Alteration in metabolic signature and lipid metabolism in patients with angina pectoris and myocardial infarction

Lipid metabolites are indispensable regulators of physiological and pathological processes, including atherosclerosis and coronary artery disease (CAD). However, the complex changes in lipid metabolites and metabolism that occur in patients with these conditions are incompletely understood. We perfo...

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Veröffentlicht in:PloS one 2015-08, Vol.10 (8), p.e0135228-e0135228
Hauptverfasser: Park, Ju Yeon, Lee, Sang-Hak, Shin, Min-Jeong, Hwang, Geum-Sook
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description Lipid metabolites are indispensable regulators of physiological and pathological processes, including atherosclerosis and coronary artery disease (CAD). However, the complex changes in lipid metabolites and metabolism that occur in patients with these conditions are incompletely understood. We performed lipid profiling to identify alterations in lipid metabolism in patients with angina and myocardial infarction (MI). Global lipid profiling was applied to serum samples from patients with CAD (angina and MI) and age-, sex-, and body mass index-matched healthy subjects using ultra-performance liquid chromatography/quadruple time-of-flight mass spectrometry and multivariate statistical analysis. A multivariate analysis showed a clear separation between the patients with CAD and normal controls. Lysophosphatidylcholine (lysoPC) and lysophosphatidylethanolamine (lysoPE) species containing unsaturated fatty acids and free fatty acids were associated with an increased risk of CAD, whereas species of lysoPC and lyso-alkyl PC containing saturated fatty acids were associated with a decreased risk. Additionally, PC species containing palmitic acid, diacylglycerol, sphingomyelin, and ceramide were associated with an increased risk of MI, whereas PE-plasmalogen and phosphatidylinositol species were associated with a decreased risk. In MI patients, we found strong positive correlation between lipid metabolites related to the sphingolipid pathway, sphingomyelin, and ceramide and acute inflammatory markers (high-sensitivity C-reactive protein). The results of this study demonstrate altered signatures in lipid metabolism in patients with angina or MI. Lipidomic profiling could provide the information to identity the specific lipid metabolites under the presence of disturbed metabolic pathways in patients with CAD.
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However, the complex changes in lipid metabolites and metabolism that occur in patients with these conditions are incompletely understood. We performed lipid profiling to identify alterations in lipid metabolism in patients with angina and myocardial infarction (MI). Global lipid profiling was applied to serum samples from patients with CAD (angina and MI) and age-, sex-, and body mass index-matched healthy subjects using ultra-performance liquid chromatography/quadruple time-of-flight mass spectrometry and multivariate statistical analysis. A multivariate analysis showed a clear separation between the patients with CAD and normal controls. Lysophosphatidylcholine (lysoPC) and lysophosphatidylethanolamine (lysoPE) species containing unsaturated fatty acids and free fatty acids were associated with an increased risk of CAD, whereas species of lysoPC and lyso-alkyl PC containing saturated fatty acids were associated with a decreased risk. Additionally, PC species containing palmitic acid, diacylglycerol, sphingomyelin, and ceramide were associated with an increased risk of MI, whereas PE-plasmalogen and phosphatidylinositol species were associated with a decreased risk. In MI patients, we found strong positive correlation between lipid metabolites related to the sphingolipid pathway, sphingomyelin, and ceramide and acute inflammatory markers (high-sensitivity C-reactive protein). The results of this study demonstrate altered signatures in lipid metabolism in patients with angina or MI. Lipidomic profiling could provide the information to identity the specific lipid metabolites under the presence of disturbed metabolic pathways in patients with CAD.</description><subject>Aged</subject><subject>Analysis</subject><subject>Angina</subject><subject>Angina pectoris</subject><subject>Angina Pectoris - blood</subject><subject>Angina Pectoris - diagnosis</subject><subject>Angina Pectoris - pathology</subject><subject>Arteriosclerosis</subject><subject>Atherosclerosis</subject><subject>Biomarkers - blood</subject><subject>Body mass</subject><subject>Body mass index</subject><subject>Body size</subject><subject>C-reactive protein</subject><subject>C-Reactive Protein - metabolism</subject><subject>Cardiac patients</subject><subject>Case-Control Studies</subject><subject>Ceramide</subject><subject>Chromatography</subject><subject>Coronary artery</subject><subject>Coronary artery disease</subject><subject>Diacylglycerol</subject><subject>Diglycerides</subject><subject>Fatty acids</subject><subject>Fatty Acids - blood</subject><subject>Fatty Acids, Nonesterified - blood</subject><subject>Fatty Acids, Unsaturated - blood</subject><subject>Female</subject><subject>Heart attack</subject><subject>Heart diseases</subject><subject>Humans</subject><subject>Indexing</subject><subject>Infarction</subject><subject>Inflammation</subject><subject>Lipid Metabolism</subject><subject>Lipids</subject><subject>Liquid chromatography</subject><subject>Low density lipoprotein</subject><subject>Lysophosphatidylcholine</subject><subject>Lysophosphatidylcholines - blood</subject><subject>Lysophospholipids - blood</subject><subject>Male</subject><subject>Mass spectrometry</subject><subject>Mass spectroscopy</subject><subject>Metabolic pathways</subject><subject>Metabolism</subject><subject>Metabolites</subject><subject>Metabolome</subject><subject>Middle Aged</subject><subject>Multivariate Analysis</subject><subject>Multivariate statistical analysis</subject><subject>Myocardial infarction</subject><subject>Myocardial Infarction - blood</subject><subject>Myocardial Infarction - diagnosis</subject><subject>Myocardial Infarction - pathology</subject><subject>Oxidation</subject><subject>Palmitic acid</subject><subject>Patients</subject><subject>Phosphatidylinositol</subject><subject>Profiling</subject><subject>Proteins</subject><subject>Regulators</subject><subject>Risk</subject><subject>Rodents</subject><subject>Saturated fatty acids</subject><subject>Species</subject><subject>Spectrometry, Mass, Matrix-Assisted Laser Desorption-Ionization</subject><subject>Sphingomyelin</subject><subject>Statistical analysis</subject><subject>Statistical methods</subject><subject>Studies</subject><subject>Unsaturated fatty acids</subject><issn>1932-6203</issn><issn>1932-6203</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2015</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><sourceid>DOA</sourceid><recordid>eNqNk12L1DAUhoso7jr6D0QLgujFjPlq09wsDIsfAwsLft2GJE07GdJmNknV_femO91hKnshvUhJnvc9nDc5WfYSghXEFH7YucH3wq72rtcrAHGBUPUoO4cMo2WJAH588n-WPQthB0CBq7J8mp2hEhUVAdV5drO2UXsRjetz0-edjkI6a1QeTNuLOHidi77Ordmb-ngaupHdJ5XuY8h_m7hNVGt6ke-1is6bcKfqbp0SvjbCJr4RXo1lnmdPGmGDfjGti-zHp4_fL78sr64_by7XV0tVMhSXlMimJEwyVDaqYozUsqaSUIgaKmUDUwNlVUOsKJCoLGEjqZIMCw0qKImCeJG9PvjurQt8SitwBAhmhIICJWJzIGondnzvTSf8LXfC8LsN51sufDTKak5hARSkkAKqiKiEYBiCBismcYOobJLXxVRtkJ2uVQrGCzsznZ_0Zstb94uTAgNGSDJ4Nxl4dzPoEHlngtLWil67IfBUOt16SdIdLrI3_6APdzdRrUgNpPxdqqtGU74mqACwQmxMafUAlb5ad0alp9WYtD8TvJ8JEhP1n9iKIQS--fb1_9nrn3P27Qm71cLGbXB2GJ9MmIPkACrvQvC6OYYMAR8n4z4NPk4GnyYjyV6dXtBRdD8K-C-9Awmp</recordid><startdate>20150810</startdate><enddate>20150810</enddate><creator>Park, Ju Yeon</creator><creator>Lee, Sang-Hak</creator><creator>Shin, Min-Jeong</creator><creator>Hwang, Geum-Sook</creator><general>Public Library of Science</general><general>Public Library of Science (PLoS)</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>IOV</scope><scope>ISR</scope><scope>3V.</scope><scope>7QG</scope><scope>7QL</scope><scope>7QO</scope><scope>7RV</scope><scope>7SN</scope><scope>7SS</scope><scope>7T5</scope><scope>7TG</scope><scope>7TM</scope><scope>7U9</scope><scope>7X2</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8C1</scope><scope>8FD</scope><scope>8FE</scope><scope>8FG</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABJCF</scope><scope>ABUWG</scope><scope>AEUYN</scope><scope>AFKRA</scope><scope>ARAPS</scope><scope>ATCPS</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BGLVJ</scope><scope>BHPHI</scope><scope>C1K</scope><scope>CCPQU</scope><scope>D1I</scope><scope>DWQXO</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>H94</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>KB.</scope><scope>KB0</scope><scope>KL.</scope><scope>L6V</scope><scope>LK8</scope><scope>M0K</scope><scope>M0S</scope><scope>M1P</scope><scope>M7N</scope><scope>M7P</scope><scope>M7S</scope><scope>NAPCQ</scope><scope>P5Z</scope><scope>P62</scope><scope>P64</scope><scope>PATMY</scope><scope>PDBOC</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PTHSS</scope><scope>PYCSY</scope><scope>RC3</scope><scope>7X8</scope><scope>5PM</scope><scope>DOA</scope></search><sort><creationdate>20150810</creationdate><title>Alteration in metabolic signature and lipid metabolism in patients with angina pectoris and myocardial infarction</title><author>Park, Ju Yeon ; Lee, Sang-Hak ; Shin, Min-Jeong ; Hwang, Geum-Sook</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c692t-74bf649b926fc8994dbd7b4712f7bbf125868d13c70b2661fb7cb93ae081b4c13</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2015</creationdate><topic>Aged</topic><topic>Analysis</topic><topic>Angina</topic><topic>Angina pectoris</topic><topic>Angina Pectoris - blood</topic><topic>Angina Pectoris - diagnosis</topic><topic>Angina Pectoris - pathology</topic><topic>Arteriosclerosis</topic><topic>Atherosclerosis</topic><topic>Biomarkers - blood</topic><topic>Body mass</topic><topic>Body mass index</topic><topic>Body size</topic><topic>C-reactive protein</topic><topic>C-Reactive Protein - metabolism</topic><topic>Cardiac patients</topic><topic>Case-Control Studies</topic><topic>Ceramide</topic><topic>Chromatography</topic><topic>Coronary artery</topic><topic>Coronary artery disease</topic><topic>Diacylglycerol</topic><topic>Diglycerides</topic><topic>Fatty acids</topic><topic>Fatty Acids - blood</topic><topic>Fatty Acids, Nonesterified - blood</topic><topic>Fatty Acids, Unsaturated - blood</topic><topic>Female</topic><topic>Heart attack</topic><topic>Heart diseases</topic><topic>Humans</topic><topic>Indexing</topic><topic>Infarction</topic><topic>Inflammation</topic><topic>Lipid Metabolism</topic><topic>Lipids</topic><topic>Liquid chromatography</topic><topic>Low density lipoprotein</topic><topic>Lysophosphatidylcholine</topic><topic>Lysophosphatidylcholines - 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Academic</collection><collection>PubMed Central (Full Participant titles)</collection><collection>DOAJ Directory of Open Access Journals</collection><jtitle>PloS one</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Park, Ju Yeon</au><au>Lee, Sang-Hak</au><au>Shin, Min-Jeong</au><au>Hwang, Geum-Sook</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Alteration in metabolic signature and lipid metabolism in patients with angina pectoris and myocardial infarction</atitle><jtitle>PloS one</jtitle><addtitle>PLoS One</addtitle><date>2015-08-10</date><risdate>2015</risdate><volume>10</volume><issue>8</issue><spage>e0135228</spage><epage>e0135228</epage><pages>e0135228-e0135228</pages><issn>1932-6203</issn><eissn>1932-6203</eissn><abstract>Lipid metabolites are indispensable regulators of physiological and pathological processes, including atherosclerosis and coronary artery disease (CAD). However, the complex changes in lipid metabolites and metabolism that occur in patients with these conditions are incompletely understood. We performed lipid profiling to identify alterations in lipid metabolism in patients with angina and myocardial infarction (MI). Global lipid profiling was applied to serum samples from patients with CAD (angina and MI) and age-, sex-, and body mass index-matched healthy subjects using ultra-performance liquid chromatography/quadruple time-of-flight mass spectrometry and multivariate statistical analysis. A multivariate analysis showed a clear separation between the patients with CAD and normal controls. Lysophosphatidylcholine (lysoPC) and lysophosphatidylethanolamine (lysoPE) species containing unsaturated fatty acids and free fatty acids were associated with an increased risk of CAD, whereas species of lysoPC and lyso-alkyl PC containing saturated fatty acids were associated with a decreased risk. Additionally, PC species containing palmitic acid, diacylglycerol, sphingomyelin, and ceramide were associated with an increased risk of MI, whereas PE-plasmalogen and phosphatidylinositol species were associated with a decreased risk. In MI patients, we found strong positive correlation between lipid metabolites related to the sphingolipid pathway, sphingomyelin, and ceramide and acute inflammatory markers (high-sensitivity C-reactive protein). The results of this study demonstrate altered signatures in lipid metabolism in patients with angina or MI. Lipidomic profiling could provide the information to identity the specific lipid metabolites under the presence of disturbed metabolic pathways in patients with CAD.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>26258408</pmid><doi>10.1371/journal.pone.0135228</doi><oa>free_for_read</oa></addata></record>
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subjects Aged
Analysis
Angina
Angina pectoris
Angina Pectoris - blood
Angina Pectoris - diagnosis
Angina Pectoris - pathology
Arteriosclerosis
Atherosclerosis
Biomarkers - blood
Body mass
Body mass index
Body size
C-reactive protein
C-Reactive Protein - metabolism
Cardiac patients
Case-Control Studies
Ceramide
Chromatography
Coronary artery
Coronary artery disease
Diacylglycerol
Diglycerides
Fatty acids
Fatty Acids - blood
Fatty Acids, Nonesterified - blood
Fatty Acids, Unsaturated - blood
Female
Heart attack
Heart diseases
Humans
Indexing
Infarction
Inflammation
Lipid Metabolism
Lipids
Liquid chromatography
Low density lipoprotein
Lysophosphatidylcholine
Lysophosphatidylcholines - blood
Lysophospholipids - blood
Male
Mass spectrometry
Mass spectroscopy
Metabolic pathways
Metabolism
Metabolites
Metabolome
Middle Aged
Multivariate Analysis
Multivariate statistical analysis
Myocardial infarction
Myocardial Infarction - blood
Myocardial Infarction - diagnosis
Myocardial Infarction - pathology
Oxidation
Palmitic acid
Patients
Phosphatidylinositol
Profiling
Proteins
Regulators
Risk
Rodents
Saturated fatty acids
Species
Spectrometry, Mass, Matrix-Assisted Laser Desorption-Ionization
Sphingomyelin
Statistical analysis
Statistical methods
Studies
Unsaturated fatty acids
title Alteration in metabolic signature and lipid metabolism in patients with angina pectoris and myocardial infarction
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