Kynurenine pathway metabolomics predicts and provides mechanistic insight into multiple sclerosis progression
Identifieur interne : 000912 ( Main/Exploration ); précédent : 000911; suivant : 000913Kynurenine pathway metabolomics predicts and provides mechanistic insight into multiple sclerosis progression
Auteurs : Chai K. Lim [Australie] ; Ayse Bilgin [Australie] ; David B. Lovejoy [Australie] ; Vanessa Tan [Australie] ; Sonia Bustamante [Australie] ; Bruce V. Taylor [Australie] ; Alban Bessede [France] ; Bruce J. Brew [Australie] ; Gilles J. Guillemin [Australie]Source :
- Scientific Reports [ 2045-2322 ] ; 2017.
Abstract
Activation of the kynurenine pathway (KP) of tryptophan metabolism results from chronic inflammation and is known to exacerbate progression of neurodegenerative disease. To gain insights into the links between inflammation, the KP and multiple sclerosis (MS) pathogenesis, we investigated the KP metabolomics profile of MS patients. Most significantly, we found aberrant levels of two key KP metabolites, kynurenic acid (KA) and quinolinic acid (QA). The balance between these metabolites is important as it determines overall excitotoxic activity at the N-methyl-D-Aspartate (NMDA) receptor. We also identified that serum KP metabolic signatures in patients can discriminate clinical MS subtypes with high sensitivity and specificity. A C5.0 Decision Tree classification model discriminated the clinical subtypes of MS with a sensitivity of 91%. After validation in another independent cohort, sensitivity was maintained at 85%. Collectively, our studies suggest that abnormalities in the KP may be associated with the switch from early-mild stage MS to debilitating progressive forms of MS and that analysis of KP metabolites in MS patient serum may have application as MS disease biomarkers.
Url:
DOI: 10.1038/srep41473
PubMed: 28155867
PubMed Central: 5290739
Affiliations:
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<front><div type="abstract" xml:lang="en"><p>Activation of the kynurenine pathway (KP) of tryptophan metabolism results from chronic inflammation and is known to exacerbate progression of neurodegenerative disease. To gain insights into the links between inflammation, the KP and multiple sclerosis (MS) pathogenesis, we investigated the KP metabolomics profile of MS patients. Most significantly, we found aberrant levels of two key KP metabolites, kynurenic acid (KA) and quinolinic acid (QA). The balance between these metabolites is important as it determines overall excitotoxic activity at the N-methyl-D-Aspartate (NMDA) receptor. We also identified that serum KP metabolic signatures in patients can discriminate clinical MS subtypes with high sensitivity and specificity. A C5.0 Decision Tree classification model discriminated the clinical subtypes of MS with a sensitivity of 91%. After validation in another independent cohort, sensitivity was maintained at 85%. Collectively, our studies suggest that abnormalities in the KP may be associated with the switch from early-mild stage MS to debilitating progressive forms of MS and that analysis of KP metabolites in MS patient serum may have application as MS disease biomarkers.</p>
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<author><name sortKey="Ysrraelit, M C" uniqKey="Ysrraelit M">M. C. Ysrraelit</name>
</author>
<author><name sortKey="Gaitan, M I" uniqKey="Gaitan M">M. I. Gaitan</name>
</author>
</analytic>
</biblStruct>
<biblStruct><analytic><author><name sortKey="Mohr, D C" uniqKey="Mohr D">D. C. Mohr</name>
</author>
<author><name sortKey="Goodkin, D E" uniqKey="Goodkin D">D. E. Goodkin</name>
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<author><name sortKey="Genain, C P" uniqKey="Genain C">C. P. Genain</name>
</author>
</analytic>
</biblStruct>
<biblStruct><analytic><author><name sortKey="Farez Mauricio, F" uniqKey="Farez Mauricio F">F. Farez Mauricio</name>
</author>
</analytic>
</biblStruct>
<biblStruct><analytic><author><name sortKey="Steiner, J" uniqKey="Steiner J">J. Steiner</name>
</author>
</analytic>
</biblStruct>
<biblStruct><analytic><author><name sortKey="Guillemin, G J" uniqKey="Guillemin G">G. J. Guillemin</name>
</author>
<author><name sortKey="Smythe, G" uniqKey="Smythe G">G. Smythe</name>
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<author><name sortKey="Brew, B J" uniqKey="Brew B">B. J. Brew</name>
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</analytic>
</biblStruct>
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</analytic>
</biblStruct>
<biblStruct><analytic><author><name sortKey="Stone, T W" uniqKey="Stone T">T. W. Stone</name>
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</biblStruct>
<biblStruct><analytic><author><name sortKey="Guidetti, P" uniqKey="Guidetti P">P. Guidetti</name>
</author>
<author><name sortKey="Schwarcz, R" uniqKey="Schwarcz R">R. Schwarcz</name>
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</analytic>
</biblStruct>
<biblStruct><analytic><author><name sortKey="Chiarugi, A" uniqKey="Chiarugi A">A. Chiarugi</name>
</author>
<author><name sortKey="Cozzi, A" uniqKey="Cozzi A">A. Cozzi</name>
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<author><name sortKey="Massacesi, L" uniqKey="Massacesi L">L. Massacesi</name>
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<author><name sortKey="Moroni, F" uniqKey="Moroni F">F. Moroni</name>
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</biblStruct>
<biblStruct><analytic><author><name sortKey="Cocco, E" uniqKey="Cocco E">E. Cocco</name>
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</biblStruct>
<biblStruct><analytic><author><name sortKey="Raison, C L" uniqKey="Raison C">C. L. Raison</name>
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<author><name sortKey="Guillemin, G J" uniqKey="Guillemin G">G. J. Guillemin</name>
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</analytic>
</biblStruct>
</listBibl>
</div1>
</back>
</TEI>
<affiliations><list><country><li>Australie</li>
<li>France</li>
</country>
</list>
<tree><country name="Australie"><noRegion><name sortKey="Lim, Chai K" sort="Lim, Chai K" uniqKey="Lim C" first="Chai K." last="Lim">Chai K. Lim</name>
</noRegion>
<name sortKey="Bilgin, Ayse" sort="Bilgin, Ayse" uniqKey="Bilgin A" first="Ayse" last="Bilgin">Ayse Bilgin</name>
<name sortKey="Brew, Bruce J" sort="Brew, Bruce J" uniqKey="Brew B" first="Bruce J." last="Brew">Bruce J. Brew</name>
<name sortKey="Brew, Bruce J" sort="Brew, Bruce J" uniqKey="Brew B" first="Bruce J." last="Brew">Bruce J. Brew</name>
<name sortKey="Bustamante, Sonia" sort="Bustamante, Sonia" uniqKey="Bustamante S" first="Sonia" last="Bustamante">Sonia Bustamante</name>
<name sortKey="Guillemin, Gilles J" sort="Guillemin, Gilles J" uniqKey="Guillemin G" first="Gilles J." last="Guillemin">Gilles J. Guillemin</name>
<name sortKey="Guillemin, Gilles J" sort="Guillemin, Gilles J" uniqKey="Guillemin G" first="Gilles J." last="Guillemin">Gilles J. Guillemin</name>
<name sortKey="Lim, Chai K" sort="Lim, Chai K" uniqKey="Lim C" first="Chai K." last="Lim">Chai K. Lim</name>
<name sortKey="Lovejoy, David B" sort="Lovejoy, David B" uniqKey="Lovejoy D" first="David B." last="Lovejoy">David B. Lovejoy</name>
<name sortKey="Tan, Vanessa" sort="Tan, Vanessa" uniqKey="Tan V" first="Vanessa" last="Tan">Vanessa Tan</name>
<name sortKey="Taylor, Bruce V" sort="Taylor, Bruce V" uniqKey="Taylor B" first="Bruce V." last="Taylor">Bruce V. Taylor</name>
</country>
<country name="France"><noRegion><name sortKey="Bessede, Alban" sort="Bessede, Alban" uniqKey="Bessede A" first="Alban" last="Bessede">Alban Bessede</name>
</noRegion>
</country>
</tree>
</affiliations>
</record>
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