Metabolomic analysis of serum from pure coronary artery ectasia patients based on UPLC-QE/MS technique

Zhe Cao1, Jinyu Wang1, Zuyi Weng2

  • 1Department of Cardiology, Nanjing Medical University Second Affiliated Hospital, Nanjing Medical University, Nanjing 210011, China.

Insights

This study identified ten unique serum metabolites in coronary artery ectasia (CAE) patients, offering potential for early diagnosis. These findings shed light on the metabolic pathways involved in CAE, including amino acid and energy metabolism.

Area of Science:

  • Cardiovascular Research
  • Metabolomics
  • Biomarker Discovery

Background:

  • Coronary artery ectasia (CAE) is a condition of abnormal coronary artery dilation with unclear pathophysiology.
  • Understanding the metabolic differences in CAE is crucial for diagnosis and treatment.

Purpose of the Study:

  • To investigate distinct serum metabolomic profiles in pure CAE patients compared to mixed CAE and healthy controls.
  • To identify potential biomarkers for early diagnosis of pure CAE.

Main Methods:

  • Serum samples from 14 pure CAE, 12 mixed CAE, and 14 control patients were analyzed using untargeted ultra-high performance liquid chromatography-mass spectrometry.
  • Key biomarkers including ICAM-1, VEGF, ROS, and glutathione were quantified.

Main Results:

  • Ten serum metabolites, including 1-cyano-2-hydroxy-3-butene and D-alanine, differentiated pure CAE patients.
  • Metabolic pathways implicated include amino acid metabolism, sphingolipid dysfunction, and oxidative stress.
  • Elevated ICAM-1, VEGF, and ROS, with decreased glutathione, were observed in CAE patients, correlating with specific metabolites.

Conclusions:

  • This study presents the first metabolomic profile differentiating pure CAE from mixed CAE and controls.
  • Ten novel biomarkers were identified, potentially enabling early diagnosis of pure CAE.
  • The findings enhance understanding of pure CAE pathogenesis, highlighting systemic inflammation and oxidative stress.
Abstract

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