Li Luning, Sun Zhen, Sun Wenxue, Zhai Yujuan, Ding Na, Wang Wei
Clinical Medical Laboratory Center, Jining First People's Hospital, Jining, Shandong, China.
Department of Clinical Pharmacy, Jining First People's Hospital, Jining, Shandong, China.
Front Pharmacol. 2025 May 14;16:1507348. doi: 10.3389/fphar.2025.1507348. eCollection 2025.
Alopecia areata (AA) is a common autoimmune disorder marked by non-scarring hair loss, which imposes significant psychosocial stress on patients. To investigate key metabolites and ions involved in AA's pathogenesis, we utilized gas chromatography-mass spectrometry (GC-MS) for non-targeted metabolomics and inductively coupled plasma mass spectrometry (ICP-MS) for ionomics.
A total of 36 six-week-old Kunming mice were divided into control (n = 12), an AA model (n = 12), and tofacitinib-treated groups (n = 12). A mouse model of AA was established by sodium sulfide (NaS) induction in both the model and treatment groups, while the treatment group (n = 12) received tofacitinib treatment at a dose of 1 mg/kg. GC-MS was used to determine the metabolic profiling in serum samples, and ICP-MS was applied to assess ionomic changes in the serum samples. Potential metabolites and ions were identified using orthogonal partial least squares-discriminant analysis (OPLS-DA). Subsequently, MetaboAnalyst 5.0 and the Kyoto Encyclopedia of Genes and Genomes database (KEGG) were used to map the metabolic pathways. Spearman correlation analysis was conducted to identify relationships and potential regulatory interactions between differential metabolites and individual ions.
Metabolomics analysis revealed that D-lactic acid, glycolic acid, linoleic acid, petroselinic acid, and stearic acid are key differential metabolites between the control, AA model, and tofacitinib groups. Pathway analysis highlighted that the biosynthesis of unsaturated fatty acids and linoleic acid metabolism are pivotal pathways implicated in the onset and progression of AA. Furthermore, ionomics analysis identified magnesium, aluminum, titanium, and nickel as differential ions among the three groups. The integrated metabolomics and ionomics analysis indicated that linoleic acid, a key differential metabolite according to the KEGG database, shows a positive correlation with phosphorus, vanadium, magnesium, and zinc. Among these, Mg (Mg) play a crucial role in modulating CD8 T cell infiltration, thereby influencing the disease progression in AA.
Tofacitinib inhibits CD8 T cell infiltration in hair follicles affected by sodium sulfide-induced AA by modulating the linoleic acid metabolism-Mg pathway. Our findings offer new insights and potential avenues for the clinical diagnosis and treatment of AA, suggesting that targeting metabolic and ionic pathways could enhance therapeutic outcomes.
斑秃(AA)是一种常见的自身免疫性疾病,其特征为非瘢痕性脱发,给患者带来了巨大的心理社会压力。为了研究参与AA发病机制的关键代谢物和离子,我们利用气相色谱-质谱联用仪(GC-MS)进行非靶向代谢组学分析,并使用电感耦合等离子体质谱仪(ICP-MS)进行离子组学分析。
将36只六周龄的昆明小鼠分为对照组(n = 12)、AA模型组(n = 12)和托法替布治疗组(n = 12)。模型组和治疗组均通过硫化钠(NaS)诱导建立AA小鼠模型,而治疗组(n = 12)接受剂量为1 mg/kg的托法替布治疗。使用GC-MS测定血清样本中的代谢谱,并应用ICP-MS评估血清样本中的离子组变化。使用正交偏最小二乘判别分析(OPLS-DA)鉴定潜在的代谢物和离子。随后,使用MetaboAnalyst 5.0和京都基因与基因组百科全书数据库(KEGG)绘制代谢途径图。进行Spearman相关性分析,以确定差异代谢物与单个离子之间的关系和潜在的调控相互作用。
代谢组学分析显示,D-乳酸、乙醇酸、亚油酸、岩芹酸和硬脂酸是对照组、AA模型组和托法替布组之间的关键差异代谢物。通路分析强调,不饱和脂肪酸的生物合成和亚油酸代谢是与AA的发生和发展相关的关键通路。此外,离子组学分析确定镁、铝、钛和镍为三组之间的差异离子。综合代谢组学和离子组学分析表明,根据KEGG数据库,关键差异代谢物亚油酸与磷、钒、镁和锌呈正相关。其中,Mg在调节CD8 T细胞浸润中起关键作用,从而影响AA的疾病进展。
托法替布通过调节亚油酸代谢-Mg途径抑制硫化钠诱导的AA毛囊中CD8 T细胞的浸润。我们的研究结果为AA的临床诊断和治疗提供了新的见解和潜在途径,表明针对代谢和离子途径可能会提高治疗效果。