Distinct Metabolic Profile of Inhaled Budesonide and Salbutamol in Asthmatic Children during Acute Exacerbation

Inhaled budesonide and salbutamol represent the most important and frequently used drugs in asthmatic children during acute exacerbation. However, there is still no consensus about their resulting metabolic derangements; thus, this study was conducted to determine the distinct metabolic profiles of...

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Veröffentlicht in:Basic & clinical pharmacology & toxicology 2017-03, Vol.120 (3), p.303-311
Hauptverfasser: Quan‐Jun, Yang, Jian‐Ping, Zhang, Jian‐Hua, Zhang, Yong‐Long, Han, Bo, Xin, Jing‐Xian, Zhang, Bona, Dai, Yuan, Zhang, Cheng, Guo
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container_title Basic & clinical pharmacology & toxicology
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creator Quan‐Jun, Yang
Jian‐Ping, Zhang
Jian‐Hua, Zhang
Yong‐Long, Han
Bo, Xin
Jing‐Xian, Zhang
Bona, Dai
Yuan, Zhang
Cheng, Guo
description Inhaled budesonide and salbutamol represent the most important and frequently used drugs in asthmatic children during acute exacerbation. However, there is still no consensus about their resulting metabolic derangements; thus, this study was conducted to determine the distinct metabolic profiles of these two drugs. A total of 69 children with asthma during acute exacerbation were included, and their serum and urine were investigated using high‐resolution nuclear magnetic resonance (NMR). A metabolomics analysis was performed using a principal component analysis and orthogonal signal correction–partial least squares using SIMCA‐P. The different metabolites were identified, and the distinct metabolic profiles were analysed using MetPA. A high‐resolution NMR‐based serum and urine metabolomics approach was established to study the overall metabolic changes after inhaled budesonide and salbutamol in asthmatic children during acute exacerbation. The perturbed metabolites included 22 different metabolites in the serum and 21 metabolites in the urine. Based on an integrated analysis, the changed metabolites included the following: increased 4‐hydroxybutyrate, lactate, cis‐aconitate, 5‐hydroxyindoleacetate, taurine, trans‐4‐hydroxy‐l‐proline, tiglylglycine, 3‐hydroxybutyrate, 3‐methylhistidine, glucose, cis‐aconitate, 2‐deoxyinosine and 2‐aminoadipate; and decreased alanine, glycerol, arginine, glycylproline, 2‐hydroxy‐3‐methylvalerate, creatine, citrulline, glutamate, asparagine, 2‐hydroxyvalerate, citrate, homoserine, histamine, sn‐glycero‐3‐phosphocholine, sarcosine, ornithine, creatinine, glycine, isoleucine and trimethylamine N‐oxide. The MetPA analysis revealed seven involved metabolic pathways: arginine and proline metabolism; taurine and hypotaurine metabolism; glycine, serine and threonine metabolism; glyoxylate and dicarboxylate metabolism; methane metabolism; citrate cycle; and pyruvate metabolism. The perturbed metabolic profiles suggest potential metabolic reprogramming associated with a combination treatment of inhaled budesonide and salbutamol in asthmatic children.
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However, there is still no consensus about their resulting metabolic derangements; thus, this study was conducted to determine the distinct metabolic profiles of these two drugs. A total of 69 children with asthma during acute exacerbation were included, and their serum and urine were investigated using high‐resolution nuclear magnetic resonance (NMR). A metabolomics analysis was performed using a principal component analysis and orthogonal signal correction–partial least squares using SIMCA‐P. The different metabolites were identified, and the distinct metabolic profiles were analysed using MetPA. A high‐resolution NMR‐based serum and urine metabolomics approach was established to study the overall metabolic changes after inhaled budesonide and salbutamol in asthmatic children during acute exacerbation. The perturbed metabolites included 22 different metabolites in the serum and 21 metabolites in the urine. Based on an integrated analysis, the changed metabolites included the following: increased 4‐hydroxybutyrate, lactate, cis‐aconitate, 5‐hydroxyindoleacetate, taurine, trans‐4‐hydroxy‐l‐proline, tiglylglycine, 3‐hydroxybutyrate, 3‐methylhistidine, glucose, cis‐aconitate, 2‐deoxyinosine and 2‐aminoadipate; and decreased alanine, glycerol, arginine, glycylproline, 2‐hydroxy‐3‐methylvalerate, creatine, citrulline, glutamate, asparagine, 2‐hydroxyvalerate, citrate, homoserine, histamine, sn‐glycero‐3‐phosphocholine, sarcosine, ornithine, creatinine, glycine, isoleucine and trimethylamine N‐oxide. The MetPA analysis revealed seven involved metabolic pathways: arginine and proline metabolism; taurine and hypotaurine metabolism; glycine, serine and threonine metabolism; glyoxylate and dicarboxylate metabolism; methane metabolism; citrate cycle; and pyruvate metabolism. 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dosage</topic><topic>Budesonide - pharmacokinetics</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>Children</topic><topic>China</topic><topic>Citric acid</topic><topic>Citrulline</topic><topic>Creatine</topic><topic>Creatinine</topic><topic>Disease Progression</topic><topic>Drugs</topic><topic>Glucocorticoids - administration &amp; dosage</topic><topic>Glucocorticoids - metabolism</topic><topic>Glycerol</topic><topic>Glycine</topic><topic>Histamine</topic><topic>Humans</topic><topic>Infant</topic><topic>Isoleucine</topic><topic>Lactic acid</topic><topic>Magnetic Resonance Spectroscopy</topic><topic>Male</topic><topic>Metabolic pathways</topic><topic>Metabolism</topic><topic>Metabolites</topic><topic>Metabolome</topic><topic>Metabolomics</topic><topic>Metabolomics - methods</topic><topic>Multivariate Analysis</topic><topic>NMR</topic><topic>Nuclear magnetic resonance</topic><topic>Ornithine</topic><topic>Phosphocholine</topic><topic>Principal components analysis</topic><topic>Proline</topic><topic>Pyruvic acid</topic><topic>Respiratory therapy</topic><topic>Salbutamol</topic><topic>Sarcosine</topic><topic>Trimethylamine</topic><topic>Urine</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Quan‐Jun, Yang</creatorcontrib><creatorcontrib>Jian‐Ping, Zhang</creatorcontrib><creatorcontrib>Jian‐Hua, Zhang</creatorcontrib><creatorcontrib>Yong‐Long, Han</creatorcontrib><creatorcontrib>Bo, Xin</creatorcontrib><creatorcontrib>Jing‐Xian, Zhang</creatorcontrib><creatorcontrib>Bona, Dai</creatorcontrib><creatorcontrib>Yuan, Zhang</creatorcontrib><creatorcontrib>Cheng, Guo</creatorcontrib><collection>Wiley Open Access</collection><collection>Wiley Free Archive</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Calcium &amp; Calcified Tissue Abstracts</collection><collection>Neurosciences Abstracts</collection><collection>Toxicology Abstracts</collection><collection>Environmental Sciences and Pollution Management</collection><jtitle>Basic &amp; clinical pharmacology &amp; toxicology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Quan‐Jun, Yang</au><au>Jian‐Ping, Zhang</au><au>Jian‐Hua, Zhang</au><au>Yong‐Long, Han</au><au>Bo, Xin</au><au>Jing‐Xian, Zhang</au><au>Bona, Dai</au><au>Yuan, Zhang</au><au>Cheng, Guo</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Distinct Metabolic Profile of Inhaled Budesonide and Salbutamol in Asthmatic Children during Acute Exacerbation</atitle><jtitle>Basic &amp; clinical pharmacology &amp; toxicology</jtitle><addtitle>Basic Clin Pharmacol Toxicol</addtitle><date>2017-03</date><risdate>2017</risdate><volume>120</volume><issue>3</issue><spage>303</spage><epage>311</epage><pages>303-311</pages><issn>1742-7835</issn><eissn>1742-7843</eissn><abstract>Inhaled budesonide and salbutamol represent the most important and frequently used drugs in asthmatic children during acute exacerbation. However, there is still no consensus about their resulting metabolic derangements; thus, this study was conducted to determine the distinct metabolic profiles of these two drugs. A total of 69 children with asthma during acute exacerbation were included, and their serum and urine were investigated using high‐resolution nuclear magnetic resonance (NMR). A metabolomics analysis was performed using a principal component analysis and orthogonal signal correction–partial least squares using SIMCA‐P. The different metabolites were identified, and the distinct metabolic profiles were analysed using MetPA. A high‐resolution NMR‐based serum and urine metabolomics approach was established to study the overall metabolic changes after inhaled budesonide and salbutamol in asthmatic children during acute exacerbation. The perturbed metabolites included 22 different metabolites in the serum and 21 metabolites in the urine. Based on an integrated analysis, the changed metabolites included the following: increased 4‐hydroxybutyrate, lactate, cis‐aconitate, 5‐hydroxyindoleacetate, taurine, trans‐4‐hydroxy‐l‐proline, tiglylglycine, 3‐hydroxybutyrate, 3‐methylhistidine, glucose, cis‐aconitate, 2‐deoxyinosine and 2‐aminoadipate; and decreased alanine, glycerol, arginine, glycylproline, 2‐hydroxy‐3‐methylvalerate, creatine, citrulline, glutamate, asparagine, 2‐hydroxyvalerate, citrate, homoserine, histamine, sn‐glycero‐3‐phosphocholine, sarcosine, ornithine, creatinine, glycine, isoleucine and trimethylamine N‐oxide. The MetPA analysis revealed seven involved metabolic pathways: arginine and proline metabolism; taurine and hypotaurine metabolism; glycine, serine and threonine metabolism; glyoxylate and dicarboxylate metabolism; methane metabolism; citrate cycle; and pyruvate metabolism. The perturbed metabolic profiles suggest potential metabolic reprogramming associated with a combination treatment of inhaled budesonide and salbutamol in asthmatic children.</abstract><cop>England</cop><pub>Wiley Subscription Services, Inc</pub><pmid>27730746</pmid><doi>10.1111/bcpt.12686</doi><tpages>9</tpages><oa>free_for_read</oa></addata></record>
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subjects Administration, Inhalation
Adrenergic beta-2 Receptor Agonists - administration & dosage
Adrenergic beta-2 Receptor Agonists - pharmacokinetics
Alanine
Albuterol - administration & dosage
Albuterol - pharmacokinetics
Arginine
Asparagine
Asthma
Asthma - blood
Asthma - drug therapy
Asthma - urine
Bronchodilator Agents - administration & dosage
Bronchodilator Agents - pharmacokinetics
Budesonide
Budesonide - administration & dosage
Budesonide - pharmacokinetics
Child
Child, Preschool
Children
China
Citric acid
Citrulline
Creatine
Creatinine
Disease Progression
Drugs
Glucocorticoids - administration & dosage
Glucocorticoids - metabolism
Glycerol
Glycine
Histamine
Humans
Infant
Isoleucine
Lactic acid
Magnetic Resonance Spectroscopy
Male
Metabolic pathways
Metabolism
Metabolites
Metabolome
Metabolomics
Metabolomics - methods
Multivariate Analysis
NMR
Nuclear magnetic resonance
Ornithine
Phosphocholine
Principal components analysis
Proline
Pyruvic acid
Respiratory therapy
Salbutamol
Sarcosine
Trimethylamine
Urine
title Distinct Metabolic Profile of Inhaled Budesonide and Salbutamol in Asthmatic Children during Acute Exacerbation
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