25, 50 or 100μM pravastatin (Figure 68).

50

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Figure 68: Myosin light chain 2 levels in myotubes following treatment

with GWδ or Pravastatin

Myotubes were grown and treated with a range of concentrations of GWδ or

pravastatin (section 2.1). The levels of Myl2 were investigated following the treatment

of myotubes with these test compounds in order to assess whether TMPD-induced

decreases in the levels of Myl2 were replicated using other potentially myotoxic

compounds (section 2.7.5). Myotubes were insensitive to the effects of both test

compounds as demonstrated by the absences of statistically significant changes in the

levels of Myl2 following treatment with GWδ or pravastatin. Error bars show ± SEM

where visible.

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The use of Decyder™ MS software allowed the semi-automated detection,

identification, matching and measurement of peptides during these

investigations. This, in turn, facilitated a more focused investigation into TMPD-

induced changes in the levels of peptides and proteins from a large dataset

generated by LC-MS/MS that perhaps was not possible otherwise. However,

the output from Decyder™ MS analysis is highly dependent on the settings used

during its application. Due to the wide dynamic range of expression and the

varied nature of the peptides measured, it was difficult to define settings that

were suitable for all the peptides present. As such, it was decided to essentially

over-detect peptides during the detection stage performed in the PepDetect

module of the software and risk introducing peptides that might have been

affected by electrical or chemical noise into the analysis. Some of this noise

was then removed by using stringent criteria for the matching of peptides and

also during the selection of putative biomarkers.

A number of possible biomarkers of skeletal muscle toxicity were revealed and

the treatment-induced changes in the levels of Rho GDI and Myl2 in myoblasts

and myotubes, respectively, were confirmed by immunoblotting. In this way, any

doubt in the authenticity of any changes revealed by LC-MS/MS were removed

as they were confirmed when the proteins were measured more specifically.

Technically, the use of LC-MS/MS is a more resource-demanding approach to

biomarker discovery than using candidate biomarker screening (section 3.3) or

the anonymous screening of protein ions (section 3.4). However, it results in

useful data that can be interrogated to discover compound-induced changes in

the levels of proteins and biomarkers of toxicity. The conclusive identification of

each peptide and protein measured also allows the findings to be readily put

into biological context. As a result of knowing the proteins that are responsive to

treatment, the changes observed can then be measured more specifically using

a more established or less technically demanding technique such as

immunoblotting.

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Chapter 4

4. Discussion

Evidence of skeletal muscle toxicity can occur in preclinical and clinical studies

and can lead to the withdrawal of compounds, especially those belonging to the

lipid-lowering class of drugs such as PPAR agonists or statins. Despite the

incidence of myopathy being low in these studies, concerns over the safety of

patients have led pharmaceutical companies and other sponsors to take this

recurrent toxicology issue seriously. In addition, negative public perception and

the threat of litigation are issues that regulatory authorities and research

companies strive to address. For these reasons, skeletal muscle is a tissue that

is usually monitored carefully when therapies for dyslipidaemia are being

developed for clinical use63,68,85.

CK is a biochemical marker that is often used to monitor the effects of drug-

treatment on skeletal muscle but, in most cases, it is not sensitive or specific

enough and is only indicative of late-stage damage rather than being predictive

of myopathy. Other biochemical markers of myopathy have, so far, performed

little better and more novel biomarkers have yet to be fully validated for this

purpose308,309. It was hypothesised that proteomics could be used to discover

more useful biomarkers of myopathy using TMPD (an experimental myotoxin)

and a potentially myotoxic PPAR-δ agonist (GWδ). Testing skeletal muscle cells

with non-cytotoxic concentrations of the test compounds in vitro could also

provide a suitable test system for discovering novel biomarkers of myopathy. In

addition, it was proposed that this in vitro system might provide a way of

screening novel compounds for their myopathic potential, prior to the selection

of candidate drugs for development.

In this study, the search for protein biomarkers of myopathy was conducted

using a number of different strategies. A candidate biomarker approach was

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used in which the value of markers associated with skeletal muscle was

determined. MS based techniques were also used and this included an

anonymous screening approach in which SELDI-TOF-MS was used to assess

treatment related changes in the levels of protein ions in skeletal muscle cells

treated with potentially myotoxic compounds. Biomarker discovery was also

attempted using another MS based technique, which involved the combination

of 1DE with LC-MS/MS.

4.1 The use of rat L6 skeletal muscle cells

The 3Rs (reduction, refinement and replacement) initiative encourages research

institutions to use alternatives to animals, where possible and relevant, to

assess the safety and efficacy of their compounds. In vitro alternatives are often

sought due to ethical considerations surrounding the use of animals in drug

research and the advantages of cost savings in terms of animal costs and

animal husbandry101,310,311. In addition, there is sometimes a need to screen

new molecules at the start of the drug discovery process in order to select

molecules with the least potential of causing adverse effects in the latter stages

of development. Along with reducing the costs of the large amounts of drug

required for animal studies, this can reduce the costs of drug development by

ensuring that compounds with a high liability are removed from the process thus

reducing late-stage drug attrition due to unexpected findings312-316.

Rat L6 skeletal muscle cells were used to determine the effects of test

compounds selected for their ability to induce adverse effects on skeletal

muscle in vivo and in vitro86,88,89,317. The rat L6 cell line closely mimics many

aspects of skeletal muscle (both structurally and biochemically). Proliferating

myoblasts are similar to myogenic satellite cells which, in vivo, are involved in

the growth, repair and maintenance of skeletal muscle tissue318-320. In culture,

once they were attached to surface of the collagen-coated plate, they were

shown to proliferate when grown in high serum conditions. EM examinations

demonstrated that they existed as mononucleated single cells containing many

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ribosomes and very few mitochondria, suggesting that the cells were

undifferentiated, proliferating cells heavily involved in protein synthesis321.

Myotubes were successfully differentiated from myoblasts after approximately

10 days, as evidenced by the presence of cells with multiple nuclei. These cells

were also elongated having been formed by the fusion of multiple myoblasts. It

was also noted that, although the majority of cells in myotubes cultures were

myogenic (>80%), there were still a proportion of myoblasts present

(approximately 5-10%). This should be considered a desirable feature of the

system making it more similar to skeletal muscle tissue. In vivo, immature

muscle cells reside adjacent to mature cells in a quiescent state and are

activated in the event of injury, functioning to repair or replace damaged skeletal

muscle tissue107,109,322,323.

The presence of myofilaments in myotubes provided further evidence of their

differentiation from myoblasts. Myotubes also showed characteristic striations

formed by light and thick bands (of myosin and actin, respectively), although the

myofilaments were disorganised. During sample collection, cells were washed

free of growth or differentiation medium and centrifuged in order to form a pellet

so that the cells could be fixed in formaldehyde/gluteraldehyde for EM

examinations. This procedure may have disrupted some of the fine structure

present in the cells and subsequently the characteristic light and dark bands

formed by the thin (actin) and thick (myosin) filaments that form the

characteristic striations seen in muscle tissue in vivo (both of which are involved

in the ATP driven procedure of muscle contraction under the influence of Ca2+).

It is also possible that myofilaments were disorganised as the cells were non-

contracting in culture, in the absence of a suitable stimulus for contraction324,325.

An initial assessment of the relative levels of the enzymes in myoblasts and

myotubes showed that ALT, AST, CK, ALD and sTnI were detected at

significantly higher levels in myotubes when compared to myoblasts. These

higher basal levels of the markers in myotubes were due to the differentiated or

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more “muscle-like” status of the mature cells. Previous researchers have used

CK as a marker of differentiation in myotubes although the use of the other

markers for this purpose has not been widely reported322,326-331. CK is the most

commonly used marker in studies involving skeletal muscle and was the most

responsive biochemical marker to the differentiation of myoblasts to myotubes.

skeletal troponin I (sTnI) is a less well characterised marker for assessing the

status of skeletal muscle and was also increased when myoblasts were

differentiated88,92,93.

Myoblasts were simpler to cultivate in vitro, as myotubes required the additional,

time-consuming step of cell-differentiation. As such, myoblasts may be more

suitable in a high-throughput screen for testing the myotoxic potential of NCEs.

The length of time required for the differentiation of the myotubes might be

considered to be a potential barrier to the use of myotubes in a high-throughput

routine screen, although the growth and differentiation characteristics are very

predictable and experiments could be planned accordingly so that this need not

be a bottleneck in the process. Despite this, both systems were responsive to

treatment with the test compounds and could help in elucidating the mechanism

of toxicity of NCEs.

4.2 The assessment of drug-induced cytotoxicity

TMPD was selected for its ability to cause skeletal muscle toxicity, along with a

highly selective PPAR-δ agonist (GWδ) for which incidents of myopathy have

been reported86-90,332-336. Methods commonly used for the assessment of

cytotoxicity in vitro (such as the visualisation of cells by microscopy, total

intracellular protein and MTT reduction) were used to determine concentrations

of the test compounds at which cellular function was compromised or at which

the membrane integrity of myoblasts or myotubes was adversely affected337,338.

These methods were used also to select non-overtly cytotoxic concentrations of

TMPD or GWδ with which to conduct differential protein expression

investigations.

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Ultrastructural changes in cells (observed by EM and LM) were indicative of

compound-induced effects. The levels at which these changes were observed

also correlated well with the concentrations at which significant reductions in

total intracellular protein and changes in the ability of the mitochondria of cells

to convert a tetrazolium salt (MTT) to a formazan dye were observed. These

cells displayed swollen mitochondria, disorganised cristae and the presence of

vacuoles or lipid droplets within the cells. However, these alterations in the

morphology and function of the cells were only evident at concentrations at

which adverse effects had already been observed by relatively unsophisticated

methods such as LM. This demonstrated the lack of sensitivity of these

commonly used methods for assessing the effects of test compounds and the

need for more sensitive methods or biomarkers for assessing myopathy.

During EM examinations, it was also noticed that there was a higher proportion

of cells that displayed features typical of myoblasts within myotube cultures

treated with toxic concentrations of TMPD than were observed in untreated

cultures. This observation may correspond to the situation in vivo where

quiescent satellite cells are activated after injury to skeletal muscle and re-enter

the cell cycle. Cells then divide and replicate before differentiating into

myotubes and fusing with other myotubes to replace damaged skeletal muscle

tissue. This indicated the potential to use markers of muscle differentiation as

biomarkers of effect319,339,340.

Taken together, these results demonstrated that both in vitro systems (using

myoblasts and myotubes) were responsive to treatment and therefore suitable

for biomarker discovery experiments. These results also allowed the selection

of appropriate concentrations of the test compounds with which to treat skeletal

muscle cells in differential protein expression experiments. In order to detect

changes that were predictive of drug effects, subsequent experiments were

performed on cells treated with concentrations of the test compounds that were

not overtly cytotoxic.

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4.3 The candidate biomarker approach to biomarker discovery

CK is found in several tissues but is detected at especially high levels in skeletal

muscle, brain and heart tissue. An increase in the circulatory level of CK is

usually used in toxicology experiments to indicate irreversible damage to the

cell membrane of skeletal muscle cells332,341-343. It is often used in combination

with other enzymes that are present in high concentrations in skeletal muscle

(e.g. ALT, AST, LDH and ALD) that can help to clarify the origins of any

changes in enzyme levels. Changes in the circulatory levels of these markers

have been used extensively to monitor adverse effects on skeletal muscle in

vivo. In spite of their routine use, it is widely recognised that these enzymes

sometimes lack sensitivity to low levels of damage and also lack specificity for

the site of injury unless specific isoenzymes such as CK-MM (specific to

skeletal muscle) are measured95,98,286,344-348. As such, other more novel markers

such as sTnI, Myl3, FABP3 and parvalbumin-α have been proposed and their

usefulness was also assessed in this work.

Enzyme leakage from cells into the circulation is commonly used for the

assessment of damage to organs and therefore the leakage of enzymes from

skeletal muscle cells in vitro was assessed. However, these markers were

generally not of any additional value in these investigations. AST leaked from

the cells of myoblasts and myotubes and the leakage of sTnI from myotubes

were the most useful markers of TMPD-induced cytotoxicity in these

investigations although these changes were observed at concentrations already

known to be cytotoxic (as demonstrated by changes in microscopy, intracellular

protein content and MTT reduction).

Intracellular decreases in the levels of ALT, AST, CK and LDH in myoblasts

treated with 100μM TMPD and an increase in the leaked levels of AST in

myoblasts treated with 50μM TMPD demonstrated that there was no additional

value in measuring candidate biomarkers in myoblasts. It was also noted that

the levels of sTnI, Myl3, FABP3 and parvalbumin-α were, for the most part,

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below the limit of detection for myoblasts due to the comparatively low levels

detected in undifferentiated cells.

In myotubes, the intracellular levels of ALD and CK were increased in cells

treated with ≥ 6.25μM TMPD. All other changes were, again, only observed at

levels already shown to be cytotoxic to myotubes. As with myoblasts, there

appeared to be little additional value in measuring candidate biomarkers when

compared to the more commonly used measures of cytotoxicity such as

intracellular protein content and MTT reduction. The sensitivity of ALD and CK

to the treatment of myotubes with TMPD was unexpected (and previously

unreported) but may be useful for the in vitro assessment of the myotoxic

potential of NCEs in myotubes.

In interpreting the results from biochemical analyses, it was not possible to

correlate changes in the intracellular levels or markers with leaked levels

because some of the candidate biomarkers were detected in cells at low

concentrations (especially myoblasts). For biochemical analyses, cells were

lysed into 200μl of extraction buffer but 2ml of medium was collected, resulting

in a greater dilution of the leaked levels of the markers. This resulted in a

greater chance of their levels being below or near the limit of detection. It is also

recognised that CK, for instance, is broken down or loses activity in the medium

making it difficult to correlate intracellular and leaked levels of the marker88. In

addition, it should be noted that the assays used for these investigations are

normally aimed at human diagnostics and therefore at much higher

concentrations of the markers than were evident in these experiments.

4.4 SELDI-TOF-MS as a tool for biomarker discovery

SELDI-TOF-MS is based on the same principles as MALDI-TOF-MS and

enriches specific subsets of proteins from samples on the chromatographic

surfaces of the ProteinChip® arrays used. By effectively limiting the proportion

of the proteome viewed in a single analysis, a staggered analysis of the proteins

in a sample can be performed. This is a similar principle to using LC to

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introduce samples into a mass spectrometer, and usually leads to a reduction in

ion-suppression, which might occur when highly abundant proteins are present

or many proteins co-elute from an HPLC column during LC-MS analyses.

SELDI-TOF-MS can also be technically less demanding than some of the other

MS based techniques and has the additional benefit of generating a large

quantity of data in a high-throughput manner164,231,233,234,349,350.

Protein profiling investigations were aimed at identifying compound-induced

differences in protein expression when control cells and treated cells were

compared. Control cells were compared with those treated with a concentration

of the test compounds at which cytotoxicity was not evident, as monitored by

more established methods of screening cell status. At these concentrations,

putative biomarkers were likely to be predictive of treatment effects and

indicative of the mechanism by which cytotoxicity would eventually occur with

increased exposure of the cells to the test compounds.

Separation between control and treated myoblasts and myotubes following PCA

analysis of SELDI-TOF-MS data demonstrated that both TMPD and GWδ-

treatment caused changes in the levels of protein ions that could be revealed

using this technique. PCA is usually the first stage of such analyses and natural

separation between control and treated groups usually indicates that PLS-DA is

a valid next step in the analysis. PLS-DA is commonly used to force the

separation between groups so that the variables responsible for the separation

can be established. However, the inclusion of a large number of variables can

lead to complicated loadings plots in which it is difficult to interpret which are the

most important variables in the analysis. The use of VIP plots can help in this

interpretation but, in these investigations, too many ions resulted. The use of

false discovery rates was also attempted but the methods used (BH-FDR and

the Bonferroni correction) are widely recognised to be too conservative and this

proved to be the case in these investigations295.

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It was recognised during these SELDI-TOF-MS investigations that the

reproducibility of the compound-induced changes observed was a critical factor

that determines the usefulness of any biomarkers discovered. Issues with

reproducibility in this technique originate from a number of sources such as the

preparation of ProteinChip® arrays or pulse-to-pulse variation in the laser

source of the mass spectrometer. However, these are issues that are inherent

in MS (and other techniques) and not all of them (apart from the ProteinChip®

arrays) are unique to SELDI-TOF-MS297,351-353. Some of these variations arise

during the application of EAM solution or from residual buffer solutions left on

ProteinChip® arrays during their preparation (chemical noise). Electrical noise

generally emanates from the internal machinery of the mass spectrometer and,

along with chemical noise, can also affect mass spectra. This is managed

during the processing of SELDI-TOF-MS data using the BMW incorporated into

Ciphergen Peaks software. The BMW not only allows the clustering of protein

ions that can be compared to each other in differential protein expression

experiments, but it also ensures that appropriate peaks are selected for analysis

with the minimal inclusion of peaks that might have been adversely affected by

noise. The possibility of selecting variable ions was reduced by using

appropriate settings for the BMW (section 3.4.1)288-290.

In these investigations, issues with reproducibility were also addressed by

repeating experiments. The initial findings from the statistical analysis of two

repeat experiments of a training dataset were tested in an independent, smaller

test dataset. Markers that responded consistently to treatment with the test

compounds were then considered as putative biomarkers. SELDI-TOF-MS

revealed a protein expression profile consisting of 16 protein ions that were able

to discriminate between control and TMPD-treated myoblasts in a training

dataset, although not all of these ions were validated successfully in the test

dataset. In myotubes, a similar profile of 12 protein ions was discovered whose

levels changed in response to treatment with the same test compounds. Some

researchers have proposed that the conclusive identification of proteins may not

be necessary and that protein fingerprints that are capable of distinguishing

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between control and treated samples may be sufficient162,164,234,354,355. Although

a combination of biomarkers could potentially be useful in the prediction of

disease or toxicity, a specific combination of a number of variables may be

difficult to reproduce in independent repeat experiments. It is therefore more

difficult to produce fully validated assays. There is also a possibility of

statistically over-fitting the data when a complex protein profile is considered in

this way.

It is often preferable to discover the most reproducible changes and to

conclusively identify them, so that the response of the marker observed using

MS can be validated using another technique356,357. Despite this, SELDI-TOF-

MS demonstrated that ions at m/z 5743 and 5298 might have been the most

robust markers in myoblasts and myotubes, respectively, due to them being

highlighted following corrections for multiple testing and also in repeat

experiments. The fact that some of the ions previously shown in the profile were

reproducible in training dataset, but not in the test dataset, highlights the risk of

using a specific profile or “fingerprint”. This demonstrated that whilst some of

the ions previously selected in the training dataset showed reasonable intra-

experimental reproducibility, they were variable when considered inter-

experimentally.

Following the discovery of proteins ions that proved useful in the distinguishing

between control and treated samples, proteins were identified on the basis on

Mw information and their response to drug treatment. Data generated by LC-

MS/MS was used in combination with the TagIdent protein identification tool

available via the ExPASy proteomics database, which searches the UniProt

consortium knowledgebase for possible protein matches based on m/z

information, and a user defined mass accuracy (0.1% of the measured m/z).

The response of proteins to drug treatment, as measured by LC-MS/MS, was

also compared to the response of the SELDI-TOF-MS protein ions in an attempt

to identify proteins conclusively, but was of little additional value in this exercise.

It was not possible to conclusively identify the protein ions of interest although

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216

these methods of searching gave an idea of some possible identities for

unknown proteins. Protein ions found using SELDI-TOF-MS ultimately remained

unidentified, making it difficult to consider the effect of the changes biologically.

The difficulty in obtaining conclusive identifications using SELDI-TOF-MS is, in

part, due to the difficulty in isolating proteins that may have been retained on

the chip surface. Furthermore, the relatively low resolution of the Ciphergen

PBS IIc mass spectrometer usually prevents the identification of interesting

proteins based on an accurate Mw assignment. This is combined with the

possibility that protein ions detected at certain molecular weights could actually

be multiple charges of the protein of interest358,359.

Other approaches to the identification of proteins discovered by SELDI-TOF-MS

include prefractionation of the sample to allow isolation of the specific proteins

in order to allow specific proteins of interest to be characterised more easily.

The use of magnetic beads designed to mimic the chemistries available on the

ProteinChip® surface would also facilitate the isolation of interesting proteins

from the beads, perhaps after they have been characterised on SELDI-TOF-MS

ProteinChip® arrays. Antibody arrays designed to specifically probe for

candidate biomarkers could also be potentially useful360-365. The approach of

using ProteinChip® arrays as a target in higher resolution mass

spectrophotometers has also been attempted and may increase the possibility

of a conclusive identification366,367. Despite some limitations, SELDI-TOF-MS is

still a useful tool for investigating protein expression, but the lack of a conclusive

identification of responsive proteins means that it is difficult to fully validate

putative biomarkers and, therefore, using them preclinically or clinically could be

questionable.

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4.5 The label-free approach to biomarker discovery

LC-MS/MS was combined with 1DE during the LFQP analysis of control and

treated skeletal muscle cells. The prefractionation of samples using 1DE

allowed the complexity of samples to be reduced prior to enzymatically

digesting the proteins and generating peptides, which could then be measured

by LC-MS/MS. This in turn allowed more peptides to be detected (and therefore

more proteins) with the increased possibility of discovering protein biomarkers

of treatment effect. At this sample preparation stage, some researchers have

been able to focus subsequent analyses on specific areas of the gel, if clear

differences in protein expression were observed236. In this study, no changes in

the protein expression profile were visible by 1DE so it was not possible to

focus on any specific areas of the 1D-gel.

In this study, 6 replicate control and 6 replicate TMPD-treated samples

effectively became 132 samples when each lane of the gel was divided into 11

Mw regions. Whilst dividing the gel into multiple sections reduced the

complexity of the samples, it resulted in an increased number of samples and

therefore an increase in the complexity of the data analysis. In addition, for a

reliable comparison of expressed protein levels to be made between control and

drug-treated samples, the accuracy of gel slicing was essential during sample

processing.

LC-MS/MS analysis of the peptides generated from the gel pieces was a time-

consuming process with each sample taking 70min to analyse. In practice, two

traps and columns were run in parallel in order to increase sample throughput

and samples that were to be compared to each other were analysed on the

same column in order to minimise any variation in the retention times of eluted

peptides. Although the data used was truncated to between 15 and 45 min (as

the excluded regions contained a minimal number of peptides), MS analysis

resulted in a large dataset containing 2100 peptides, which contributed to the

identification of 217 proteins in myoblasts and 269 proteins in myotubes.

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Intracellular levels of candidate biomarkers measured biochemically were

compared to the levels of the corresponding proteins measured by LC-MS/MS.

This analysis proved not to be useful at this level and this was mainly due to the

fact that most of the peptides used in these comparison were not reliably

identified (based on 1 peptide with a p value>0.05). In some instances, the

peptides used may have been suitable for the identification of the protein but

were not expressed at sufficiently high levels to facilitate a reliable quantitation

of their levels. It should be noted, however, that this exercise essentially meant

comparing specifically measured and sensitive enzyme activity with the protein

levels of these markers.

Myoblasts and myotubes were involved in very similar cellular processes when

the global protein expression was considered and this is perhaps not surprising

as 155 of the total number of proteins identified in skeletal muscle cells were

common to both cell types. In a comparison between the normal biological

processes, myotubes were shown to be highly involved in processes such as

lipid, fatty acid and steroid metabolism, cell differentiation and muscle

contraction, which are more likely to occur in skeletal muscle in vivo.

Conversely, the process of apoptosis was comparatively higher in myoblasts

when compared to myotubes and it would appear as if this is a common finding

in vivo. In vivo macrophages have frequently been found in close proximity with

developing muscle tissue and the process of cellular proliferation was apparent

bearing in mind the nature of the cells used in this work307,339,368. The remaining

processes were those that are typical of a highly metabolic tissue with a high

energy requirement, such as skeletal muscle.

A profile of 8 proteins whose levels were responsive to TMPD treatment was

revealed when the peptides levels were examined more specifically using

Decyder™ MS software (4 increased and 4 decreased). In myotubes, 10

proteins were discovered that were similarly responsive to treatment with TMPD

(9 decreased and 1 increased in its levels). In contrast to the anonymous

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219

approach using SELDI-TOF-MS, this method proved to be advantageous in that

nearly all of the peptides detected were routinely identified during MS analysis.

This allowed changes in the levels of the proteins to be considered in terms of

the affected cellular processes for both myoblasts and myotubes.

The use of Decyder™ MS software allowed the automation of some aspects of

the complex data analysis procedures involved with such a large dataset. In the

PepDetect module of the software peptides were detected automatically (based

on user settings) although peptide detection was rigorously checked for any

inconsistencies so that occasional errors in feature selection could be corrected

manually. This was critical to the matching of peptides, as errors here would

lead to errors in data analysis. Peptide matching was performed in the

PepMatch portion of the Decyder™ MS software and allowed peptides to be

considered together for proteins and also allowed their response to drug-

treatment to be assessed.

A number of proteins associated with cell proliferation, growth, structure and

intracellular signalling were responsive to TMPD. In particular, many appeared

to be directly involved with the reorganisation of the actin cytoskeleton, which

plays an important role in many essential biological processes within the cell.

Rho GDI is an important protein involved in signal transduction processes within

the cell, including the reorganisation of the actin cytoskeleton369,370. This occurs

via the interaction between Rho GDI and the family of small guanosine

triphosphatases (GTPases) and guanosine diphosphatases (GDPases). GTP

and GDP are key molecular switches of many cellular processes and they are,

in turn, influenced by the binding of Rho GDI which was increased in this

study371-374. Rho GDI has also been associated with the nuclear hormone

receptor estrogen receptor β (ESR2)375 which was also increased, although it

was not included in Table 16 as the confidence in the identification was

insufficient (based on <2 peptides). The levels of several structural proteins

such as Keratin 2 and 19 were also increased in myoblasts as a response to

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220

treatment with TMPD and these proteins form part of the intermediate filament

and are therefore involved with the actin cytoskeleton376-378.

Some of the responsive proteins were also involved with myoblast

differentiation. Increases in the levels of Rho GDI have been linked with a

negative effect on cell differentiation in skeletal muscle cells, regulating the

expression of myogenic regulatory factors such as myogenin and myocyte

enhancing factor 2 (MEF2)379. Nuclear envelope spectrin repeat protein 1 (also

known as nesprin 1) is a protein that is believed to maintain the structural

integrity of the nucleus during myoblast differentiation and an increase in its

levels may reflect an effect on cell differentiation380. Lectin galactose binding

soluble 1 is another protein closely linked with cell differentiation and decreases

in its levels support the suggestion that cell differentiation was discouraged

(perhaps in preference to cell proliferation) in response to treatment with

TMPD381-384. Lectin has also been associated with apoptosis385 and, in

conjunction with decreases in the levels of serine [or cysteine] proteinase

inhibitor (which is involved in proteolysis386-388) this may provide additional

evidence for an increase in cell proliferation.

The majority of the proteins that were differentially expressed in treated

myotubes were reduced in their levels, which might suggest an adverse effect

of TMPD treatment. These included proteins involved with metabolism and

transport, intracellular signalling, protein synthesis, and cell structure. The levels

of ubiquitin-conjugating enzyme E2N (UBE2N) were decreased and this protein

is responsible for binding to and targeting other proteins for degradation. It is

also known to act in conjunction with proteasome 26S subunit, non-ATPase, 2

(PSMD2) in defining the fate of cells and this was also decreased389. Together,

these results may suggest that protein synthesis was increased although the

reasons for reductions in the levels of cytoplasmic ribosomal proteins

(ribosomal protein s14 and ribosomal protein s19), which are important proteins

involved in protein biosynthesis, are not yet clear but may well reflect a transient

change in their levels. EM examinations in these investigations (section 3.1)

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demonstrated that myotubes were actually a mixture of differentiated skeletal

muscle cells (approximately 80%) with a small population of myoblasts

(approximately 10%) and this may be reflected in the sometimes complex

cellular responses of “myotubes” to treatment with TMPD.

Myl2 is an important contractile protein and reductions in its levels may reflect a

TMPD-induced change from the mature form of skeletal muscle cells to the

undifferentiated proliferative form in order to address the potentially harmful

effects of treatment with the test compound390-392. ATP synthase and

cytochrome c oxidase are electron transport proteins, found in the mitochondria

of mature skeletal muscle cells, and these also were reduced which might

support a cell type switch to the proliferative immature form of the cells.

Amongst the changes observed in both myoblasts and myotubes, increases in

the levels of Rho GDI in myoblasts and a reduction in the level of Myl2 were the

most consistent changes and their response to drug-treatment was confirmed

by immunoblotting. An increase in Rho GDI was also observed following the

treatment of myoblasts with similar concentrations of GWδ and pravastatin.

Although, Myl2 was not decreased following the treatment of myotubes with

GWδ, there were decreases in its level observed following treatment with

pravastatin. It is possible that GWδ did not cause structural changes to

myotubes (as might be evidenced by changes in Myl2).

Despite being technically more demanding and having a much lower throughput

than SELDI-TOF-MS, the vast amount of information generated by the powerful

combination of electrophoresis, LC and MS/MS is a definite advantage during

biomarker discovery. As discussed previously, the conclusive identification of

proteins of interest is a key aspect of biomarker validation as it allows biological

understanding to be applied to the findings. Despite the advantage of being able

to generate a large amount of data quickly and relatively easily, the lack of

conclusive identifications of the proteins observed is a major shortfall of the

SELDI-TOF-MS approach. Although attempts were made to identify the

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222

responsive proteins seen by SELDI-TOF-MS, the mass accuracy of the

technique does not allow for conclusive identification of the proteins. In addition,

the limited mass range of SELDI-TOF-MS (<20kDa) meant that large proteins

were not observed using this technique. However, the technique was shown in

this study to be capable of discovering protein biomarkers of myopathy in the

form of responsive protein ions. Other researchers have shown that

identification of these putative biomarkers is possible through the use of on-chip

or off-chip fractionation, modification of existing LC-MS/MS technology to

integrate with ProteinChip® arrays or via the use of antibody-based

ProteinChip® arrays174,367.

LFQP provides an alternative method for discovering protein biomarkers that

has advantages over the labelling techniques such as ITRAQ or ICAT, in that

the use of expensive reagents or reagents with a limited availability is avoided.

However, the vast amount of data produced can be difficult and time-consuming

to analyse. It should be noted that the identifications provided by LFPQ should

be considered with caution. Confidence in the identifications routinely provided

LC-MS/MS (in combination with database searching) should be considered

based on the number of peptides and the confidence in the identification (as

indicated by the p value or the mean Xcorr value)197. In this work, although all

proteins were considered, the most reproducible changes were focused on,

based on protein identifications from multiple unique peptides (Table 22 and

Table 23). It should be pointed out, however, that the proteins discovered in

these investigations are likely to require further validation prior to use as

biomarkers of myopathy in preclinical or clinical studies.

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4.6 Summary

During these investigations, a number of proteins were discovered to be

responsive to the treatment of skeletal muscle cells with TMPD or GWδ. During

these studies, TMPD was used in all experiments and results obtained using

this compound allowed a comparison to be made between all the different

approaches to biomarker discovery used in these investigations (Figure 69).

Methods of assessing compound effects on cells, such as measuring total

intracellular protein, MTT reduction or the visualisation of cells using microscopy

were useful in determining the cytototoxic potential of the test compounds in the

test system. They were therefore useful for defining the concentrations at which

biomarker discovery investigations could be conducted. However, these

methods were only able to describe overt cytotoxicity caused by the test

compounds and, when lower concentrations of the test compounds were used,

they were unable to predict the effects at higher concentrations of the

compounds. In general, candidate markers provided no additional value over

the previously mentioned cytotoxicity markers although intracellular levels of

ALD and CK proved to be sensitive markers of TMPD-induced myopathy in

myotubes.

SELDI-TOF-MS was also used to search for protein biomarkers of myopathy

and the levels of a number of protein ions were changed in response to

treatment with 25μM TMPD in both myoblasts and myotubes. Although the

putative biomarkers discovered using this approach were more sensitive to

treatment than total intracellular protein, MTT reduction, microscopy and the

candidate markers, they were not responsive to <25μM TMPD. In addition, it

was not possible to obtain conclusive identifications for the proteins discovered,

making it difficult to fully understand the biological nature of the changes.

Background variation in the levels of some of the SELDI-TOF-MS ions meant

that, as is often the case with MS experiments, the analysis of a large number

of samples was required in order to generate statistical confidence in the

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224

robustness of the changes found. This often means that experiments are

designed in order to overcome potential issues with reproducibility, which

sometimes limits the number of different types of experiment that can be

performed.

A similar limitation to the design of experiments was true of the LFQP approach

in that, although sensitivity was improved using an ion-trap mass spectrometer

and the reproducibility was as would be expected for MS experiments, the

analysis was low-throughput. Despite this, the combination of electrophoresis,

MS/MS and immunoblotting was still the most useful approach to the discovery

of biomarkers as it facilitated the discovery, identification and quantitation of

sensitive protein biomarkers of myopathy in both myoblasts and myotubes.

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a)Endpoint 6.25 12.5 25 50 100

Total intracellular proteinMTT reductionLight microscopyElectron microscopy

ALT leakageAST leakageCK leakageLDH leakageAldolase leakagesTnI leakageMyl3 leakageFABP3 leakageParvalbumin-α leakage

Intracellular ALT Intracellular AST Intracellular CK Intracellular LDH Intracellular Aldolase Intracellular sTnI Intracellular Myl3 Intracellular FABP3 Intracellular Parvalbumin-α

m/z 5743m/z 6306m/z 6420m/z 6910m/z 7177m/z 9097m/z 9113m/z 9123m/z 9137m/z 9161m/z 6420 and 7177 (combined)

Keratin 2Keratin 19Aldehyde dehydrogenaseSerine proteinase inhibitorEukaryotic tranlsation factor 4BSpectrin repeat containing, nuclear envelopeRho GDP dissociation inhibitor (GDI) alphaLectin, galactose binding

[TMPD] (μM)

Candidate biomarkers (leakage)

Viability endpoints

Label-free quantitative proteomics

Candidate biomarkers (intracellular)

SELDI-TOF-MS anonymous screening

b)Endpoint 6.25 12.5 25 50 100

Total intracellular proteinMTT reductionLight microscopyElectron microscopy

ALT leakageAST leakageCK leakageLDH leakageAldolase leakagesTnI leakageMyl3 leakageFABP3 leakageParvalbumin-α leakage

Intracellular ALT Intracellular AST Intracellular CK Intracellular LDH Intracellular Aldolase Intracellular sTnI Intracellular Myl3 Intracellular FABP3 Intracellular Parvalbumin-α

m/z 3158 m/z 3978 m/z 4815 m/z 5298 m/z 5579 m/z 6305 m/z 6312 m/z 6578 m/z 6588 m/z 12357 m/z 4815 and 5298 (combined)

CaldesmonProteasome 26s subunitWD repeat domain 1ATP synthase H+ transportingCytochrome c oxidase subunit IVNucleoside diphosphate kinase BMyosin light polypeptide 2Ribosomal protein S14Ribosomal protein S19Ubiquitin-conjugating enzyme E2N

Label-free quantitative proteomics

[TMPD] (μM)

Candidate biomarkers (leakage)

Candidate biomarkers (intracellular)

SELDI-TOF-MS anonymous screening

Viability endpoints

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226

Figure 69: Summary of protein changes in myoblasts and myotubes Myoblasts and myotubes were cultured and treated with a range of concentrations of

TMPD (section 2.1). A number of approaches to discovering protein biomarkers of

myopathy were attempted and their effectiveness in a) myoblasts and b) myotubes is

summarised here. TMPD was overtly cytotoxic to myoblasts and myotubes at 50μM

and filled boxes represent the concentration at which the levels of markers where

changed significantly in response to treatment (Student’s t-test, p<0.05). Grey boxes

represent the concentrations at which the markers were unresponsive to TMPD-

treatment when tested, and the hatched boxes represent where Rho GDI and Myl2

were measured by immunoblotting. The assessment of endpoints commonly used to

assess cell viability were only changed significantly at concentrations in which overt

cytotoxicity was already evident (Student’s t-test, p<0.05) and intracellular levels of CK

and ALD (in myotubes) were the only candidate biomarkers that were responsive at

low concentrations of TMPD. A number of SELDI-TOF-MS protein ions and proteins

discovered using a combination of electrophoresis and MS/MS were discovered to be

responsive to low concentrations of TMPD. Following the discovery of responsive

proteins by LFQP, changes in Rho GDI and Myl2 were confirmed using immunoblotting

and found to be the most sensitive biomarkers of myopathy.

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Chapter 5: Conclusions

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Chapter 5

5. Conclusions

This work has demonstrated that an in vitro skeletal muscle cell system, using

myoblasts or myotubes, can be established that is responsive to the test

compounds included in this study (TMPD and GWδ). A candidate biomarker

approach to biomarker discovery was attempted but was of little additional value

to routinely used biochemical markers of cytotoxicity. Intracellular levels of ALD

and CK proved to be useful markers of myopathy but other markers tested

were, in general, non-responsive to the treatment of cells with low

concentrations of the test compounds used.

SELDI-TOF-MS was useful in discovering protein ions whose levels were

changed in response to treatment, and these proteins may have been indicative

of early changes in the status of skeletal muscle cells. Although SELDI-TOF-MS

was amenable for high-throughput analysis, it was limited to the low Mw mass

range, although this could also be considered useful due to the fact that other

techniques sometimes neglect this mass range. Interesting proteins were not

readily identified using this SELDI-TOF-MS and this made it difficult to fully

understand the changes observed. Despite the label-free approach to

biomarker identification being limited by its throughput, it proved to be a

valuable method for identifying protein biomarkers of myopathy. Unlike SELDI-

TOF-MS, the conclusive identification of putative biomarkers was routinely

achieved using this technique and this allowed the changes observed to be

considered in their proper biological context.

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These studies demonstrated that proteomics is a powerful tool that can be used

to search for biomarkers or patterns of biomarkers of toxicity in an in vitro

system utilising skeletal muscle cells. The use of such biomarkers could allow

researchers to closely monitor the effects of test compounds on experimental

animals in preclinical studies and thus prevent the late stage attrition of

compounds in drug development. In clinical studies or for patients on long-term

treatment for dyslipidaemia, the use of effective biomarkers of myopathy may

permit the safety monitoring of patients for muscle disorders, so that treatment

can be withdrawn or modified before permanent damage can occur.

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