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Sputum Metabolomic Profiling Reveals Metabolic Pathways and Signatures Associated With Inflammatory Phenotypes in Patients With Asthma

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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 [4]Univ Technol Sydney, Sch Life Sci, Ultimo, Australia [5]Univ Sydney, Woolcock Inst Med Res, Sydney, NSW, Australia [6]Biotree Shanghai, Shanghai, Peoples R China [7]Fudan Univ, Zhongshan Hosp, Shanghai Inst Resp Dis, Resp Div, Shanghai, Peoples R China [8]Univ Newcastle, Prior Res Ctr Hlth Lungs, Callaghan, NSW, Australia [9]Hunter Med Res Inst, Callaghan, NSW, Australia [10]Duke Natl Univ Singapore NUS, Program Emerging Infect Dis, Med Sch, Singapore, Singapore [11]Huazhong Univ Sci & Technol, Tongji Hosp, Dept Resp & Crit Care Med, Wuhan, Peoples R China
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关键词: Asthma sputum metabolomics phenotype biomarkers

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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.

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出版当年[2021]版:
大类 | 2 区 医学
小类 | 2 区 免疫学 3 区 过敏
最新[2025]版:
大类 | 2 区 医学
小类 | 2 区 免疫学 3 区 过敏
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出版当年[2020]版:
Q2 IMMUNOLOGY Q2 ALLERGY
最新[2024]版:
Q2 ALLERGY Q2 IMMUNOLOGY

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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
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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
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