Reproducible diagnostic metabolites in plasma from typhoid fever patients in Asia and Africa.

Salmonella Typhi is the causative agent of typhoid. Typhoid is diagnosed by blood culture, a method that lacks sensitivity, portability and speed. We have previously shown that specific metabolomic profiles can be detected in the blood of typhoid patients from Nepal (Näsström et al., 2014). Here, we...

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Main Authors: Näsström, E, Parry, C, Thieu, N, Maude, R, de Jong, H, Fukushima, M, Rzhepishevska, O, Marks, F, Panzner, U, Im, J, Jeon, H, Park, S, Chaudhury, Z, Ghose, A, Samad, R, Van, T, Johansson, A, Dondorp, A, Thwaites, G, Faiz, A, Antti, H, Baker, S
Format: Journal article
Language:English
Published: eLife Sciences 2017
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author Näsström, E
Parry, C
Thieu, N
Maude, R
de Jong, H
Fukushima, M
Rzhepishevska, O
Marks, F
Panzner, U
Im, J
Jeon, H
Park, S
Chaudhury, Z
Ghose, A
Samad, R
Van, T
Johansson, A
Dondorp, A
Thwaites, G
Faiz, A
Antti, H
Baker, S
author_facet Näsström, E
Parry, C
Thieu, N
Maude, R
de Jong, H
Fukushima, M
Rzhepishevska, O
Marks, F
Panzner, U
Im, J
Jeon, H
Park, S
Chaudhury, Z
Ghose, A
Samad, R
Van, T
Johansson, A
Dondorp, A
Thwaites, G
Faiz, A
Antti, H
Baker, S
author_sort Näsström, E
collection OXFORD
description Salmonella Typhi is the causative agent of typhoid. Typhoid is diagnosed by blood culture, a method that lacks sensitivity, portability and speed. We have previously shown that specific metabolomic profiles can be detected in the blood of typhoid patients from Nepal (Näsström et al., 2014). Here, we performed mass spectrometry on plasma from Bangladeshi and Senegalese patients with culture confirmed typhoid fever, clinically suspected typhoid, and other febrile diseases including malaria. After applying supervised pattern recognition modelling, we could significantly distinguish metabolite profiles in plasma from the culture confirmed typhoid patients. After comparing the direction of change and degree of multivariate significance, we identified 24 metabolites that were consistently up- or down regulated in a further Bangladeshi/Senegalese validation cohort, and the Nepali cohort from our previous work. We have identified and validated a metabolite panel that can distinguish typhoid from other febrile diseases, providing a new approach for typhoid diagnostics.
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spelling oxford-uuid:b48ee79f-541f-4a39-83b2-078ad8e56ad72022-03-27T04:27:04ZReproducible diagnostic metabolites in plasma from typhoid fever patients in Asia and Africa.Journal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:b48ee79f-541f-4a39-83b2-078ad8e56ad7EnglishSymplectic Elements at OxfordeLife Sciences2017Näsström, EParry, CThieu, NMaude, Rde Jong, HFukushima, MRzhepishevska, OMarks, FPanzner, UIm, JJeon, HPark, SChaudhury, ZGhose, ASamad, RVan, TJohansson, ADondorp, AThwaites, GFaiz, AAntti, HBaker, SSalmonella Typhi is the causative agent of typhoid. Typhoid is diagnosed by blood culture, a method that lacks sensitivity, portability and speed. We have previously shown that specific metabolomic profiles can be detected in the blood of typhoid patients from Nepal (Näsström et al., 2014). Here, we performed mass spectrometry on plasma from Bangladeshi and Senegalese patients with culture confirmed typhoid fever, clinically suspected typhoid, and other febrile diseases including malaria. After applying supervised pattern recognition modelling, we could significantly distinguish metabolite profiles in plasma from the culture confirmed typhoid patients. After comparing the direction of change and degree of multivariate significance, we identified 24 metabolites that were consistently up- or down regulated in a further Bangladeshi/Senegalese validation cohort, and the Nepali cohort from our previous work. We have identified and validated a metabolite panel that can distinguish typhoid from other febrile diseases, providing a new approach for typhoid diagnostics.
spellingShingle Näsström, E
Parry, C
Thieu, N
Maude, R
de Jong, H
Fukushima, M
Rzhepishevska, O
Marks, F
Panzner, U
Im, J
Jeon, H
Park, S
Chaudhury, Z
Ghose, A
Samad, R
Van, T
Johansson, A
Dondorp, A
Thwaites, G
Faiz, A
Antti, H
Baker, S
Reproducible diagnostic metabolites in plasma from typhoid fever patients in Asia and Africa.
title Reproducible diagnostic metabolites in plasma from typhoid fever patients in Asia and Africa.
title_full Reproducible diagnostic metabolites in plasma from typhoid fever patients in Asia and Africa.
title_fullStr Reproducible diagnostic metabolites in plasma from typhoid fever patients in Asia and Africa.
title_full_unstemmed Reproducible diagnostic metabolites in plasma from typhoid fever patients in Asia and Africa.
title_short Reproducible diagnostic metabolites in plasma from typhoid fever patients in Asia and Africa.
title_sort reproducible diagnostic metabolites in plasma from typhoid fever patients in asia and africa
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