Plasma metabolomics for the diagnosis and prognosis of H1N1 influenza pneumonia

Abstract Background Metabolomics is a tool that has been used for the diagnosis and prognosis of specific diseases. The purpose of this study was to examine if metabolomics could be used as a potential diagnostic and prognostic tool for H1N1 pneumonia. Our hypothesis was that metabolomics can potent...

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Main Authors: Mohammad M. Banoei, Hans J. Vogel, Aalim M. Weljie, Anand Kumar, Sachin Yende, Derek C. Angus, Brent W. Winston, the Canadian Critical Care Translational Biology Group (CCCTBG)
Format: Article
Language:English
Published: BMC 2017-04-01
Series:Critical Care
Subjects:
Online Access:http://link.springer.com/article/10.1186/s13054-017-1672-7
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author Mohammad M. Banoei
Hans J. Vogel
Aalim M. Weljie
Anand Kumar
Sachin Yende
Derek C. Angus
Brent W. Winston
the Canadian Critical Care Translational Biology Group (CCCTBG)
author_facet Mohammad M. Banoei
Hans J. Vogel
Aalim M. Weljie
Anand Kumar
Sachin Yende
Derek C. Angus
Brent W. Winston
the Canadian Critical Care Translational Biology Group (CCCTBG)
author_sort Mohammad M. Banoei
collection DOAJ
description Abstract Background Metabolomics is a tool that has been used for the diagnosis and prognosis of specific diseases. The purpose of this study was to examine if metabolomics could be used as a potential diagnostic and prognostic tool for H1N1 pneumonia. Our hypothesis was that metabolomics can potentially be used early for the diagnosis and prognosis of H1N1 influenza pneumonia. Methods 1H nuclear magnetic resonance spectroscopy and gas chromatography-mass spectrometry were used to profile the metabolome in 42 patients with H1N1 pneumonia, 31 ventilated control subjects in the intensive care unit (ICU), and 30 culture-positive plasma samples from patients with bacterial community-acquired pneumonia drawn within the first 24 h of hospital admission for diagnosis and prognosis of disease. Results We found that plasma-based metabolomics from samples taken within 24 h of hospital admission can be used to discriminate H1N1 pneumonia from bacterial pneumonia and nonsurvivors from survivors of H1N1 pneumonia. Moreover, metabolomics is a highly sensitive and specific tool for the 90-day prognosis of mortality in H1N1 pneumonia. Conclusions This study demonstrates that H1N1 pneumonia can create a quite different plasma metabolic profile from bacterial culture-positive pneumonia and ventilated control subjects in the ICU on the basis of plasma samples taken within 24 h of hospital/ICU admission, early in the course of disease.
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spelling doaj.art-0ef37f8fb07a4709bc3fb7054bb108db2022-12-22T00:11:39ZengBMCCritical Care1364-85352017-04-0121111510.1186/s13054-017-1672-7Plasma metabolomics for the diagnosis and prognosis of H1N1 influenza pneumoniaMohammad M. Banoei0Hans J. Vogel1Aalim M. Weljie2Anand Kumar3Sachin Yende4Derek C. Angus5Brent W. Winston6the Canadian Critical Care Translational Biology Group (CCCTBG)Department of Critical Care Medicine, University of CalgaryBio-NMR Centre, Centre for Advanced Technologies, Department of Biochemistry and Molecular Biology, University of CalgaryBio-NMR Centre, Centre for Advanced Technologies, Department of Biochemistry and Molecular Biology, University of CalgarySection of Critical Care Medicine, Winnipeg Health Sciences Centre, St. Boniface Hospital, University of ManitobaClinical Research, Investigation, and Systems Modeling of Acute Illness (CRISMA) Center, Department of Critical Care Medicine, University of PittsburghClinical Research, Investigation, and Systems Modeling of Acute Illness (CRISMA) Center, Department of Critical Care Medicine, University of PittsburghDepartment of Critical Care Medicine, University of CalgaryAbstract Background Metabolomics is a tool that has been used for the diagnosis and prognosis of specific diseases. The purpose of this study was to examine if metabolomics could be used as a potential diagnostic and prognostic tool for H1N1 pneumonia. Our hypothesis was that metabolomics can potentially be used early for the diagnosis and prognosis of H1N1 influenza pneumonia. Methods 1H nuclear magnetic resonance spectroscopy and gas chromatography-mass spectrometry were used to profile the metabolome in 42 patients with H1N1 pneumonia, 31 ventilated control subjects in the intensive care unit (ICU), and 30 culture-positive plasma samples from patients with bacterial community-acquired pneumonia drawn within the first 24 h of hospital admission for diagnosis and prognosis of disease. Results We found that plasma-based metabolomics from samples taken within 24 h of hospital admission can be used to discriminate H1N1 pneumonia from bacterial pneumonia and nonsurvivors from survivors of H1N1 pneumonia. Moreover, metabolomics is a highly sensitive and specific tool for the 90-day prognosis of mortality in H1N1 pneumonia. Conclusions This study demonstrates that H1N1 pneumonia can create a quite different plasma metabolic profile from bacterial culture-positive pneumonia and ventilated control subjects in the ICU on the basis of plasma samples taken within 24 h of hospital/ICU admission, early in the course of disease.http://link.springer.com/article/10.1186/s13054-017-1672-7H1N1 pneumoniaMetabolomicsNMRGC-MSBiomarkers
spellingShingle Mohammad M. Banoei
Hans J. Vogel
Aalim M. Weljie
Anand Kumar
Sachin Yende
Derek C. Angus
Brent W. Winston
the Canadian Critical Care Translational Biology Group (CCCTBG)
Plasma metabolomics for the diagnosis and prognosis of H1N1 influenza pneumonia
Critical Care
H1N1 pneumonia
Metabolomics
NMR
GC-MS
Biomarkers
title Plasma metabolomics for the diagnosis and prognosis of H1N1 influenza pneumonia
title_full Plasma metabolomics for the diagnosis and prognosis of H1N1 influenza pneumonia
title_fullStr Plasma metabolomics for the diagnosis and prognosis of H1N1 influenza pneumonia
title_full_unstemmed Plasma metabolomics for the diagnosis and prognosis of H1N1 influenza pneumonia
title_short Plasma metabolomics for the diagnosis and prognosis of H1N1 influenza pneumonia
title_sort plasma metabolomics for the diagnosis and prognosis of h1n1 influenza pneumonia
topic H1N1 pneumonia
Metabolomics
NMR
GC-MS
Biomarkers
url http://link.springer.com/article/10.1186/s13054-017-1672-7
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