Serum metabolism characteristics of patients with myocardial injury after noncardiac surgery explored by the untargeted metabolomics approach

© 2024. The Author(s)..

BACKGROUND: Myocardial injury after noncardiac surgery (MINS) is one of the most common complications associated with postoperative adverse cardiovascular outcomes and mortality. However, MINS often fails to be timely diagnosed due to the absence of clinical symptoms and limited diagnostic methods. The metabolomic analysis might be an efficient way to discover new biomarkers of MINS. Characterizing the metabolomic features of MINS patients may provide new insight into the diagnosis of MINS.

METHODS: In this study, serum samples from 20 matched patients with or without MINS (n = 10 per group) were subjected to untargeted metabolomics analysis to investigate comprehensive metabolic information. Differential metabolites were identified, and the enriched metabolic pathway was determined based on the Kyoto Encyclopedia of Genes and Genomes (KEGG) database.

RESULTS: A comprehensive analysis revealed 124 distinct metabolites, predominantly encompassing lipids, amino acids and other compounds. The observed modifications in metabolic pathways in patients with or without MINS showed significant clustering in cholesterol metabolism, aldosterone synthesis and secretion, primary bile acid biosynthesis, as well as cysteine and methionine metabolism. Four specific metabolites (taurocholic acid, L-pyroglutamic acid, taurochenodeoxycholic acid, and pyridoxamine) exhibited promising potential as biomarkers for prognosticating MINS.

CONCLUSIONS: This study contributes valuable insights into the metabolomic features of MINS and the discovery of potential biomarkers which may help the early diagnosis of MINS. The identified metabolites and altered pathways offer valuable insights into the molecular underpinnings of MINS, paving the way for improved diagnostic approaches and potential intervention strategies.

Medienart:

E-Artikel

Erscheinungsjahr:

2024

Erschienen:

2024

Enthalten in:

Zur Gesamtaufnahme - volume:24

Enthalten in:

BMC cardiovascular disorders - 24(2024), 1 vom: 03. Feb., Seite 88

Sprache:

Englisch

Beteiligte Personen:

Zhang, Yuanjia [VerfasserIn]
Kou, Mengjia [VerfasserIn]
Liu, Kuanzhi [VerfasserIn]
Zhan, Yaqing [VerfasserIn]
Xu, Weiyi [VerfasserIn]
Huang, Chanyan [VerfasserIn]
Huang, Wenqi [VerfasserIn]
Zhao, Xu [VerfasserIn]

Links:

Volltext

Themen:

Biomarkers
Journal Article
Lipid metabolism
Metabolic pathway
Myocardial injury after noncardiac surgery
Untargeted metabolomics

Anmerkungen:

Date Completed 05.02.2024

Date Revised 06.02.2024

published: Electronic

Citation Status MEDLINE

doi:

10.1186/s12872-024-03736-y

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM36799741X