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胆腑郁热型慢性鼻窦炎患者鼻黏膜代谢组学研究

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目的 基于代谢组学技术探讨胆腑郁热型慢性鼻窦炎患者鼻黏膜的特异性变化.方法 选择2019 年4 月—2022 年2 月在黑龙江中医药大学附属第一医院就诊的20 例胆腑郁热型慢性鼻窦炎患者作为慢性鼻窦炎组,选择同期招募的20 例健康志愿者作为正常组,采集2 组受试者的鼻黏膜样本,应用超高效液相色谱-质谱技术对鼻黏膜代谢物进行检测,并将所得的数据矩阵导入EZinfo 3.0 软件中,进行多元统计分析,根据正交偏最小二乘法判别分析(OPLS-DA)确定每个离子的贡献值(VIP),对代谢物进行筛选,寻找差异代谢物,分析其代谢途径.结果 2 组受试者的鼻黏膜差异代谢物主要表现为28 种代谢物离子的改变(VIP>1,P<0.05),其中24 种属于脂质和类脂质分子;2 组差异代谢物富集于醚脂代谢、丙酸代谢、甘油磷脂代谢、不饱和脂肪酸生物合成途径4 条代谢通路.结论 与正常人相比,胆腑郁热型慢性鼻窦炎患者鼻黏膜差异代谢物多为脂质和类脂质分子,推测其发病可能与脂质代谢异常具有相关性.
Metabolomics of nasal mucosa in patients with chronic rhinosinusitis of syndrome of heat stagnation in gallbladder
Objective It is to characterize the metabolic profile in the nasal mucosa of patients with chronic rhinosinus-itis(CRS)of syndrome of heat stagnation in gallbladder with metabolomics technology.Methods Twenty patients with CRS of syndrome of heat stagnation in gallbladder treated in the outpatient clinic of the Department of Otorhinolaryngology of the First Affiliated Hospital of Heilongjiang University of Chinese Medicine from April 2019 to February 2022 were selected as the CRS group,and 20 healthy volunteers recruited during the same period as the normal group.The nasal mucosal samples from the subjects of the two groups were collected,and the nasal mucosal metabolites were detected by ultra-high perform-ance liquid chromatography mass spectrometry technology.The obtained data matrix was imported into EZinfo 3.0 software for multivariate statistical analysis,the contribution value(VIP)of each ion was determined according to OPLS-DA analy-sis,and the metabolites were screened to find differential metabolites and analyze their metabolic pathways.Results The differential metabolites in the nasal mucosa of subjects of the two groups were mainly manifested as changes in 28 metabo-lites(VIP>1,P<0.05),of which 24 belonged to lipids and lipid-like molecules.The differential metabolites of the two groups were enriched in 4 metabolic pathways,those were ether lipid metabolism,propionic acid metabolism,glycerophos-pholipid metabolism,unsaturated fatty acid biosynthetic pathways.Conclusion Compared with the normal people,the differences in nasal mucosal metabolites in patients with chronic rhinosinusitis of syndrome of heat stagnation in gallbladder are mainly lipids and lipid-like molecules,which suggests that its pathogenesis may be related to abnormal lipid metabo-lism.

chronic rhinosinusitis,metabolomics,liquid chromatography-mass spectrometrysyndrome of heat stagna-tion in gallbladder

王嘉乐、周凌、王洋洋、刘静丹

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黑龙江中医药大学,黑龙江 哈尔滨 150040

黑龙江中医药大学附属第一医院,黑龙江 哈尔滨 150040

慢性鼻窦炎 代谢组学 液相色谱-质谱技术 胆腑郁热

国家自然科学基金面上项目国家中医药管理局全国名老中医药专家传承工作室建设项目

81874495国中医药人教[2022]75号

2024

现代中西医结合杂志
中国中西医结合学会河北分会,中华中医药学会

现代中西医结合杂志

CSTPCD
影响因子:1.775
ISSN:1008-8849
年,卷(期):2024.33(10)