PMID- 34241785 OWN - NLM STAT- MEDLINE DCOM- 20220722 LR - 20220722 IS - 2095-0225 (Electronic) IS - 2095-0217 (Linking) VI - 16 IP - 3 DP - 2022 Jun TI - Proteomics study of Mycoplasma pneumoniae pneumonia reveals the Fc fragment of the IgG-binding protein as a serum biomarker and implicates potential therapeutic targets. PG - 378-388 LID - 10.1007/s11684-021-0840-y [doi] AB - Macrolide and corticosteroid resistance has been reported in patients with Mycoplasma pneumoniae (MP) pneumonia (MPP). MP clearance is difficult to achieve through antibiotic treatment in sensitive patients with severe MPP (SMPP). SMPP in children might progress to airway remodeling and even bronchiolitis/bronchitis obliterans. Therefore, identifying serum biomarkers that indicate MPP progression and exploring new targeted drugs for SMPP treatment require urgency. In this study, serum samples were collected from patients with general MPP (GMPP) and SMPP to conduct proteomics profiling. The Fc fragment of the IgG-binding protein (FCGBP) was identified as the most promising indicator of SMPP. Biological enrichment analysis indicated uncontrolled inflammation in SMPP. ELISA results proved that the FCGBP level in patients with SMPP was substantially higher than that in patients with GMPP. Furthermore, the FCGBP levels showed a decreasing trend in patients with GMPP but the opposite trend in patients with SMPP during disease progression. Connectivity map analyses identified 25 possible targeted drugs for SMPP treatment. Among them, a mechanistic target of rapamycin kinase (mTOR) inhibitor, which is a macrolide compound and a cell proliferation inhibitor, was the most promising candidate for targeting SMPP. To our knowledge, this study was the first proteomics-based characterization of patients with SMPP and GMPP. CI - (c) 2021. Higher Education Press. FAU - Liu, Jinrong AU - Liu J AD - Department of Respiratory Medicine, Beijing Children's Hospital, Capital Medical University, National Center for Children's Health, Beijing, 100045, China. FAU - Shen, Rongfang AU - Shen R AD - State Key Laboratory of Molecular Oncology, Department of Etiology and Carcinogenesis, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, 100021, China. FAU - Feng, Lin AU - Feng L AD - State Key Laboratory of Molecular Oncology, Department of Etiology and Carcinogenesis, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, 100021, China. FAU - Cheng, Shujun AU - Cheng S AD - State Key Laboratory of Molecular Oncology, Department of Etiology and Carcinogenesis, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, 100021, China. FAU - Chen, Jun AU - Chen J AD - Beijing Engineering Research Center of Pediatric Surgery, Engineering and Transformation Center, Beijing Children's Hospital, Capital Medical University, National Center for Children's Health, Beijing, 100045, China. xixiangchenjun@163.com. FAU - Xiao, Ting AU - Xiao T AD - State Key Laboratory of Molecular Oncology, Department of Etiology and Carcinogenesis, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, 100021, China. xiaot@cicams.ac.cn. FAU - Zhao, Shunying AU - Zhao S AD - Department of Respiratory Medicine, Beijing Children's Hospital, Capital Medical University, National Center for Children's Health, Beijing, 100045, China. zhaoshunying2001@126.com. LA - eng PT - Journal Article DEP - 20210709 PL - China TA - Front Med JT - Frontiers of medicine JID - 101549428 RN - 0 (Biomarkers) RN - 0 (Carrier Proteins) RN - 0 (Immunoglobulin Fc Fragments) RN - 0 (Immunoglobulin G) RN - 0 (Macrolides) SB - IM MH - Biomarkers MH - Carrier Proteins MH - Child MH - Humans MH - Immunoglobulin Fc Fragments MH - Immunoglobulin G MH - Macrolides MH - *Mycoplasma pneumoniae MH - *Pneumonia, Mycoplasma/drug therapy MH - Proteomics OTO - NOTNLM OT - Fc fragment of the IgG-binding protein OT - children OT - mechanistic target of rapamycin kinase inhibitor OT - proteomics OT - severe Mycoplasma pneumoniae pneumonia EDAT- 2021/07/10 06:00 MHDA- 2022/07/23 06:00 CRDT- 2021/07/09 12:24 PHST- 2020/10/26 00:00 [received] PHST- 2020/11/24 00:00 [accepted] PHST- 2021/07/10 06:00 [pubmed] PHST- 2022/07/23 06:00 [medline] PHST- 2021/07/09 12:24 [entrez] AID - 10.1007/s11684-021-0840-y [pii] AID - 10.1007/s11684-021-0840-y [doi] PST - ppublish SO - Front Med. 2022 Jun;16(3):378-388. doi: 10.1007/s11684-021-0840-y. Epub 2021 Jul 9.