Combinatorial Peptide Ligand Library and two dimensional electrophoresis: new frontiers in the study of peritoneal dialysis effluent in pediatric patients.

Abstract

The in-depth proteomic characterization of peritoneal dialysis effluent (PDE) in pediatric patients by the combined use of Combinatorial Peptide Ligand Library (CPLL) and two dimensional electrophoresis allowed to detect 1788 spots, a relevant part (724) of which were previously undetected in sample untreated with CPLL. In patients on long-term automated peritoneal dialysis, this proteomic approach allowed to identify 29 potential biomarkers that could be of help to identify patients with subclinical inflammation and/or developing peritoneal membrane fibrosis, thus adapting dialysis treatment accordingly.