Untargeted metabolomics yields insight into ALS disease mechanisms
Background
Amyotrophic Lateral Sclerosis (ALS) is a neurodegenerative disorder, and understanding its metabolic profile can offer insights into disease mechanisms and identify novel therapeutic opportunities. Metabolomic analyses provide a comprehensive view of endogenous and exogenous influences on ALS, allowing the identification of biomarkers and potential drug targets.
Samples:
The study included 125 ALS and 71 control participants, matched for key demographics. ALS cases represented a typical population with median diagnostic age, symptom onset-to-diagnosis interval, and distribution across onset segments. Metabolite profiling involved the identification of 1051 metabolites, with 144 excluded due to high missingness. A total of 899 metabolites were used for downstream analysis.
Technical Methods
Metabolite Profiling: 1051 metabolites were identified, and 144 with >60% missingness were excluded.
Drug Metabolite Exclusion: Eight drug metabolites were removed from analysis due to weak correlations and high missingness.
Differential Analysis: Wilcoxon rank-sum tests identified 303 significant metabolites. Logistic regression models, adjusted for sex, age, and BMI, further identified 300 metabolites. Partial Least Squares Discriminant Analysis (PLS-DA) and Group Lasso methods were also employed.
Pathway Enrichment Analysis: Identified significantly over-represented sub-pathways among differential metabolites.
Machine Learning Classification: Seven algorithms were applied to predict ALS cases using 259 Group Lasso-selected metabolites.
Results
Differential Metabolites: 303 metabolites were identified as differentially expressed in ALS, with overlaps across various analytical methods.
Pathway Enrichment: Shared sub-pathways, including 'sphingomyelins,' 'ceramides,' 'benzoate metabolism,' and 'fatty acid metabolism,' were enriched across different models. Group Lasso uniquely identified 'diacylglycerol,' 'chemical,' and other sub-pathways.
Metabolite Correlations: Interconnections between significant metabolites and their sub-pathways were visualized, revealing associations in sphingolipid metabolism, polyamine metabolism, and more.
Diagnostic Potential: Machine learning models using 259 Group Lasso-selected metabolites demonstrated high diagnostic potential, with Receiver Operating Characteristic (ROC) analysis showing an AUC of 0.98.
Partial least squares-discriminant analysis (PLS-DA) analysis of amyotrophic lateral sclerosis (ALS) cases versus controls. (A) PLS-DA score plot of ALS cases (red) versus controls (blue); each dot represents an individual subject. (B) The variable importance in projection (VIP) score plot of the top 30 PLS-DA metabolites, which most significantly separate cases from controls.
Pathway enrichment of adjusted logistic regression-selected, partial least squares-discriminant analysis (PLS-DA)-selected and group lassoselected metabolites
Metabolite correlation analysis of group lasso-selected metabolites
Reference
- Goutman, Stephen A., et al. "Untargeted metabolomics yields insight into ALS disease mechanisms." Journal of Neurology, Neurosurgery & Psychiatry 91.12 (2020): 1329-1338.
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