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Metabolites. 2022;12(10):metabo12101004.

Identification of Metabolic Signature Associated with Idiopathic Inflammatory Myopathy Reveals Polyamine Pathway Alteration in Muscle Tissue.

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제1저자 강지현, 김정연 · 교신저자 조주연, 이은영

소속 (5)
  1. Department of Clinical Pharmacology and Therapeutics, Seoul National University College of Medicine and Hospital, Seoul 03080, Korea.
  2. Department of Biomedical Sciences, Seoul National University College of Medicine, Seoul 03080, Korea.
  3. Division of Cellular Genomics, GENOME INSIGHT Technologies, Seoul 06735, Korea.
  4. Division of Rheumatology, Department of Internal Medicine, Seoul National University College of Medicine, Seoul 03080, Korea.
  5. Division of Rheumatology, Department of Internal Medicine, Seoul Metropolitan Seoul Medical Center, Seoul 02053, Korea.

Abstract

Idiopathic inflammatory myopathy (IIM) is hard to diagnose without a muscle biopsy. We aimed to identify a metabolite panel for IIM detection by metabolomics approach in serum samples and to explore the metabolomic signature in tissue samples from a mouse model. We obtained serum samples from IIM patients, ankylosing spondylitis (AS) patients, healthy volunteers and muscle tissue samples from IIM murine model. All samples were subjected to a targeted metabolomic approach with various statistical analyses on serum and tissue samples to identify metabolic alterations. Three machine learning methods, such as logistic regression (LR), support vector machine (SVM), and random forest (RF), were applied to build prediction models. A set of 7 predictive metabolites was calculated using backward stepwise selection, and the model was evaluated within 5-fold cross-validation by using three machine algorithms. The model produced an area under the receiver operating characteristic curve values of 0.955 (LR), 0.908 (RF) and 0.918 (SVM). A total of 68 metabolites were significantly changed in mouse tissue. Notably, the most influential pathways contributing to the inflammation of muscle were the polyamine pathway and the beta-alanine pathway. Our metabolomic approach offers the potential biomarkers of IIM and reveals pathologically relevant metabolic pathways that are associated with IIM.

Keywords

biomarkeridiopathic inflammatory myopathypolyamine pathway

Figures

Figure 1
Figure 1 Metabolomic analysis of IIM patients, AS patients, and healthy controls. (A) PCA plot of AS patients, IIM patients, and healthy controls. (B) Heatmap of significant metabolites with group average in IIM, including amino acid, biogenic amine and acylcarnitine class. (C) Heatmap of significant metabolites with group average in IIM, including SMs, lysoPCs, PC, and hexoses. For the full name of metabolites, please see Supplementary Table S2. (D) MetaMapp metabolomic networks of human serum alterations in IIM patients compared to healthy controls. Border color and node color: red indicates up-regulation in IIM, and blue indicates down-regulation in IIM. Node size indicates the FDR-adjusted p-value.
Figure 2
Figure 2 Serum metabolites as biomarkers for IIM. (A) The individual plot of IIM-specific metabolites was selected by the backward stepwise method for constructing a prediction model. * p < 0.05; ** p < 0.005; *** p < 0.0005, and **** p < 0.0001. (B) ROC curves for seven sets of metabolites with five-fold cross-validation. AUC values were calculated for each machine learning method; red indicates logistic regression, blue indicates support vector machine, and yellow indicates random forest.
Figure 3
Figure 3 Effect of myositis on skeletal muscle tissue in the mouse model. (A) histology of control and CIM. (B) The histologic score of control and CIM. (** p < 0.0001) (C) PCA plot of control and CIM skeletal muscle tissue. (D) Volcano plot from t-test results of control and CIM. Red dots are upregulated metabolites, and blue dots are downregulated metabolites. (E) Network analysis of mouse tissue, comparing CIM and control. Border color and node color: red indicates up-regulation in CIM, and blue indicates down-regulation in CIM. Node size indicates the FDR-adjusted p-value.
Figure 4
Figure 4 IIM-related metabolite alterations and pathways in muscle tissue. (A) Individual scatter plots of significant metabolites related to important pathways in mouse tissue. (B) Overview of altered metabolites related to the skeletal muscle tissue of mice. Red-colored metabolite indicates up-regulation in CIM mice, while blue-colored metabolites represent down-regulation as compared with the control mice. (C) Protein expression and (D) relative quantitative data of ODC-1, SMOX, and tubulin. (* p < 0.05, ** p < 0.005.)

그림 출처: PubMed Central 공개 논문 (PMC9611268)

Conflict of interest statement

The authors declared no competing interests in this work.

그 밖의 정보
출판 형태
Journal Article
저널
Metabolites · ISSN 2218-1989
전자 출판
2022-10-21
참고문헌
41편