A preliminary study on characteristics of high altitude pulmonary hypertension in the Xinjiang population based on targeted metabolomics technology
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维普
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目的 通过代谢组学技术筛选出与低氧肺动脉高压(Hypoxic pulmonary hyperten-sion,HPH)相关的潜在生物标志物和代谢通路.方法 采用液相色谱-串联质谱联用技术(LC-MS/MS)对新疆帕米尔高原20例HPH患者及14例健康对照者的血清样本进行分析.结果 共鉴定出325种代谢物,其中78种存在显著差异.这些差异代谢物包括5-羟基色胺、尿囊素和二甲基鸟苷等,它们可能作为潜在的生物标志物.并通过京都基因和基因组百科全书(Kyoto encyclo-pedia of genes and genomes,KEGG)分析,筛选出4条与HPH发病机制相关的关键代谢通路,包括丁酸代谢(Butanoate metabolism)、咖啡因代谢(Caffeine metabolism)、胰 高血糖素信号通路(Glucagon signaling pathway)和柠檬酸循环(Citrate cycle/TCA cycle).这些通路主要涉及生物合成、能量代谢、氧化应激和炎症,可能在HPH的发生和发展中发挥重要作用.结论 本研究揭示了 HPH的代谢特征,发现了一系列潜在的生物标志物和代谢通路,这些发现为进一步研究HPH的发病机制提供了重要线索,并为HPH的诊断和治疗提供了新的靶点和思路.
Objective To identify potential biomarkers and metabolic pathways associated with hypoxic pul-monary hypertension(HPH)using metabolomics technology.Methods Serum samples from 20 HPH pa-tients and 14 healthy controls from the Pamir Plateau in Xinjiang were analyzed using liquid chromatogra-phy-tandem mass spectrometry(LC-MS/MS).Results A total of 325 metabolites were identified,of which 78 showed significant differences.These differential metabolites include 5-hydroxytryptamine,allan-toin and dimethylguanosine,which may serve as potential biomarkers.Kyoto encyclopedia of genes and genomes(KEGG)analysis identified four key metabolic pathways related to the pathogenesis of HPH:Butanoate metabolism,Caffeine metabolism,Glucagon signaling pathway and Citrate cycle(TCA cycle).These pathways were primarily involved in biosynthesis,energy metabolism,oxidative stress and inflam-mation,potentially playing important roles in the onset and progression of HPH.Conclusion This study reveals the metabolic characteristics of HPH,identifying a series of potential biomarkers and metabolic pathways.These findings provide important insights for further research into the pathogenesis of HPH and offer new targets and approaches for its diagnosis and treatment.