Journal of Capital Medical University ›› 2020, Vol. 41 ›› Issue (1): 1-7.doi: 10.3969/j.issn.1006-7795.2020.01.001

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Plasma metabolomic profiling of proliferative diabetic retinopathy

Zhu Xiaorong1,2,3, Yang Fangyuan1,2,3, Lu Jing1,2,3, Cao Xi1,2,3, Yang Guangran1, Xie Rongrong1,2,3, Feng Jianping1, Yang Jinkui1,2,3   

  1. 1. Department of Endocrinology, Beijing Tongren Hospital, Capital Medical University, Beijing 100730, China;
    2. Beijing Key Laboratory of Diabetes Research and Care, Beijing 100730, China;
    3. Beijing Diabetes Institute, Beijing 100730, China
  • Received:2019-12-12 Online:2020-02-21 Published:2020-02-13
  • Supported by:
    This study was supported by National Key R&D Program of China (2017YFC0909600),National Natural Science Foundation of China (81561128015,81471009), Construction Project of Top Disciplines in Beijing Universities (1192070328),Basic-clinical Cooperation Program from Capital Medical University (PYZ2018056).

Abstract: Objective To investigate the plasma "metabolic fingerprints" of proliferative diabetic retinopathy (PDR) and to explore associated pathogenesis. Methods A total of 1 024 patients with type 2 diabetes mellitus were screened. To match clinical parameters between the case and control subjects, patients with PDR (n=21) or those with a duration of diabetes of ≥ 10 years but non-diabetic retinopathy (NDR, n=21) were assigned to the present case-control study. Distinct metabolite profiles of serum were examined using liquid chromatography-mass spectrometry (LC-MS). Results A total of 136 distinct metabolites between PDR and NDR groups were identified. These metabolites mainly included organic compounds (78%), organoheterocyclic compounds (4%), lipids and lipid-like molecules (3%) and others. Altered metabolites were enriched in 30 KEGG pathways. Three of them were significantly enriched (P<0.05), namely, sulfur metabolism, sphingolipid metabolism, cysteine and methionine metabolism. Conclusion We generated a metabolomic profile for extreme eye phenotype between PDR and NDR groups. The impairment in the metabolism of sulfur, sphingolipid, cysteine and methionine were identified as metabolic dysregulation associated with PDR, which might provide insights into potential new pathogenic pathways for diabetic retinopathy.

Key words: type 2 diabetes mellitus, proliferative diabetic retinopathy, metabolomic, liquid chromatography-mass spectrometry (LC-MS)

CLC Number: