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A metabolomic map of Zellweger spectrum disorders reveals novel disease biomarkers.


ABSTRACT:

Purpose

Peroxisome biogenesis disorders-Zellweger spectrum disorders (PBD-ZSD) are metabolic diseases with multisystem manifestations. Individuals with PBD-ZSD exhibit impaired peroxisomal biochemical functions and have abnormal levels of peroxisomal metabolites, but the broader metabolic impact of peroxisomal dysfunction and the utility of metabolomic methods is unknown.

Methods

We studied 19 individuals with clinically and molecularly characterized PBD-ZSD. We performed both quantitative peroxisomal biochemical diagnostic studies in parallel with untargeted small molecule metabolomic profiling in plasma samples with detection of >650 named compounds.

Results

The cohort represented intermediate to mild PBD-ZSD subjects with peroxisomal biochemical alterations on targeted analysis. Untargeted metabolomic profiling of these samples revealed elevations in pipecolic acid and long-chain lysophosphatidylcholines, as well as an unanticipated reduction in multiple sphingomyelin species. These sphingomyelin reductions observed were consistent across the PBD-ZSD samples and were rare in a population of >1,000 clinical samples. Interestingly, the pattern or "PBD-ZSD metabolome" was more pronounced in younger subjects suggesting studies earlier in life reveal larger biochemical changes.

Conclusion

Untargeted metabolomics is effective in detecting mild to intermediate cases of PBD-ZSD. Surprisingly, dramatic reductions in plasma sphingomyelin are a consistent feature of the PBD-ZSD metabolome. The use of metabolomics in PBD-ZSD can provide insight into novel biomarkers of disease.

SUBMITTER: Wangler MF 

PROVIDER: S-EPMC7605708 | biostudies-literature | 2018 Oct

REPOSITORIES: biostudies-literature

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Publications

A metabolomic map of Zellweger spectrum disorders reveals novel disease biomarkers.

Wangler Michael F MF   Hubert Leroy L   Donti Taraka R TR   Ventura Meredith J MJ   Miller Marcus J MJ   Braverman Nancy N   Gawron Kelly K   Bose Mousumi M   Moser Ann B AB   Jones Richard O RO   Rizzo William B WB   Sutton V Reid VR   Sun Qin Q   Kennedy Adam D AD   Elsea Sarah H SH  

Genetics in medicine : official journal of the American College of Medical Genetics 20180208 10


<h4>Purpose</h4>Peroxisome biogenesis disorders-Zellweger spectrum disorders (PBD-ZSD) are metabolic diseases with multisystem manifestations. Individuals with PBD-ZSD exhibit impaired peroxisomal biochemical functions and have abnormal levels of peroxisomal metabolites, but the broader metabolic impact of peroxisomal dysfunction and the utility of metabolomic methods is unknown.<h4>Methods</h4>We studied 19 individuals with clinically and molecularly characterized PBD-ZSD. We performed both qua  ...[more]

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