Purpose: The molecular links between metabolism and inflammation that drive different inflammatory phenotypes in asthma are poorly understood. We aimed to identify the metabolic signatures and underlying molecular pathways of different inflammatory asthma phenotypes. Methods: In the discovery set (n = 119), untargeted ultra-high-performance liquid chromatography-mass spectrometry (UHPLC-MS) was applied to characterize the induced sputum metabolic profiles of asthmatic patients with different inflammatory phenotypes using orthogonal partial least-squares discriminant analysis (OPLS-DA), and pathway topology enrichment analysis. In the validation set (n = 114), differential metabolites were selected to perform targeted quantification. Correlations between targeted metabolites and clinical indices in asthmatic patients were analyzed. Logistic and negative binomial regression models were established to assess the association between metabolites and severe asthma exacerbations. Results: Seventy-seven differential metabolites were identified in the discovery set. Pathway topology analysis uncovered that histidine metabolism, glycerophospholipid metabolism, nicotinate and nicotinamide metabolism, linoleic acid metabolism as well as phenylalanine, tyrosine and tryptophan biosynthesis were involved in the pathogenesis of different asthma phenotypes. In the validation set, 24 targeted quantification metabolites were significantly expressed between asthma inflammatory phenotypes. Finally, adenosine 5 '-monophosphate (adjusted relative risk [adj RR] = 1.000; 95% confidence interval [CI] = 1.000-1.000; P = 0.050), allantoin (adj RR = 1.000; 95% CI = 1.000-1.000; P = 0.043) and nicotinamide (adj RR = 1.001; 95% CI = 1.000-1.002; P = 0.021) were demonstrated to predict severe asthma exacerbation rates. Conclusions: Different inflammatory asthma phenotypes have specific metabolic profiles in induced sputum. The potential metabolic signatures may identify therapeutic targets in different inflammatory asthma phenotypes.
基金:
National Natural Science Foundation of China [81900026, 81920108002, 81870027]; China Postdoctoral Science Foundation [2019M653437]; Post-Doctor Research Project, West China Hospital, Sichuan University [2019HXBH066, 2021HXBH013]; National Key Development Plan for Precision Medicine Research [2017YFC091004]; 1.3.5 project for disciplines of excellence-Clinical Research Incubation Project, West China Hospital, Sichuan University [2018HXFH016]
第一作者单位:[1]Sichuan Univ, West China Hosp, Dept Integrated Tradit Chinese & Western Med, Pneumol Grp, Chengdu, Peoples R China[2]Sichuan Univ, West China Hosp, Clin Res Ctr Resp Dis, Dept Resp & Crit Care Med, Chengdu 610041, Peoples R China[3]Sichuan Univ, Frontiers Sci Ctr Dis Related Mol Network, Lab Pulm Immunol & Inflammat, Chengdu, Peoples R China
通讯作者:
通讯机构:[2]Sichuan Univ, West China Hosp, Clin Res Ctr Resp Dis, Dept Resp & Crit Care Med, Chengdu 610041, Peoples R China[3]Sichuan Univ, Frontiers Sci Ctr Dis Related Mol Network, Lab Pulm Immunol & Inflammat, Chengdu, Peoples R China
推荐引用方式(GB/T 7714):
Liu Ying,Zhang Xin,Zhang Li,et al.Sputum Metabolomic Profiling Reveals Metabolic Pathways and Signatures Associated With Inflammatory Phenotypes in Patients With Asthma[J].ALLERGY ASTHMA & IMMUNOLOGY RESEARCH.2022,14(4):393-411.doi:10.4168/aair.2022.14.4.393.
APA:
Liu, Ying,Zhang, Xin,Zhang, Li,Oliver, Brian G.,Wang, Hong Guang...&Wang, Gang.(2022).Sputum Metabolomic Profiling Reveals Metabolic Pathways and Signatures Associated With Inflammatory Phenotypes in Patients With Asthma.ALLERGY ASTHMA & IMMUNOLOGY RESEARCH,14,(4)
MLA:
Liu, Ying,et al."Sputum Metabolomic Profiling Reveals Metabolic Pathways and Signatures Associated With Inflammatory Phenotypes in Patients With Asthma".ALLERGY ASTHMA & IMMUNOLOGY RESEARCH 14..4(2022):393-411