Zhao Xinjie, Peter Andreas, Fritsche Jens, Elcnerova Michaela, Fritsche Andreas, Häring Hans-Ulrich, Schleicher Erwin D, Xu Guowang, Lehmann Rainer
Key Laboratory of Separation Science for Analytical Chemistry, Dalian Institute of Chemical Physics, Chinese Academy of Sciences, Dalian, China.
Am J Physiol Endocrinol Metab. 2009 Feb;296(2):E384-93. doi: 10.1152/ajpendo.90748.2008. Epub 2008 Dec 9.
The oral glucose tolerance test (oGTT) is a common tool to provoke a metabolic challenge for scientific purposes, as well as for diagnostic reasons, to monitor the kinetics of glucose and insulin. Here, we aimed to follow the variety of physiological changes of the whole metabolic pattern in plasma during an oGTT in healthy subjects in a nontargeted reversed-phase ultra performance liquid chromatography coupled to electrospray ionization quadrupole time of flight mass spectrometric metabolomics approach. We detected 11,500 metabolite ion masses/individual. Applying multivariate data analysis, four major groups of metabolites have been detected as the most discriminating oGTT biomarkers: free fatty acids (FFA), acylcarnitines, bile acids, and lysophosphatidylcholines. We found in detail 1) a strong decrease of all saturated and monounsaturated FFA studied during the oGTT; 2) a significant faster decline of palmitoleate (C16:1) and oleate (C18:1) FFA levels than their saturated counterparts; 3) a strong relative increase of polyunsaturated fatty acids in the fatty acid pattern at 120 min; and 4) a clear decrease in plasma C10:0, C12:0, and C14:1 acylcarnitine levels. These data reflect the switch from beta-oxidation to glycolysis and fat storage during the oGTT. Moreover, the bile acids glycocholic acid, glycochenodeoxycholic acid, and glycodeoxycholic acid were highly discriminative, showing a biphasic kinetic with a maximum of a 4.5- to 6-fold increase at 30 min after glucose ingestion, a significant decrease over the next 60 min followed by an increase until the end of the oGTT. Lysophosphatidylcholines were also increased significantly. The findings of our metabolomics study reveal detailed insights in the complex physiological regulation of the metabolism during an oGTT offering novel perspectives of this widely used procedure.
口服葡萄糖耐量试验(oGTT)是一种常用工具,用于引发代谢挑战,出于科学目的以及诊断原因,以监测葡萄糖和胰岛素的动力学。在此,我们旨在通过非靶向反相超高效液相色谱与电喷雾电离四极杆飞行时间质谱代谢组学方法,追踪健康受试者在oGTT期间血浆中整个代谢模式的各种生理变化。我们检测到每位受试者有11,500个代谢物离子质量。应用多变量数据分析,已检测到四类主要代谢物是最具鉴别力的oGTT生物标志物:游离脂肪酸(FFA)、酰基肉碱、胆汁酸和溶血磷脂酰胆碱。我们详细发现:1)在oGTT期间,所研究的所有饱和和单不饱和FFA均大幅下降;2)棕榈油酸(C16:1)和油酸(C18:1)FFA水平的下降速度明显快于其饱和对应物;3)在120分钟时,脂肪酸模式中的多不饱和脂肪酸相对大幅增加;4)血浆中C10:0、C12:0和C14:1酰基肉碱水平明显下降。这些数据反映了oGTT期间从β氧化向糖酵解和脂肪储存的转变。此外,胆汁酸甘胆酸、甘氨鹅脱氧胆酸和甘氨脱氧胆酸具有高度鉴别性,呈现双相动力学,在摄入葡萄糖后30分钟时最多增加4.5至6倍,在接下来的60分钟内显著下降,随后直至oGTT结束时又增加。溶血磷脂酰胆碱也显著增加。我们代谢组学研究的结果揭示了oGTT期间代谢复杂生理调节的详细见解,为这一广泛使用的程序提供了新的视角。