炎症性肠病患者肠易激综合征和肠易激综合征类似症状的多样本脂质体图谱:对不同疾病中相同症状识别的新见解

IF 6.9 2区 医学 Q1 GASTROENTEROLOGY & HEPATOLOGY Journal of Gastroenterology Pub Date : 2024-09-10 DOI:10.1007/s00535-024-02148-1
Guorong Chen, Xuan Wu, Huiting Zhu, Kemin Li, Junhai Zhang, Shijie Sun, Huifen Wang, Miao Wang, Bing Shao, Hui Li, Yanli Zhang, Shiyu Du
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引用次数: 0

摘要

背景肠易激综合征(IBS)和炎症性肠病(IBD-IBS)患者肠易激综合征样症状的临床表现相互重叠,给诊断和治疗带来了挑战。这两种病症都与代谢物的改变有关,但很少有研究对脂质谱进行描述。我们的目的是通过分析多种生物样本,找出导致 IBS 和 IBD-IBS 发病机制的特定脂质。方法我们招募了腹泻为主的 IBS(IBS-D)患者(39 人)、缓解期溃疡性结肠炎伴 IBS 类症状患者(UCR-IBS)(21 人)和健康志愿者(35 人)。IBS-D患者符合罗马IV诊断标准,UCR-IBS患者符合马约评分≤两分和罗马IV诊断标准。收集血清、粪便和粘膜做进一步分析。结果三组患者粘膜和血清样本的脂质组学差异显著。粪便中的脂质种类变化最大,通过 KEGG 通路分析对 347 种不同含量的代谢物进行富集分析发现,两组中的α-亚麻酸代谢发生了显著变化(P < 0.01)。结论这项研究揭示了 IBS-D 患者和 UCR-IBS 患者之间全面的脂质组成模式。我们发现了几种参与α-亚麻酸代谢的独特脂质,反映了ω-6/ω-3脂肪酸比例的失衡。与粘膜和血清样本相比,粪便样本在脂质组学研究中可能更有优势,因为样本采集方便且能有效反映代谢信息。
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Multisample lipidomic profiles of irritable bowel syndrome and irritable bowel syndrome-like symptoms in patients with inflammatory bowel disease: new insight into the recognition of the same symptoms in different diseases

Background

Overlapping clinical manifestations of irritable bowel syndrome (IBS) and IBS-like symptoms in patients with inflammatory bowel disease (IBD-IBS) present challenges in diagnosis and management. Both conditions are associated with alterations in metabolites, but few studies have described the lipid profiles. Our aim was to pinpoint specific lipids that contribute to the pathogenesis of IBS and IBD-IBS by analyzing multiple biologic samples.

Methods

Diarrhea-predominant IBS (IBS-D) patients (n = 39), ulcerative colitis in remission with IBS-like symptoms patients (UCR-IBS) (n = 21), and healthy volunteers (n = 35) were recruited. IBS-D patients meet the Rome IV diagnostic criteria, and UCR-IBS patients matched mayo scores ≤ two points and Rome IV diagnostic criteria. Serum, feces, and mucosa were collected for further analysis. Lipid extraction was carried out by ultra-performance liquid chromatography-high resolution mass spectrometry (UPLC-HRMS).

Results

Lipidomics of mucosa and serum samples significantly differed among the three groups. Feces showed the most altered lipid species, and the enrichment analysis of 347 differentially abundant metabolites via KEGG pathway analysis revealed that alpha-linolenic acid metabolism was significantly altered in the two groups (P < 0.01). The ratio of omega-6/omega-3 fatty acid were imbalance in serum samples.

Conclusions

This study revealed a comprehensive lipid composition pattern between IBS-D patients and UCR-IBS patients. We found several distinctive lipids involved in alpha-linolenic acid metabolism, reflecting an imbalance in the omega-6/omega-3 fatty acid ratio. Compared to mucosa and serum samples, fecal samples might have more advantages in lipidomics studies due to the convenience of sample collection and effectiveness in reflecting metabolic information.

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来源期刊
Journal of Gastroenterology
Journal of Gastroenterology 医学-胃肠肝病学
CiteScore
12.20
自引率
1.60%
发文量
99
审稿时长
4-8 weeks
期刊介绍: The Journal of Gastroenterology, which is the official publication of the Japanese Society of Gastroenterology, publishes Original Articles (Alimentary Tract/Liver, Pancreas, and Biliary Tract), Review Articles, Letters to the Editors and other articles on all aspects of the field of gastroenterology. Significant contributions relating to basic research, theory, and practice are welcomed. These publications are designed to disseminate knowledge in this field to a worldwide audience, and accordingly, its editorial board has an international membership.
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