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基于气相色谱-质谱联用技术的肾阳虚证不育男性血浆代谢组学分析

Plasma Metabolomics Analysis Based on GC-MS in Infertile Males with Kidney-Yang Deficiency Syndrome.

作者信息

Zheng Piao, Wang Yun, Lu Hongmei, Zhou Xinyi, Tang Tao, Fan Rong, Zhang Chunhu, Cui Hanjin, Wang Yang, Luo Jiekun

机构信息

Department of Integrated Traditional Chinese and Western Medicine, Xiangya Hospital, Central South University, Changsha 410083, China.

College of Chemistry and Chemical Engineering, Central South University, Changsha 410008, China.

出版信息

Evid Based Complement Alternat Med. 2017;2017:6270195. doi: 10.1155/2017/6270195. Epub 2017 Sep 25.

Abstract

INTRODUCTION

Chinese medicine syndrome diagnosis is the key requisite in the treatment of male infertility with traditional Chinese medicine (TCM). Kidney-Yang deficiency syndrome (KYDS) is the critical Chinese medicine syndrome of male infertility. To explore the modernized mechanisms of KYDS in male infertility, this study aims to investigate the metabolomics of males with KYDS.

METHODS

The gas chromatography-mass spectrometry method was applied to analyze the plasma samples of 67 infertile males with KYDS compared with 55 age-matched healthy controls. The chemometric methods including principal component and partial least squares-discriminate analyses were employed to identify the potential biochemical patterns. With the help of the variable importance for the projection and receiver operating characteristic curve analyses, the potential biomarkers were extracted to define the clinical utility. Simultaneously the high-quality KEGG metabolic pathways database was used to identify the related metabolic pathways.

RESULTS

The metabolomics profiles of infertile males with KYDS including 10 potential biomarkers and six metabolic pathways were identified. They precisely distinguished infertile males with KYDS from healthy controls.

CONCLUSIONS

These potential biomarkers and pathways suggest the substantial basis of infertile males with KYDS. The metabolomics profiles highlight the modernized mechanisms of infertile males with KYDS.

摘要

引言

中医证候诊断是中医治疗男性不育症的关键要素。肾阳虚证是男性不育症的关键中医证候。为探究肾阳虚证在男性不育症中的现代化机制,本研究旨在调查肾阳虚证男性的代谢组学情况。

方法

采用气相色谱-质谱法分析67例肾阳虚证不育男性的血浆样本,并与55例年龄匹配的健康对照进行比较。运用主成分分析和偏最小二乘判别分析等化学计量学方法来识别潜在的生化模式。借助变量重要性投影分析和受试者工作特征曲线分析,提取潜在生物标志物以确定其临床应用价值。同时,利用高质量的KEGG代谢途径数据库来识别相关代谢途径。

结果

确定了肾阳虚证不育男性的代谢组学特征,包括10种潜在生物标志物和6条代谢途径。它们能准确地区分肾阳虚证不育男性和健康对照。

结论

这些潜在生物标志物和途径揭示了肾阳虚证不育男性的实质基础。代谢组学特征突出了肾阳虚证不育男性的现代化机制。

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