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Metabolomic Subtyping and Machine Learning-Based Diagnosis Reveal Clinical Heterogeneity in Silicosis. 代谢组学亚型和基于机器学习的诊断揭示矽肺的临床异质性。
IF 3.7 3区 生物学 Q2 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2026-01-12 DOI: 10.3390/metabo16010067
Jia Si, Hangju Zhu, Xinyu Ji, An-Dong Li, Ye Li, Shidan Wang, Yizhou Yang, Jianye Guo, Xinyu Li, Xiaocheng Peng, Ming Xu, Baoli Zhu, Yuanfang Chen, Lei Han

Background/objectives: Silicosis remains a major occupational health concern worldwide and is characterized by notable clinical heterogeneity in terms of disease progression and complications. However, the underlying metabolic mechanisms contributing to this heterogeneity remain poorly understood.

Methods: We conducted a case-control study involving 156 silicosis patients and 132 silica-exposed controls. The plasma samples were analyzed via untargeted metabolomics based on liquid chromatography-mass spectrometry (LC-MS/MS). To explore disease subtypes and potential biomarkers, we applied non-negative matrix factorization (NMF) clustering, weighted gene co-expression network analysis (WGCNA), and machine learning approaches.

Results: A total of 860 differentially abundant metabolites, including elevated pathogen-associated compounds, were identified in silicosis patients. Unsupervised NMF clustering revealed two distinct metabolic subtypes with different clinical features. Patients in the NMF2 subgroup had a 5.3-fold greater risk of pulmonary infections (p = 0.026) than those in the NMF1 subgroup. Metabolomic analysis revealed that NMF2 was enriched in arachidonic acid and unsaturated fatty acid metabolism pathways, with prominent LysoPC accumulation, suggesting inflammation-related lipid peroxidation. In contrast, NMF1 was characterized by increased spermidine biosynthesis and urea cycle activity, along with suppressed saturated fatty acid metabolism and reduced LysoPC processing, potentially affecting membrane integrity and promoting fibrosis. A machine learning-derived dual-metabolite panel, tyrosocholic acid and PI (20:4/0:0), achieved AUC values above 0.85 for both silicosis detection and subtype classification.

Conclusions: These findings highlight metabolic heterogeneity in silicosis and suggest clinically relevant subtypes, providing a foundation for improved stratification, early detection, and targeted interventions.

背景/目的:矽肺仍然是世界范围内主要的职业健康问题,其特点是在疾病进展和并发症方面具有显著的临床异质性。然而,导致这种异质性的潜在代谢机制仍然知之甚少。方法:我们进行了一项病例对照研究,包括156例矽肺病患者和132例矽肺病暴露者。血浆样品采用基于液相色谱-质谱(LC-MS/MS)的非靶向代谢组学分析。为了探索疾病亚型和潜在的生物标志物,我们应用了非负矩阵分解(NMF)聚类、加权基因共表达网络分析(WGCNA)和机器学习方法。结果:在矽肺患者中共鉴定出860种差异丰富的代谢物,包括升高的病原体相关化合物。无监督的NMF聚类揭示了两种具有不同临床特征的不同代谢亚型。NMF2亚组患者发生肺部感染的风险是NMF1亚组患者的5.3倍(p = 0.026)。代谢组学分析显示,NMF2在花生四烯酸和不饱和脂肪酸代谢途径中富集,并伴有显著的LysoPC积累,提示与炎症相关的脂质过氧化。相比之下,NMF1的特点是亚精胺生物合成和尿素循环活性增加,饱和脂肪酸代谢受到抑制,LysoPC加工减少,可能影响膜完整性并促进纤维化。机器学习衍生的双代谢物面板,酪氨酸胆酸和PI(20:4/0:0)在矽肺检测和亚型分类方面的AUC值均高于0.85。结论:这些发现突出了矽肺的代谢异质性,并提示了临床相关的亚型,为改进分层、早期发现和有针对性的干预提供了基础。
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引用次数: 0
Itaconate Promotes Cold Adaptation and Myocardial Protection by Enhancing Brown Adipose Tissue Metabolism. 衣康酸通过促进棕色脂肪组织代谢促进冷适应和心肌保护。
IF 3.7 3区 生物学 Q2 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2026-01-12 DOI: 10.3390/metabo16010066
Zilong Geng, Xing Liu, Xiao Cheng, Shizhan Xu, Jin Zhang, Ao Tan, Shun Song, Shasha Zhang

Background/Objectives: Itaconic acid (ITA) is an immunometabolite with anti-inflammatory and metabolic regulatory functions, but its cellular source and role in brown adipose tissue (BAT) remain unclear. This study aims to reveal the expression patterns of the key ITA synthesis gene Irg1 in BAT at different developmental stages and to investigate the effects of cold exposure and exogenous ITA on BAT metabolic function and cardioprotection. Methods: Single-cell RNA sequencing was used to analyze the gene expression profiles of stromal vascular fraction (SVF) cells in BAT from P7 neonatal and adult mice. Bioinformatic methods were applied to identify cell types expressing Irg1. Cold exposure (4 °C) and exogenous ITA treatment were employed to evaluate BAT morphology, and the ITA content in BAT was detected using gas chromatography-triple quadrupole mass spectrometry, UCP1 protein expression, and body temperature changes. A transverse aortic constriction (TAC) surgery model was established to induce cardiac dysfunction, and BAT excision was performed to explore the BAT-dependent effects of ITA on myocardial hypertrophy, fibrosis, and cardiac function. Results: In P7 neonatal mouse BAT, Irg1 was predominantly expressed in a subset of interferon-responsive activated macrophages (macrophage27), while in adult mice, it was mainly expressed in neutrophils and a functionally similar macrophage subset (macrophage25). Cold exposure significantly suppressed Irg1 expression in neutrophils but did not affect its expression in macrophages, also resulting in a significant decrease in ITA content in BAT. Exogenous ITA significantly enhanced BAT thermogenesis under cold conditions, which manifested as reduced lipid droplets, upregulated UCP1 expression, and increased body temperature. In the TAC model, ITA treatment markedly improved cardiac function, attenuated myocardial hypertrophy and fibrosis, and these protective effects were significantly diminished after BAT excision. Conclusions: ITA promotes cold adaptation and ameliorates cardiac injury by enhancing BAT metabolic function, and its effects depend on the presence of BAT. This study provides new insights for the treatment of metabolic cardiovascular diseases.

背景/目的:衣康酸(ITA)是一种具有抗炎和代谢调节功能的免疫代谢物,但其细胞来源和在棕色脂肪组织(BAT)中的作用尚不清楚。本研究旨在揭示BAT中关键的ITA合成基因Irg1在不同发育阶段的表达规律,探讨冷暴露和外源ITA对BAT代谢功能和心脏保护的影响。方法:采用单细胞RNA测序分析P7新生小鼠和成年小鼠BAT基质血管部分(SVF)细胞的基因表达谱。应用生物信息学方法鉴定表达Irg1的细胞类型。采用冷暴露(4℃)和外源ITA处理评价BAT形态,采用气相色谱-三重四极杆质谱法检测BAT中ITA含量、UCP1蛋白表达和体温变化。建立横断主动脉缩窄(TAC)手术模型诱导心功能障碍,行BAT切除,探讨ITA对心肌肥大、纤维化及心功能的BAT依赖性作用。结果:在P7新生小鼠BAT中,Irg1主要表达在干扰素应答激活的巨噬细胞亚群(巨噬细胞27)中,而在成年小鼠中,Irg1主要表达在中性粒细胞和功能相似的巨噬细胞亚群(巨噬细胞25)中。冷暴露显著抑制Irg1在中性粒细胞中的表达,但不影响其在巨噬细胞中的表达,也导致BAT中ITA含量显著降低。外源ITA显著增强了低温条件下BAT的产热作用,表现为脂滴减少,UCP1表达上调,体温升高。在TAC模型中,ITA治疗明显改善心功能,减轻心肌肥大和纤维化,BAT切除后这些保护作用明显减弱。结论:ITA通过增强BAT代谢功能促进冷适应,改善心脏损伤,其作用依赖于BAT的存在。本研究为代谢性心血管疾病的治疗提供了新的思路。
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引用次数: 0
Discrimination of Bipolar Disorder and Schizophrenia Patients Based on LC-HRMS Lipidomics. 基于LC-HRMS脂质组学的双相情感障碍和精神分裂症患者的鉴别。
IF 3.7 3区 生物学 Q2 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2026-01-12 DOI: 10.3390/metabo16010069
Milan R Janković, Nataša Avramović, Zoran Miladinović, Milka B Jadranin, Marija Takić, Gordana Krstić, Aleksandra Gavrilović, Čedo Miljević, Maja Pantović, Zorana Andrić, Savvas Radević, Danica Savić, Stefan Lekić, Vele Tešević, Boris Mandić

Background/Objectives: Schizophrenia (SCH) and bipolar disorder (BD) share overlapping symptoms and genetic factors, making differential diagnosis challenging and often leading to misdiagnosis. This study aimed to identify potential lipid biomarkers of serum capable of distinguishing BD from SCH. Methods: Lipid profiles of serum from 30 SCH and 31 BD patients were analyzed in triplicates using liquid chromatography-high-resolution mass spectrometry (LC-HRMS). Chemometric analysis was applied, including class and gender identifiers. Orthogonal partial least squares (OPLS) models with 1000 cross-validations were used to validate feature subsets. Results: The chemometric analysis included the most relevant metabolites in the comparison between all samples of SCH and BD patients, identifying five key biomarkers (LPC 16:0, SM 33:1, SM 32:1, compound C30H58O3, and PC 30:0) with VIP scores > 1 for distinguishing BD from SCH. Gender-specific models revealed five biomarkers in males (SM 32:1, SM 33:1, PC 32:1, PC 30:0, and FA 16:1) and two in females (LPC 16:0 and C30H58O3). These biomarkers primarily belonged to glycerophospholipids (GPs) and sphingophospholipids (SPs). Conclusions: Comparative lipid profiling between SCH and BD, including gender-specific subgroups, enabled identification of potential diagnosis-specific biomarkers. Elevated levels of GPs and SPs in SCH patients suggest lipid metabolism differences that may support improved diagnostic accuracy and personalized treatment strategies.

背景/目的:精神分裂症(SCH)和双相情感障碍(BD)具有重叠的症状和遗传因素,使得鉴别诊断具有挑战性并经常导致误诊。方法:采用液相色谱-高分辨率质谱法(LC-HRMS)对30例SCH和31例BD患者的血清脂质谱进行了三次分析。应用化学计量学分析,包括阶级和性别标识符。使用正交偏最小二乘(OPLS)模型进行1000次交叉验证,验证特征子集。结果:化学计量学分析包括了SCH和BD患者所有样本中最相关的代谢物,确定了5个VIP评分>的关键生物标志物(LPC 16:0, SM 33:1, SM 32:1,化合物C30H58O3和PC 30:0),以区分BD和SCH。性别特异性模型显示男性中有5个生物标志物(SM 32:1, SM 33:1, PC 32:1, PC 30:0和FA 16:1),女性中有2个生物标志物(LPC 16:0和C30H58O3)。这些生物标志物主要属于甘油磷脂(GPs)和鞘磷脂(SPs)。结论:比较SCH和BD之间的脂质分析,包括性别特异性亚组,可以识别潜在的诊断特异性生物标志物。SCH患者的gp和SPs水平升高表明脂质代谢差异可能支持提高诊断准确性和个性化治疗策略。
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引用次数: 0
Synovial Joint Fluid Metabolomic Profiles and Pathways Differentiate Osteoarthritis, Rheumatoid Arthritis, and Psoriatic Arthritis. 滑膜关节液代谢组谱和途径区分骨关节炎、类风湿关节炎和银屑病关节炎。
IF 3.7 3区 生物学 Q2 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2026-01-12 DOI: 10.3390/metabo16010070
Ozan Kaplan, Rositsa Karalilova, Zguro Batalov, Konstantin Batalov, Maria Kazakova, Victoria Sarafian, Emine Koç, Mustafa Çelebier, Feza Korkusuz

Background: Distinguishing between osteoarthritis (OA), rheumatoid arthritis (RA), and psoriatic arthritis (PsA) remains challenging despite different underlying mechanisms. Synovial fluid reflects metabolic changes within affected joints, yet comprehensive metabolomic comparisons across these conditions are limited. We aimed to identify disease-specific metabolic signatures in synovial fluid that could improve differential diagnosis and reveal therapeutic targets.

Methods: We collected synovial fluid from 39 patients (20 OA, 5 RA, and 14 PsA) during routine knee arthrocentesis between January 2023 and February 2024. Following metabolite extraction, we performed untargeted metabolomic profiling using quadrupole time-of-flight liquid chromatography-mass spectrometry (Q-TOF LC/MS). Data underwent multivariate statistical analysis, including principal component analysis (PCA) and partial least squares-discriminant analysis (PLS-DA), to identify discriminatory metabolites.

Results: While unsupervised analysis showed overlap between groups, supervised PLS-DA achieved clear metabolic separation. RA samples showed elevated itaconic acid, indicating inflammatory macrophage activation, and increased O-acetylserine, suggesting altered one-carbon metabolism. Hypoxanthine was decreased, which reflected severe metabolic stress. PsA exhibited the unique elevation of 4,4-dimethylcholestane and 2-oxoarginine. These metabolites have previously been unreported in this disease. OA demonstrated increased hippuric acid and indoleacetic acid, which are both gut microbiota products, supporting the gut-joint axis hypothesis.

Conclusions: Each arthritis type displayed distinct metabolic fingerprints in synovial fluid. Candidate discriminatory metabolites, including gut-derived metabolites in OA and specific lipid alterations in PsA, open new diagnostic and therapeutic avenues. Given the limited RA sample size (n = 5), RA-related results should be viewed as exploratory and requiring validation in larger independent cohorts. These metabolites may, after rigorous validation in larger and independent cohorts, contribute to multi-metabolite biomarker panels for earlier diagnosis and to the rational design of targeted therapeutics addressing disease-specific metabolic disruptions.

背景:区分骨关节炎(OA),类风湿性关节炎(RA)和银屑病关节炎(PsA)仍然具有挑战性,尽管潜在的机制不同。滑液反映了受影响关节内的代谢变化,但在这些情况下的全面代谢组学比较是有限的。我们旨在确定滑液中疾病特异性代谢特征,以改善鉴别诊断并揭示治疗靶点。方法:我们于2023年1月至2024年2月期间在常规膝关节穿刺期间收集了39例患者(20例OA, 5例RA, 14例PsA)的滑液。在提取代谢物后,我们使用四极杆飞行时间液相色谱-质谱法(Q-TOF LC/MS)进行了非靶向代谢组学分析。对数据进行多元统计分析,包括主成分分析(PCA)和偏最小二乘-判别分析(PLS-DA),以识别歧视性代谢物。结果:虽然无监督分析显示组间重叠,但有监督的PLS-DA实现了明确的代谢分离。RA样品显示衣康酸升高,提示炎症性巨噬细胞活化,o -乙酰丝氨酸升高,提示单碳代谢改变。次黄嘌呤减少,反映了严重的代谢应激。PsA表现出独特的4,4-二甲基胆甾和2-氧精氨酸升高。这些代谢物以前未在该病中报道过。OA显示了肠道菌群产物马尿酸和吲哚乙酸的增加,这支持了肠关节轴假说。结论:不同类型的关节炎在滑液中表现出不同的代谢指纹。候选的歧视性代谢物,包括OA的肠道代谢物和PsA的特异性脂质改变,开辟了新的诊断和治疗途径。鉴于RA样本量有限(n = 5), RA相关结果应被视为探索性的,需要在更大的独立队列中进行验证。这些代谢物在更大的独立队列中经过严格验证后,可能有助于早期诊断的多代谢物生物标志物小组,并有助于合理设计针对疾病特异性代谢紊乱的靶向治疗方法。
{"title":"Synovial Joint Fluid Metabolomic Profiles and Pathways Differentiate Osteoarthritis, Rheumatoid Arthritis, and Psoriatic Arthritis.","authors":"Ozan Kaplan, Rositsa Karalilova, Zguro Batalov, Konstantin Batalov, Maria Kazakova, Victoria Sarafian, Emine Koç, Mustafa Çelebier, Feza Korkusuz","doi":"10.3390/metabo16010070","DOIUrl":"10.3390/metabo16010070","url":null,"abstract":"<p><strong>Background: </strong>Distinguishing between osteoarthritis (OA), rheumatoid arthritis (RA), and psoriatic arthritis (PsA) remains challenging despite different underlying mechanisms. Synovial fluid reflects metabolic changes within affected joints, yet comprehensive metabolomic comparisons across these conditions are limited. We aimed to identify disease-specific metabolic signatures in synovial fluid that could improve differential diagnosis and reveal therapeutic targets.</p><p><strong>Methods: </strong>We collected synovial fluid from 39 patients (20 OA, 5 RA, and 14 PsA) during routine knee arthrocentesis between January 2023 and February 2024. Following metabolite extraction, we performed untargeted metabolomic profiling using quadrupole time-of-flight liquid chromatography-mass spectrometry (Q-TOF LC/MS). Data underwent multivariate statistical analysis, including principal component analysis (PCA) and partial least squares-discriminant analysis (PLS-DA), to identify discriminatory metabolites.</p><p><strong>Results: </strong>While unsupervised analysis showed overlap between groups, supervised PLS-DA achieved clear metabolic separation. RA samples showed elevated itaconic acid, indicating inflammatory macrophage activation, and increased O-acetylserine, suggesting altered one-carbon metabolism. Hypoxanthine was decreased, which reflected severe metabolic stress. PsA exhibited the unique elevation of 4,4-dimethylcholestane and 2-oxoarginine. These metabolites have previously been unreported in this disease. OA demonstrated increased hippuric acid and indoleacetic acid, which are both gut microbiota products, supporting the gut-joint axis hypothesis.</p><p><strong>Conclusions: </strong>Each arthritis type displayed distinct metabolic fingerprints in synovial fluid. Candidate discriminatory metabolites, including gut-derived metabolites in OA and specific lipid alterations in PsA, open new diagnostic and therapeutic avenues. Given the limited RA sample size (<i>n</i> = 5), RA-related results should be viewed as exploratory and requiring validation in larger independent cohorts. These metabolites may, after rigorous validation in larger and independent cohorts, contribute to multi-metabolite biomarker panels for earlier diagnosis and to the rational design of targeted therapeutics addressing disease-specific metabolic disruptions.</p>","PeriodicalId":18496,"journal":{"name":"Metabolites","volume":"16 1","pages":""},"PeriodicalIF":3.7,"publicationDate":"2026-01-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12844152/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146052989","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"生物学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Co-Metabolic Network Reveals the Metabolic Mechanism of Host-Microbiota Interplay in Colorectal Cancer. 共同代谢网络揭示大肠癌中宿主-微生物相互作用的代谢机制。
IF 3.7 3区 生物学 Q2 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2026-01-11 DOI: 10.3390/metabo16010064
Han-Wen Wang, Wang Li, Qi-Jun Ma, Hong-Yu Zhang, Yuan Quan, Qiang Zhu

Background: Colorectal cancer (CRC) is a malignancy that ranks among the top three in terms of both global mortality and incidence. Although numerous studies have demonstrated that gut microbes are implicated in CRC pathogenesis, the precise mechanisms underlying host-microbiota metabolic crosstalk remain poorly understood.

Objective: This study aims to identify and delineate key co-metabolites and their associated metabolic pathways that modulate the biomass of CRC-related gut bacteria within healthy individuals, through the construction of host-gut microbiota co-metabolic network models. We seek to elucidate the underlying mechanisms of metabolic interplay between the host and CRC-related gut microbiota, thereby offering novel perspectives on the microbial involvement in the initiation and progression of CRC.

Methods: We coupled a colon tissue-specific host Genome-Scale Metabolic Model (GEM), which utilized transcriptomic data from healthy human colon tissues, with 12 CRC-associated pro-/anti-carcinogenic gut bacterial GEMs to construct a co-metabolic network. Through a comparative analysis of the network structure and systemic methods (including Flux Sampling and metabolic difference analysis), we simulated scenarios of constrained host co-metabolite supply. Finally, metabolic subsystem enrichment analysis was employed to elucidate the specific molecular mechanisms by which key co-metabolites affect microbial function.

Results: The 17 key co-metabolites identified include chloride ions, zinc ions, and acetate. Among these, thirteen metabolites (e.g., ferric iron, succinate, and acetate) were confirmed by literature to be associated with CRC. All 17 key co-metabolites were found to significantly modulate the biomass of CRC-associated gut bacteria. These regulatory effects primarily influence microbial function through core pathways such as glycerophospholipid metabolism and folate metabolism.

Conclusion: This research provides a systemic perspective for elucidating the mechanisms of host-gut microbiota metabolic interplay in CRC, thereby complementing the existing theoretical framework concerning microbial regulation by the host genetic background.

背景:结直肠癌(Colorectal cancer, CRC)是全球死亡率和发病率均居前三位的恶性肿瘤。尽管大量研究表明肠道微生物参与CRC的发病机制,但宿主-微生物群代谢串扰的确切机制仍然知之甚少。目的:本研究旨在通过构建宿主-肠道菌群共代谢网络模型,识别和描述调节健康个体crc相关肠道菌群生物量的关键共代谢产物及其相关代谢途径。我们试图阐明宿主与CRC相关肠道微生物群之间代谢相互作用的潜在机制,从而为微生物参与CRC的发生和进展提供新的视角。方法:我们利用健康人类结肠组织的转录组学数据,将结肠组织特异性宿主基因组尺度代谢模型(GEM)与12种crc相关的促/抗癌肠道细菌GEMs结合起来,构建了一个共代谢网络。通过对网络结构和系统方法(包括通量采样和代谢差异分析)的比较分析,我们模拟了受限宿主共代谢物供应的场景。最后,利用代谢子系统富集分析阐明了关键共代谢物影响微生物功能的具体分子机制。结果:鉴定出17种主要共代谢物,包括氯离子、锌离子和醋酸盐。其中有13种代谢物(如铁、琥珀酸盐和醋酸盐)被文献证实与CRC相关。所有17种关键共代谢物均可显著调节crc相关肠道细菌的生物量。这些调节作用主要通过甘油磷脂代谢和叶酸代谢等核心途径影响微生物功能。结论:本研究为阐明CRC中宿主-肠道菌群代谢相互作用机制提供了系统视角,补充了宿主遗传背景下微生物调控的现有理论框架。
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引用次数: 0
New Analytical Techniques and Applications of Metabolomics and Lipidomics. 代谢组学和脂质组学的新分析技术及应用。
IF 3.7 3区 生物学 Q2 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2026-01-11 DOI: 10.3390/metabo16010063
Chunxiu Hu, Xianzhe Shi, Xinyu Liu

Metabolomics and lipidomics have emerged as essential tools in systems biology, providing comprehensive insights into small-molecule metabolites and lipids within biological systems [...].

代谢组学和脂质组学已经成为系统生物学中必不可少的工具,为生物系统中的小分子代谢物和脂质提供了全面的见解[…]。
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引用次数: 0
Optical and Microdialysis Monitoring of Succinate Prodrug Treatment in a Rotenone-Induced Model of Mitochondrial Dysfunction in Swine. 鱼藤酮诱导的猪线粒体功能障碍模型中琥珀酸盐药物前治疗的光学和微透析监测。
IF 3.7 3区 生物学 Q2 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2026-01-11 DOI: 10.3390/metabo16010065
Alistair Lewis, Rodrigo M Forti, Tiffany S Ko, Eskil Elmér, Meagan J McManus, Arjun G Yodh, Todd J Kilbaugh, Wesley B Baker

Background/objectives: Mitochondrial dysfunction is a major cause of brain injury in patients with primary mitochondrial disease. New mitochondrial therapeutics and non-invasive tools for efficacy monitoring are urgently needed. To these ends, succinate prodrug NV354 (methyl 3-[(2-acetylaminoethylthio)carbonyl]propionate) and diffuse optical techniques are promising. In this proof-of-concept study, we characterize NV354's effects on microdialysis metrics of cerebral metabolism in a swine model of mitochondrial dysfunction and assess the associations of diffuse optical metrics with mitochondrial dysfunction and metabolic improvement.

Methods: One-month-old swine received a four-hour co-infusion of rotenone with either the succinate prodrug NV354 (n = 5) or placebo (n = 5). Rotenone is a mitochondrial complex I inhibitor. Before and during co-infusion, cerebral metabolism was probed with microdialysis and diffuse optics. Microdialysis acquired interstitial lactate and pyruvate levels invasively, while diffuse optics measured changes in oxygen extraction fraction (OEF) and oxidized cytochrome-c-oxidase concentration (oxCCO).

Results: Interstitial lactate continually increased in the placebo group (p < 0.01), but lactate levels plateaued in the NV354 group (p = 0.90). oxCCO also increased in the placebo group (p = 0.05), but OEF remained constant (p = 0.80). In the NV354 group, oxCCO increased (p < 0.01) while OEF decreased (p < 0.01).

Conclusions: Microdialysis results suggest that NV354 treatment can increase oxygen metabolism in large animals with mitochondrial dysfunction. The optical oxCCO metric was also sensitive to metabolic changes induced by rotenone and NV354 administration.

背景/目的:线粒体功能障碍是原发性线粒体疾病患者脑损伤的主要原因。迫切需要新的线粒体疗法和非侵入性疗效监测工具。为此,琥珀酸前药NV354(甲基3-[(2-乙酰氨基乙基硫)羰基]丙酸酯)和扩散光学技术是有前途的。在这项概念验证研究中,我们在线粒体功能障碍猪模型中表征了NV354对脑代谢微透析指标的影响,并评估了漫射光学指标与线粒体功能障碍和代谢改善的关系。方法:1月龄猪分别与琥珀酸前药NV354 (n = 5)或安慰剂(n = 5)共输注鱼藤酮4小时。鱼藤酮是线粒体复合体I抑制剂。用微透析和漫射光学观察共输注前后脑代谢的变化。微透析获得间质乳酸和丙酮酸水平,而漫射光学测量氧提取分数(OEF)和氧化细胞色素-c氧化酶浓度(oxCCO)的变化。结果:安慰剂组间质乳酸水平持续升高(p < 0.01), NV354组间质乳酸水平趋于平稳(p = 0.90)。安慰剂组oxCCO也增加(p = 0.05),但OEF保持不变(p = 0.80)。NV354组oxCCO升高(p < 0.01), OEF降低(p < 0.01)。结论:微透析结果提示,NV354治疗可增加线粒体功能障碍大动物的氧代谢。光学oxCCO指标对鱼藤酮和NV354诱导的代谢变化也很敏感。
{"title":"Optical and Microdialysis Monitoring of Succinate Prodrug Treatment in a Rotenone-Induced Model of Mitochondrial Dysfunction in Swine.","authors":"Alistair Lewis, Rodrigo M Forti, Tiffany S Ko, Eskil Elmér, Meagan J McManus, Arjun G Yodh, Todd J Kilbaugh, Wesley B Baker","doi":"10.3390/metabo16010065","DOIUrl":"10.3390/metabo16010065","url":null,"abstract":"<p><strong>Background/objectives: </strong>Mitochondrial dysfunction is a major cause of brain injury in patients with primary mitochondrial disease. New mitochondrial therapeutics and non-invasive tools for efficacy monitoring are urgently needed. To these ends, succinate prodrug NV354 (methyl 3-[(2-acetylaminoethylthio)carbonyl]propionate) and diffuse optical techniques are promising. In this proof-of-concept study, we characterize NV354's effects on microdialysis metrics of cerebral metabolism in a swine model of mitochondrial dysfunction and assess the associations of diffuse optical metrics with mitochondrial dysfunction and metabolic improvement.</p><p><strong>Methods: </strong>One-month-old swine received a four-hour co-infusion of rotenone with either the succinate prodrug NV354 (<i>n</i> = 5) or placebo (<i>n</i> = 5). Rotenone is a mitochondrial complex I inhibitor. Before and during co-infusion, cerebral metabolism was probed with microdialysis and diffuse optics. Microdialysis acquired interstitial lactate and pyruvate levels invasively, while diffuse optics measured changes in oxygen extraction fraction (OEF) and oxidized cytochrome-c-oxidase concentration (oxCCO).</p><p><strong>Results: </strong>Interstitial lactate continually increased in the placebo group (<i>p</i> < 0.01), but lactate levels plateaued in the NV354 group (<i>p</i> = 0.90). oxCCO also increased in the placebo group (<i>p</i> = 0.05), but OEF remained constant (<i>p</i> = 0.80). In the NV354 group, oxCCO increased (<i>p</i> < 0.01) while OEF decreased (<i>p</i> < 0.01).</p><p><strong>Conclusions: </strong>Microdialysis results suggest that NV354 treatment can increase oxygen metabolism in large animals with mitochondrial dysfunction. The optical oxCCO metric was also sensitive to metabolic changes induced by rotenone and NV354 administration.</p>","PeriodicalId":18496,"journal":{"name":"Metabolites","volume":"16 1","pages":""},"PeriodicalIF":3.7,"publicationDate":"2026-01-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12844242/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146052927","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"生物学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Changes in the Metabolome of Different Tissues in Response to Streptozotocin Diabetes and Mildronate Exposure: A Metabolomic Assessment. 链脲佐菌素对糖尿病和米屈酸盐暴露的不同组织代谢组的影响:代谢组学评估。
IF 3.7 3区 生物学 Q2 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2026-01-09 DOI: 10.3390/metabo16010061
David Hauton, Dragana Savic, John Walsby-Tickle, Damian Tyler, James S O McCullagh

Background: Uncontrolled diabetes is characterised by a loss of blood glucose control and increased oxidation of fatty acids to produce ATP. Use of metabolic inhibitors to blunt fatty acid oxidation and restore glucose metabolism is a poorly studied intervention for diabetes. Methods: Steptozotocin-induced diabetes was developed in Wistar male rats. A subset was supplemented with mildronate (100 mg/kg-14 days). Exploiting liquid chromatography-mass spectrometry for workflows including ion exchange-, C18-reverse phase- and HILIC-based chromatography methods, metabolite levels were quantified in plasma liver and brain tissue. Using both untargeted and targeted metabolomic analysis changes to the global tissue metabolome and individual metabolic pathways were estimated. Results: We document that an inhibitor of carnitine synthesis, mildronate, decreased plasma (50% p < 0.01) carnitine abundance and decreased plasma glucose concentration by one-third compared to streptozotocin (STZ)-treated rats (p < 0.001). Targeted metabolomic analysis of the liver showed decreased alpha-ketoglutarate abundance (35% p < 0.05) by STZ diabetes that was further decreased following mildronate treatment (50% p < 0.05). For both beta-hydroxybutyrate and succinate levels, STZ diabetes increased hepatic abundance by 50% (p < 0.05 for both), which was restored to control levels by mildronate (p < 0.05 for both). In contrast, brain TCA intermediate abundances were unaffected by either STZ diabetes or mildronate (NS for all). STZ diabetes also decreased abundance of pentose phosphate pathway (PPP) metabolites in the liver (glucose-6-phosphate, 6-phosphogluconolactone, 6-phosphogluconate 50% for all; p < 0.05), which was not restored by mildronate treatment. However, brain PPP metabolite abundance was unchanged by STZ diabetes or mildronate (NS for all). However, mildronate treatment did not affect the increased abundance of brain sorbitol, sorbitol-6-phosphate and glucose-6-phosphate as a result of STZ diabetes. Conclusions: Together, these observations highlight the potential role that metabolic inhibitors, like mildronate, may play in restoring blood glucose for diabetic patients, without a direct effect of tissues that represent obligate consumers of glucose (e.g., brain) whilst manipulating fat oxidation in tissues such as the liver.

背景:未控制的糖尿病的特征是血糖控制的丧失和脂肪酸氧化产生ATP的增加。使用代谢抑制剂来抑制脂肪酸氧化和恢复葡萄糖代谢是一种研究较少的糖尿病干预措施。方法:采用Wistar雄性大鼠steptozotocin诱导糖尿病。一组补充米屈酸钠(100 mg/kg-14天)。利用液相色谱-质谱法的工作流程,包括离子交换、c18 -反相和基于hilic的色谱方法,定量了血浆肝脏和脑组织中的代谢物水平。利用非靶向和靶向代谢组学分析,估计了整体组织代谢组学和个体代谢途径的变化。结果:我们发现,与链脲佐菌素(STZ)治疗的大鼠相比,肉毒碱合成抑制剂米屈酸钠降低了血浆肉毒碱丰度(50% p < 0.01),血浆葡萄糖浓度降低了三分之一(p < 0.001)。肝脏靶向代谢组学分析显示STZ糖尿病患者α -酮戊二酸丰度降低(35% p < 0.05),米膦酸钠治疗后进一步降低(50% p < 0.05)。对于β -羟基丁酸盐和琥珀酸盐水平,STZ糖尿病使肝脏丰度增加50%(两者均p < 0.05),米膦酸盐使其恢复到控制水平(两者均p < 0.05)。相比之下,脑TCA中间丰度不受STZ糖尿病或米屈膦酸钠(NS)的影响。STZ糖尿病还降低了肝脏中戊糖磷酸途径(PPP)代谢物(葡萄糖-6-磷酸,6-磷酸葡萄糖内酯,6-磷酸葡萄糖酸酯)的丰度,所有人都降低了50%,p < 0.05),米屈酸钠治疗不能恢复这种丰度。然而,脑PPP代谢物丰度在STZ糖尿病或米屈膦酸钠(NS对所有人)中没有变化。然而,米膦酸钠治疗并没有影响由于STZ糖尿病引起的脑山梨醇、山梨醇-6-磷酸和葡萄糖-6-磷酸丰度的增加。结论:总之,这些观察结果强调了代谢抑制剂,如米屈酸盐,可能在恢复糖尿病患者血糖方面发挥潜在作用,而不直接影响代表葡萄糖专性消费者的组织(如大脑),同时操纵肝脏等组织中的脂肪氧化。
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引用次数: 0
From Metabolic Syndrome to Atrial Fibrillation: Linking Inflammatory and Fibrotic Biomarkers with Atrial Remodeling and Imaging-Based Evaluation-A Narrative Review. 从代谢综合征到心房颤动:将炎症和纤维化生物标志物与心房重构和基于成像的评估联系起来-一篇叙述性综述。
IF 3.7 3区 生物学 Q2 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2026-01-09 DOI: 10.3390/metabo16010059
Adrian-Grigore Merce, Daniel-Dumitru Nisulescu, Anca Hermenean, Oana-Maria Burciu, Iulia-Raluca Munteanu, Adrian-Petru Merce, Daniel-Miron Brie, Cristian Mornos
<p><p>Atrial fibrillation (AF) is the most prevalent sustained arrhythmia worldwide and is now increasingly regarded as a disease of chronic inflammation and progressive atrial fibrosis. Understanding of molecular mechanisms that mediate the linkage between systemic metabolic dysregulation, inflammation, and structural atrial changes is crucial for informing risk stratification and targeting of prevention strategies. This review provides evidence from 105 studies focusing on the contributions of transforming growth factor-β1 (TGF-β1), tumor necrosis factor-a (TNF-α), interleukin-6 (IL-6), galectin-3, and galectin-1 to cardiac fibrogenesis, atrial fibrosis, and AF pathogenesis. We also link metabolic syndrome to these biomarkers and to atrial remodeling, as well as echocardiographic correlates of fibrosis. TGF-β1 is established as the central profibrotic cytokine and promotes Smad-based fibroblast activation, collagen accumulation, and structural atrial remodeling. Its role is highly potentiated by thrombospondin-1 by turning latent TGF-β1 into its potent form. TNF-α and IL-6 also play an integral role in the inflammatory fibrotic continuum by activating NF-κB and STAT3 signaling, promoting fibroblast proliferation, electrical uncoupling, and extracellular matrix accumulation. Galectin-3 is a potent profibrotic mediator that promotes TGF-β signaling and is a risk factor for negative outcomes, whereas Gal-1 seems to regulate inflammation resolution and may exert context-dependent protective or maladaptive roles. Metabolic syndrome is strongly associated with excessive levels of these biomarkers, chronic low-grade inflammation, oxidative stress, and ventricular and atrial fibrosis. Chronic clinical findings show that metabolic syndrome (MetS) increases AF risk, exacerbates atrial dilatation, and is associated with worse postoperative outcomes. Echocardiographic data are connected to circulating biomarkers and are non-invasive for evaluating atrial remodeling. The evidence to date supports that atrial fibrosis should be considered an end point of systemic inflammation, metabolic dysfunction, and activation of profibrotic molecular pathways. Metabolic syndrome, due to its chronic low-grade inflammatory environment and prolonged levels of metabolic stress, manifests as an important upstream factor of fibrotic remodeling, which continuously promotes the release of cytokines, oxidative stress, and fibroblast activation. Circulating fibrotic biomarkers, in comparison with metabolic syndrome, serve separate yet interdependent pathways that help orchestrate atrial structural remodeling through the simultaneous process but can also provide a long-term indirect measure of ongoing profibrotic activity. The integration of these biomarkers with superior atrial imaging enables a broader understanding of the fibrotic substrate of atrial fibrillation. This combined molecular imaging approach can facilitate risk stratification, refine therapeutic decisions, and faci
心房颤动(AF)是世界范围内最常见的持续性心律失常,现在越来越多地被视为慢性炎症和进行性心房纤维化的疾病。了解介导全身性代谢失调、炎症和结构性心房变化之间联系的分子机制,对于告知风险分层和预防策略的目标至关重要。本文综述了105项关于转化生长因子-β1 (TGF-β1)、肿瘤坏死因子-α (TNF-α)、白细胞介素-6 (IL-6)、半乳糖凝集素-3和半乳糖凝集素-1在心脏纤维化、心房纤维化和房颤发病中的作用的研究。我们还将代谢综合征与这些生物标志物和心房重构以及纤维化的超声心动图相关性联系起来。TGF-β1被确定为中心促纤维化细胞因子,促进smad基成纤维细胞活化、胶原积累和结构性心房重构。通过将潜伏的TGF-β1转化为有效形式,它的作用被血栓反应蛋白-1高度增强。TNF-α和IL-6也通过激活NF-κB和STAT3信号,促进成纤维细胞增殖、电解偶联和细胞外基质积累,在炎症纤维化连续体中发挥不可或缺的作用。半乳糖凝集素-3是一种有效的促纤维化介质,可促进TGF-β信号传导,是负面结果的危险因素,而半乳糖凝集素-1似乎调节炎症消退,并可能发挥环境依赖的保护或不适应作用。代谢综合征与这些生物标志物水平过高、慢性低度炎症、氧化应激以及心室和心房纤维化密切相关。慢性临床结果表明,代谢综合征(MetS)增加房颤风险,加剧心房扩张,并与较差的术后预后相关。超声心动图数据与循环生物标志物有关,对于评估心房重构是非侵入性的。迄今为止的证据支持心房纤维化应被视为全身性炎症、代谢功能障碍和纤维化分子途径激活的终点。代谢综合征由于其慢性低度炎症环境和长期的代谢应激水平,是纤维化重塑的重要上游因素,不断促进细胞因子的释放、氧化应激和成纤维细胞的活化。与代谢综合征相比,循环纤维化生物标志物服务于独立但相互依赖的途径,通过同时进行的过程帮助协调心房结构重构,但也可以提供正在进行的纤维化活动的长期间接测量。这些生物标志物与优越的心房成像的整合使人们对房颤的纤维化底物有了更广泛的了解。这种联合分子成像方法可以促进风险分层,改进治疗决策,促进早期识别高风险代谢表型,从而潜在地促进心房颤动的定向抗纤维化和抗炎治疗。
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引用次数: 0
Mitochondrial Redox Vulnerabilities in Triple-Negative Breast Cancer: Integrative Perspectives and Emerging Therapeutic Strategies. 线粒体氧化还原脆弱性在三阴性乳腺癌:综合观点和新兴的治疗策略。
IF 3.7 3区 生物学 Q2 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2026-01-09 DOI: 10.3390/metabo16010060
Alfredo Cruz-Gregorio

Breast cancer is a significant public health concern, with triple-negative breast cancer (TNBC) being the most aggressive subtype characterized by considerable heterogeneity and the absence of estrogen receptor (ER), progesterone receptor (PR), and human epidermal growth factor receptor 2 (HER2) expression. Currently, there are no practical alternatives to chemotherapy, which is associated with a poor prognosis. Therefore, developing new treatments for TNBC is an urgent need. Reactive oxygen species (ROS) and redox adaptation play central roles in TNBC biology. Targeting the redox state has emerged as a promising therapeutic approach, as it is vital to the survival of tumors, including TNBC. Although TNBC does not produce high levels of ROS compared to ER- or PR-positive breast cancers, it relies on mitochondria and oxidative phosphorylation (OXPHOS) to sustain ROS production and create an environment conducive to tumor progression. As a result, novel treatments that can modulate redox balance and target organelles essential for redox homeostasis, such as mitochondria, could be promising for TNBC, an area not yet reviewed in the current scientific literature, thus representing a critical gap. This review addresses that gap by synthesizing current evidence on TNBC biology and its connections to redox state and mitochondrial metabolism, with a focus on innovative strategies such as metal-based compounds (e.g., copper, gold), redox nanoparticles that facilitate anticancer drug delivery, mitochondrial-targeted therapies, and immunomodulatory peptides like GK-1. By integrating mechanistic insights into the redox state with emerging therapeutic approaches, I aim to highlight new redox-centered opportunities to improve TNBC treatments. Moreover, this review uniquely integrates mitochondrial metabolism, redox imbalance, and emerging regulated cell-death pathways, including ferroptosis, cuproptosis, and disulfidptosis, within the context of TNBC metabolic heterogeneity, highlighting translational vulnerabilities and subtype-specific therapeutic opportunities.

乳腺癌是一个重要的公共卫生问题,三阴性乳腺癌(TNBC)是最具侵袭性的亚型,其特征是相当大的异质性和缺乏雌激素受体(ER)、孕激素受体(PR)和人表皮生长因子受体2 (HER2)的表达。目前,没有实际的替代化疗,这与预后不良有关。因此,迫切需要开发新的治疗TNBC的方法。活性氧(ROS)和氧化还原适应在TNBC生物学中起着核心作用。靶向氧化还原状态已成为一种有希望的治疗方法,因为它对肿瘤的生存至关重要,包括TNBC。尽管与ER或pr阳性乳腺癌相比,TNBC不产生高水平的ROS,但它依赖于线粒体和氧化磷酸化(OXPHOS)来维持ROS的产生,并创造有利于肿瘤进展的环境。因此,可以调节氧化还原平衡和靶向氧化还原稳态所必需的细胞器(如线粒体)的新治疗方法可能对TNBC有希望,这一领域尚未在当前科学文献中进行审查,因此代表了一个关键的空白。本综述通过综合TNBC生物学及其与氧化还原状态和线粒体代谢的联系的现有证据来解决这一空白,重点关注创新策略,如金属基化合物(如铜、金)、促进抗癌药物传递的氧化还原纳米颗粒、线粒体靶向治疗和免疫调节肽如GK-1。通过将氧化还原状态的机制见解与新兴的治疗方法相结合,我的目标是强调以氧化还原为中心的新机会,以改善TNBC治疗。此外,本综述独特地整合了线粒体代谢、氧化还原失衡和新出现的受调节的细胞死亡途径,包括铁下垂、铜下垂和二硫下垂,在TNBC代谢异质性的背景下,突出了翻译脆弱性和亚型特异性治疗机会。
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