Biomarker discovery in NAFLD: insights from metabolomics and vote counting meta-analysis.

IF 3.3 3区 医学 Q2 ENDOCRINOLOGY & METABOLISM
Pallavi Mudgal, Sonu Kumar Gupta, Sunny Malik, Rinkal B Nith, Sunil Kumar, Rahul K, Kartikey Chaturvedi, Yashwant Kumar
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Abstract

Background: Despite its prevalence and the significance of early diagnosis, non-alcoholic fatty liver disease (NAFLD), one of the most prevalent liver diseases globally and frequently linked to elements of metabolic syndrome, lacks robustly validated biomarkers for diagnosis, prognosis, and tracking of disease progression in response to a particular treatment.

Objective: The aim of this study was to catalogue the metabolites from metabolomics data reported by different studies till date, and to find few majorly dysregulated metabolites that can potentially be used as progressive biomarkers of NAFLD in future.

Methods: The clinical data published during last 13 years was investigated and further curated from established databases of MEDLINE, EMBASE and PUBMED on NAFLD. A vote-counting method was used to perform a semi-quantitative meta-analysis of metabolites in serum/blood from NAFLD subjects.

Results: This analysis unveiled the well-unprecedented changes in the metabolites of different classes as amino acids Valine, isoleucine, glutamate, tyrosine, alpha-ketoglutarate and phenylalanine were found to be up-regulated whereas glycine, serine and arginine were observed to be down-regulated. This investigation envisaged role of a few metabolites which were significantly distinct in the progression of NAFLD condition.

Conclusion: This study highlighted the role of different metabolites in the progression of NAFLD condition. However, the analysis also reveals certain limitations requiring better standardization of metabolomics investigations, signifying errors and lacunas of metabolic databases in identification and reporting. Additionally, inadequate publicly accessible metabolomics data, limits the discovery potential of meta-analyses of clinical studies.

NAFLD的生物标志物发现:来自代谢组学和计票meta分析的见解。
背景:非酒精性脂肪性肝病(NAFLD)是全球最常见的肝脏疾病之一,经常与代谢综合征的要素相关,尽管其患病率和早期诊断具有重要意义,但缺乏经过强有力验证的生物标志物来诊断、预后和追踪疾病对特定治疗的反应。目的:本研究的目的是从迄今为止不同研究报告的代谢组学数据中编目代谢物,并发现一些主要失调的代谢物,这些代谢物可能在未来用作NAFLD的进行性生物标志物。方法:从MEDLINE、EMBASE和PUBMED已建立的NAFLD数据库中对近13年来发表的临床资料进行调查和进一步整理。采用选票计数法对NAFLD受试者血清/血液中代谢物进行半定量荟萃分析。结果:该分析揭示了不同类别氨基酸代谢产物的前所未有的变化,如缬氨酸、异亮氨酸、谷氨酸、酪氨酸、α -酮戊二酸和苯丙氨酸被发现上调,而甘氨酸、丝氨酸和精氨酸被观察到下调。这项研究设想了一些代谢物在NAFLD病情进展中的作用,这些代谢物在NAFLD病情进展中具有显著的差异。结论:本研究强调了不同代谢物在NAFLD病情进展中的作用。然而,该分析也揭示了某些局限性,需要更好地标准化代谢组学研究,这表明代谢数据库在识别和报告方面存在错误和空白。此外,缺乏可公开获取的代谢组学数据限制了临床研究荟萃分析的发现潜力。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Metabolomics
Metabolomics 医学-内分泌学与代谢
CiteScore
6.60
自引率
2.80%
发文量
84
审稿时长
2 months
期刊介绍: Metabolomics publishes current research regarding the development of technology platforms for metabolomics. This includes, but is not limited to: metabolomic applications within man, including pre-clinical and clinical pharmacometabolomics for precision medicine metabolic profiling and fingerprinting metabolite target analysis metabolomic applications within animals, plants and microbes transcriptomics and proteomics in systems biology Metabolomics is an indispensable platform for researchers using new post-genomics approaches, to discover networks and interactions between metabolites, pharmaceuticals, SNPs, proteins and more. Its articles go beyond the genome and metabolome, by including original clinical study material together with big data from new emerging technologies.
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