Urinary Metabolite Profiling to Non-Invasively Monitor the Omega-3 Index: An Exploratory Secondary Analysis of a Randomized Clinical Trial in Young Adults

The Omega-3 Index (O3I) reflects eicosapentaenoic acid (EPA) and docosahexaenoic acid (DHA) content in erythrocytes. While the O3I is associated with numerous health outcomes, its widespread use is limited. We investigated whether urinary metabolites could be used to non-invasively monitor the O3I i...

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Main Authors: Brittany C. MacIntyre, Meera Shanmuganathan, Shannon L. Klingel, Zachary Kroezen, Erick Helmeczi, Na-Yung Seoh, Vanessa Martinez, Adrian Chabowski, Zeny Feng, Philip Britz-McKibbin, David M. Mutch
Format: Article
Language:English
Published: MDPI AG 2023-10-01
Series:Metabolites
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Online Access:https://www.mdpi.com/2218-1989/13/10/1071
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author Brittany C. MacIntyre
Meera Shanmuganathan
Shannon L. Klingel
Zachary Kroezen
Erick Helmeczi
Na-Yung Seoh
Vanessa Martinez
Adrian Chabowski
Zeny Feng
Philip Britz-McKibbin
David M. Mutch
author_facet Brittany C. MacIntyre
Meera Shanmuganathan
Shannon L. Klingel
Zachary Kroezen
Erick Helmeczi
Na-Yung Seoh
Vanessa Martinez
Adrian Chabowski
Zeny Feng
Philip Britz-McKibbin
David M. Mutch
author_sort Brittany C. MacIntyre
collection DOAJ
description The Omega-3 Index (O3I) reflects eicosapentaenoic acid (EPA) and docosahexaenoic acid (DHA) content in erythrocytes. While the O3I is associated with numerous health outcomes, its widespread use is limited. We investigated whether urinary metabolites could be used to non-invasively monitor the O3I in an exploratory analysis of a previous placebo-controlled, parallel arm randomized clinical trial in males and females (<i>n</i> = 88) who consumed either ~3 g/d olive oil (OO; control), EPA, or DHA for 12 weeks. Fasted blood and first-void urine samples were collected at baseline and following supplementation, and they were analyzed via gas chromatography and multisegment injection–capillary electrophoresis–mass spectrometry (MSI-CE-MS), respectively. We tentatively identified <i>S</i>-carboxypropylcysteamine (CPCA) as a novel urinary biomarker reflecting O3I status, which increased following both EPA and DHA (<i>p</i> < 0.001), but not OO supplementation, and was positively correlated to the O3I (R = 0.30, <i>p</i> < 0.001). Additionally, an unknown dianion increased following DHA supplementation, but not EPA or OO. In ROC curve analyses, CPCA outperformed all other urinary metabolites in distinguishing both between OO and EPA or DHA supplementation groups (AUC > 80.0%), whereas the unknown dianion performed best in discriminating OO from DHA alone (AUC = 93.6%). Candidate urinary biomarkers of the O3I were identified that lay the foundation for a non-invasive assessment of omega-3 status.
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spelling doaj.art-b8e4897cd64c4913a62d68856c4b16632023-11-19T17:20:03ZengMDPI AGMetabolites2218-19892023-10-011310107110.3390/metabo13101071Urinary Metabolite Profiling to Non-Invasively Monitor the Omega-3 Index: An Exploratory Secondary Analysis of a Randomized Clinical Trial in Young AdultsBrittany C. MacIntyre0Meera Shanmuganathan1Shannon L. Klingel2Zachary Kroezen3Erick Helmeczi4Na-Yung Seoh5Vanessa Martinez6Adrian Chabowski7Zeny Feng8Philip Britz-McKibbin9David M. Mutch10Department of Human Health and Nutritional Sciences, University of Guelph, Guelph, ON N1G 2W1, CanadaDepartment of Chemistry and Chemical Biology, McMaster University, Hamilton, ON L8S 3W3, CanadaDepartment of Human Health and Nutritional Sciences, University of Guelph, Guelph, ON N1G 2W1, CanadaDepartment of Chemistry and Chemical Biology, McMaster University, Hamilton, ON L8S 3W3, CanadaDepartment of Chemistry and Chemical Biology, McMaster University, Hamilton, ON L8S 3W3, CanadaDepartment of Chemistry and Chemical Biology, McMaster University, Hamilton, ON L8S 3W3, CanadaDepartment of Chemistry and Chemical Biology, McMaster University, Hamilton, ON L8S 3W3, CanadaDepartment of Physiology, Medical University of Bialystok, 15-222 Bialystok, PolandDepartment of Mathematics & Statistics, University of Guelph, Guelph, ON N1G 2W1, CanadaDepartment of Chemistry and Chemical Biology, McMaster University, Hamilton, ON L8S 3W3, CanadaDepartment of Human Health and Nutritional Sciences, University of Guelph, Guelph, ON N1G 2W1, CanadaThe Omega-3 Index (O3I) reflects eicosapentaenoic acid (EPA) and docosahexaenoic acid (DHA) content in erythrocytes. While the O3I is associated with numerous health outcomes, its widespread use is limited. We investigated whether urinary metabolites could be used to non-invasively monitor the O3I in an exploratory analysis of a previous placebo-controlled, parallel arm randomized clinical trial in males and females (<i>n</i> = 88) who consumed either ~3 g/d olive oil (OO; control), EPA, or DHA for 12 weeks. Fasted blood and first-void urine samples were collected at baseline and following supplementation, and they were analyzed via gas chromatography and multisegment injection–capillary electrophoresis–mass spectrometry (MSI-CE-MS), respectively. We tentatively identified <i>S</i>-carboxypropylcysteamine (CPCA) as a novel urinary biomarker reflecting O3I status, which increased following both EPA and DHA (<i>p</i> < 0.001), but not OO supplementation, and was positively correlated to the O3I (R = 0.30, <i>p</i> < 0.001). Additionally, an unknown dianion increased following DHA supplementation, but not EPA or OO. In ROC curve analyses, CPCA outperformed all other urinary metabolites in distinguishing both between OO and EPA or DHA supplementation groups (AUC > 80.0%), whereas the unknown dianion performed best in discriminating OO from DHA alone (AUC = 93.6%). Candidate urinary biomarkers of the O3I were identified that lay the foundation for a non-invasive assessment of omega-3 status.https://www.mdpi.com/2218-1989/13/10/1071precision nutritionmetabolomicsomega-3 long-chain polyunsaturated fatty acids (n3-LCPUFA)omega-3 indexdietary biomarkersurinary metabolites
spellingShingle Brittany C. MacIntyre
Meera Shanmuganathan
Shannon L. Klingel
Zachary Kroezen
Erick Helmeczi
Na-Yung Seoh
Vanessa Martinez
Adrian Chabowski
Zeny Feng
Philip Britz-McKibbin
David M. Mutch
Urinary Metabolite Profiling to Non-Invasively Monitor the Omega-3 Index: An Exploratory Secondary Analysis of a Randomized Clinical Trial in Young Adults
Metabolites
precision nutrition
metabolomics
omega-3 long-chain polyunsaturated fatty acids (n3-LCPUFA)
omega-3 index
dietary biomarkers
urinary metabolites
title Urinary Metabolite Profiling to Non-Invasively Monitor the Omega-3 Index: An Exploratory Secondary Analysis of a Randomized Clinical Trial in Young Adults
title_full Urinary Metabolite Profiling to Non-Invasively Monitor the Omega-3 Index: An Exploratory Secondary Analysis of a Randomized Clinical Trial in Young Adults
title_fullStr Urinary Metabolite Profiling to Non-Invasively Monitor the Omega-3 Index: An Exploratory Secondary Analysis of a Randomized Clinical Trial in Young Adults
title_full_unstemmed Urinary Metabolite Profiling to Non-Invasively Monitor the Omega-3 Index: An Exploratory Secondary Analysis of a Randomized Clinical Trial in Young Adults
title_short Urinary Metabolite Profiling to Non-Invasively Monitor the Omega-3 Index: An Exploratory Secondary Analysis of a Randomized Clinical Trial in Young Adults
title_sort urinary metabolite profiling to non invasively monitor the omega 3 index an exploratory secondary analysis of a randomized clinical trial in young adults
topic precision nutrition
metabolomics
omega-3 long-chain polyunsaturated fatty acids (n3-LCPUFA)
omega-3 index
dietary biomarkers
urinary metabolites
url https://www.mdpi.com/2218-1989/13/10/1071
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