Targeted quantification of N-1-(carboxymethyl) valine and N-1-(carboxyethyl) valine peptides of ?-hemoglobin for better diagnostics in diabetes.
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ABSTRACT: BACKGROUND:N-1-(Deoxyfructosyl) valine (DFV) ?-hemoglobin (?-Hb), commonly referred as HbA1c, is widely used diagnostic marker in diabetes, believed to provide glycemic status of preceding 90-120 days. However, the turnover of hemoglobin is about 120 days, the DFV-?-Hb, an early and reversible glycation product eventually may undergo irreversible advanced glycation modifications such as carboxymethylation or carboxyethylation. Hence quantification of N-1-(carboxymethyl) valine (CMV) and N-1-(carboxyethyl) valine (CEV) peptides of ?-Hb would be useful in assessing actual glycemic status. RESULTS:Fragment ion library for synthetically glycated peptides of hemoglobin was generated by using high resolution-accurate mass spectrometry (HR/AM). Using parallel reaction monitoring, deoxyfructosylated, carboxymethylated and carboxyethylated peptides of hemoglobin were quantified in clinical samples from healthy control, pre-diabetes, diabetes and poorly controlled diabetes. For the first time, we report N-1-?-valine undergoes carboxyethylation and mass spectrometric quantification of CMV and CEV peptides of ?-hemoglobin. Carboxymethylation was found to be the most abundant modification of N-1-?-valine. Both CMV-?-Hb and CEV-?-Hb peptides showed better correlation with severity of diabetes in terms of fasting glucose, postprandial glucose and microalbuminuria. CONCLUSIONS:This study reports carboxymethylation as a predominant modification of N-1-?-valine of Hb, and quantification of CMV-?-Hb and CEV-?-Hb could be useful parameter for assessing the severity of diabetes.
SUBMITTER: Jagadeeshaprasad MG
PROVIDER: S-EPMC4812615 | biostudies-literature | 2016
REPOSITORIES: biostudies-literature
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