Untargeted Metabolomic Profiling Reveals Differentially Expressed Serum Metabolites and Pathways in Type 2 Diabetes Patients with and without Cognitive Decline: A Cross-Sectional Study

<p dir="ltr">Diabetes is recognized as a risk factor for cognitive decline, but the underlying mechanisms remain elusive. We aimed to identify the metabolic pathways altered in diabetes-associated cognitive decline (DACD) using untargeted metabolomics. We conducted liquid chromatogra...

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التفاصيل البيبلوغرافية
المؤلف الرئيسي: Neyla S. Al-Akl (10914449) (author)
مؤلفون آخرون: Olfa Khalifa (10914452) (author), Georgios Ponirakis (803076) (author), Aijaz Parray (290256) (author), Marwan Ramadan (17499450) (author), Shafi Khan (17499453) (author), Mani Chandran (17499447) (author), Raheem Ayadathil (14150124) (author), Ahmed Elsotouhy (3853348) (author), Ahmed Own (6677990) (author), Hanadi Al Hamad (12229412) (author), Julie Decock (44558) (author), Nehad M. Alajez (7397276) (author), Omar Albagha (8977856) (author), Rayaz A. Malik (7372649) (author), Omar M. A. El-Agnaf (8809331) (author), Abdelilah Arredouani (10914455) (author)
منشور في: 2024
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author Neyla S. Al-Akl (10914449)
author2 Olfa Khalifa (10914452)
Georgios Ponirakis (803076)
Aijaz Parray (290256)
Marwan Ramadan (17499450)
Shafi Khan (17499453)
Mani Chandran (17499447)
Raheem Ayadathil (14150124)
Ahmed Elsotouhy (3853348)
Ahmed Own (6677990)
Hanadi Al Hamad (12229412)
Julie Decock (44558)
Nehad M. Alajez (7397276)
Omar Albagha (8977856)
Rayaz A. Malik (7372649)
Omar M. A. El-Agnaf (8809331)
Abdelilah Arredouani (10914455)
author2_role author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author_facet Neyla S. Al-Akl (10914449)
Olfa Khalifa (10914452)
Georgios Ponirakis (803076)
Aijaz Parray (290256)
Marwan Ramadan (17499450)
Shafi Khan (17499453)
Mani Chandran (17499447)
Raheem Ayadathil (14150124)
Ahmed Elsotouhy (3853348)
Ahmed Own (6677990)
Hanadi Al Hamad (12229412)
Julie Decock (44558)
Nehad M. Alajez (7397276)
Omar Albagha (8977856)
Rayaz A. Malik (7372649)
Omar M. A. El-Agnaf (8809331)
Abdelilah Arredouani (10914455)
author_role author
dc.creator.none.fl_str_mv Neyla S. Al-Akl (10914449)
Olfa Khalifa (10914452)
Georgios Ponirakis (803076)
Aijaz Parray (290256)
Marwan Ramadan (17499450)
Shafi Khan (17499453)
Mani Chandran (17499447)
Raheem Ayadathil (14150124)
Ahmed Elsotouhy (3853348)
Ahmed Own (6677990)
Hanadi Al Hamad (12229412)
Julie Decock (44558)
Nehad M. Alajez (7397276)
Omar Albagha (8977856)
Rayaz A. Malik (7372649)
Omar M. A. El-Agnaf (8809331)
Abdelilah Arredouani (10914455)
dc.date.none.fl_str_mv 2024-02-13T09:00:00Z
dc.identifier.none.fl_str_mv 10.3390/ijms25042247
dc.relation.none.fl_str_mv https://figshare.com/articles/journal_contribution/Untargeted_Metabolomic_Profiling_Reveals_Differentially_Expressed_Serum_Metabolites_and_Pathways_in_Type_2_Diabetes_Patients_with_and_without_Cognitive_Decline_A_Cross-Sectional_Study/26421616
dc.rights.none.fl_str_mv CC BY 4.0
info:eu-repo/semantics/openAccess
dc.subject.none.fl_str_mv Biomedical and clinical sciences
Clinical sciences
Medical biochemistry and metabolomics
Neurosciences
dementia
mild cognitive impairment
type 2 diabetes
metabolomics
diabetes-associated cognitive decline
dc.title.none.fl_str_mv Untargeted Metabolomic Profiling Reveals Differentially Expressed Serum Metabolites and Pathways in Type 2 Diabetes Patients with and without Cognitive Decline: A Cross-Sectional Study
dc.type.none.fl_str_mv Text
Journal contribution
info:eu-repo/semantics/publishedVersion
text
contribution to journal
description <p dir="ltr">Diabetes is recognized as a risk factor for cognitive decline, but the underlying mechanisms remain elusive. We aimed to identify the metabolic pathways altered in diabetes-associated cognitive decline (DACD) using untargeted metabolomics. We conducted liquid chromatography–mass spectrometry-based untargeted metabolomics to profile serum metabolite levels in 100 patients with type 2 diabetes (T2D) (54 without and 46 with DACD). Multivariate statistical tools were used to identify the differentially expressed metabolites (DEMs), and enrichment and pathways analyses were used to identify the signaling pathways associated with the DEMs. The receiver operating characteristic (ROC) analysis was employed to assess the diagnostic accuracy of a set of metabolites. We identified twenty DEMs, seven up- and thirteen downregulated in the DACD vs. DM group. Chemometric analysis revealed distinct clustering between the two groups. Metabolite set enrichment analysis found significant enrichment in various metabolite sets, including galactose metabolism, arginine and unsaturated fatty acid biosynthesis, citrate cycle, fructose and mannose, alanine, aspartate, and glutamate metabolism. Pathway analysis identified six significantly altered pathways, including arginine and unsaturated fatty acid biosynthesis, and the metabolism of the citrate cycle, alanine, aspartate, glutamate, a-linolenic acid, and glycerophospholipids. Classifier models with AUC-ROC > 90% were developed using individual metabolites or a combination of individual metabolites and metabolite ratios. Our study provides evidence of perturbations in multiple metabolic pathways in patients with DACD. The distinct DEMs identified in this study hold promise as diagnostic biomarkers for DACD patients.</p><h2>Other Information</h2><p dir="ltr">Published in: International Journal of Molecular Sciences<br>License: <a href="https://creativecommons.org/licenses/by/4.0/" target="_blank">https://creativecommons.org/licenses/by/4.0/</a><br>See article on publisher's website: <a href="https://dx.doi.org/10.3390/ijms25042247" target="_blank">https://dx.doi.org/10.3390/ijms25042247</a></p>
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identifier_str_mv 10.3390/ijms25042247
network_acronym_str Manara2
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spelling Untargeted Metabolomic Profiling Reveals Differentially Expressed Serum Metabolites and Pathways in Type 2 Diabetes Patients with and without Cognitive Decline: A Cross-Sectional StudyNeyla S. Al-Akl (10914449)Olfa Khalifa (10914452)Georgios Ponirakis (803076)Aijaz Parray (290256)Marwan Ramadan (17499450)Shafi Khan (17499453)Mani Chandran (17499447)Raheem Ayadathil (14150124)Ahmed Elsotouhy (3853348)Ahmed Own (6677990)Hanadi Al Hamad (12229412)Julie Decock (44558)Nehad M. Alajez (7397276)Omar Albagha (8977856)Rayaz A. Malik (7372649)Omar M. A. El-Agnaf (8809331)Abdelilah Arredouani (10914455)Biomedical and clinical sciencesClinical sciencesMedical biochemistry and metabolomicsNeurosciencesdementiamild cognitive impairmenttype 2 diabetesmetabolomicsdiabetes-associated cognitive decline<p dir="ltr">Diabetes is recognized as a risk factor for cognitive decline, but the underlying mechanisms remain elusive. We aimed to identify the metabolic pathways altered in diabetes-associated cognitive decline (DACD) using untargeted metabolomics. We conducted liquid chromatography–mass spectrometry-based untargeted metabolomics to profile serum metabolite levels in 100 patients with type 2 diabetes (T2D) (54 without and 46 with DACD). Multivariate statistical tools were used to identify the differentially expressed metabolites (DEMs), and enrichment and pathways analyses were used to identify the signaling pathways associated with the DEMs. The receiver operating characteristic (ROC) analysis was employed to assess the diagnostic accuracy of a set of metabolites. We identified twenty DEMs, seven up- and thirteen downregulated in the DACD vs. DM group. Chemometric analysis revealed distinct clustering between the two groups. Metabolite set enrichment analysis found significant enrichment in various metabolite sets, including galactose metabolism, arginine and unsaturated fatty acid biosynthesis, citrate cycle, fructose and mannose, alanine, aspartate, and glutamate metabolism. Pathway analysis identified six significantly altered pathways, including arginine and unsaturated fatty acid biosynthesis, and the metabolism of the citrate cycle, alanine, aspartate, glutamate, a-linolenic acid, and glycerophospholipids. Classifier models with AUC-ROC > 90% were developed using individual metabolites or a combination of individual metabolites and metabolite ratios. Our study provides evidence of perturbations in multiple metabolic pathways in patients with DACD. The distinct DEMs identified in this study hold promise as diagnostic biomarkers for DACD patients.</p><h2>Other Information</h2><p dir="ltr">Published in: International Journal of Molecular Sciences<br>License: <a href="https://creativecommons.org/licenses/by/4.0/" target="_blank">https://creativecommons.org/licenses/by/4.0/</a><br>See article on publisher's website: <a href="https://dx.doi.org/10.3390/ijms25042247" target="_blank">https://dx.doi.org/10.3390/ijms25042247</a></p>2024-02-13T09:00:00ZTextJournal contributioninfo:eu-repo/semantics/publishedVersiontextcontribution to journal10.3390/ijms25042247https://figshare.com/articles/journal_contribution/Untargeted_Metabolomic_Profiling_Reveals_Differentially_Expressed_Serum_Metabolites_and_Pathways_in_Type_2_Diabetes_Patients_with_and_without_Cognitive_Decline_A_Cross-Sectional_Study/26421616CC BY 4.0info:eu-repo/semantics/openAccessoai:figshare.com:article/264216162024-02-13T09:00:00Z
spellingShingle Untargeted Metabolomic Profiling Reveals Differentially Expressed Serum Metabolites and Pathways in Type 2 Diabetes Patients with and without Cognitive Decline: A Cross-Sectional Study
Neyla S. Al-Akl (10914449)
Biomedical and clinical sciences
Clinical sciences
Medical biochemistry and metabolomics
Neurosciences
dementia
mild cognitive impairment
type 2 diabetes
metabolomics
diabetes-associated cognitive decline
status_str publishedVersion
title Untargeted Metabolomic Profiling Reveals Differentially Expressed Serum Metabolites and Pathways in Type 2 Diabetes Patients with and without Cognitive Decline: A Cross-Sectional Study
title_full Untargeted Metabolomic Profiling Reveals Differentially Expressed Serum Metabolites and Pathways in Type 2 Diabetes Patients with and without Cognitive Decline: A Cross-Sectional Study
title_fullStr Untargeted Metabolomic Profiling Reveals Differentially Expressed Serum Metabolites and Pathways in Type 2 Diabetes Patients with and without Cognitive Decline: A Cross-Sectional Study
title_full_unstemmed Untargeted Metabolomic Profiling Reveals Differentially Expressed Serum Metabolites and Pathways in Type 2 Diabetes Patients with and without Cognitive Decline: A Cross-Sectional Study
title_short Untargeted Metabolomic Profiling Reveals Differentially Expressed Serum Metabolites and Pathways in Type 2 Diabetes Patients with and without Cognitive Decline: A Cross-Sectional Study
title_sort Untargeted Metabolomic Profiling Reveals Differentially Expressed Serum Metabolites and Pathways in Type 2 Diabetes Patients with and without Cognitive Decline: A Cross-Sectional Study
topic Biomedical and clinical sciences
Clinical sciences
Medical biochemistry and metabolomics
Neurosciences
dementia
mild cognitive impairment
type 2 diabetes
metabolomics
diabetes-associated cognitive decline