Metabolomic profiling identifies biomarkers and metabolic impacts of surgery for colorectal cancer

BackgroundColorectal cancer (CRC) is one of the most common malignant tumors with recurrence and metastasis after surgical resection. This study aimed to identify the physiological changes after surgery and explore metabolites and metabolic pathways with potential prognostic value for CRC.MethodsAn...

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Main Authors: Feng Zhuang, Xuesong Bai, Yang Shi, Le Chang, Wanchao Ai, Juan Du, Wei Liu, Humin Liu, Xukun Zhou, Zhong Wang, Tao Hong
Format: Article
Language:English
Published: Frontiers Media S.A. 2022-08-01
Series:Frontiers in Surgery
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fsurg.2022.913967/full
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author Feng Zhuang
Xuesong Bai
Yang Shi
Le Chang
Wanchao Ai
Juan Du
Wei Liu
Humin Liu
Xukun Zhou
Zhong Wang
Tao Hong
author_facet Feng Zhuang
Xuesong Bai
Yang Shi
Le Chang
Wanchao Ai
Juan Du
Wei Liu
Humin Liu
Xukun Zhou
Zhong Wang
Tao Hong
author_sort Feng Zhuang
collection DOAJ
description BackgroundColorectal cancer (CRC) is one of the most common malignant tumors with recurrence and metastasis after surgical resection. This study aimed to identify the physiological changes after surgery and explore metabolites and metabolic pathways with potential prognostic value for CRC.MethodsAn ultra-high-performance liquid chromatography Q-exactive mass spectrometry was used to profile serum metabolites from 67 CRC patients and 50 healthy volunteers. Principal component analysis (PCA) and orthogonal projections to latent structures-discriminant analysis were used to distinguish the internal characteristics of data in different groups. Multivariate statistics were compiled to screen the significant metabolites and metabolic pathways.ResultA total of 180 metabolites were detected. Under the conditions of variable importance in projection >1 and p-value <0.05, 46 differentially expressed metabolites were screened for further pathway enrichment analysis. Based on the Kyoto Encyclopedia of Genes and Genomes database and Small Molecule Pathway Database, three metabolic pathways—arginine and proline metabolism, ascorbate and aldarate metabolism, and phenylalanine metabolism—were significantly altered after surgical resection and identified as associated with the removal of CRC. Notably, gamma-linolenic acid was upregulated in the CRC preoperative patients compared with those in healthy volunteers but returned to healthy levels after surgery.ConclusionThrough serum-based metabolomics, our study demonstrated the differential metabolic characteristics in CRC patients after surgery compared with those before surgery. Our results suggested that metabonomic analysis may be a powerful method for exploring physiological alterations in CRC patients after surgery as well as a useful tool for identifying candidate biomarkers and monitoring disease recurrence.
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spelling doaj.art-8502d176014748f2a3ebda32db7974392022-12-22T01:27:29ZengFrontiers Media S.A.Frontiers in Surgery2296-875X2022-08-01910.3389/fsurg.2022.913967913967Metabolomic profiling identifies biomarkers and metabolic impacts of surgery for colorectal cancerFeng Zhuang0Xuesong Bai1Yang Shi2Le Chang3Wanchao Ai4Juan Du5Wei Liu6Humin Liu7Xukun Zhou8Zhong Wang9Tao Hong10General Surgery Department, Hospital of Xinjiang Production and Construction Corps, Urumchi, ChinaGeneral Surgery Department, Peking Union Medical College Hospital, China Academy of Medical Science & Peking Union Medical College, Beijing, ChinaGeneral Surgery Department, Hospital of Xinjiang Production and Construction Corps, Urumchi, ChinaGeneral Surgery Department, Hospital of Xinjiang Production and Construction Corps, Urumchi, ChinaGeneral Surgery Department, Hospital of Xinjiang Production and Construction Corps, Urumchi, ChinaGeneral Surgery Department, Hospital of Xinjiang Production and Construction Corps, Urumchi, ChinaGeneral Surgery Department, Peking Union Medical College Hospital, China Academy of Medical Science & Peking Union Medical College, Beijing, ChinaGeneral Surgery Department, Hospital of Xinjiang Production and Construction Corps, Urumchi, ChinaGeneral Surgery Department, Hospital of Xinjiang Production and Construction Corps, Urumchi, ChinaGeneral Surgery Department, Hospital of Xinjiang Production and Construction Corps, Urumchi, ChinaGeneral Surgery Department, Peking Union Medical College Hospital, China Academy of Medical Science & Peking Union Medical College, Beijing, ChinaBackgroundColorectal cancer (CRC) is one of the most common malignant tumors with recurrence and metastasis after surgical resection. This study aimed to identify the physiological changes after surgery and explore metabolites and metabolic pathways with potential prognostic value for CRC.MethodsAn ultra-high-performance liquid chromatography Q-exactive mass spectrometry was used to profile serum metabolites from 67 CRC patients and 50 healthy volunteers. Principal component analysis (PCA) and orthogonal projections to latent structures-discriminant analysis were used to distinguish the internal characteristics of data in different groups. Multivariate statistics were compiled to screen the significant metabolites and metabolic pathways.ResultA total of 180 metabolites were detected. Under the conditions of variable importance in projection >1 and p-value <0.05, 46 differentially expressed metabolites were screened for further pathway enrichment analysis. Based on the Kyoto Encyclopedia of Genes and Genomes database and Small Molecule Pathway Database, three metabolic pathways—arginine and proline metabolism, ascorbate and aldarate metabolism, and phenylalanine metabolism—were significantly altered after surgical resection and identified as associated with the removal of CRC. Notably, gamma-linolenic acid was upregulated in the CRC preoperative patients compared with those in healthy volunteers but returned to healthy levels after surgery.ConclusionThrough serum-based metabolomics, our study demonstrated the differential metabolic characteristics in CRC patients after surgery compared with those before surgery. Our results suggested that metabonomic analysis may be a powerful method for exploring physiological alterations in CRC patients after surgery as well as a useful tool for identifying candidate biomarkers and monitoring disease recurrence.https://www.frontiersin.org/articles/10.3389/fsurg.2022.913967/fullcolorectal cancermetabolomic profilingtumorectomygamma-linolenic acid (GLA)prolineascorbate
spellingShingle Feng Zhuang
Xuesong Bai
Yang Shi
Le Chang
Wanchao Ai
Juan Du
Wei Liu
Humin Liu
Xukun Zhou
Zhong Wang
Tao Hong
Metabolomic profiling identifies biomarkers and metabolic impacts of surgery for colorectal cancer
Frontiers in Surgery
colorectal cancer
metabolomic profiling
tumorectomy
gamma-linolenic acid (GLA)
proline
ascorbate
title Metabolomic profiling identifies biomarkers and metabolic impacts of surgery for colorectal cancer
title_full Metabolomic profiling identifies biomarkers and metabolic impacts of surgery for colorectal cancer
title_fullStr Metabolomic profiling identifies biomarkers and metabolic impacts of surgery for colorectal cancer
title_full_unstemmed Metabolomic profiling identifies biomarkers and metabolic impacts of surgery for colorectal cancer
title_short Metabolomic profiling identifies biomarkers and metabolic impacts of surgery for colorectal cancer
title_sort metabolomic profiling identifies biomarkers and metabolic impacts of surgery for colorectal cancer
topic colorectal cancer
metabolomic profiling
tumorectomy
gamma-linolenic acid (GLA)
proline
ascorbate
url https://www.frontiersin.org/articles/10.3389/fsurg.2022.913967/full
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