Biochemical phenotyping of multiple myeloma patients at diagnosis reveals a disorder of mitochondrial complexes I and II and a Hartnup-like disturbance as underlying conditions, also influencing different stages of the disease

Abstract The aim of this study was to identify novel plasma metabolic signatures with possible relevance during multiple myeloma (MM) development and progression. A biochemical quantitative phenotyping platform based on targeted electrospray ionization tandem mass spectrometry technology was used to...

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Autores principales: Ismael Dale Cotrim Guerreiro da Silva, Erica Valadares de Castro Levatti, Amanda Paula Pedroso, Dirce Maria Lobo Marchioni, Antonio Augusto Ferreira Carioca, Gisele Wally Braga Colleoni
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Publicado: Nature Portfolio 2020
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spelling oai:doaj.org-article:85370f2e321f4764a8a70a8f150fa8512021-12-02T13:58:37ZBiochemical phenotyping of multiple myeloma patients at diagnosis reveals a disorder of mitochondrial complexes I and II and a Hartnup-like disturbance as underlying conditions, also influencing different stages of the disease10.1038/s41598-020-75862-42045-2322https://doaj.org/article/85370f2e321f4764a8a70a8f150fa8512020-12-01T00:00:00Zhttps://doi.org/10.1038/s41598-020-75862-4https://doaj.org/toc/2045-2322Abstract The aim of this study was to identify novel plasma metabolic signatures with possible relevance during multiple myeloma (MM) development and progression. A biochemical quantitative phenotyping platform based on targeted electrospray ionization tandem mass spectrometry technology was used to aid in the identification of any eventual perturbed biochemical pathway in peripheral blood plasma from 36 MM patients and 73 healthy controls. Our results showed that MM cases present an increase in short and medium/long-chain species of acylcarnitines resembling Multiple AcylCoA Dehydrogenase Deficiency (MADD), particularly, associated with MM advanced International Staging System (ISS). Lipids profile showed lower concentrations of phosphatidylcholine (PC), lysophosphatidylcholine (LPC) and sphingomyelins (SM) in the MM patients and its respective ISS groups. MM cases were accompanied by a drop in the concentration of essential amino acids, especially tryptophan, with a significant inverse correlation between the progressive drop in tryptophan with the elevation of β2-microglobulin, with the increase in systemic methylation levels (Symmetric Arginine Dimethylation, SDMA) and with the accumulation of esterified carnitines in relation to free carnitine (AcylC/C0). Serotonin was significantly elevated in cases of MM, without a clear association with ISS. Kynurenine/tryptophan ratio demonstrates that the activity of dioxigenases is even higher in the cases classified as ISS 3. In conclusion, our study showed that MM patients at diagnosis showed metabolic disorders resembling both mitochondrial complexes I and II and Hartnup-like disturbances as underlying conditions, also influencing different stages of the disease.Ismael Dale Cotrim Guerreiro da SilvaErica Valadares de Castro LevattiAmanda Paula PedrosoDirce Maria Lobo MarchioniAntonio Augusto Ferreira CariocaGisele Wally Braga ColleoniNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 10, Iss 1, Pp 1-14 (2020)
institution DOAJ
collection DOAJ
language EN
topic Medicine
R
Science
Q
spellingShingle Medicine
R
Science
Q
Ismael Dale Cotrim Guerreiro da Silva
Erica Valadares de Castro Levatti
Amanda Paula Pedroso
Dirce Maria Lobo Marchioni
Antonio Augusto Ferreira Carioca
Gisele Wally Braga Colleoni
Biochemical phenotyping of multiple myeloma patients at diagnosis reveals a disorder of mitochondrial complexes I and II and a Hartnup-like disturbance as underlying conditions, also influencing different stages of the disease
description Abstract The aim of this study was to identify novel plasma metabolic signatures with possible relevance during multiple myeloma (MM) development and progression. A biochemical quantitative phenotyping platform based on targeted electrospray ionization tandem mass spectrometry technology was used to aid in the identification of any eventual perturbed biochemical pathway in peripheral blood plasma from 36 MM patients and 73 healthy controls. Our results showed that MM cases present an increase in short and medium/long-chain species of acylcarnitines resembling Multiple AcylCoA Dehydrogenase Deficiency (MADD), particularly, associated with MM advanced International Staging System (ISS). Lipids profile showed lower concentrations of phosphatidylcholine (PC), lysophosphatidylcholine (LPC) and sphingomyelins (SM) in the MM patients and its respective ISS groups. MM cases were accompanied by a drop in the concentration of essential amino acids, especially tryptophan, with a significant inverse correlation between the progressive drop in tryptophan with the elevation of β2-microglobulin, with the increase in systemic methylation levels (Symmetric Arginine Dimethylation, SDMA) and with the accumulation of esterified carnitines in relation to free carnitine (AcylC/C0). Serotonin was significantly elevated in cases of MM, without a clear association with ISS. Kynurenine/tryptophan ratio demonstrates that the activity of dioxigenases is even higher in the cases classified as ISS 3. In conclusion, our study showed that MM patients at diagnosis showed metabolic disorders resembling both mitochondrial complexes I and II and Hartnup-like disturbances as underlying conditions, also influencing different stages of the disease.
format article
author Ismael Dale Cotrim Guerreiro da Silva
Erica Valadares de Castro Levatti
Amanda Paula Pedroso
Dirce Maria Lobo Marchioni
Antonio Augusto Ferreira Carioca
Gisele Wally Braga Colleoni
author_facet Ismael Dale Cotrim Guerreiro da Silva
Erica Valadares de Castro Levatti
Amanda Paula Pedroso
Dirce Maria Lobo Marchioni
Antonio Augusto Ferreira Carioca
Gisele Wally Braga Colleoni
author_sort Ismael Dale Cotrim Guerreiro da Silva
title Biochemical phenotyping of multiple myeloma patients at diagnosis reveals a disorder of mitochondrial complexes I and II and a Hartnup-like disturbance as underlying conditions, also influencing different stages of the disease
title_short Biochemical phenotyping of multiple myeloma patients at diagnosis reveals a disorder of mitochondrial complexes I and II and a Hartnup-like disturbance as underlying conditions, also influencing different stages of the disease
title_full Biochemical phenotyping of multiple myeloma patients at diagnosis reveals a disorder of mitochondrial complexes I and II and a Hartnup-like disturbance as underlying conditions, also influencing different stages of the disease
title_fullStr Biochemical phenotyping of multiple myeloma patients at diagnosis reveals a disorder of mitochondrial complexes I and II and a Hartnup-like disturbance as underlying conditions, also influencing different stages of the disease
title_full_unstemmed Biochemical phenotyping of multiple myeloma patients at diagnosis reveals a disorder of mitochondrial complexes I and II and a Hartnup-like disturbance as underlying conditions, also influencing different stages of the disease
title_sort biochemical phenotyping of multiple myeloma patients at diagnosis reveals a disorder of mitochondrial complexes i and ii and a hartnup-like disturbance as underlying conditions, also influencing different stages of the disease
publisher Nature Portfolio
publishDate 2020
url https://doaj.org/article/85370f2e321f4764a8a70a8f150fa851
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