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BASIC RESEARCH |


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* Laboratory of Kidney and Electrolyte Metabolism, National Heart, Lung, and Blood Institute,
Renal Diagnostics and Therapeutics Unit, National Institute of Diabetes and Digestive and Kidney Diseases,
Section of Human Biochemical Genetics, Medical Genetics Branch, National Human Genome Research Institute, and || Office of Rare Diseases, Office of the Director, National Institutes of Health, Bethesda, and
Department of Chemical and Biomolecular Engineering, University of Maryland, College Park, Maryland; and ¶ London Epithelial Group, Centre for Nephrology, University College London, London, United Kingdom
Correspondence: Dr. Mark A. Knepper, 10 Center Drive, MSC-1603, National Institutes of Health, Bethesda, MD 20892-1603. Phone: 301-496-3064; Fax: 301-402-1443; E-mail: knep{at}helix.nih.gov
Received for publication April 21, 2008. Accepted for publication July 30, 2008.
Normal human urine contains large numbers of exosomes, which are 40- to 100-nm vesicles that originate as the internal vesicles in multivesicular bodies from every renal epithelial cell type facing the urinary space. Here, we used LC-MS/MS to profile the proteome of human urinary exosomes. Overall, the analysis identified 1132 proteins unambiguously, including 177 that are represented on the Online Mendelian Inheritance in Man database of disease-related genes, suggesting that exosome analysis is a potential approach to discover urinary biomarkers. We extended the proteomic analysis to phosphoproteomic profiling using neutral loss scanning, and this yielded multiple novel phosphorylation sites, including serine-811 in the thiazide-sensitive Na-Cl co-transporter, NCC. To demonstrate the potential use of exosome analysis to identify a genetic renal disease, we carried out immunoblotting of exosomes from urine samples of patients with a clinical diagnosis of Bartter syndrome type I, showing an absence of the sodium-potassium-chloride co-transporter 2, NKCC2. The proteomic data are publicly accessible at http://dir.nhlbi.nih.gov/papers/lkem/exosome/.
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