SYNOPSIS OF ROUND 1 RESEARCH GRANT #1
Title
Proteins in Chronic Leg Ulcer Wound Fluid from Patients Undergoing Clinical Hyperbaric Oxygen Therapy - Biomarker Discovery and Validation
Investigators
A/Professor David Leavesley, PhD1*
A/Professor Terry Walsh, PhD1
Mr James Broadbent, B.App.Sci (Hons1)1
1.Tissue Repair and Regeneration Program, Institute of Health and Biomedical Innovation, Queensland University of Technology, Kelvin Grove, Queensland., Australia
*Principal Investigator
Hypothesis and Aims
Hypotheses
The hypotheses underlying this research project are:
(i) Chronic wound fluid (CWF) from patient leg and foot ulcers contains a heterogeneous complement of protein species which may be useful as biological markers or therapeutic targets for wound healing;
(ii) Changes in the composition of CWF due to hyperbaric oxygen (HBO) therapy can be detected and monitored throughout longitudinal patient samples using isobaric tags for relative and absolute quantitation (iTRAQ) technology;
(iii) The temporal presentation of some identified protein species will correlate with wound healing status or HBO treatment number; and
(iv) Changes in protein presentation related to healing status or HBO treatment number may have a role in the healing of chronic wounds.
Aims
Therefore this research project aims to:
(i) Examine current findings regarding the composition of wound fluid from chronic ulcers and collate these findings to establish a CWF protein reference list;
(ii) Observe changes in protein complement in HBO-treated leg ulcer wound fluid and the degree of change for each detected protein in a time- or treatment dependent manner over the course of HBO-encouraged healing using iTRAQ
technology;
(ii) Examine the relationship between temporal protein presentation and healing
status /HBO treatment number;
(iv) Validate target protein presentation (proteins found to have their temporal presentation related to HBO treatment number or healing status) using an unrelated technique, such as Western Blotting, which is generally regarded as the gold standard within the field; and
(v) Investigate the effect of the identified proteins on the growth and development of skin cells and three-dimensional human skin equivalent composites.
Outcomes and Significance
Outcomes
The major outcomes for this program of research include:
(i) The summation of data previously describing CWF protein composition in the literature;
(ii) The identification of novel proteins in CWF;
(iii) The quantitation of CWF proteins over the course of clinical HBO therapy;
(iv) The validation of quantitative differences in patient samples using the gold standard technique;
(v) The association of protein presentation in CWF with ulcer chronicity / HBO treatment regime; and
(vi) The association of novel proteins present in CWF with chronic ulcer healing.
Significance
This project is significant as it will:
-
Be the first to provide an extensive inventory of protein composition in CWF (currently in a draft manuscript);
-
Extend current knowledge of CWF composition through the identification of novel proteins in CWF;
-
Validate the presentation of proteins over the course of HBO-encouraged healing;
-
Be the first to examine CWF composition in a holistic and temporal manner regarding HBO therapy-mediated healing;
-
Establish new workflows which will be directly applicable to other temporal chronic wound healing investigations, such as compression bandage-mediated venous ulcer healing;
-
Provide clear investigative leads to the molecular mechanisms of HBO-mediated wound healing; and
-
Help to evaluate HBO therapy for the healing of chronic wounds through the generation of quantitative scientific data.
14 January 2009