Metabolic Disturbances Identified in Plasma Samples from ST-Segment Elevation Myocardial Infarction Patients
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Updated: Jan 21, 2026

Postconditioning with Lactate-enriched Blood for Cardioprotection in ST-segment Elevation Myocardial Infarction
Published on: May 28, 2019
Vânia Aparecida Mendes Goulart1, Anderson Kenedy Santos1, Valéria Cristina Sandrim2
1Departamento de Bioquímica e Imunologia, Instituto de Ciências Biológicas, Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brazil.
Insights
This study identified novel plasma biomarkers for ST-segment elevation myocardial infarction (STEMI). Metabolomic analysis revealed significant alterations in lipids and amines, offering new diagnostic signatures for this severe heart condition.
Area of Science:
- Biochemistry
- Cardiovascular Medicine
- Metabolomics
Background:
- ST-segment elevation myocardial infarction (STEMI) is a critical condition leading to significant global mortality.
- STEMI results from coronary artery occlusion, causing heart damage and altering the heart's metabolic profile.
- Identifying novel biomarkers is crucial for improving STEMI diagnosis and patient outcomes.
Purpose of the Study:
- To identify novel plasma biomarkers and metabolic signatures associated with STEMI.
- To characterize the metabolic phenotype of STEMI patients compared to healthy individuals.
Main Methods:
- Phenotypic characterization of 15 STEMI patients and 19 healthy controls.
- Target metabolomics analysis of plasma samples using UPLC-MS/MS and FIA-MS.
- Multivariate analysis to identify metabolic alterations.
Main Results:
- Significant alterations in phosphatidylcholines, lysophosphatidylcholines, sphingomyelins, and biogenic amines were observed in STEMI patients.
- Multivariate analysis indicated changes in glycerophospholipid, alpha-linolenic acid, and sphingolipid metabolisms.
- These metabolic changes represent a potential biosignature for heart dysfunction in STEMI.
Conclusions:
- Plasma metabolomic profiling can identify distinct metabolic signatures in STEMI.
- Alterations in specific lipid and amine concentrations may serve as novel biomarkers for STEMI diagnosis.
- Further research into these metabolic pathways could lead to improved diagnostic and therapeutic strategies for STEMI.
Abstract:
ST-segment elevation myocardial infarction (STEMI) is the most severe form of myocardial infarction (MI) and the main contributor to morbidity and mortality caused by MI worldwide. Frequently, STEMI is caused by complete and persistent occlusion of a coronary artery by a blood clot, which promotes heart damage. STEMI impairment triggers changes in gene transcription, protein expression, and metabolite concentrations, which grants a biosignature to the heart dysfunction. There is a major interest in identifying novel biomarkers that could improve the diagnosis of STEMI. In this study, the phenotypic characterization of STEMI patients (n = 15) and healthy individuals (n = 19) was performed, using a target metabolomics approach. Plasma samples were analyzed by UPLC-MS/MS (ultra-high-performance liquid chromatography-tandem mass spectrometry) and FIA-MS (MS-based flow injection analysis). The goal was to identify novel plasma biomarkers and metabolic signatures underlying STEMI. Concentrations of phosphatidylcholines, lysophosphatidylcholines, sphingomyelins, and biogenic amines were altered in STEMI patients in relation to healthy subjects. Also, after multivariate analysis, it was possible to identify alterations in the glycerophospholipids, alpha-linolenic acid, and sphingolipid metabolisms in STEMI patients.
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