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[基于非相关线性判别分析的糖尿病患者中医证型血浆脂肪酸代谢谱研究]

[Plasma fatty acid metabolic profiles for traditional Chinese medicine syndrome differentiation in diabetic patients using uncorrelated linear discriminant analysis].

作者信息

Xu Wenjuan, Zhang Liangxiao, Huang Yuhong, Yang Qianxu, Xiao Hongbin, Zhang Deqin

机构信息

CAS Key Laboratory of Separation Science for Analytical Chemistry, Dalian Institute of Chemical Physics, Chinese Academy of Sciences, Dalian 116023, China.

出版信息

Se Pu. 2012 Sep;30(9):864-9. doi: 10.3724/sp.j.1123.2012.04033.

DOI:10.3724/sp.j.1123.2012.04033
PMID:23285965
Abstract

Diabetes is a common metabolic syndrome which presents a serious threat to human health. Traditional Chinese medicine (TCM) has been widely paid attention to its advantages and characteristics in the diagnosis and the treatment of diabetes. A strategy of classifying five TCM syndromes in diabetes (Qi-deficiency, Yin-deficiency, Qi- and Yin-deficiency, Damp heat and Blood stasis) was employed based on plasma fatty acid metabolic profiles, lipid metabolism indicators and chemometrics methods. Using orthogonal signal correction-partial least squares (OSC-PLS) method, the five syndromes were obviously distinguished from those of the health control, which confirmed there existed metabolite differences in different traditional Chinese medicine syndromes. Furthermore, a new method, uncorrelated linear discriminant analysis (ULDA), was applied in the discrimination of health control, TCM deficiency syndromes (Qi-deficiency, Yin-deficiency, Qi- and Yin-deficiency) and TCM empirical syndromes (Damp heat, Blood stasis), which demonstrated better clustering results, the correct rate reached 95.7%. The four potential biomarkers, C20: 2, C20: 5, triglycerides (TG) and high density lipoprotein (HDL), performed large contributions to the classification which can provide important information assisting TCM clinical diagnosis.

摘要

糖尿病是一种常见的代谢综合征,对人类健康构成严重威胁。中医在糖尿病的诊断和治疗方面的优势和特点已受到广泛关注。基于血浆脂肪酸代谢谱、脂质代谢指标和化学计量学方法,采用了一种对糖尿病的五种中医证型(气虚、阴虚、气阴两虚、湿热和血瘀)进行分类的策略。使用正交信号校正-偏最小二乘法(OSC-PLS),这五种证型与健康对照组明显区分开来,证实了不同中医证型之间存在代谢物差异。此外,一种新方法——非相关线性判别分析(ULDA),被应用于健康对照组、中医虚证(气虚、阴虚、气阴两虚)和中医实证(湿热、血瘀)的判别,结果显示聚类效果更好,正确率达到95.7%。四种潜在生物标志物,即C20:2、C20:5、甘油三酯(TG)和高密度脂蛋白(HDL),对分类贡献较大,可为中医临床诊断提供重要信息。

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