Li Wentao, Shao Chongyu, Li Chang, Zhou Huifen, Yu Li, Yang Jiehong, Wan Haitong, He Yu
School of Pharmaceutical Sciences, Zhejiang Chinese Medical University, Hangzhou, 310053, China.
School of Basic Medicine Sciences, Zhejiang Chinese Medical University, Hangzhou, 310053, China.
J Pharm Anal. 2023 Sep;13(9):968-983. doi: 10.1016/j.jpha.2023.05.015. Epub 2023 Jun 3.
Ischemic stroke (IS) is a multifactorial and heterogeneous disease. Despite years of studies, effective strategies for the diagnosis, management and treatment of stroke are still lacking in clinical practice. Metabolomics is a growing field in systems biology. It is starting to show promise in the identification of biomarkers and in the use of pharmacometabolomics to help patients with certain disorders choose their course of treatment. The development of metabolomics has enabled further and more biological applications. Particularly, metabolomics is increasingly being used to diagnose diseases, discover new drug targets, elucidate mechanisms, and monitor therapeutic outcomes and its potential effect on precision medicine. In this review, we reviewed some recent advances in the study of metabolomics as well as how metabolomics might be used to identify novel biomarkers and understand the mechanisms of IS. Then, the use of metabolomics approaches to investigate the molecular processes and active ingredients of Chinese herbal formulations with anti-IS capabilities is summarized. We finally summarized recent developments in single cell metabolomics for exploring the metabolic profiles of single cells. Although the field is relatively young, the development of single cell metabolomics promises to provide a powerful tool for unraveling the pathogenesis of IS.
缺血性中风(IS)是一种多因素的异质性疾病。尽管经过多年研究,但在临床实践中,仍缺乏有效的中风诊断、管理和治疗策略。代谢组学是系统生物学中一个不断发展的领域。它在生物标志物的识别以及利用药物代谢组学帮助患有某些疾病的患者选择治疗方案方面开始显示出前景。代谢组学的发展使得更多生物学应用成为可能。特别是,代谢组学越来越多地用于疾病诊断、发现新的药物靶点、阐明机制以及监测治疗效果及其对精准医学的潜在影响。在本综述中,我们回顾了代谢组学研究的一些最新进展,以及代谢组学如何用于识别新的生物标志物和理解IS的机制。然后,总结了利用代谢组学方法研究具有抗IS能力的中药配方的分子过程和活性成分。我们最后总结了单细胞代谢组学在探索单细胞代谢谱方面的最新进展。尽管该领域相对年轻,但单细胞代谢组学的发展有望为揭示IS的发病机制提供一个强大的工具。