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Metabolomic Analysis of Clinical Plasma from Cerebral Infarction Patients Presenting with Blood Stasis

机译:表现为血瘀型脑梗死患者临床血浆的代谢组学分析

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摘要

Blood stasis (BS) is characterized as a disorder of blood circulation. In traditional Korean medicine (TKM), it is viewed as a cause factor of diseases such as multiple sclerosis and stroke. This study investigated differences in the plasma metabolites profiles of subjects displaying BS or non-BS patterns. Thirty-one patients with cerebral infarction diagnosed with BS and an equal number of sex- and age-matched non-BS patients were enrolled. Metabolic profiling was performed using UPLC-MS. The ratio of subjects with a rough pulse and purple coloration of the tongue was higher in patients presenting with BS pattern. Through metabolomics analysis, 82 metabolites that differed significantly between the BS and non-BS pattern were identified, and the two groups were significantly separated using an orthogonal partial least square-discriminant analysis model (P < 0.001). Of these 82 metabolites, acetyl carnitine, leucine, kynurenine, phosphocholine, hexanoyl carnitine, and decanoyl carnitine were present in significantly higher levels in patients with a BS pattern than those with a non-BS pattern. Our results also demonstrated that seven plasma metabolites, including acyl-carnitines and kynurenine, were associated with a BS pattern, suggesting that variant plasma metabolic profiles may serve as a biomarker for diagnosis of BS in patients with cerebral infarction.
机译:血瘀(BS)的特征是血液循环障碍。在传统的韩国医学(TKM)中,它被视为导致多发性硬化和中风等疾病的原因。这项研究调查了显示BS或非BS模式的受试者血浆代谢产物谱的差异。研究入组了31例诊断为BS的脑梗死患者,以及同等数量的性别和年龄匹配的非BS患者。使用UPLC-MS进行代谢谱分析。出现BS模式的患者中,脉搏粗糙和舌紫色的受试者比例更高。通过代谢组学分析,鉴定出BS模式和非BS模式之间有显着差异的82种代谢物,并且使用正交偏最小二乘判别分析模型将两组显着分离(P <0.001)。在这82种代谢产物中,具有BS模式的患者中的乙酰肉碱,亮氨酸,犬尿氨酸,磷酸胆碱,己酰基肉碱和癸酰基肉碱的含量明显高于非BS模式的患者。我们的研究结果还表明,七种血浆代谢物(包括酰基肉碱和犬尿氨酸)与BS模式有关,这表明血浆血浆代谢谱变异可能是诊断脑梗死患者BS的生物标记。

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