Polycythemia vera and essential thrombocythemia patients exhibit unique serum metabolic profiles compared to healthy individuals and secondary thrombocytosis patients
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- dc.contributor.author Gómez-Cebrián, Nuria
- dc.contributor.author Rojas-Benedicto, Ayelén
- dc.contributor.author Albors-Vaquer, Arturo
- dc.contributor.author Bellosillo Paricio, Beatriz
- dc.contributor.author Besses Raebel, Carles
- dc.contributor.author Martínez-López, Joaquín
- dc.contributor.author Pineda-Lucena, Antonio
- dc.contributor.author Puchades-Carrasco, Leonor
- dc.date.accessioned 2022-05-25T07:28:25Z
- dc.date.available 2022-05-25T07:28:25Z
- dc.date.issued 2021
- dc.description.abstract Most common myeloproliferative neoplasms (MPNs) include polycythemia vera (PV) and essential thrombocythemia (ET). Accurate diagnosis of these disorders remains a clinical challenge due to the lack of specific clinical or molecular features in some patients enabling their discrimination. Metabolomics has been shown to be a powerful tool for the discrimination between different hematological diseases through the analysis of patients' serum metabolic profiles. In this pilot study, the potential of NMR-based metabolomics to characterize the serum metabolic profile of MPNs patients (PV, ET), as well as its comparison with the metabolic profile of healthy controls (HC) and secondary thrombocytosis (ST) patients, was assessed. The metabolic profile of PV and ET patients, compared with HC, exhibited higher levels of lysine and decreased levels of acetoacetic acid, glutamate, polyunsaturated fatty acids (PUFAs), scyllo-inositol and 3-hydroxyisobutyrate. Furthermore, ET patients, compared with HC and ST patients, were characterized by decreased levels of formate, N-acetyl signals from glycoproteins (NAC) and phenylalanine, while the serum profile of PV patients, compared with HC, showed increased concentrations of lactate, isoleucine, creatine and glucose, as well as lower levels of choline-containing metabolites. The overall analysis revealed significant metabolic alterations mainly associated with energy metabolism, the TCA cycle, along with amino acid and lipid metabolism. These results underscore the potential of metabolomics for identifying metabolic alterations in the serum of MPNs patients that could contribute to improving the clinical management of these diseases.
- dc.description.sponsorship This research was funding by the Ministerio de Economía y Competitividad (SAF2017-89229-R). Part of the equipment used in this work was co-funded by the Generalitat Valenciana and European Regional Development Fund (FEDER) funds (PO FEDER of Comunitat Valenciana 2014–2020).
- dc.format.mimetype application/pdf
- dc.identifier.citation Gómez-Cebrián N, Rojas-Benedicto A, Albors-Vaquer A, Bellosillo B, Besses C, Martínez-López J, et al. Polycythemia vera and essential thrombocythemia patients exhibit unique serum metabolic profiles compared to healthy individuals and secondary thrombocytosis patients. Cancers (Basel). 2021 Jan 27; 13(3): 482. DOI: 10.3390/cancers13030482
- dc.identifier.doi http://dx.doi.org/10.3390/cancers13030482
- dc.identifier.issn 2072-6694
- dc.identifier.uri http://hdl.handle.net/10230/53250
- dc.language.iso eng
- dc.publisher MDPI
- dc.relation.projectID info:eu-repo/grantAgreement/ES/2PE/SAF2017-89229-R
- dc.rights Copyright © 2021 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
- dc.rights.accessRights info:eu-repo/semantics/openAccess
- dc.rights.uri http://creativecommons.org/licenses/by/4.0/
- dc.subject.keyword Metabolic profile
- dc.subject.keyword Metabolomics
- dc.subject.keyword Myeloproliferative neoplasms
- dc.subject.keyword Nuclear magnetic resonance
- dc.title Polycythemia vera and essential thrombocythemia patients exhibit unique serum metabolic profiles compared to healthy individuals and secondary thrombocytosis patients
- dc.type info:eu-repo/semantics/article
- dc.type.version info:eu-repo/semantics/publishedVersion