Untargeted metabolomic analysis of urine samples for diagnosis of inherited metabolic disorders

Metabolomics has become an important tool for clinical research, especially for analyzing inherited metabolic disorders (IMDs). The purpose of this study was to explore the performance of metabolomics in diagnosing IMDs using an untargeted metabolomic approach. A total of 40 urine samples were colle...

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Veröffentlicht in:Functional & integrative genomics 2021-11, Vol.21 (5-6), p.645-653
Hauptverfasser: Liu, Hao, Zhu, Jiang, Li, Qiu, Wang, Dongjuan, Wan, Kexing, Yuan, Zhaojian, Zhang, Juan, Zou, Lin, He, Xiaoyan, Miao, Jingkun
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container_issue 5-6
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container_title Functional & integrative genomics
container_volume 21
creator Liu, Hao
Zhu, Jiang
Li, Qiu
Wang, Dongjuan
Wan, Kexing
Yuan, Zhaojian
Zhang, Juan
Zou, Lin
He, Xiaoyan
Miao, Jingkun
description Metabolomics has become an important tool for clinical research, especially for analyzing inherited metabolic disorders (IMDs). The purpose of this study was to explore the performance of metabolomics in diagnosing IMDs using an untargeted metabolomic approach. A total of 40 urine samples were collected: 20 samples from healthy children and 20 from pediatric patients, of whom 13 had confirmed IMDs and seven had suspected IMDs. Samples were analyzed by Orbitrap mass spectrometry in positive and negative mode alternately, coupled with ultra-high liquid chromatography. Raw data were processed using Compound Discovery 2.0 ™ and then exported for partial least squares discriminant analysis (PLS-DA) by SIMCA-P 14.1. After comparing with m/zCloud and chemSpider libraries, compounds with similarity above 80% were selected and normalized for subsequent relative quantification analysis. The uncommon compounds discovered were analyzed based on the Kyoto Encyclopedia of Genes and Genomes to explore their possible metabolic pathways. All IMDs patients were successfully distinguished from controls in the PLS-DA. Untargeted metabolomics revealed a broader metabolic spectrum in patients than what is observed using routine chromatographic methods for detecting IMDs. Higher levels of certain compounds were found in all 13 confirmed IMD patients and 5 of 7 suspected IMD patients. Several potential novel markers emerged after relative quantification. Untargeted metabolomics may be able to diagnose IMDs from urine and may deepen insights into the disease by revealing changes in various compounds such as amino acids, acylcarnitines, organic acids, and nucleosides. Such analyses may identify biomarkers to improve the study and treatment of IMDs.
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integrative genomics</jtitle><stitle>Funct Integr Genomics</stitle><addtitle>Funct Integr Genomics</addtitle><date>2021-11-01</date><risdate>2021</risdate><volume>21</volume><issue>5-6</issue><spage>645</spage><epage>653</epage><pages>645-653</pages><issn>1438-793X</issn><eissn>1438-7948</eissn><abstract>Metabolomics has become an important tool for clinical research, especially for analyzing inherited metabolic disorders (IMDs). The purpose of this study was to explore the performance of metabolomics in diagnosing IMDs using an untargeted metabolomic approach. A total of 40 urine samples were collected: 20 samples from healthy children and 20 from pediatric patients, of whom 13 had confirmed IMDs and seven had suspected IMDs. Samples were analyzed by Orbitrap mass spectrometry in positive and negative mode alternately, coupled with ultra-high liquid chromatography. Raw data were processed using Compound Discovery 2.0 ™ and then exported for partial least squares discriminant analysis (PLS-DA) by SIMCA-P 14.1. After comparing with m/zCloud and chemSpider libraries, compounds with similarity above 80% were selected and normalized for subsequent relative quantification analysis. The uncommon compounds discovered were analyzed based on the Kyoto Encyclopedia of Genes and Genomes to explore their possible metabolic pathways. All IMDs patients were successfully distinguished from controls in the PLS-DA. 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subjects Amino Acids - metabolism
Amino Acids - urine
Animal Genetics and Genomics
Biochemistry
Bioinformatics
Biomarkers - metabolism
Biomarkers - urine
Biomedical and Life Sciences
Carnitine - analogs & derivatives
Carnitine - metabolism
Carnitine - urine
Cell Biology
Child
Discriminant analysis
Genomes
Humans
Life Sciences
Liquid chromatography
Mass Spectrometry
Mass spectroscopy
Metabolic Diseases - diagnosis
Metabolic Diseases - metabolism
Metabolic Diseases - urine
Metabolic disorders
Metabolic pathways
Metabolomics
Microbial Genetics and Genomics
Nucleosides - metabolism
Nucleosides - urine
Organic acids
Original Article
Patients
Pediatrics
Plant Genetics and Genomics
Urine
title Untargeted metabolomic analysis of urine samples for diagnosis of inherited metabolic disorders
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