机构:[1]Department of Geriatrics, National Research Center for Geriatric Medicine, Xuanwu Hospital, Capital Medical University, Beijing, China内科系统老年医学科首都医科大学宣武医院[2]LipidALL Technologies Company Limited, Changzhou, China[3]Center for Clinical Big Data and Analytics, School of Public Health, Second Affiliated Hospital and Department of Big Data in Health Science, Zhejiang University School of Medicine, Hangzhou, China[4]State Key Laboratory of Molecular Developmental Biology, Institute of Genetics and Developmental Biology, Chinese Academy of Sciences, Beijing, China
Background/ObjectivesOwing to accelerated population aging, health in older adults is becoming increasingly important. Frailty can reflect the health status and disease risks of older adults; however, appropriate biomarkers for early screening of frailty have not been identified. Here, we applied metabolomics to identify frailty biomarkers and potential pathogenic mechanisms of frailty. MethodsSerum metabolic profiles from 25 frail and 49 non-frail (control) older adults were systematically investigated by liquid chromatography-mass spectrometry-based metabolomics. ResultsWe identified 349 metabolites of 46 classes, with four increased and seven decreased metabolites in frail older adults. Pearson correlation analysis identified 11 and 21 metabolites that were positively and negatively correlated with grip strength, and 7 and 76 metabolites that were positively and negatively correlated with gait speed, respectively. Pathway analysis identified 10 metabolite sets and 13 pathways significantly associated with one or more frailty phenotype criteria. ConclusionThese results revealed the metabolite characteristics of serum in frail older adults. Intermediates of carbohydrate metabolism (e.g., isocitrate, malate, fumarate, cis-aconitate, glucuronate, and pyruvate), saturated fatty acids (e.g., palmitic acid), unsaturated fatty acids (e.g., arachidonate and linoleic acid), and certain essential amino acids (e.g., tryptophan) may be candidate biomarkers for the early diagnosis of frailty. Mitochondrial function disorders, saturated fatty acid-mediated lipotoxicity, aberrant unsaturated fatty acid metabolism, and increased tryptophan degradation could be potential mechanisms of frailty.
基金:
This work was supported by the National Natural Science
Foundation of Beijing (7202059, LM), National Key R&D
Program of China (2018YFC1312001, LM), Beijing Municipal
Hospital Scientific Research Training Project (PX2020036, LM),
and Milstein Medical Asian American Partnership Foundation
Project Award in Geriatrics (2018, LM; 2020, ZL).
Frontiers
第一作者机构:[1]Department of Geriatrics, National Research Center for Geriatric Medicine, Xuanwu Hospital, Capital Medical University, Beijing, China
通讯作者:
推荐引用方式(GB/T 7714):
Pan Yiming,Li Yun,Liu Pan,et al.Metabolomics-Based Frailty Biomarkers in Older Chinese Adults[J].FRONTIERS IN MEDICINE.2022,8:doi:10.3389/fmed.2021.830723.
APA:
Pan, Yiming,Li, Yun,Liu, Pan,Zhang, Yaxin,Li, Bowen...&Ma, Lina.(2022).Metabolomics-Based Frailty Biomarkers in Older Chinese Adults.FRONTIERS IN MEDICINE,8,
MLA:
Pan, Yiming,et al."Metabolomics-Based Frailty Biomarkers in Older Chinese Adults".FRONTIERS IN MEDICINE 8.(2022)