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Hadrévi J, Jonsdottir IH, Jansson PA, Eriksson JW, Sjörs A. Plasma metabolomic patterns in patients with exhaustion disorder. Stress 2019; 22:17-26. [PMID: 30084722 DOI: 10.1080/10253890.2018.1494150] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/28/2022] Open
Abstract
Exhaustion disorder (ED) is a stress-related disorder that often implies a great burden on the individual patient as well as on society. Previous studies have shown that ED is associated with metabolic deviations, such as lowered fasting glucose. Several mechanisms have been discussed as a plausible explanation of the lack of energy described by these patients. Metabolic processes and reduced ability to mobilize energy have been suggested as important factors. This study investigated metabolomics in 20 patients diagnosed with ED and compared them with 21 healthy controls. Plasma metabolic profiles were examined in both fasting and nonfasting (postprandial) conditions. Blood plasma samples were analyzed for metabolite content using gas chromatography mass spectrometry. A total of 62 different metabolites were simultaneously detected in each of the samples. Multivariate models indicated systematic differences between patients with ED and healthy controls in both their fasting and nonfasting plasma metabolite levels. Lysine and octadecenoic acid were more abundant and glutamine, glycine, serine and gluconic acid were less abundant in the patients across both conditions. In the present study, we comprehensively and simultaneously screen for changes in a large number of metabolites. Our results show a difference in systemic metabolites between patients with exhaustion disorder and healthy controls both in the fasting and in the postprandial states. Here, we present new potential biomarkers mirroring exhaustion disorder metabolism. Lay summary Exhaustion disorder (ED) patients suffer from stress-related symptoms including a reduced energy level. This study investigates the body's metabolism in patients with ED, both fasting and after a meal. New potential markers that may help future investigations on ED were identified.
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Affiliation(s)
- Jenny Hadrévi
- a Occupational and Environmental Medicine, Department of Public Health and Clinical Medicines , Umeå University , Sweden
| | - Ingibjörg H Jonsdottir
- b The Institute of Stress Medicine , Gothenburg , Sweden Region Västra Götaland
- c Department of Food and Nutrition, and Sport Science , University of Gothenburg , Gothenburg , Sweden
| | - Per-Anders Jansson
- d Department of Molecular and Clinical Medicine, Institute of Medicine, Sahlgrenska Academy , University of Gothenburg , Gothenburg , Sweden
| | - Jan W Eriksson
- e Department of Medical Sciences , Uppsala University , Uppsala , Sweden
| | - Anna Sjörs
- b The Institute of Stress Medicine , Gothenburg , Sweden Region Västra Götaland
- f Department of Clinical Neuroscience and Rehabilitation, Institute of Neuroscience and Physiology, Sahlgrenska Academy , University of Gothenburg , Gothenburg , Sweden
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Blomquist C, Chorell E, Ryberg M, Mellberg C, Worrsjö E, Makoveichuk E, Larsson C, Lindahl B, Olivecrona G, Olsson T. Decreased lipogenesis-promoting factors in adipose tissue in postmenopausal women with overweight on a Paleolithic-type diet. Eur J Nutr 2017; 57:2877-2886. [PMID: 29075849 PMCID: PMC6267391 DOI: 10.1007/s00394-017-1558-0] [Citation(s) in RCA: 20] [Impact Index Per Article: 2.9] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/29/2016] [Accepted: 10/13/2017] [Indexed: 01/19/2023]
Abstract
Purpose We studied effects of diet-induced postmenopausal weight loss on gene expression and activity of proteins involved in lipogenesis and lipolysis in adipose tissue. Methods Fifty-eight postmenopausal women with overweight (BMI 32.5 ± 5.5) were randomized to eat an ad libitum Paleolithic-type diet (PD) aiming for a high intake of protein and unsaturated fatty acids or a prudent control diet (CD) for 24 months. Anthropometry, plasma adipokines, gene expression of proteins involved in fat metabolism in subcutaneous adipose tissue (SAT) and lipoprotein lipase (LPL) activity and mass in SAT were measured at baseline and after 6 months. LPL mass and activity were also measured after 24 months. Results The PD led to improved insulin sensitivity (P < 0.01) and decreased circulating triglycerides (P < 0.001), lipogenesis-related factors, including LPL mRNA (P < 0.05), mass (P < 0.01), and activity (P < 0.001); as well as gene expressions of CD36 (P < 0.05), fatty acid synthase, FAS (P < 0.001) and diglyceride acyltransferase 2, DGAT2 (P < 0.001). The LPL activity (P < 0.05) and gene expression of DGAT2 (P < 0.05) and FAS (P < 0.05) were significantly lowered in the PD group versus the CD group at 6 months and the LPL activity (P < 0.05) remained significantly lowered in the PD group compared to the CD group at 24 months. Conclusions Compared to the CD, the PD led to a more pronounced reduction of lipogenesis-promoting factors in SAT among postmenopausal women with overweight. This could have mediated the favorable metabolic effects of the PD on triglyceride levels and insulin sensitivity.
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Affiliation(s)
- Caroline Blomquist
- Department of Public Health and Clinical Medicine, Medicine, Umeå University, By 6M, M31, SE-901 87, Umeå, Sweden.
| | - Elin Chorell
- Department of Public Health and Clinical Medicine, Medicine, Umeå University, By 6M, M31, SE-901 87, Umeå, Sweden
| | - Mats Ryberg
- Department of Public Health and Clinical Medicine, Medicine, Umeå University, By 6M, M31, SE-901 87, Umeå, Sweden
| | - Caroline Mellberg
- Department of Public Health and Clinical Medicine, Medicine, Umeå University, By 6M, M31, SE-901 87, Umeå, Sweden
| | - Evelina Worrsjö
- Department of Public Health and Clinical Medicine, Occupational and Environmental Medicine, Umeå University, Umeå, Sweden
| | - Elena Makoveichuk
- Department of Public Health and Clinical Medicine, Occupational and Environmental Medicine, Umeå University, Umeå, Sweden
| | - Christel Larsson
- Department of Food and Nutrition and Sport Science, University of Gothenburg, Gothenburg, Sweden
| | - Bernt Lindahl
- Department of Public Health and Clinical Medicine, Occupational and Environmental Medicine, Umeå University, Umeå, Sweden
| | | | - Tommy Olsson
- Department of Public Health and Clinical Medicine, Medicine, Umeå University, By 6M, M31, SE-901 87, Umeå, Sweden
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Surowiec I, Johansson E, Torell F, Idborg H, Gunnarsson I, Svenungsson E, Jakobsson PJ, Trygg J. Multivariate strategy for the sample selection and integration of multi-batch data in metabolomics. Metabolomics 2017; 13:114. [PMID: 28890672 PMCID: PMC5570768 DOI: 10.1007/s11306-017-1248-1] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/12/2016] [Accepted: 08/14/2017] [Indexed: 12/20/2022]
Abstract
INTRODUCTION Availability of large cohorts of samples with related metadata provides scientists with extensive material for studies. At the same time, recent development of modern high-throughput 'omics' technologies, including metabolomics, has resulted in the potential for analysis of large sample sizes. Representative subset selection becomes critical for selection of samples from bigger cohorts and their division into analytical batches. This especially holds true when relative quantification of compound levels is used. OBJECTIVES We present a multivariate strategy for representative sample selection and integration of results from multi-batch experiments in metabolomics. METHODS Multivariate characterization was applied for design of experiment based sample selection and subsequent subdivision into four analytical batches which were analyzed on different days by metabolomics profiling using gas-chromatography time-of-flight mass spectrometry (GC-TOF-MS). For each batch OPLS-DA® was used and its p(corr) vectors were averaged to obtain combined metabolic profile. Jackknifed standard errors were used to calculate confidence intervals for each metabolite in the average p(corr) profile. RESULTS A combined, representative metabolic profile describing differences between systemic lupus erythematosus (SLE) patients and controls was obtained and used for elucidation of metabolic pathways that could be disturbed in SLE. CONCLUSION Design of experiment based representative sample selection ensured diversity and minimized bias that could be introduced at this step. Combined metabolic profile enabled unified analysis and interpretation.
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Affiliation(s)
- Izabella Surowiec
- Computational Life Science Cluster (CLiC), Department of Chemistry, Umeå University, 901 81 Umeå, Sweden
| | | | - Frida Torell
- Computational Life Science Cluster (CLiC), Department of Chemistry, Umeå University, 901 81 Umeå, Sweden
| | - Helena Idborg
- Rheumatology Unit, Department of Medicine, Solna, Karolinska Institutet, Karolinska University Hospital, 171 76 Stockholm, Sweden
| | - Iva Gunnarsson
- Rheumatology Unit, Department of Medicine, Solna, Karolinska Institutet, Karolinska University Hospital, 171 76 Stockholm, Sweden
| | - Elisabet Svenungsson
- Rheumatology Unit, Department of Medicine, Solna, Karolinska Institutet, Karolinska University Hospital, 171 76 Stockholm, Sweden
| | - Per-Johan Jakobsson
- Rheumatology Unit, Department of Medicine, Solna, Karolinska Institutet, Karolinska University Hospital, 171 76 Stockholm, Sweden
| | - Johan Trygg
- Computational Life Science Cluster (CLiC), Department of Chemistry, Umeå University, 901 81 Umeå, Sweden
- Sartorius Stedim Data Analytics AB, 907 19 Umeå, Sweden
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Dugas LR, Chorell E, Plange-Rhule J, Lambert EV, Cao G, Cooper RS, Layden BT, Scholten D, Olsson T, Luke A, Goedecke JH. Obesity-related metabolite profiles of black women spanning the epidemiologic transition. Metabolomics 2016; 12:45. [PMID: 27346989 PMCID: PMC4915364 DOI: 10.1007/s11306-016-0960-6] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/02/2015] [Accepted: 11/14/2015] [Indexed: 12/20/2022]
Abstract
In developed countries, specific metabolites have been associated with obesity and metabolic diseases, e.g. type 2 diabetes. It is unknown whether a similar profile persists across populations of African-origin, at increased risk for obesity and related diseases. In a cross-sectional study of normal-weight and obese black women (33.3 ± 6.3 years) from the US (N = 69, 65 % obese), South Africa (SA, N = 97, 49 % obese) and Ghana (N = 82, 33 % obese) serum metabolite profiles were characterized via gas chromatography-time of flight/mass spectrometry. In US and SA women, BMI correlated with branched-chain and aromatic amino acids, as well as dopamine and aminoadipic acid. The relationship between BMI and lipid metabolites differed by site; BMI correlated positively with palmitoleic acid (16:1) in the US; negatively with stearic acid (18:0) in SA, and positively with arachidonic acid (20:4) in Ghana. BMI was also positively associated with sugar-related metabolites in the US; i.e. uric acid, and mannitol, and with glucosamine, glucoronic acid and mannitol in SA. While we identified a common amino acid metabolite profile associated with obesity in black women from the US and SA, we also found site-specific obesity-related metabolites suggesting that the local environment is a key moderator of obesity.
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Affiliation(s)
- Lara R. Dugas
- Public Health Sciences, Stritch School of Medicine, Loyola University Chicago, Maywood, IL, USA
| | - Elin Chorell
- Department of Public Health and Clinical Medicine, Umeå University, Umeå, Sweden
| | | | - Estelle V. Lambert
- Research Unit for Exercise Science and Sports Medicine, University of Cape Town, Cape Town, South Africa
| | - Guichan Cao
- Public Health Sciences, Stritch School of Medicine, Loyola University Chicago, Maywood, IL, USA
| | - Richard S. Cooper
- Public Health Sciences, Stritch School of Medicine, Loyola University Chicago, Maywood, IL, USA
| | - Brian T. Layden
- Division of Endocrinology, Metabolism and Molecular Medicine, Northwestern University, Evanston, IL, USA
- Jesse Brown Veterans Affairs Medical Center, Chicago, IL, USA
| | - Denise Scholten
- Division of Endocrinology, Metabolism and Molecular Medicine, Northwestern University, Evanston, IL, USA
| | - Tommy Olsson
- Department of Public Health and Clinical Medicine, Umeå University, Umeå, Sweden
| | - Amy Luke
- Public Health Sciences, Stritch School of Medicine, Loyola University Chicago, Maywood, IL, USA
| | - Julia H. Goedecke
- Non-Communicable Disease Research Unit, South African Medical Research Council, Cape Town, South Africa
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Hadrévi J, Björklund M, Kosek E, Hällgren S, Antti H, Fahlström M, Hellström F. Systemic differences in serum metabolome: a cross sectional comparison of women with localised and widespread pain and controls. Sci Rep 2015; 5:15925. [PMID: 26522699 PMCID: PMC4629114 DOI: 10.1038/srep15925] [Citation(s) in RCA: 18] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/19/2015] [Accepted: 10/06/2015] [Indexed: 01/14/2023] Open
Abstract
Chronic musculoskeletal pain exists either as localised to a single region or as widespread to multiple sites in several quadrants of the body. Prospective studies indicate that widespread pain could act as a far end of a continuum of musculoskeletal pain that started with chronic localised pain. The mechanism by which the transition from localised pain to widespread occurs is not clear, although many studies suggest it to be an altered metabolism. In this study, systemic metabolic differences between women with chronic localised neck-shoulder pain (NP), women with chronic widespread pain (CWP) and women who were healthy (CON) were assessed. Blood samples were analysed taking a metabolomics approach using gas chromatography mass spectrometry (GC-MS) and orthogonal partial least square discriminant analysis (OPLS-DA). The metabolomics analysis showed a clear systematic difference in the metabolic profiles between the subjects with NP and the CON but only a weak systematic difference between the subjects with CWP and the CON. This most likely reflects a difference in the portion of the metabolome influenced by the two pain conditions. In the NP group, the overall metabolic profile suggests that processes related to energy utilisation and lipid metabolism could be central aspects of mechanisms maintaining disorder.
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Affiliation(s)
- J Hadrévi
- Department of Community Medicine and Rehabilitation, Sports Medicine Unit, Umeå University, SE 90187, Umeå, Sweden
| | - M Björklund
- Department of Occupational and Public Health Sciences, Centre for Musculoskeletal Research, University of Gävle, SE 907 13, Umeå, Sweden.,Department of Community Medicine and Rehabilitation, Physiotherapy, Umeå University, SE 901 87, Umeå, Sweden
| | - E Kosek
- Department of Clinical Neuroscience, Karolinska Institutet, SE 171 77, Stockholm, Sweden
| | - S Hällgren
- Department of Clinical Sciences, Professional Development, Umeå University, SE 901 87 Umeå, Sweden
| | - H Antti
- Department of Chemistry, Faculty of Science and Technology, Umeå University, SE 901 85 Umeå, Sweden
| | - M Fahlström
- Department of Clinical Sciences, Professional Development, Umeå University, SE 901 87 Umeå, Sweden
| | - F Hellström
- Department of Occupational and Public Health Sciences, Centre for Musculoskeletal Research, University of Gävle, SE 907 13, Umeå, Sweden
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Mousavi M, Jonsson P, Antti H, Adolfsson R, Nordin A, Bergdahl J, Eriksson K, Moritz T, Nilsson LG, Nyberg L. Serum metabolomic biomarkers of dementia. Dement Geriatr Cogn Dis Extra 2014; 4:252-62. [PMID: 25177334 PMCID: PMC4132238 DOI: 10.1159/000364816] [Citation(s) in RCA: 41] [Impact Index Per Article: 4.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/19/2022] Open
Abstract
Aims: This study compared serum metabolites of demented patients (Alzheimer's disease and vascular dementia) and controls, and explored serum metabolite profiles of nondemented individuals 5 years preceding the diagnosis. Methods: Cognitively healthy participants were followed up for 5-20 years. Cognitive assessment, serum sampling, and diagnosis were completed every 5 years. Multivariate analyses were conducted on the metabolite profiles generated by gas chromatography/time-of-flight mass spectrometry. Results: A significant group separation was found between demented patients and controls, and between incident cases and controls. Metabolites that contributed in both analyses were 3,4-dihydroxybutanoic acid, docosapentaenoic acid, and uric acid. Conclusions: Serum metabolite profiles are altered in demented patients, and detectable up to 5 years preceding the diagnosis. Blood sampling can make an important contribution to the early prediction of conversion to dementia.
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Affiliation(s)
- Malahat Mousavi
- Department of Integrative Medical Biology, Umeå University, Stockholm, Sweden ; Institute of Environmental Medicine, Stockholm, Sweden
| | - Pär Jonsson
- Department of Chemistry, Computational Life Science Cluster, Umeå University, Stockholm, Sweden
| | - Henrik Antti
- Department of Chemistry, Computational Life Science Cluster, Umeå University, Stockholm, Sweden
| | - Rolf Adolfsson
- Department of Clinical Sciences, Psychiatry, Umeå University, Stockholm, Sweden
| | - Annelie Nordin
- Department of Clinical Sciences, Psychiatry, Umeå University, Stockholm, Sweden
| | - Jan Bergdahl
- Department of Psychology, Umeå University, Stockholm, Sweden ; Institute of Clinical Dentistry, University of Tromsø, Tromsø, Norway
| | - Kåre Eriksson
- Department of Occupational and Environmental Medicine, Umeå University, Stockholm, Sweden
| | - Thomas Moritz
- Department of Forest Genetics and Plant Physiology, Swedish University of Agricultural Sciences, Stockholm, Sweden
| | - Lars-Göran Nilsson
- Umeå Center for Functional Brain Imaging, Umeå, Stockholm, Sweden ; Aging Research Center, Karolinska Institutet, Stockholm, Sweden
| | - Lars Nyberg
- Department of Integrative Medical Biology, Umeå University, Stockholm, Sweden ; Department of Radiation Sciences, Umeå University, Stockholm, Sweden ; Umeå Center for Functional Brain Imaging, Umeå, Stockholm, Sweden
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Hadrévi J, Ghafouri B, Sjörs A, Antti H, Larsson B, Crenshaw AG, Gerdle B, Hellström F. Comparative metabolomics of muscle interstitium fluid in human trapezius myalgia: an in vivo microdialysis study. Eur J Appl Physiol 2014; 113:2977-89. [PMID: 24078209 PMCID: PMC3828502 DOI: 10.1007/s00421-013-2716-6] [Citation(s) in RCA: 27] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/02/2013] [Accepted: 08/23/2013] [Indexed: 02/02/2023]
Abstract
Purpose The mechanisms behind trapezius myalgia are unclear. Many hypotheses have been presented suggesting an altered metabolism in the muscle. Here, muscle microdialysate from healthy and myalgic muscle is analysed using metabolomics. Metabolomics analyse a vast number of metabolites, enabling a comprehensive explorative screening of the cellular processes in the muscle. Methods Microdialysate samples were obtained from the shoulder muscle of healthy and myalgic subjects that performed a work and stress test. Samples from the baseline period and from the recovery period were analysed using gas chromatography—mass spectrometry (GC–MS) together with multivariate analysis to detect differences in extracellular content of metabolites between groups. Systematic differences in metabolites between groups were identified using multivariate analysis and orthogonal partial least square discriminate analysis (OPLS-DA). A complementary Mann–Whitney U test of group difference in individual metabolites was also performed. Results A large number of metabolites were detected and identified in this screening study. At baseline, no systematic differences between groups were observed according to the OPLS-DA. However, two metabolites, l-leucine and pyroglutamic acid, were significantly more abundant in the myalgic muscle compared to the healthy muscle. In the recovery period, systematic difference in metabolites between the groups was observed according to the OPLS-DA. The groups differed in amino acids, fatty acids and carbohydrates. Myristic acid and putrescine were significantly more abundant and beta-d-glucopyranose was significantly less abundant in the myalgic muscle. Conclusion This study provides important information regarding the metabolite content, thereby presenting new clues regarding the pathophysiology of the myalgic muscle.
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Affiliation(s)
- J. Hadrévi
- Section for Anatomy, Department of Integrative Medical Biology, Umeå University, 901 87 Umeå, Sweden
- Department of Occupational and Public Health Sciences, Faculty of Health and Occupational Studies, Centre for Musculoskeletal Research, University of Gävle, 907 12 Umeå, Sweden
| | - B. Ghafouri
- Rehabilitation Medicine, Department of Medicine and Health Sciences (IMH), Faculty of Health Sciences, Pain and Rehabilitation Centre, Linköping University, County Council of Östergötland, 581 85 Linköping, Sweden
- Occupational and Environmental Medicine, Department of Clinical and Experimental Medicine, Faculty of Health Sciences, Centre of Occupational and Environmental Medicine, Linköping University, County Council of Östergötland, 581 85 Linköping, Sweden
| | - A. Sjörs
- Rehabilitation Medicine, Department of Medicine and Health Sciences (IMH), Faculty of Health Sciences, Pain and Rehabilitation Centre, Linköping University, County Council of Östergötland, 581 85 Linköping, Sweden
- Institute of Stress Medicine, Carl Skottsbergs Gata 22B, 413 19 Gothenburg, Sweden
| | - H. Antti
- Department of Chemistry, Faculty of Science and Technology, Umeå University, 901 85 Umeå, Sweden
| | - B. Larsson
- Rehabilitation Medicine, Department of Medicine and Health Sciences (IMH), Faculty of Health Sciences, Pain and Rehabilitation Centre, Linköping University, County Council of Östergötland, 581 85 Linköping, Sweden
| | - A. G. Crenshaw
- Department of Occupational and Public Health Sciences, Faculty of Health and Occupational Studies, Centre for Musculoskeletal Research, University of Gävle, 907 12 Umeå, Sweden
| | - B. Gerdle
- Rehabilitation Medicine, Department of Medicine and Health Sciences (IMH), Faculty of Health Sciences, Pain and Rehabilitation Centre, Linköping University, County Council of Östergötland, 581 85 Linköping, Sweden
| | - F. Hellström
- Department of Occupational and Public Health Sciences, Faculty of Health and Occupational Studies, Centre for Musculoskeletal Research, University of Gävle, 907 12 Umeå, Sweden
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