The Negative Feedback of the Glutamine/Prostatitis Loop Identified Among 1400 Metabolites and Prostatitis via

Yi Wang1,2, Hao Ji3, Yingfei Chen2

  • 1Department of Urology, Affiliated Hospital of Nantong University, Nantong 226001, Jiangsu Province, China.

PubMed

Insights

This study used Mendelian randomization to identify four metabolic causes and two metabolic phenotypes of prostatitis. A negative feedback loop between glutamine and prostatitis was also discovered, offering new therapeutic targets.

Area of Science:

  • Metabolomics
  • Genetics
  • Urology

Background:

  • Prostatitis presents diagnostic and therapeutic challenges due to unclear causes and high recurrence rates.
  • Understanding the metabolic underpinnings of prostatitis is crucial for identifying novel treatment strategies.

Purpose of the Study:

  • To investigate the causal relationships between 1400 metabolites and prostatitis using Mendelian randomization.
  • To identify potential metabolic etiologies and phenotypes associated with prostatitis.
  • To uncover novel therapeutic targets for prostatitis.

Main Methods:

  • Two-sample Mendelian randomization analysis was performed using data from FinnGen and GWAS Catalog.
  • Sensitivity analyses including heterogeneity, pleiotropy, and leave-one-out analyses were conducted to ensure robustness.

Main Results:

  • Four metabolic etiologies for prostatitis were identified: glutamine degradant levels, adenosine 5'-monophosphate (AMP)-inosine 5'-monophosphate (IMP) ratio, glycolithocholate-glycolithocholate sulfate ratio, and AMP-citrate ratio.
  • Genetic predisposition to lower glutamine degradant levels, AMP-IMP ratio, or glycolithocholate-glycolithocholate sulfate ratio decreased prostatitis risk, while higher AMP-citrate ratio increased risk.
  • Two metabolic phenotypes, glutamine degradant and histidine betaine (hercynine) levels, were associated with prostatitis, and a negative feedback loop between glutamine and prostatitis was observed.

Conclusions:

  • This study identified four metabolic etiologies and two metabolic phenotypes for prostatitis in the European population.
  • A novel negative feedback loop between glutamine metabolism and prostatitis was discovered.
  • These findings offer potential new therapeutic targets for prostatitis management.

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