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Deep Visual Proteomics maps proteotoxicity in a genetic liver disease
FA. Rosenberger, SC. Mädler, KH. Thorhauge, S. Steigerwald, M. Fromme, M. Lebedev, CAM. Weiss, M. Oeller, M. Wahle, A. Metousis, M. Zwiebel, NA. Schmacke, S. Detlefsen, P. Boor, O. Fabián, S. Fraňková, A. Krag, P. Strnad, M. Mann
Language English Country England, Great Britain
Document type Journal Article
Grant support
L40 TR001095
NCATS NIH HHS - United States
- MeSH
- alpha 1-Antitrypsin metabolism MeSH
- Single-Cell Analysis MeSH
- alpha 1-Antitrypsin Deficiency * pathology metabolism genetics MeSH
- Phenotype MeSH
- Hepatocytes metabolism pathology MeSH
- Liver Cirrhosis pathology metabolism MeSH
- Liver pathology metabolism MeSH
- Humans MeSH
- Disease Progression MeSH
- Proteome * analysis metabolism MeSH
- Proteomics * methods MeSH
- Unfolded Protein Response MeSH
- Machine Learning MeSH
- Check Tag
- Humans MeSH
- Male MeSH
- Female MeSH
- Publication type
- Journal Article MeSH
Protein misfolding diseases, including α1-antitrypsin deficiency (AATD), pose substantial health challenges, with their cellular progression still poorly understood1-3. We use spatial proteomics by mass spectrometry and machine learning to map AATD in human liver tissue. Combining Deep Visual Proteomics (DVP) with single-cell analysis4,5, we probe intact patient biopsies to resolve molecular events during hepatocyte stress in pseudotime across fibrosis stages. We achieve proteome depth of up to 4,300 proteins from one-third of a single cell in formalin-fixed, paraffin-embedded tissue. This dataset reveals a potentially clinically actionable peroxisomal upregulation that precedes the canonical unfolded protein response. Our single-cell proteomics data show α1-antitrypsin accumulation is largely cell-intrinsic, with minimal stress propagation between hepatocytes. We integrated proteomic data with artificial intelligence-guided image-based phenotyping across several disease stages, revealing a late-stage hepatocyte phenotype characterized by globular protein aggregates and distinct proteomic signatures, notably including elevated TNFSF10 (also known as TRAIL) amounts. This phenotype may represent a critical disease progression stage. Our study offers new insights into AATD pathogenesis and introduces a powerful methodology for high-resolution, in situ proteomic analysis of complex tissues. This approach holds potential to unravel molecular mechanisms in various protein misfolding disorders, setting a new standard for understanding disease progression at the single-cell level in human tissue.
Danish Institute of Advanced Study University of Southern Denmark Odense Denmark
Department of Gastroenterology and Hepatology Centre for Liver Research Odense Denmark
Department of Pathology Odense University Hospital Odense Denmark
Gene Center and Department of Biochemistry Ludwig Maximilians Universität München Munich Germany
Institute of Pathology University Hospital Aachen RWTH Aachen University Aachen Germany
References provided by Crossref.org
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