Proteomic Analysis of Urine from Youths Indulging in Gaming

Video game addiction manifests as an escalating enthusiasm and uncontrolled use of digital games, yet there are no objective indicators for gaming addiction. This study employed mass spectrometry proteomics to analyze the proteomic differences in the urine of adolescents addicted to gaming compared to those who do not play video games. The study included 10 adolescents addicted to gaming and 9 non-gaming adolescents as a control group. The results showed that there were 125 significantly different proteins between the two groups. Among these, 11 proteins have been reported to change in the body after the intake of psychotropic drugs and are associated with addiction: Calmodulin, ATP synthase subunit alpha, ATP synthase subunit beta, Acid ceramidase, Tomoregulin-2, Calcitonin, Apolipoprotein E, Glyceraldehyde-3-phosphate dehydrogenase, Heat shock protein beta-1, CD63 antigen, Ephrin type-B receptor 4, Tomoregulin-2. Additionally, several proteins were found to interact with pathways related to addiction: Dickkopf-related protein 3, Nicastrin, Leucine-rich repeat neuronal protein 4, Cerebellin-4. Enriched biological pathways discovered include those related to nitric oxide synthase, amphetamine addiction, and numerous calcium ion pathways, all of which are associated with addiction. Moreover, through the analysis of differentially expressed proteins, we speculated about some proteins not yet fully studied, which might play a significant role in the mechanisms of addiction: Protein kinase C and casein kinase substrate in neurons protein, Cysteine-rich motor neuron 1 protein, Bone morphogenetic protein receptor type-2, Immunoglobulin superfamily member 8. In the analysis of urinary proteins in adolescents addicted to online gaming, we identified several proteins that have previously been reported in studies of drug addiction.