Proteomic profiling of plasma and serum in elderly patients with delirium.
The aim of this study was to compare plasma and serum protein profiles in elderly acute hip fracture patients with and without delirium. The spectra from surface-enhanced laser desorption ionization (SELDI) using time-of-flight (TOF) mass spectrometry of 16 patients without and 16 patients with delirium (two groups of eight and eight) scored using the Confusion Assessment Method were compared. The most discriminating peak of 15.9 kDa in plasma in a testing group of eight patients with delirium to eight patients without delirium was confirmed in an independent validation group. Taking both groups together, three discriminating peaks of 7.97, 15.9, and 16.0 kDa were found in delirious patients. These peaks presumably correspond to hemoglobin-beta, its doubly charged ion, and its glycosylated form.
van Munster
Barbara C
BC
Department of Clinical Epidemiology, Biostatistics and Bioinformatics, University of Amsterdam, Amsterdam, The Netherlands. b.c.vanmunster@amc.uva.nl
van Breemen
Marielle J
MJ
Moerland
Perry D
PD
Speijer
Dave
D
De Rooij
Sophia E
SE
Pfrommer
Christel J
CJ
Levi
Marcel
M
Hollmann
Markus W
MW
Aerts
Johannes M
JM
Zwinderman
Aeilko H
AH
Korevaar
Johanna C
JC
D000369:Aged, 80 and over; D003693:Delirium / Q000097:blood* / Q000175:diagnosis* / Q000378:metabolism; D005260:Female; D006454:Hemoglobins / Q000378:metabolism; D006620:Hip Fractures / Q000097:blood* / Q000378:metabolism; D006801:Humans; D008297:Male; D013058:Mass Spectrometry; D040081:Protein Array Analysis; D011569:Psychiatric Status Rating Scales; D019032:Spectrometry, Mass, Matrix-Assisted Laser Desorption-Ionization; D013997:Time Factors
D006454:Hemoglobins