1. Characterising Alzheimer's disease through integrative NMR- and LC-MS-based metabolomics
- Author
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Karsten Vestergård, Jesper F. Havelund, Nils J. Færgeman, Shona Pedersen, Charlotte Held Gotfredsen, Raluca Maltesen, Søren Risom Kristensen, and Jonas Ellegaard Nielsen
- Subjects
Purine ,p-tau, Phospho-tau ,Aβ, Amyloid-β ,Physiology ,Guanosine ,QD415-436 ,Pharmacology ,Biochemistry ,ROC, Receiver operating characteristics ,Nuclear magnetic resonance ,MMSE, Mini-mental state examination ,chemistry.chemical_compound ,Metabolomics ,Valine ,medicine ,Metabolites ,sPLS-DA, Sparse partial least squared discriminant analysis ,QP1-981 ,FAQ, Functional activities questionnaire ,Inosine ,AD, Alzheimer's Disease ,EVs, Extracellular vesicles ,chemistry.chemical_classification ,CSF, Cerebrospinal fluid ,PCA, Principal component analysis ,Mass spectrometry ,CNS, Central nervous system ,business.industry ,CV, Cross-validation ,MCI, Mild cognitive impairment ,General Medicine ,Metabolism ,Extracellular vesicles ,AUC, Area under the curve ,BBB, Blood-brain barrier ,Extracellular vehicles ,Fold change ,t-tau, Total-tau ,Amino acid ,ACE, Addenbrooke's cognitive examination ,Blood ,chemistry ,Alzheimer ,FDR, False discovery rate ,business ,BCAA, Branched-chain amino acid ,Articles from the Clinical Metabolomics Special Issue ,medicine.drug - Abstract
Background: Alzheimer's Disease (AD) is a complex and multifactorial disease and novel approaches are needed to illuminate the underlying pathology. Metabolites comprise the end-product of genes, transcripts, and protein regulations and might reflect disease pathogenesis. Blood is a common biofluid used in metabolomics; however, since extracellular vesicles (EVs) hold cell-specific biological material and can cross the blood-brain barrier, their utilization as biological material warrants further investigation. We aimed to investigate blood- and EV-derived metabolites to add insigts to the pathological mechanisms of AD.Methods: Blood samples were collected from 10 AD and 10 Mild Cognitive Impairment (MCI) patients, and 10 healthy controls. EVs were enriched from plasma using 100,000×g, 1 h, 4 °C with a wash. Metabolites from serum and EVs were measured using liquid chromatography-mass spectrometry (LC-MS) and nuclear magnetic resonance (NMR) spectroscopy. Multivariate and univariate analyses were employed to identify altered metabolites in cognitively impaired individuals.Results: While no significant EV-derived metabolites were found differentiating patients from healthy individuals, six serum metabolites were found important; valine (p = 0.001, fold change, FC = 0.8), histidine (p = 0.001, FC = 0.9), allopurinol riboside (p = 0.002, FC = 0.2), inosine (p = 0.002, FC = 0.3), 4-pyridoxic acid (p = 0.006, FC = 1.6), and guanosine (p = 0.004, FC = 0.3). Pathway analysis revealed branched-chain amino acids, purine and histidine metabolisms to be downregulated, and vitamin B6 metabolism upregulated in patients compared to controls.Conclusion: Using a combination of LC-MS and NMR methodologies we identified several altered mechanisms possibly related to AD pathology. EVs require additional optimization prior to their possible utilization as a biological material for AD-related metabolomics studies.
- Published
- 2021
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