**Background:** The aqueous humor (AH) is a low-viscosity biofluid that circulates from the posterior to the anterior chamber of the eye, playing essential roles in nutrient supply, waste removal, and intraocular pressure regulation. The proteomic composition of AH is crucial for cellular processes such as cell-to-cell communication, signal transduction, immunological modulation, and cell proliferation. Previous studies have linked specific AH proteins to ocular diseases including cataracts, glaucoma, age-related macular degeneration, uveitis, retinoblastoma, and diabetic retinopathy. However, reproducibility in AH proteomic profiling has been limited due to the small volume and low protein concentration of AH, as well as the absence of a reference database. To address these challenges, the authors developed the Aqueous Humor Proteomics Database (AHP DB), a web-based resource containing proteomic data from 307 human AH samples analyzed using liquid chromatography-tandem mass spectrometry (LC-MS/MS).
**Methods:** Participants were recruited from patients undergoing cataract or glaucoma surgery at Augusta University Medical Center. Written informed consent was obtained, and the study was approved by the Institutional Review Board of Augusta University. AH samples (50–200 µL) were collected via paracentesis and stored at −80°C. Samples were lyophilized, reconstituted in urea buffer, reduced and alkylated, and digested with trypsin. LC-MS/MS analysis was performed using an Ultimate 3000 nano-UPLC system and Orbitrap Fusion Tribrid mass spectrometer. Protein identification and quantification were carried out using Proteome Discoverer (version 2.2) with the SequestHT algorithm against the UniProt-SwissProt database. Peptide-spectrum match (PSM) counts were used as a semi-quantitative measure. The database was developed on a Microsoft platform using Asp.net, JavaScript, and Microsoft SQL Server, hosted on an Internet Information Services web server.
**Key Results:** The current version of AHP DB contains 1683 proteins detected in >5% of AH samples from 307 subjects. The database provides comprehensive information including UniProt ID, gene symbol, protein name, PSM counts, and detection levels. The top 50 most abundant proteins are listed, with albumin (mean PSM 4271.56, detected in 100% of samples), serotransferrin (mean PSM 847.75, 100%), and alpha-1-antitrypsin (mean PSM 254.65, 100%) being the most abundant. Other notable proteins include complement C3, hemopexin, immunoglobulins, and pigment epithelium-derived factor. The database also includes clinical data such as ocular pathology (cataract or glaucoma), demographic information (sex, age, race, ethnicity), ocular characteristics (IOP, cup area, disc area), comorbidities, and medications. Users can filter and sort data by various columns and download datasets for offline analysis.
**Clinical Implications:** AHP DB provides a valuable reference for the vision research community, enabling in-depth investigations into the role of AH proteins in ocular physiology and pathology. The database can help identify protein signatures associated with different ocular diseases and demographic variables, potentially leading to novel biomarkers and therapeutic targets. Previous analyses using subsets of this data have revealed differences in AH proteomic content between African American and Caucasian subjects, as well as sex- and race-specific differences in apolipoprotein levels in primary open-angle glaucoma. The database is freely accessible at https://ahp.augusta.edu/ and will be updated regularly as additional samples are analyzed.