Table 3.
early stage (µM) | mid/survivor (µM) | late stage (µM) | |||||
---|---|---|---|---|---|---|---|
n = 9 | n = 10 | n = 15 | |||||
metabolite | mean | SD | mean | SD | mean | SD | P value |
Energy metabolism | |||||||
Lactate | a b 2123.60 | 540.93 | a c3358.46 | 674.4 | b c 6776.70 | 3505.78 | <0.001 |
Pyruvate | 73.37 | 43.98 | a 43.60 | 37.3 | a 132.45 | 63.04 | 0.025 |
Creatine | a 41.43 | 7.2 | b 54.50 | 26.29 | a b 99.97 | 46.76 | 0.001 |
Ketosis | |||||||
3-Hydroxybutyrate | a b 244.54 | 305.41 | a 10.75 | 8.73 | b 10.11 | 3.48 | <0.001 |
Acetoacetate | a b 135.28 | 167.67 | a 4.73 | 2.91 | 6.49 | 3.25 | <0.001 |
Acetone | a b 156.83 | 173.97 | a 31.94 | 79.52 | b 9.65 | 9.93 | <0.001 |
Cell volume/TCA cycle | |||||||
Malate | a 9.14 | 3.39 | 19.56 | 16.39 | a 21.35 | 13.14 | 0.052 |
Succinate | a b 0.76 | 0.59 | a 5.68 | 8.46 | b 4.94 | 6.35 | 0.029 |
2-Oxoglutarate | a 2.34 | 1.39 | 9.42 | 12.89 | a 24.92 | 27.01 | 0.012 |
Glutamate | a 7.22 | 3.17 | 10.34 | 5.29 | a 14.09 | 7.19 | 0.032 |
Excitotoxic | |||||||
Glycine | a 16.89 | 18.37 | 16.48 | 18.05 | a 39.33 | 41.18 | 0.08 |
Quinolinate | a 3.10 | 2.5 | 17.05 | 15.49 | a 21.10 | 13.13 | <0.001 |
Protein catabolism | |||||||
Lysine | a 20.65 | 7.16 | 27.94 | 15.71 | a 43.78 | 23.02 | 0.024 |
Methionine | a 4.43 | 1.6 | 5.99 | 2.54 | a 6.74 | 2.44 | 0.083 |
Phenylalanine | a 12.93 | 3.16 | 17.78 | 10.93 | a 23.06 | 10.45 | 0.044 |
Proline | a 9.06 | 3.66 | 10.77 | 6.9 | a 21.20 | 10.77 | 0.012 |
Tyrosine | a 11.47 | 2.71 | b 17.57 | 8.26 | a b 26.71 | 11.49 | 0.003 |
Alanine | a b 24.29 | 7.21 | a 47.40 | 18.16 | b 74.74 | 40.86 | <0.001 |
Arginine | a 33.49 | 8.89 | 37.81 | 10.81 | a 49.76 | 14.60 | 0.044 |
Urea Cycle | |||||||
Ornithine | a 6.68 | 7.58 | 9.31 | 3.83 | a 18.03 | 17.16 | 0.007 |
Urea | a 3374.30 | 2025.69 | 3784.26 | 2143.44 | a 8028.64 | 6208.90 | 0.054 |
Lipid turnover | |||||||
Choline | a 2.38 | 1.63 | 3.92 | 1.81 | a 7.64 | 5.1 | 0.005 |
Ethanolamine | a 15.05 | 10.64 | 25.68 | 14.46 | a 29.36 | 13.45 | 0.043 |
Other | |||||||
2-Hydroxybutyrate | a 85.57 | 29.67 | a 49.77 | 15.94 | 74.05 | 38.89 | 0.063 |
Ascorbate | 30.81 | 23.88 | a 16.01 | 14.5 | a 49.09 | 41.65 | 0.025 |
Fructose | a b 108.05 | 64.68 | a 55.96 | 25.53 | b 59.00 | 24.94 | 0.045 |
Isopropanol | a 9.39 | 7.57 | a b 2.27 | 1.96 | b 16.77 | 19.65 | 0.003 |
Metabolite concentrations were quantified from NMR spectra of CSF samples. Data are presented as mean and standard deviation (SD). The highest mean concentration for each metabolite across stages of disease is highlighted in boldface, the lowest concentration is underlined. P values are based on independent samples t-tests, adjusted for multiple testing using the FDR correction. Superscript letters identify stages with significantly different (p < 0.05) metabolite concentrations.