Untargeted serum metabolomics reveals specific metabolite abnormalities in patients with Crohn's disease

Crohn's disease (CD) is a subtype of inflammatory bowel disease (IBD) characterized by skip intestinal lesions that can occur in any part of the gastrointestinal tract. Currently, the diagnosis of CD is based on clinical history, physical examination and complementary diagnostic tests. It is ch...

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Main Authors: Huanhuan Liu, Minmin Xu, Qiongzi He, Peng Wei, Mengying Ke, Shijia Liu
Format: Article
Language:English
Published: Frontiers Media S.A. 2022-09-01
Series:Frontiers in Medicine
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fmed.2022.814839/full
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author Huanhuan Liu
Huanhuan Liu
Minmin Xu
Qiongzi He
Peng Wei
Mengying Ke
Shijia Liu
author_facet Huanhuan Liu
Huanhuan Liu
Minmin Xu
Qiongzi He
Peng Wei
Mengying Ke
Shijia Liu
author_sort Huanhuan Liu
collection DOAJ
description Crohn's disease (CD) is a subtype of inflammatory bowel disease (IBD) characterized by skip intestinal lesions that can occur in any part of the gastrointestinal tract. Currently, the diagnosis of CD is based on clinical history, physical examination and complementary diagnostic tests. It is challenging for physicians to make a definitive diagnosis. This study aimed to analyze the variation in metabolites in CD serum and identify potential predictive biomarkers of CD diagnosis. We collected serum samples from 316 subjects, including patients with CD and healthy controls (HCs). Serum metabolomics was conducted using liquid chromatography coupled to mass spectrometry. Potential biomarkers were screened and evaluated by univariate and multivariate analyses. A panel of two metabolites (deoxycholic acid and palmitic amide) was identified as a specific biomarker of CD. Receiver operating characteristic analysis (ROC) showed that the panel had a sensitivity of 80.25% with a specificity of 95.54% in discriminating CD patients from healthy controls. The biomarkers identified are increased in CD compared with healthy controls. Our approach successfully identified serum biomarkers associated with CD patients. The potential biomarkers indicated that CD metabolic disturbance might be associated with bile acid biosynthesis, fatty acids and energy metabolism.
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spelling doaj.art-f916444eaa434b91a901655b69191cba2022-12-22T01:50:24ZengFrontiers Media S.A.Frontiers in Medicine2296-858X2022-09-01910.3389/fmed.2022.814839814839Untargeted serum metabolomics reveals specific metabolite abnormalities in patients with Crohn's diseaseHuanhuan Liu0Huanhuan Liu1Minmin Xu2Qiongzi He3Peng Wei4Mengying Ke5Shijia Liu6Department of Pharmacy, Affiliated Hospital of Nanjing University of Chinese Medicine, Nanjing, ChinaCollege of Pharmacy, Jiangsu Collaborative Innovation Center of Chinese Medicinal Resources Industrialization, Nanjing University of Chinese Medicine, Nanjing, ChinaDepartment of Pharmacy, Affiliated Hospital of Nanjing University of Chinese Medicine, Nanjing, ChinaDepartment of Pharmacy, Affiliated Hospital of Nanjing University of Chinese Medicine, Nanjing, ChinaDepartment of Pharmacy, Affiliated Hospital of Nanjing University of Chinese Medicine, Nanjing, ChinaCollege of Pharmacy, Jiangsu Collaborative Innovation Center of Chinese Medicinal Resources Industrialization, Nanjing University of Chinese Medicine, Nanjing, ChinaDepartment of Pharmacy, Affiliated Hospital of Nanjing University of Chinese Medicine, Nanjing, ChinaCrohn's disease (CD) is a subtype of inflammatory bowel disease (IBD) characterized by skip intestinal lesions that can occur in any part of the gastrointestinal tract. Currently, the diagnosis of CD is based on clinical history, physical examination and complementary diagnostic tests. It is challenging for physicians to make a definitive diagnosis. This study aimed to analyze the variation in metabolites in CD serum and identify potential predictive biomarkers of CD diagnosis. We collected serum samples from 316 subjects, including patients with CD and healthy controls (HCs). Serum metabolomics was conducted using liquid chromatography coupled to mass spectrometry. Potential biomarkers were screened and evaluated by univariate and multivariate analyses. A panel of two metabolites (deoxycholic acid and palmitic amide) was identified as a specific biomarker of CD. Receiver operating characteristic analysis (ROC) showed that the panel had a sensitivity of 80.25% with a specificity of 95.54% in discriminating CD patients from healthy controls. The biomarkers identified are increased in CD compared with healthy controls. Our approach successfully identified serum biomarkers associated with CD patients. The potential biomarkers indicated that CD metabolic disturbance might be associated with bile acid biosynthesis, fatty acids and energy metabolism.https://www.frontiersin.org/articles/10.3389/fmed.2022.814839/fullserum metabolomicsCrohn's diseasebiomarkerLC-MSmetabolite profile
spellingShingle Huanhuan Liu
Huanhuan Liu
Minmin Xu
Qiongzi He
Peng Wei
Mengying Ke
Shijia Liu
Untargeted serum metabolomics reveals specific metabolite abnormalities in patients with Crohn's disease
Frontiers in Medicine
serum metabolomics
Crohn's disease
biomarker
LC-MS
metabolite profile
title Untargeted serum metabolomics reveals specific metabolite abnormalities in patients with Crohn's disease
title_full Untargeted serum metabolomics reveals specific metabolite abnormalities in patients with Crohn's disease
title_fullStr Untargeted serum metabolomics reveals specific metabolite abnormalities in patients with Crohn's disease
title_full_unstemmed Untargeted serum metabolomics reveals specific metabolite abnormalities in patients with Crohn's disease
title_short Untargeted serum metabolomics reveals specific metabolite abnormalities in patients with Crohn's disease
title_sort untargeted serum metabolomics reveals specific metabolite abnormalities in patients with crohn s disease
topic serum metabolomics
Crohn's disease
biomarker
LC-MS
metabolite profile
url https://www.frontiersin.org/articles/10.3389/fmed.2022.814839/full
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