Metabolic features of orbital adipose tissue in patients with thyroid eye disease

BackgroundThyroid eye disease (TED) is the most frequent orbital disease in adults and is characterized by the accumulation of orbital adipose tissue (OAT). It can lead to eyelid retraction or even vision loss. Orbital decompression surgery serves as the primary treatment for inactive TED by removin...

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Main Authors: Rui Du, Fenfen Wang, Chun Yang, Jing Hu, Jiapei Liu, Qizhi Jian, Ruonan Wang, Jian Zhang, Hui Chen, Yufan Wang, Fang Zhang
Format: Article
Language:English
Published: Frontiers Media S.A. 2023-08-01
Series:Frontiers in Endocrinology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fendo.2023.1151757/full
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author Rui Du
Fenfen Wang
Fenfen Wang
Chun Yang
Chun Yang
Jing Hu
Jing Hu
Jiapei Liu
Jiapei Liu
Qizhi Jian
Qizhi Jian
Ruonan Wang
Ruonan Wang
Jian Zhang
Jian Zhang
Hui Chen
Hui Chen
Yufan Wang
Fang Zhang
Fang Zhang
author_facet Rui Du
Fenfen Wang
Fenfen Wang
Chun Yang
Chun Yang
Jing Hu
Jing Hu
Jiapei Liu
Jiapei Liu
Qizhi Jian
Qizhi Jian
Ruonan Wang
Ruonan Wang
Jian Zhang
Jian Zhang
Hui Chen
Hui Chen
Yufan Wang
Fang Zhang
Fang Zhang
author_sort Rui Du
collection DOAJ
description BackgroundThyroid eye disease (TED) is the most frequent orbital disease in adults and is characterized by the accumulation of orbital adipose tissue (OAT). It can lead to eyelid retraction or even vision loss. Orbital decompression surgery serves as the primary treatment for inactive TED by removing the excess OAT. However, there is a lack of alternative treatments to surgery due to the unclear understanding of the pathogenesis, particularly the metabolic features. Accordingly, our study was implemented to explore the content and features of metabolites of OATs from TED patients.MethodThe OATs used in the current study were obtained from the orbital decompression surgery of seven patients with inactive TED. We also collected control OATs from eye surgical samples of five individuals with no history of autoimmune thyroid diseases, TED, or under non-inflammatory conditions. The liquid chromatography mass spectrometer was used for the measurements of the targeted metabolites. Afterwards, we performed differential metabolite assay analysis and related pathway enrichment analysis.ResultsIn our study, a total of 149 metabolite profiles were detected in all participants. There were significant differences in several metabolite profiles between the TED group and the control group, mainly including uric acid, oxidized glutathione, taurine, dGMP, oxidized glutathione 2, uracil, hexose-phosphate, 1-methylnicotinamide, D-sedoheptulose 1,7-bisphosphate, and uridine 5′-monophosphate (all p-value < 0.05). The TED-related pathways identified included purine metabolism, beta-alanine metabolism, glutathione metabolism (p-values < 0.05). Our study found overlaps and differences including uric acid and uracil, which are in accordance with metabolites found in blood of patients with TED from previous study and several newly discovered metabolite by our study such as hexose-phosphate, 1-methylnicotinamide, D-sedoheptulose 1,7-bisphosphate, compared to those tested from blood, OAT, or urine samples reported in previous studies.ConclusionThe findings of our study shed light on the metabolic features of OAT in individuals with TED. These results may help identify new treatment targets for TED, providing potential avenues for developing alternative treatments beyond ophthalmic surgery.
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spelling doaj.art-c97a3186b4c54b4584ea59c32f95bfd32023-08-03T23:02:33ZengFrontiers Media S.A.Frontiers in Endocrinology1664-23922023-08-011410.3389/fendo.2023.11517571151757Metabolic features of orbital adipose tissue in patients with thyroid eye diseaseRui Du0Fenfen Wang1Fenfen Wang2Chun Yang3Chun Yang4Jing Hu5Jing Hu6Jiapei Liu7Jiapei Liu8Qizhi Jian9Qizhi Jian10Ruonan Wang11Ruonan Wang12Jian Zhang13Jian Zhang14Hui Chen15Hui Chen16Yufan Wang17Fang Zhang18Fang Zhang19Department of Endocrinology and Metabolism, Shanghai General Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, ChinaDepartment of Ophthalmology, Shanghai General Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, ChinaNational Clinical Research Center for Eye Diseases, Shanghai General Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, ChinaDepartment of Ophthalmology, Shanghai General Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, ChinaNational Clinical Research Center for Eye Diseases, Shanghai General Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, ChinaDepartment of Ophthalmology, Shanghai General Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, ChinaNational Clinical Research Center for Eye Diseases, Shanghai General Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, ChinaDepartment of Ophthalmology, Shanghai General Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, ChinaNational Clinical Research Center for Eye Diseases, Shanghai General Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, ChinaDepartment of Ophthalmology, Shanghai General Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, ChinaNational Clinical Research Center for Eye Diseases, Shanghai General Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, ChinaDepartment of Ophthalmology, Shanghai General Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, ChinaNational Clinical Research Center for Eye Diseases, Shanghai General Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, ChinaDepartment of Ophthalmology, Shanghai General Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, ChinaNational Clinical Research Center for Eye Diseases, Shanghai General Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, ChinaDepartment of Ophthalmology, Shanghai General Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, ChinaNational Clinical Research Center for Eye Diseases, Shanghai General Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, ChinaDepartment of Endocrinology and Metabolism, Shanghai General Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, ChinaDepartment of Ophthalmology, Shanghai General Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, ChinaNational Clinical Research Center for Eye Diseases, Shanghai General Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, ChinaBackgroundThyroid eye disease (TED) is the most frequent orbital disease in adults and is characterized by the accumulation of orbital adipose tissue (OAT). It can lead to eyelid retraction or even vision loss. Orbital decompression surgery serves as the primary treatment for inactive TED by removing the excess OAT. However, there is a lack of alternative treatments to surgery due to the unclear understanding of the pathogenesis, particularly the metabolic features. Accordingly, our study was implemented to explore the content and features of metabolites of OATs from TED patients.MethodThe OATs used in the current study were obtained from the orbital decompression surgery of seven patients with inactive TED. We also collected control OATs from eye surgical samples of five individuals with no history of autoimmune thyroid diseases, TED, or under non-inflammatory conditions. The liquid chromatography mass spectrometer was used for the measurements of the targeted metabolites. Afterwards, we performed differential metabolite assay analysis and related pathway enrichment analysis.ResultsIn our study, a total of 149 metabolite profiles were detected in all participants. There were significant differences in several metabolite profiles between the TED group and the control group, mainly including uric acid, oxidized glutathione, taurine, dGMP, oxidized glutathione 2, uracil, hexose-phosphate, 1-methylnicotinamide, D-sedoheptulose 1,7-bisphosphate, and uridine 5′-monophosphate (all p-value < 0.05). The TED-related pathways identified included purine metabolism, beta-alanine metabolism, glutathione metabolism (p-values < 0.05). Our study found overlaps and differences including uric acid and uracil, which are in accordance with metabolites found in blood of patients with TED from previous study and several newly discovered metabolite by our study such as hexose-phosphate, 1-methylnicotinamide, D-sedoheptulose 1,7-bisphosphate, compared to those tested from blood, OAT, or urine samples reported in previous studies.ConclusionThe findings of our study shed light on the metabolic features of OAT in individuals with TED. These results may help identify new treatment targets for TED, providing potential avenues for developing alternative treatments beyond ophthalmic surgery.https://www.frontiersin.org/articles/10.3389/fendo.2023.1151757/fullthyroid eye diseasemetabolic featuresorbital adipose tissuetreatment targetspathogenesis
spellingShingle Rui Du
Fenfen Wang
Fenfen Wang
Chun Yang
Chun Yang
Jing Hu
Jing Hu
Jiapei Liu
Jiapei Liu
Qizhi Jian
Qizhi Jian
Ruonan Wang
Ruonan Wang
Jian Zhang
Jian Zhang
Hui Chen
Hui Chen
Yufan Wang
Fang Zhang
Fang Zhang
Metabolic features of orbital adipose tissue in patients with thyroid eye disease
Frontiers in Endocrinology
thyroid eye disease
metabolic features
orbital adipose tissue
treatment targets
pathogenesis
title Metabolic features of orbital adipose tissue in patients with thyroid eye disease
title_full Metabolic features of orbital adipose tissue in patients with thyroid eye disease
title_fullStr Metabolic features of orbital adipose tissue in patients with thyroid eye disease
title_full_unstemmed Metabolic features of orbital adipose tissue in patients with thyroid eye disease
title_short Metabolic features of orbital adipose tissue in patients with thyroid eye disease
title_sort metabolic features of orbital adipose tissue in patients with thyroid eye disease
topic thyroid eye disease
metabolic features
orbital adipose tissue
treatment targets
pathogenesis
url https://www.frontiersin.org/articles/10.3389/fendo.2023.1151757/full
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