High-Resolution Plasma Metabolomics Identifies Alterations in Fatty Acid, Energy, and Micronutrient Metabolism in Adults Across the Leprosy Spectrum

© The Author(s) 2023. Published by Oxford University Press on behalf of Infectious Diseases Society of America. All rights reserved. For permissions, please e-mail: journals.permissionsoup.com..

BACKGROUND: High-resolution metabolomics (HRM) is an innovative tool to study challenging infectious diseases like leprosy, where the pathogen cannot be grown with standard methods. Here, we use HRM to better understand associations between disease manifestations, nutrition, and host metabolism.

METHODS: From 2018 to 2019, adults with leprosy and controls were recruited in Minas Gerais, Brazil. Plasma metabolites were detected using an established HRM workflow and characterized by accurate mass, mass to charge ratio m/z and retention time. The mummichog informatics package compared metabolic pathways between cases and controls and between multibacillary (MB) and paucibacillary (PB) leprosy. Additionally, select individual metabolites were quantified and compared.

RESULTS: Thirty-nine cases (62% MB and 38% PB) and 25 controls were enrolled. We found differences (P < .05) in several metabolic pathways, including fatty acid metabolism, carnitine shuttle, retinol, vitamin D3, and C-21 steroid metabolism, between cases and controls with lower retinol and associated metabolites in cases. Between MB and PB, leukotrienes, prostaglandins, tryptophan, and cortisol were all found to be lower in MB (P < .05).

DISCUSSION: Metabolites associated with several nutrient-related metabolic pathways appeared differentially regulated in leprosy, especially MB versus PB. This pilot study demonstrates the metabolic interdependency of these pathways, which may play a role in the pathophysiology of disease.

Medienart:

E-Artikel

Erscheinungsjahr:

2024

Erschienen:

2024

Enthalten in:

Zur Gesamtaufnahme - volume:229

Enthalten in:

The Journal of infectious diseases - 229(2024), 4 vom: 12. Apr., Seite 1189-1199

Sprache:

Englisch

Beteiligte Personen:

Fairley, Jessica K [VerfasserIn]
Ferreira, José A [VerfasserIn]
Fraga, Lucia A O [VerfasserIn]
Lyon, Sandra [VerfasserIn]
Valadão Cardoso, Thales M [VerfasserIn]
Boson, Victor Campos [VerfasserIn]
Madureira Nunes, Ana Carolina [VerfasserIn]
Medeiros Cinha, Eloisa H [VerfasserIn]
de Oliveira, Lorena B P [VerfasserIn]
Magueta Silva, Erica B [VerfasserIn]
Marçal, Pedro H F [VerfasserIn]
Branco, Alexandre C [VerfasserIn]
Grossi, Maria Aparecida F [VerfasserIn]
Jones, Dean P [VerfasserIn]
Ziegler, Thomas R [VerfasserIn]
Collins, Jeffrey M [VerfasserIn]

Links:

Volltext

Themen:

11103-57-4
Carnitine
Energy metabolism
Fatty Acids
Fatty acids
Hansen's disease
High-resolution metabolomics
Journal Article
Leprosy
Metabolism
Micronutrients
Mycobacterium leprae
Nutrition
Retinol
Tryptophan
Vitamin A
Vitamin D

Anmerkungen:

Date Completed 15.04.2024

Date Revised 25.04.2024

published: Print

Citation Status MEDLINE

doi:

10.1093/infdis/jiad410

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM362370370