Metabonomic profiling of serum and urine by (1)H NMR-based spectroscopy discriminates patients with chronic obstructive pulmonary disease and healthy individuals

PLoS One. 2013 Jun 6;8(6):e65675. doi: 10.1371/journal.pone.0065675. Print 2013.

Abstract

Chronic obstructive pulmonary disease (COPD) has seriously impacted the health of individuals and populations. In this study, proton nuclear magnetic resonance ((1)H NMR)-based metabonomics combined with multivariate pattern recognition analysis was applied to investigate the metabolic signatures of patients with COPD. Serum and urine samples were collected from COPD patients (n = 32) and healthy controls (n = 21), respectively. Samples were analyzed by high resolution (1)H NMR (600 MHz), and the obtained spectral profiles were then subjected to multivariate data analysis. Consistent metabolic differences have been found in serum as well as in urine samples from COPD patients and healthy controls. Compared to healthy controls, COPD patients displayed decreased lipoprotein and amino acids, including branched-chain amino acids (BCAAs), and increased glycerolphosphocholine in serum. Moreover, metabolic differences in urine were more significant than in serum. Decreased urinary 1-methylnicotinamide, creatinine and lactate have been discovered in COPD patients in comparison with healthy controls. Conversely, acetate, ketone bodies, carnosine, m-hydroxyphenylacetate, phenylacetyglycine, pyruvate and α-ketoglutarate exhibited enhanced expression levels in COPD patients relative to healthy subjects. Our results illustrate the potential application of NMR-based metabonomics in early diagnosis and understanding the mechanisms of COPD.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Aged
  • Aged, 80 and over
  • Amino Acids / blood
  • Amino Acids / urine
  • Amino Acids, Branched-Chain / blood
  • Amino Acids, Branched-Chain / urine
  • Female
  • Humans
  • Lipoproteins / blood
  • Lipoproteins / urine
  • Magnetic Resonance Spectroscopy / methods*
  • Male
  • Metabolomics / methods*
  • Middle Aged
  • Phosphorylcholine / blood
  • Phosphorylcholine / urine
  • Pulmonary Disease, Chronic Obstructive / blood*
  • Pulmonary Disease, Chronic Obstructive / urine*

Substances

  • Amino Acids
  • Amino Acids, Branched-Chain
  • Lipoproteins
  • Phosphorylcholine

Grants and funding

This study was supported by grants from the National Science & Technology Pillar Program of China during the Eleventh Five-year Plan Period (No. 2007BAI24B04); the Science Foundation of Chinese Medical Association (No. 07010320040 and No. 08020680146), and the Foundation of Science and Technology Bureau of Shenyang City (No. F12-277-1-71). The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.