Abstract
GC/MS coupled with multivariate statistical analysis was performed to identify marker metabolites in serum of mice after healing ovalbumin- (OVA-) induced asthma using Opuntia humifusa. Principal component analysis (PCA) score plot showed separation among groups, with metabolite profiles of serum showing differences according to various treatments for the asthma murine model. Levels of stearic acid and arachidic acid were significantly lower in the serum from OVA-induced group than those from the control group. Dexamethasone treatment group was characterized by higher serum levels of urea, myristic acid, and palmitic acid along with lower levels of aspartic acid compared to OVA-induced group. O. humifusa treatment mice groups showed dose-proportional higher levels of urea and glycerol than OVA-induced group. These results highlight that GC/MS-based metabolomics is a powerful technique for identifying molecular markers of asthma.
1. Introduction
Asthma is one of the most common chronic inflammatory disease of the airways [1, 2]. Despite the fact that the majority of asthma cases can now be well controlled by current medications, asthma still accounts for over 250,000 deaths annually worldwide [3]. Current treatments for asthma are mainly performed by suppressing airway inflammation with inhaled corticosteroids and relieving bronchoconstriction with bronchodilators [4]. Although this treatment improves symptoms of asthma, prolonged use of inhaled corticosteroids has been associated with side effects, including osteoporosis [5–8], hypothalamic‐pituitary‐adrenal axis suppression [9], immune suppression [10], mood changes [11], and pharyngitis [12]. These issues underscore the need to develop new antiasthmatic drugs with few or no adverse effects.
Treatment of asthma by natural products such as herbal medicine can increase treatment effects with reduced side effects. Natural products such as grape seed extract [13], Garcinia [14], Curcuma longa [15], and Rosmarinus officinalis [16, 17] have shown efficacy in treating asthma without side effects. Among them, Opuntia humifusa extracts can potently modulate expression levels of inflammatory cytokines [18, 19]. In our previous study, we have found that O. humifusa possesses dose-dependent antiasthmatic effects [20]. However, it is difficult to determine functional substances in O. humifusa and mechanisms involved in its pharmacological effects. The role of molecular determinants as mediators of asthma has not been fully understood yet [21].
Metabolomics is based on systematic analysis of a panel of small metabolites, including sugars, amino acids, organic acids, and lipids. Metabolomics is well-suited for studying diseases because metabolite changes represent an integrated pathophysiologic profile [22]. Metabolomics studies have been performed to diagnose diseases with unknown mechanisms such as inflammatory bowel disease [23, 24] and rheumatoid arthritis [25–27]. Many metabolomics studies have also been conducted to derive mechanisms for treating diseases such as cancer [28], autoimmune disease [29], and chronic disease [30, 31]. For example, gas chromatography (GC) mass spectrometry- (MS-) based metabolomics studies have been performed to discriminate subjects with asthma from healthy populations and uncover some potential disease-relevant serum biomarkers [32, 33]. Therefore, metabolic profiles can provide insights into biologic mechanisms of asthma. In our previous study, we have confirmed that O. humifusa can dose-dependently suppress morphological changes typically observed in asthma [20]. In this study, a GC/MS-based metabolomic approach was employed in a profiling mode to reveal differences in key metabolites of serum of mice after healing ovalbumin-induced asthma using O. humifusa.
2. Materials and Methods
2.1. O. humifusa Collection and Extraction
O. humifusa leaves were obtained from Wando Arboretum in Jeonnam province, Korea. Ten grams of dried leaves were extracted twice with 100 mL of 80% ethanol at room temperature. The extract solvent was evaporated, dried, and stored at -50°C until use.
2.2. Experimental Animals and Serum Collection
Animal experiment and serum collection were conducted as described previously [20]. Eighty-four 6-week-old female BALB/c mice were purchased from Samtako (Osan, Korea). These mice were kept in standard laboratory conditions with a room temperature of 24 ± 1°C, humidity of 65 ± 5%, and a controlled light/dark cycle (12/12 h). After 6 days, these mice were divided into six experimental groups according to treatment: (1) vehicle control (sterilized tap water), (2) ovalbumin- (OVA-) induced asthma model, (3) 1 mg/kg/day dexamethasone with OVA induction, (4) 50 mg/kg/day O. humifusa with OVA induction, (5) 100 mg/kg/day O. humifusa with OVA induction, and (6) 500 mg/kg/day O. humifusa with OVA induction. All mice were sensitized by intraperitoneal injection with 20 µg OVA and 1 mg aluminum hydroxide hydrate (Sigma-Aldrich) in 500 μL saline on days 1 and 8. Asthma induction in mice was performed by inhaling 5% OVA for 30 min once daily using a nebulizer (3 mL/min, NE-U17, Omron, Kyoto, Japan) for 5 consecutive days (21-25 days). During the same 5-day period, the vehicle control group was exposed to saline and aluminum hydroxide hydrate with a nebulizer. Mice in treatment groups were treated once daily with oral doses of 1 mg/kg/day of dexamethasone, 50 mg/kg/day of O. humifusa, 100 mg/kg/day of O. humifusa, and 500 mg/kg/day of O. humifusa in sterilized tap water 1 h prior to OVA challenge. On the 6th day, all animals were induced anesthesia using 50 mg/kg Zoletil (Virbac, Carros, France). To obtain serum, whole blood was collected and centrifuged at 12,000 rpm for 15 min at 4°C (Sorvall Legend Micro 17R, Thermo Fisher Scientific, Waltham, MA, USA).
All experiments were approved by the Institutional Animal Care and Use Committee (IACUC) of Chonnam National University (Animal Study Approval No. 201 CNU IACUC-YB-R-2015-50).
2.3. Sample Preparation and GC-MS Derivatization
Serum (100 µL) was thawed at 4°C and mixed with methanol (300 µL) to precipitate proteins. The mixture was vigorously vortexed for 15 s. After centrifuging samples at 13,000 rpm for 5 min, 300 µL of the supernatant was lyophilized. One hundred µL of O-methoxamine hydrochloride in pyridine (15 mg/mL) was then added into the freeze-dried sample. After vortex-mixing each sample for 3 min at room temperature, 100 µL of N,O-bis-(trimethylsilyl)-trifluoroacetamide (BSTFA) containing 1% trimethylchlorosilane (TMCS) was added and incubated at 70°C in a water bath for 1 h. Finally, 600 µL of methyl stearate (10 mg/L in heptane) was added as an internal standard. After centrifuging at 13,000 rpm for 5 min, supernatant was transferred to a 1.5 mL glass vial for GC/MS analysis.
2.4. GC-MS Analysis Condition
Chromatography analysis was performed with a QP-2020 Gas Chromatography Mass Spectrometer (Shimadzu, Kyoto, Japan). Separation was achieved using a Rtx-5MS capillary column (0.25 mm × 30 mm × 0.25 μm) in a split mode (1:30). The initial GC oven temperature was kept at 60°C for 1 min. It was increased to 300°C at a heat rate of 10°C/min. It was then held at 300°C for 10 min. Helium was used as the carrier gas and flow rate was kept constant at 1.0 mL/min. MS conditions were as follows: transfer detector line, 280°C; filament ion source, 230°C; and quadrupole temperature, 150°C. Ionization was achieved with an electron beam at 70 eV. MS data were obtained in full-scan mode at a range of m/z 50-550.
2.5. Data Processing and Statistical Analysis
GC-MS metabolite data were exported to comma delimited format (CDF) as raw data which were then imported into XCMS website (https://xcmsonline.scripps.edu) for retention time correction, baseline filtration, and alignment. Excel files obtained from XCMS were then imported into SIMCA-P version 14.0 software (Umetrics, Umea, Sweden) for multivariate statistical analysis such as principal component analysis (PCA) and partial least-squares discriminant analysis (PLS-DA). Distinction variables were selected by variable importance in projection (VIP) > 1.2 and p < 0.05. When identifying potential biomarkers, retention index (RI) was calculated in proportion to n-alkane (C8-C40) standards. The intensity of identified metabolites was subjected to statistical comparison. T-test was performed to compare the relative amount (peak intensity) of identified metabolites between the two groups. Analyses of variance (one-way ANOVA) followed by Tukey's post hoc multiple comparison tests were also performed for examination of group differences. All statistical analyses were performed using SPSS version 22.0 software package (SPSS Inc., Chicago, IL, USA).
3. Results and Discussion
3.1. Metabolic Profiling
After GC/MS data processing using XCMS, a total of 1,407 signal features were obtained. PCA was performed using features obtained from GC-MS data to investigate metabolic differences between samples (Figure 1). When two components were calculated, cumulative R2X and Q2 values were 0.525 and 0.468, respectively. Although some samples were overlapped in the PCA score plot, samples showed separation pattern between groups, indicating that metabolite profiles of serum samples were different according to various treatments for the asthma murine model. A clear separation of samples between the control group and dexamethasone treatment group in the PCA score plot suggested that metabolic profiles of serum were changed even though symptoms of asthma were recovered by dexamethasone treatment. Interestingly, serum samples of O. humifusa treatment groups were clearly distinguished from those of other groups, suggesting that metabolites of serum were changed after O. humifusa treatment. Such difference in metabolites might be due to the substances in O. humifusa or the metabolites involved in the therapeutic mechanism of asthma.
Figure 1.

PCA score plot derived from GC/MS data of serum in mice, showing different metabolic profiles according to various treatments in asthma murine model. Symbols with different shapes denote serum samples from different treatments. OH, Opuntia humifusa.
3.2. Different Metabolites Induced by OVA
To better visualize subtle similarities and differences after induction of asthma, PCA was performed using features from control and OVA-induced groups. However, samples were not fully distinguishable in the PCA score plot between these two groups (Figure 2(a)). To maximize separation, PLS-DA, a supervised pattern recognition method, was applied for the same datasets. PLS-DA score plot of serum samples showed a clear separation of control samples from OVA-induced asthma samples (Figure 2(b)), with modeling fit R2X values of 0.520 and R2Y values of 0.679. It also showed good prediction Q2 value of 0.475.
Figure 2.
PCA (a) and PLS-DA (b) score plots derived from GC/MS data of serum samples between control and OVA-induced groups, suggesting metabolic changes by OVA induction. Panel (c) shows box plots of identified metabolites contributing to differentiation in the PLS-DA model (VIP > 1.2 and p < 0.05). The PLS-DA model was validated by a permutation test (n = 200).
Through a permutation test, Q2 and R2 values were found to be higher than their original values, proving suitability and validity of this model. These results suggested that metabolic changes indeed occurred in the serum of asthmatic mice. To identify which metabolites were responsible for the separation of these two groups, variable importance in projection (VIP) score was determined. Based on a VIP score > 1.2 from PLS-DA with p < 0.05 in two-tailed Student's t-test, stearic acid and arachidic acid were identified as metabolites contributing to the difference. Metabolites were then identified based on fragmentation patterns of GC/MS library, RI value, and other researchers' experimental data using the same GC/MS analysis method [34]. Levels of stearic acid (p = 0.0403) and arachidic acid (p = 0.0046) were found to be significantly lower in serum from asthmatic mice than that from the control mice (Figure 2(c)).
3.3. Different Metabolites by Dexamethasone Treatment
To investigate metabolic differences in serum between OVA-induced group and the dexamethasone treatment group, PCA and PLS-DA models were generated (Figures 3(a) and 3(b)). PLS-DA score plot showed a clear separation between OVA-induced mice and dexamethasone treatment mice (R2X = 0.410, R2Y = 0.925, and Q2= 0.599). The PLS-DA model was validated by a permutation test repeated 200 times. After data filtration based on high VIP score with p < 0.05, a total of four metabolites were identified as factors contributing to the discriminating PLS-DA model. The dexamethasone treatment group was characterized by higher serum levels of urea, myristic acid, and palmitic acid along with lower levels of aspartic acid compared to those in the OVA-induced group (Figure 3(c)).
Figure 3.
PCA (a) and PLS-DA (b) score plots derived from GC/MS data of serum samples between OVA-induced group and dexamethasone treatment group, suggesting metabolic differences induced by dexamethasone treatment. Panel (c) shows box plots of identified metabolites contributing to differentiation in the PLS-DA model (VIP > 1.2 and p < 0.05). The PLS-DA model was validated by a permutation test (n = 200).
3.4. Different Metabolites by O. humifusa Treatment
To investigate changes in serum between control and the treatment groups (dexamethasone and O. Humifusa), PCA was applied. Unsupervised PCA basically demonstrated a clear separation between the control and the treatment groups (dexamethasone and O. Humifusa) (data not shown). To obtain improved segregation and gain better understanding of variables responsible for the fractionation, a supervised clustering PLS-DA model was generated (Figures 4(a) and 4(b)). The score plot of PLS-DA showed a distinct separation, indicating that metabolite profiles in serum of mice were significantly altered by dexamethasone and O. humifusa treatment. The treatment groups were characterized by lower serum levels of arachidic acid compared to those in control group. Mice from O. humifusa treatment group was found to have dose-proportional higher serum levels of glycerol and urea than mice from control group (Figure 4(c)).
Figure 4.
PCA score plots derived from GC/MS data of serum samples between control and dexamethasone treatment group (a) and control and O. humifusa treatment group (b), suggesting metabolic differences according to different treatments after OVA induction. Panel (c) shows box plots of identified metabolites contributing to differentiation in the PLS-DA model (VIP > 1.2 and p < 0.05). The PLS-DA model was validated by a permutation test (n = 200). OH, Opuntia humifusa.
Lipid mediators are key drivers of inflammatory responses in asthma. They have well-characterized roles in T-cell recruitment and energy metabolism [22]. Generally, polyunsaturated fatty acids are implicated in the prevention of various human diseases, including inflammation-associated diseases [35]. However, the effect of saturated fatty acids on inflammatory mechanism is currently unclear. In this study, levels of stearic acid and arachidic acid were decreased by OVA induction while levels of myristic acid and palmitic acid were increased by dexamethasone treatment (Figures 3(c) and 4(c)). Dexamethasone is commonly used as an asthma treatment drug. It can suppress WBCs increases induced by OVA. This effect might be related to inhibition of NF-κB activity by saturated fatty acids. According to Pan et al. [36], stearic acid supplementation has beneficial effect against cholestatic liver injury by decreasing inflammatory cell accumulation as well as suppressing NF-κB activity. Increasing evidence indicates that stearic acid possesses antioxidant and anti-inflammatory potential [37–40]. In contrast, Schaeffler et al. [41] have reported that stearic acid and palmitic acid can induce activity of NF-κB. Thus, additional research is needed to clarify the relationship between mechanisms of asthma and saturated fatty acids.
Urea level in serum is generally increased when asthma develops [42, 43]. In the present study, administration of dexamethasone and O. humifusa increased urea levels in serum. These results are similar to a study of Ho et al. [42], showing that serum urea level is decreased with administration of artesunate but increased after administration of dexamethasone. Dexamethasone and artesunate are typical treatment drugs for asthma. Asthma treatment effect of both drugs is related to regulation of arginine metabolism such as conversion of arginine to urea and ornithine [44, 45].
Metabolomics is a good tool to identify biomarkers of asthma and improve our understanding of the pathophysiology of asthma. Some metabolites (mainly organic acids and amino acids) associated with asthma onset or severity have been identified by many studies [22]. However, these metabolites were not replicated between asthma studies. In the present study, some saturated fatty acids were identified as main metabolites associated with asthma. However, they were rarely noted metabolites in other asthma studies. These differences might be due to differences between animal and clinical trials that can affect the metabolome. Further researches are needed to identify how some metabolites correlate with the mechanism of outbreak and treatment of asthma.
4. Conclusions
This study shows that GC/MS-based metabolomics is a powerful technique to determine biomarker metabolites of asthma. In this study, metabolic profiles of serum in mice were different among groups, indicating that metabolites of serum might change according to asthma induction and different treatments. Although some metabolites were identified as metabolites associated with asthma induction and treatment, it is difficult to determine mechanisms involved in change of metabolites. Further metabolomic studies including more samples are needed to understand biologic mechanisms of asthma.
Acknowledgments
This research was supported by a grant (HI17C1858) of the Korea Health Technology R&D Project through the Korea Health Industry Development Institute (KHIDI) funded by the Ministry of Health & Welfare, Republic of Korea.
Contributor Information
Dae-Hun Park, Email: dhj1221@hanmail.net.
Hong-Seok Son, Email: hsson@dsu.ac.kr.
Data Availability
The data used to support the findings of this study are available from the corresponding author upon request.
Conflicts of Interest
The authors declare that there are no conflicts of interest regarding the publication of this paper.
Authors' Contributions
All authors contributed to this work, prepared the manuscript, and approved this version of the paper.
References
- 1.Adamko D. J., Sykes B. D., Rowe B. H. The metabolomics of asthma: Novel diagnostic potential. CHEST. 2012;141(5):1295–1302. doi: 10.1378/chest.11-2028. [DOI] [PubMed] [Google Scholar]
- 2.Leung T. F., Ko F. W., Wong G. W. Recent advances in asthma biomarker research. Therapeutic Advances in Respiratory Disease. 2013;7(5):297–308. doi: 10.1177/1753465813496863. [DOI] [PubMed] [Google Scholar]
- 3.Ho W. E., Xu Y., Xu F., et al. Metabolomics reveals altered metabolic pathways in experimental asthma. American Journal of Respiratory Cell and Molecular Biology. 2013;48(2):204–211. doi: 10.1165/rcmb.2012-0246OC. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 4.Li X.-M. Treatment of asthma and food allergy with herbal interventions from traditional Chinese medicine. Mount Sinai Journal of Medicine. 2011;78(5):697–716. doi: 10.1002/msj.20294. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 5.Lipworth B. J. Systemic adverse effects of inhaled corticosteroid therapy: a systematic review and meta-analysis. JAMA Internal Medicine. 1999;159(9):941–955. doi: 10.1001/archinte.159.9.941. [DOI] [PubMed] [Google Scholar]
- 6.Roland N. J., Bhalla R. K., Earis J. The local side effects of inhaled corticosteroids: current understanding and review of the literature. CHEST. 2004;126(1):213–219. doi: 10.1378/chest.126.1.213. [DOI] [PubMed] [Google Scholar]
- 7.Toogood J. H., Crilly R. G., Jones G., Nadeau J., Wells G. A. Effect of High-dose Inhaled Budesonide on Calcium and Phosphate Metabolism and the Risk of Osteoporosis. American Review of Respiratory Disease. 1988;138(1):57–61. doi: 10.1164/ajrccm/138.1.57. [DOI] [PubMed] [Google Scholar]
- 8.Packe G. E., Robb O., Robins S. P., Reid D. M., Douglas J. G. Bone density in asthmatic patients taking inhaled corticosteroids: Comparison of budesonide and beclomethasone dipropionate. Journal of the Royal College of Physicians. 1996;30(2):128–132. [PMC free article] [PubMed] [Google Scholar]
- 9.Zöllner E. W. Hypothalamic-pituitary-adrenal axis suppression in asthmatic children on inhaled corticosteroids (Part 2) - The risk as determined by gold standard adrenal function tests: A systematic review. Pediatric Allergy and Immunology. 2007;18(6):469–474. doi: 10.1111/j.1399-3038.2007.00539.x. [DOI] [PubMed] [Google Scholar]
- 10.Wang J. J., Rochtchina E., Tan A. G., Cumming R. G., Leeder S. R., Mitchell P. Use of Inhaled and Oral Corticosteroids and the Long-term Risk of Cataract. Ophthalmology. 2009;116(4):652–657. doi: 10.1016/j.ophtha.2008.12.001. [DOI] [PubMed] [Google Scholar]
- 11.Cordina M., Fenech A. G., Vassallo J., Cacciottolo J. M. Anxiety and the management of asthma in an adult outpatient population. Therapeutic Advances in Respiratory Disease. 2009;3(5):227–233. doi: 10.1177/1753465809347038. [DOI] [PubMed] [Google Scholar]
- 12.Bhalla R. K., Taylor W., Jones A. S., Roland N. J. The inflammation produced by corticosteroid inhalers in the pharynx in asthmatics. Clinical Otolaryngology. 2008;33(6):581–586. doi: 10.1111/j.1749-4486.2008.01837.x. [DOI] [PubMed] [Google Scholar]
- 13.Zhou D.-Y., Du Q., Li R.-R., Huang M., Zhang Q., Wei G.-Z. Grape seed proanthocyanidin extract attenuates airway inflammation and hyperresponsiveness in a murine model of asthma by downregulating inducible nitric oxide synthase. Planta Medica. 2011;77(14):1575–1581. doi: 10.1055/s-0030-1270957. [DOI] [PubMed] [Google Scholar]
- 14.Lu Y., Cai S., Nie J., et al. The natural compound nujiangexanthone A suppresses mast cell activation and allergic asthma. Biochemical Pharmacology. 2015;100:61–72. doi: 10.1016/j.bcp.2015.11.004. [DOI] [PubMed] [Google Scholar]
- 15.Huang M.-T., Lysz T., Ferraro T., Abidi T. F., Laskin J. D., Conney A. H. Inhibitory effects of curcumin on in vitro lipoxygenase and cyclooxygenase activities in mouse epidermis. Cancer Research. 1991;51(3):813–819. [PubMed] [Google Scholar]
- 16.Bauer J., Kuehnl S., Rollinger J. M., et al. Carnosol and carnosic acids from Salvia officinalis inhibit microsomal prostaglandin E2 synthase-1. The Journal of Pharmacology and Experimental Therapeutics. 2012;342(1):169–176. doi: 10.1124/jpet.112.193847. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 17.Poeckel D., Greiner C., Verhoff M., et al. Carnosic acid and carnosol potently inhibit human 5-lipoxygenase and suppress pro-inflammatory responses of stimulated human polymorphonuclear leukocytes. Biochemical Pharmacology. 2008;76(1):91–97. doi: 10.1016/j.bcp.2008.04.013. [DOI] [PubMed] [Google Scholar]
- 18.Cho J. Y., Park S.-C., Kim T.-W., et al. Radical scavenging and anti-inflammatory activity of extracts from Opuntia humifusa Raf. Journal of Pharmacy and Pharmacology. 2006;58(1):113–119. doi: 10.1211/jpp.58.1.0014. [DOI] [PubMed] [Google Scholar]
- 19.Lee KS., CS Oh., Lee KY. Antioxidative effect of the fractions extracted from a cactus Cheonnyuncho (Opuntia humifusa. Korean Journal of Food Science and Technology. 2005;37(3):474–478. [Google Scholar]
- 20.Lee S., Bae C., Choi Y., et al. Food & Nutrition Research. 2017;61(1):p. 1393307. doi: 10.1080/16546628.2017.1393307. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 21.Ober C., Yao T.-C. The genetics of asthma and allergic disease: A 21st century perspective. Immunological Reviews. 2011;242(1):10–30. doi: 10.1111/j.1600-065X.2011.01029.x. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 22.Kelly R. S., Dahlin A., McGeachie M. J., et al. Asthma Metabolomics and the Potential for Integrative Omics in Research and the Clinic. CHEST. 2017;151(2):262–277. doi: 10.1016/j.chest.2016.10.008. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 23.Yang P., Li Z., Zhang L., Li H., Li Z. Analysis of metabonomic profiling alterations in a mouse model of colitis-associated cancer and 2-deoxy-d-glucose treatment. RSC Advances. 2016;6(64):58862–58870. doi: 10.1039/C6RA01718E. [DOI] [Google Scholar]
- 24.Jansson J., Willing B., Lucio M., et al. Metabolomics reveals metabolic biomarkers of Crohn's disease. PLoS ONE. 2009;4(7) doi: 10.1371/journal.pone.0006386. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 25.Radhakutty A., Mangelsdorf B. L., Drake S. M., et al. Opposing effects of rheumatoid arthritis and low dose prednisolone on arginine metabolomics. Atherosclerosis. 2017;266:190–195. doi: 10.1016/j.atherosclerosis.2017.10.004. [DOI] [PubMed] [Google Scholar]
- 26.Zabek A., Swierkot J., Malak A., et al. Application of 1H NMR-based serum metabolomic studies for monitoring female patients with rheumatoid arthritis. Journal of Pharmaceutical and Biomedical Analysis. 2016;117:544–550. doi: 10.1016/j.jpba.2015.10.007. [DOI] [PubMed] [Google Scholar]
- 27.Wang Q., Xu R. MetabolitePredict: A de novo human metabolomics prediction system and its applications in rheumatoid arthritis. Journal of Biomedical Informatics. 2017;71:222–228. doi: 10.1016/j.jbi.2017.06.002. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 28.Patel S., Ahmed S. Emerging field of metabolomics: Big promise for cancer biomarker identification and drug discovery. Journal of Pharmaceutical and Biomedical Analysis. 2015;107:63–74. doi: 10.1016/j.jpba.2014.12.020. [DOI] [PubMed] [Google Scholar]
- 29.Kang J., Zhu L., Lu J., Zhang X. Application of metabolomics in autoimmune diseases: Insight into biomarkers and pathology. Journal of Neuroimmunology. 2015;279(C):25–32. doi: 10.1016/j.jneuroim.2015.01.001. [DOI] [PubMed] [Google Scholar]
- 30.Velenosi T. J., Hennop A., Feere D. A., et al. Untargeted plasma and tissue metabolomics in rats with chronic kidney disease given AST-120. Scientific Reports. 2016;6 doi: 10.1038/srep22526. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 31.Wishart D. S. Emerging applications of metabolomics in drug discovery and precision medicine. Nature Reviews Drug Discovery. 2016 doi: 10.1038/nrd.2016.32. [DOI] [PubMed] [Google Scholar]
- 32.Ried J. S., Baurecht H., Stückler F., et al. Integrative genetic and metabolite profiling analysis suggests altered phosphatidylcholine metabolism in asthma. Allergy: European Journal of Allergy and Clinical Immunology. 2013;68(5):629–636. doi: 10.1111/all.12110. [DOI] [PubMed] [Google Scholar]
- 33.Chang C., Guo Z.-G., He B., Yao W.-Z. Metabolic alterations in the sera of Chinese patients with mild persistent asthma: A GC-MS-based metabolomics analysis. Acta Pharmacologica Sinica. 2015;36(11):1356–1366. doi: 10.1038/aps.2015.102. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 34.Mastrangelo A., Ferrarini A., Rey-Stolle F., García A., Barbas C. From sample treatment to biomarker discovery: A tutorial for untargeted metabolomics based on GC-(EI)-Q-MS. Analytica Chimica Acta. 2015;900:21–35. doi: 10.1016/j.aca.2015.10.001. [DOI] [PubMed] [Google Scholar]
- 35.Pan H.-C., Kao T.-K., Ou Y.-C., et al. Protective effect of docosahexaenoic acid against brain injury in ischemic rats. The Journal of Nutritional Biochemistry. 2009;20(9):715–725. doi: 10.1016/j.jnutbio.2008.06.014. [DOI] [PubMed] [Google Scholar]
- 36.Pan P.-H., Lin S.-Y., Ou Y.-C., et al. Stearic acid attenuates cholestasis-induced liver injury. Biochemical and Biophysical Research Communications. 2010;391(3):1537–1542. doi: 10.1016/j.bbrc.2009.12.119. [DOI] [PubMed] [Google Scholar]
- 37.Nanji A. A., Jokelainen K., Tipoe G. L., Rahemtulla A., Dannenberg A. J. Dietary saturated fatty acids reverse inflammatory and fibrotic changes in rat liver despite continued ethanol administration. The Journal of Pharmacology and Experimental Therapeutics. 2001;299(2):638–644. [PubMed] [Google Scholar]
- 38.Nanji A. A., Zakim D., Rahemtulla A., et al. Dietary saturated fatty acids down-regulate cyclooxygenase-2 and tumor necrosis factor alfa and reverse fibrosis in alcohol-induced liver disease in the rat. Hepatology. 1997;26(6):1538–1545. doi: 10.1002/hep.510260622. [DOI] [PubMed] [Google Scholar]
- 39.Wang Z.-J., Liang C.-L., Li G.-M., Yu C.-Y., Yin M. Stearic acid protects primary cultured cortical neurons against oxidative stress. Acta Pharmacologica Sinica. 2007;28(3):315–326. doi: 10.1111/j.1745-7254.2007.00512.x. [DOI] [PubMed] [Google Scholar]
- 40.Nishitani Y., Okazaki S., Imabayashi K., et al. Saturated and monounsaturated fatty acids increase interleukin-10 production in rat hepatocytes. Nihon Arukōru Yakubutsu Igakkai zasshi = Japanese journal of alcohol studies & drug dependence. 2007;42(1):32–35. [PubMed] [Google Scholar]
- 41.Schaeffler A., Gross P., Buettner R., et al. Fatty acid-induced induction of Toll-like receptor-4/nuclear factor-κB pathway in adipocytes links nutritional signalling with innate immunity. The Journal of Immunology. 2009;126(2):233–245. doi: 10.1111/j.1365-2567.2008.02892.x. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 42.Ho W. E., Xu Y.-J., Xu F., et al. Anti-malarial drug artesunate restores metabolic changes in experimental allergic asthma. Metabolomics. 2015;11(2):380–390. doi: 10.1007/s11306-014-0699-x. [DOI] [Google Scholar]
- 43.Xu W., Ghosh S., Comhair S. A. A., et al. Increased mitochondrial arginine metabolism supports bioenergetics in asthma. The Journal of Clinical Investigation. 2016;126(7):2465–2481. doi: 10.1172/JCI82925. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 44.Meurs H., McKay S., Maarsingh H., et al. Increased arginase activity underlies allergen-induced deficiency of cNos-derived nitric oxide and airway hyperresponsiveness. British Journal of Pharmacology. 2002;136(3):391–398. doi: 10.1038/sj.bjp.0704725. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 45.Lara A., Khatri S. B., Wang Z., et al. Alterations of the arginine metabolome in asthma. American Journal of Respiratory and Critical Care Medicine. 2008;178(7):673–681. doi: 10.1164/rccm.200710-1542OC. [DOI] [PMC free article] [PubMed] [Google Scholar]
Associated Data
This section collects any data citations, data availability statements, or supplementary materials included in this article.
Data Availability Statement
The data used to support the findings of this study are available from the corresponding author upon request.



