在HDM和lps诱导的过敏小鼠模型中,外源性补充甜菜碱改善糖皮质激素敏感性和减轻肺部过敏反应

IF 4.6 2区 医学 Q2 ALLERGY
Qing Wang, Wen He, Yufeng Zhou, Yun Liu, Xiaoling Li, Yingwen Wang, Jiayu Wang, Xiao Han, Xiaobo Zhang
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引用次数: 0

摘要

儿童哮喘是一种异质性疾病,表现出不同的特征和不同的严重程度;然而,导致哮喘严重程度差异的代谢物改变,特别是在严重哮喘中,尚不清楚。本研究旨在确定不同哮喘严重程度儿童的血浆代谢谱,探讨重症哮喘和糖皮质激素抵抗的潜在干预靶点。方法采用非靶向液相色谱-质谱法分析54例轻中度哮喘患儿、50例重度哮喘患儿和39例健康对照者的血浆代谢物。多变量统计分析用于探讨血浆代谢变化与哮喘严重程度的密切相关。同时,构建糖皮质激素抵抗的严重变应性气道炎症小鼠,验证代谢物的潜在治疗能力。结果轻、中度哮喘和重度哮喘患儿血浆代谢谱有明显变化。血浆代谢物的明显变化伴随着脂质代谢的功能改变,特别是胆碱代谢、甘油磷脂和鞘脂代谢。11-顺式视黄醇、LysoPC (20:4 [8Z,11Z,14Z,17Z])和甘油磷脂酰胆碱与气道炎症和肺功能加重有关。此外,2-羟基雌二醇、LysoPC (18:3 [6Z,9Z,12Z])、玉米黄质和甜菜碱在严重哮喘组中发生了特异性转移,可能是潜在的生物标志物。随后的体内研究表明,补充甜菜碱可以部分改善糖皮质激素耐药性。总之,不同哮喘严重程度的儿童表现出不同的血浆代谢模式。这些可能导致儿童哮喘患者对糖皮质激素反应的差异,并可能成为潜在的目标和干预措施。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Improvement of glucocorticoid sensitivity and attenuation of pulmonary allergic reactions by exogenous supplementation with betaine in HDM and LPS-induced allergic mouse model

Improvement of glucocorticoid sensitivity and attenuation of pulmonary allergic reactions by exogenous supplementation with betaine in HDM and LPS-induced allergic mouse model

Background

Childhood asthma is a heterogeneous disease that exhibits different characteristics and varying severity; however, the metabolite alterations underlying the difference in asthma severity, especially in severe asthma, are not well understood. The aim of this study was to identify the plasma metabolic profile of children with different asthma severity and explore the potential intervention targets in severe asthma and glucocorticoid resistance.

Methods

Untargeted liquid chromatography mass spectrometry was utilized to analyze plasma metabolites in 54 children with mild-to-moderate asthma, 50 children with severe asthma and 39 healthy controls. Multivariate statistical analyses were used to explore plasma metabolic alterations that were strongly associated with asthma severity. Meanwhile, the severe allergic airway inflammation mice with glucocorticoid resistance were constructed to validate the potential therapeutic capacity of metabolites.

Results

The plasma metabolic profiles of children with mild to moderate asthma and severe asthma exhibited significant alterations. The distinct plasma metabolite shifts were accompanied by functional alterations in lipid metabolism, particularly choline metabolism, glycerophospholipids and sphingolipid metabolism. 11-cis-retinol, LysoPC (20:4 [8Z,11Z,14Z,17Z]), and glycerophosphatidylcholine were associated with exacerbated airway inflammation and lung function. Furthermore, 2-Hydroxyestradiol, LysoPC (18:3 [6Z,9Z,12Z]), zeaxanthin, and betaine were shifted exclusively in the severe asthma group and may serve as potential biomarkers. Subsequent in vivo studies demonstrated that betaine supplementation partially improved glucocorticoid resistance.

Conclusions

Overall, children with different asthma severity displayed distinct plasma metabolic patterns. These may contribute to the difference in response to glucocorticoids in childhood asthma and could be potential targets and interventions.

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来源期刊
Clinical and Translational Allergy
Clinical and Translational Allergy Immunology and Microbiology-Immunology
CiteScore
7.50
自引率
4.50%
发文量
117
审稿时长
12 weeks
期刊介绍: Clinical and Translational Allergy, one of several journals in the portfolio of the European Academy of Allergy and Clinical Immunology, provides a platform for the dissemination of allergy research and reviews, as well as EAACI position papers, task force reports and guidelines, amongst an international scientific audience. Clinical and Translational Allergy accepts clinical and translational research in the following areas and other related topics: asthma, rhinitis, rhinosinusitis, drug hypersensitivity, allergic conjunctivitis, allergic skin diseases, atopic eczema, urticaria, angioedema, venom hypersensitivity, anaphylaxis, food allergy, immunotherapy, immune modulators and biologics, animal models of allergic disease, immune mechanisms, or any other topic related to allergic disease.
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