Suceveanu Andra-Iulia, Mazilu Laura, Katsiki Niki, Parepa Irinel, Voinea Felix, Pantea-Stoian Anca, Rizzo Manfredi, Botea Florin, Herlea Vlad, Serban Dragos, Suceveanu Adrian-Paul
Gastroenterology Department, Ovidius University, 900470 Constanta, Romania.
Oncology Department, Ovidius University, 900470 Constanta, Romania.
Metabolites. 2020 Nov 6;10(11):448. doi: 10.3390/metabo10110448.
Metabolomics, the research area studying chemical processes involving metabolites, finds its utility in inflammasome biomarker discovery, thus representing a novel approach for cardiometabolic syndrome pathogeny acknowledgements. Metabolite biomarkers discovery is expected to improve the disease evolution and outcome. The activation of abundantly expressed NLRP3 inflammasome represents the background process of the diabetes mellitus disturbances like hyperglycemia and insulin resistance, as well as for myocardial cell death and fibrosis, all of them being features characteristic for cardiometabolic syndrome. Many molecules like troponins, brain natriuretic protein (BNP), ST2/IL-33, C-reactive protein (CRP), TNF, IL-1β, and IL-18 cytokines have been already examined as molecular markers for diagnosing or predicting different cardiac disturbances like myocardial infarction, heart failure, or myocarditis. In addition, metabolomics research comes with new findings arguing that NLRP3 inflammasome becomes a promising molecular tool to use for clinical and therapeutical management providing new targets for therapies in cardiometabolic syndrome. Inflammasome markers analyses, along with other molecular or genetic biomarkers, will result in a better understanding of cardiometabolic syndrome pathogenesis and therapeutic targets. Screening, diagnostic, and prognostic biomarkers resulted from inflammasome biomarker research will become standard of care in cardiometabolic syndrome management, their utility becoming the first magnitude.
代谢组学是研究涉及代谢物的化学过程的研究领域,在炎性小体生物标志物发现中具有实用价值,因此代表了一种认识心脏代谢综合征发病机制的新方法。代谢物生物标志物的发现有望改善疾病的发展和转归。大量表达的NLRP3炎性小体的激活是糖尿病紊乱(如高血糖和胰岛素抵抗)以及心肌细胞死亡和纤维化的背景过程,所有这些都是心脏代谢综合征的特征。许多分子,如肌钙蛋白、脑钠肽(BNP)、ST2/IL-33、C反应蛋白(CRP)、肿瘤坏死因子(TNF)、白细胞介素-1β(IL-1β)和白细胞介素-18(IL-18)细胞因子,已经作为诊断或预测不同心脏疾病(如心肌梗死、心力衰竭或心肌炎)的分子标志物进行了研究。此外,代谢组学研究有新发现表明,NLRP3炎性小体成为一种有前景的分子工具,可用于临床和治疗管理,为心脏代谢综合征的治疗提供新靶点。炎性小体标志物分析与其他分子或基因生物标志物一起,将有助于更好地理解心脏代谢综合征的发病机制和治疗靶点。炎性小体生物标志物研究产生的筛查、诊断和预后生物标志物将成为心脏代谢综合征管理的标准治疗方法,其效用将成为首要考量。