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Metabolomic Research (PDF) - University of Leeds

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<strong>Metabolomic</strong>s/Metabonomics<strong>Metabolomic</strong>s/metabonomics is the term applied to the quantitative measurement <strong>of</strong> themetabolic response <strong>of</strong> living systems to pathophysiologic stimuli or genetic modification 1 ,and the approach interfaces with the other ‘omics’ technologies as indicated in thediagram below (taken from ref 2.):As the scheme suggests, metabolomics analyses the biological endpoint <strong>of</strong> a ‘condition’and this is its key advantage over the other technologies.We are currently engaged in a number <strong>of</strong> projects in which NMR spectral data recordedfor bi<strong>of</strong>luids –including blood (plasma, sera, erythrocytes), urine and follicular fluid – arebeing analysed using various statistical methods, with the common aim <strong>of</strong> establishing alink between components <strong>of</strong> the metabolome and the condition being studied. A briefdescription <strong>of</strong> some <strong>of</strong> these projects is provided below.1. Nicholson, J. K.; Lindon, J. C.; Holmes, E., Xenobiotica 1999, 29, (11), 1181-1189.2. A. Di Leo et al Annals <strong>of</strong> Oncology 2007;18 (Supplement 12):xii8–xii14.


NMR-Based <strong>Metabolomic</strong> Studies <strong>of</strong> AtherosclerosisWarren Yabsley 1 , Michael Twigg 2 , Shervanthi Homer-Vanniasinkam 2 and JulieFisher 11 School <strong>of</strong> Chemistry, <strong>University</strong> <strong>of</strong> <strong>Leeds</strong>, <strong>Leeds</strong>, UK.2 <strong>Leeds</strong> Vascular Institute, <strong>Leeds</strong> General Infirmary, Great George Street, <strong>Leeds</strong>, LS1 2EX, UK.NMR studies are being conducted on plasma collected from a variety <strong>of</strong>patients taking part in studies <strong>of</strong> vascular disease. Atherosclerosis, for whichmetabolomic biomarkers will besought, is a vascular inflammatorydisease and is the leading cause <strong>of</strong>heart attack and stroke 3 .Atherosclerotic lesions result from anexcessive,inflammatoryfibroproliferativeresponse to variousforms <strong>of</strong> insult to the endothelium andsmooth muscle <strong>of</strong> the artery wall 4 , theinitial stages <strong>of</strong> which can occur inchildhood 5 .Fig.1 Formation <strong>of</strong> advanced atherosclerotic lesion.Rupture <strong>of</strong> the fibrous cap leads to thrombosis. 33. Tang, Yang, et al., Local maximal stress hypothesis and computational plaque vulnerability index for atheroscleroticplaque assessment. Ann Biomed Eng, 2005. 33(12): 1789.4. Ross, The pathogenesis <strong>of</strong> atherosclerosis - a perspective for the 1990s. Nature, 1993. 362(6423): 801.5. Ross, Mechanisms <strong>of</strong> disease - Atherosclerosis - An inflammatory disease. New England Journal <strong>of</strong> Medicine, 1999.340(2): 115.NMR-Based Pr<strong>of</strong>iling <strong>of</strong> Ovarian Follicular Fluid and PlasmaCassey McRae 1 , Nic Orsi 2 , Vinay Sharma 3 and Julie Fisher 11 School <strong>of</strong> Chemistry, <strong>University</strong> <strong>of</strong> <strong>Leeds</strong>, <strong>Leeds</strong>, UK.2 <strong>Leeds</strong> Institute <strong>of</strong> Molecular Medicine (LIMM), <strong>Leeds</strong>, UK.3 The Assisted Conception Unit at St. James’s Hospital, <strong>Leeds</strong>, UK.The metabolic pr<strong>of</strong>ile <strong>of</strong> women undergoing fertility treatment is beinganalysed by applying high resolution NMR-based metabolomics to follicular fluidand plasma. Female egg cells (oocytes) are produced and grow inside follicles


(Figure 2) in the ovaries before ovulation. Inside the follicle the oocyte issurrounded by a fluid called follicular fluid (FF), which fills the follicular antrum.It has been shown that FF contains substances that are essential insuccessful follicle growth and oocyte fertilisation 2 . Therefore metabolomicpr<strong>of</strong>iling <strong>of</strong> FF from women whohave been successful orunsuccessful in infertilitytreatment may give rise tobiomarkers that indicate thelikelihood <strong>of</strong> success <strong>of</strong> thetreatment. Considering theemotional, health and financialcommitment involved in fertilitytreatment, finding a biomarkerthat would predict the chances<strong>of</strong> successful fertilisation isclearly desirable.Fig. 2 Ovarian graafian follicle. 66. Kronenberg, H.M., Melmed, S., et al. ‘Williams Textbook <strong>of</strong> Endocrinology.’ Philadelphia: Saunders/Elsevier, 2008.________________________________________________________________NMR-based metabolomics in the search for a biomarker <strong>of</strong> acute rejectionin renal transplantationHayley Fenton 1 , Paul Goldsmith 2 , Niaz Ahmad 2 , Rajendra Prasad 2 and JulieFisher 11 School <strong>of</strong> Chemistry, <strong>University</strong> <strong>of</strong> <strong>Leeds</strong>, <strong>Leeds</strong>, UK.2 Department <strong>of</strong> Organ Transplantation, St James’s <strong>University</strong> Hospital, <strong>Leeds</strong>, UK.A Nuclear Magnetic Resonance (NMR)-based metabolomic approach isbeing used to study erythrocyte extracts taken from renal transplant patients withthe aim <strong>of</strong> identifying possible biomarkers<strong>of</strong> acute rejection. This project is beingconducted in tandem with Paul Goldsmithwho is carrying out similar analysis <strong>of</strong> theplasma (see below).Fig. 3 Kidney transplantation 7


Acute rejection occurs due to transplantation into a genetically dissimilarhost. It is one <strong>of</strong> the key factors determining long-term graft function and survivalin renal patients, being associated with an increasing risk <strong>of</strong> graft loss 8 . It occursepisodically within the first few months post transplantation and is usuallyaccompanied by an increase in serum creatinine concentration, which is used byclinicians as a diagnostic test <strong>of</strong> renal function. However this test is non-specificand it is difficult to differentiate acute rejection from delayed graft function(DGF) 9 .For definitive diagnosis a biopsy isrequired, which poses risks to both thepatient and graft and can also lead todelayed detection, allowing the conditionto reach a more advanced state 10 . Earlierdetection ensures treatment can beadministered before substantial damageis caused to the graft. A potentialbiomarker <strong>of</strong> acute rejection is sought,which may provide an earlier, noninvasivemethod for the diagnosis <strong>of</strong> acuterejection.7. The New York Times. Health: Kidney Transplant. 2009; Available from:http://www.nytimes.com/slideshow/2007/08/01/health/100087Kidneytransplantseries_5.html.8. McDonald, S., et al., American Journal <strong>of</strong> Transplantation, 2007. 7(5): p. 1201-1208.9. Serkova, N., et al., Kidney International, 2005. 67(3): p. 1142-1151.10. McLaren, A.J., et al. Annals <strong>of</strong> Surgery, 2000. 232(1): p. 98-103._______________________________________________________________<strong>Metabolomic</strong> Identification <strong>of</strong> Non-invasive Biomarkers for Delayed Graftfunction and Acute Rejection in Solid Organ Transplantation Using 1 H NMRSpectroscopyPaul Goldsmith 1 , Niaz Ahmad 1 , K. Rajendra Prasad 1 and Julie Fisher 21 Department <strong>of</strong> Organ Transplantation, St James’s <strong>University</strong> Hospital, <strong>Leeds</strong>, UK.2 School <strong>of</strong> Chemistry, <strong>University</strong> <strong>of</strong> <strong>Leeds</strong>, <strong>Leeds</strong>, UK.Definitive diagnosis <strong>of</strong> delayed graft function or acute rejection relies oninvasive biopsy <strong>of</strong> the transplanted organ. Biopsy is not without its risks and


carries with it morbidity and risk to graft. Less invasive tests currently used inclinical practice are not 100% sensitive or specific.Using 1 H NMR spectroscopy, we are investigating the metabolic change <strong>of</strong>plasma from renal and liver transplant recipients over several timepoints in orderto fully understand the metabolic changes associated with transplantation.The project aims to define the metabolic pr<strong>of</strong>ile <strong>of</strong> patients undergoingrenal or liver transplantation and the changes associated with graft dysfunction orprimary function.________________________________________________________________


<strong>Metabolomic</strong>s investigations into the effects <strong>of</strong> deoxynivalenol in humansRichard Hopton 1 , Paul Turner 2 and Julie Fisher 11 School <strong>of</strong> Chemistry, <strong>University</strong> <strong>of</strong> <strong>Leeds</strong>, <strong>Leeds</strong>, UK.2Molecular Epidemiology Unit, Centre for Epidemiology and Biostatistics, The LIGHTlaboratories, <strong>University</strong> <strong>of</strong> <strong>Leeds</strong>, <strong>Leeds</strong>, UK.Mycotoxins, such as deoxynivalenol(DON, Figure 4), are produced by fungi andOcontaminate up to 25% <strong>of</strong> the worlds foodsupply – frequent human exposure to DON is Othrough consumption <strong>of</strong> everyday commonOH CH 3wheat based foods like bread and biscuits. TheOHeffects <strong>of</strong> DON exposure on animals are Fig. 4 Structure <strong>of</strong> DONgastrointestinal in nature; vomiting, feed refusaland immune modulation. However, whilst most species have a DON detoxifyingcapability – thought to be due to gut micr<strong>of</strong>lora – humans lack this detoxificationpathway, and DON contaminated cereals has previously been implicated in foodpoisoning incidents in China and India.The focus <strong>of</strong> this research is to determine biomarkers <strong>of</strong> exposure <strong>of</strong> DONand relate these biomarkers to potential health problems. Analysis <strong>of</strong> both NMRand mass spectrometric data <strong>of</strong> human urine samples has permitted volunteersto be categorised into high or low DON exposure. Chemometric analysis <strong>of</strong> NMRdata, using partial least squares discriminant analysis (PLS-DA), has yielded abiomarker <strong>of</strong> exposure to DON on a small scale study, and has subsequentlybeen validated with the inclusion <strong>of</strong> extra samples; these results are beingprepared for publication. A larger scale study is now being conducted under theauspices <strong>of</strong> the Food Standards Agency.________________________________________________________________________H 3 COOHNMR Studies Towards a Biomarker <strong>of</strong> PreeclampsiaElizabeth Turner 1 , James J. Walker 2 and Julie Fisher 11 School <strong>of</strong> Chemistry, <strong>University</strong> <strong>of</strong> <strong>Leeds</strong>, <strong>Leeds</strong>, UK.2 <strong>Leeds</strong> Institute <strong>of</strong> Molecular Medicine (LIMM), <strong>Leeds</strong>, UK.Preeclampsia (PE) is a human pregnancy-specific condition, the cause <strong>of</strong>which is not yet fully understood, but oxidative stress is thought to beresponsible. As evidence <strong>of</strong> secreted factors into maternal circulation isemerging, the analysis <strong>of</strong> blood samples has the potential to reveal the cause


and progression <strong>of</strong> this disease. 1 H-NMR spectroscopy and chemometrics wereapplied to establish the metabolic pr<strong>of</strong>ile for PE, with the hope <strong>of</strong> identifyingbiomarkers <strong>of</strong> the condition. This permitted a distinction to be made betweenwomen with a normal pregnancy and those with PE, based on the concentrations<strong>of</strong> lipids 11 and aromatic amino acids 12 in plasma, as well as imidazole-basedmarkers in erythrocytes. 1 20Whole SpectrumIt has been100-10-20HIGH BMIHYPOTHYROIDISMVIT C & Ehypothesised that theerythrocyte membranecan be damaged byPE, by lipidperoxidation andprotein modification.19 F and 31 P-Dynamic NMR (DNMR) spectroscopy andmatrix diagonalisation have also been applied to investigate this, by measuringthe rate at which erythrocyte transmembrane exchange processes occur. Nosignificant differences were observed between PE and healthy pregnant womenin the outward permeability or efflux rate constant <strong>of</strong> fluorinated glucoseexchange. These NMR studies as a whole have contributed to our understanding<strong>of</strong> the pathogenesis <strong>of</strong> preeclampsia.11. Turner E, Brewster JA, Simpson NAB, Walker JJ, Fisher J. Reproductive Sciences, accepted.12. Turner E, Brewster JA, Simpson NAB, Walker JJ, Fisher J. Hypertension in Pregnancy 2008; 27 (3): 225-235.13. Turner E, Brewster JA, Simpson NAB, Walker JJ, Fisher J. Hypertension in Pregnancy 2007; 26 (3): 329-342.________________________________________________________________

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