Table 1.
Metabolomic-based potential biomarkers of sepsis and the levels change of metabolites responding to three different interventions.
| No. | Metabolites | Theoretical mass (m/z) | Measured mass (m/z) | Delta (ppm) | RT (min) | Ion Mode | VIP | Fold Change (Model/Sham) | Fold Change (XBJ/Model) | Fold Change (BIPM/Model) |
Fold Change (COM/Model) | Classification |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1 | Lactic acid# | 89.02441 | 89.02436 | -0.644 | 1.15 | n | 1.63 | 1.83↑** | 0.55↓** | 0.55↓** | 0.59↓** | Organic acids |
| 2 | Choline | 104.10699 | 104.10700 | 0.090 | 0.88 | p | 1.42 | 2.15↑* | – | 0.53↓* | 0.51↓* | Organonitrogen compounds |
| 3 | Glyceric acid | 105.01933 | 105.01932 | -0.114 | 1.14 | n | 1.12 | 1.57↑* | – | – | – | Organic acids |
| 4 | Cytosine | 112.05053 | 112.05052 | -0.164 | 0.88 | p | 1.47 | 1.81↑** | – | 0.71↓* | 0.74↓* | Pyrimidines |
| 5 | Uracil | 113.03455 | 113.03449 | -0.566 | 1.14 | p | 1.37 | 3.41↑* | – | – | – | Pyrimidines |
| 6 | Creatinine# | 114.06618 | 114.06629 | 0.890 | 0.86 | p | 1.36 | 1.48↑** | – | – | 0.65↓** | other |
| 7 | 2-Oxovaleric acid | 115.04006 | 115.03997 | -0.847 | 2.48 | n | 1.24 | 1.34↑** | – | – | – | Organic acids |
| 8 | Betaine# | 118.08625 | 118.08626 | 0.041 | 0.89 | p | 1.18 | 0.44↓** | – | – | – | other |
| 9 | Nicotinamide# | 123.05528 | 123.05530 | 0.086 | 1.14 | p | 1.14 | 0.54↓* | – | – | 1.78↑* | other |
| 10 | Pyroglutamic acid† | 130.04986 | 130.05000 | 1.002 | 0.89 | p | 1.60 | 1.47↑** | 0.72↓** | 0.71↓** | 0.75↓* | Amino acids |
| 11 | 4-Oxoproline† | 128.03531 | 128.03531 | -0.050 | 1.15 | n | 1.56 | 1.74↑** | 0.67↓* | 0.59↓** | 0.63↓** | Amino acids |
| 12 | Pipecolic acid | 130.08625 | 130.08636 | 0.806 | 0.88 | p | 1.35 | 1.55↑** | – | – | – | Amino acids |
| 13 | Creatine# | 132.07675 | 132.07684 | 0.658 | 0.87 | p | 1.72 | 2.45↑** | – | 0.64↓* | 0.49↓** | Organic acids |
| 14 | 2-hydroxycaproic acid | 131.07136 | 131.07121 | -1.202 | 3.98 | n | 1.16 | 1.85↑* | – | 0.57↓* | 0.58↓* | Organic acids |
| 15 | Threonic acid | 135.02989 | 135.02983 | -0.493 | 0.90 | n | 1.71 | 1.77↑** | – | 0.58↓** | 0.60↓** | Organic acids |
| 16 | 3-Dehydroxycarnitine | 146.11755 | 146.11763 | 0.511 | 0.90 | p | 1.52 | 1.58↑** | – | – | 0.69↓** | other |
| 17 | Glutamine#† | 147.07641 | 147.07649 | 0.485 | 0.89 | p | 1.58 | 1.49↑** | 0.71↓** | 0.72↓** | 0.70↓** | Amino acids |
| 18 | β-Ureidoisobutyric acid† | 147.07641 | 147.07652 | 0.689 | 0.89 | p | 1.50 | 1.46↑** | 0.73↓* | 0.72↓** | 0.72↓** | Organic acids |
| 19 | Lysine# | 147.11280 | 147.11284 | 0.243 | 0.75 | p | 1.40 | 1.58↑** | – | – | 0.68↓** | Amino acids |
| 20 | Glutamate#† | 146.04588 | 146.04597 | 0.609 | 0.90 | n | 1.33 | 1.81↑* | 0.57↓* | 0.55↓* | 0.64↓* | Amino acids |
| 21 | Methionine#† | 150.05832 | 150.05843 | 0.694 | 1.14 | p | 1.70 | 1.64↑** | – | 0.73↓** | 0.69↓** | Amino acids |
| 22 | Allantoin† | 157.03671 | 157.03656 | -0.977 | 0.90 | n | 1.12 | 1.58↑* | 0.58↓* | – | 0.62↓* | other |
| 23 | 3-Dehydrocarnitine | 158.08226 | 158.08223 | -0.231 | 3.89 | n | 1.07 | 0.30↓* | – | – | – | other |
| 24 | 2-Hydroxycinnamic acid# | 165.05462 | 165.05475 | 0.784 | 1.16 | p | 1.04 | 1.36↑* | – | 0.71↓* | 0.76↓* | Organic acids |
| 25 | Phenylalanine#† | 166.08625 | 166.08633 | 0.451 | 1.95 | p | 1.07 | 1.34↑* | – | 0.66↓* | 0.70↓* | Amino acids |
| 26 | Uric acid#† | 169.03561 | 169.03566 | 0.257 | 1.14 | p | 1.42 | 6.08↑* | 0.30↓* | – | 0.26↓* | Organic acids |
| 27 | 1-Methylhistidine | 170.09240 | 170.09254 | 0.805 | 0.77 | p | 1.55 | 2.54↑* | – | 0.59↓* | 0.44↓** | Amino acids |
| 28 | Hippuric acid#† | 178.05096 | 178.05099 | 0.132 | 3.73 | n | 1.32 | 0.19↓** | – | – | 2.45↑* | Organic acids |
| 29 | Inositol | 179.05611 | 179.05617 | 0.328 | 0.94 | n | 1.15 | 0.63↓* | – | – | 1.56↑* | other |
| 30 | Tyrosine#† | 182.08116 | 182.08131 | 0.770 | 1.15 | p | 1.04 | 1.36↑* | – | 0.71↓* | 0.76↓* | Amino acids |
| 31 | Phosphorylcholine | 184.07332 | 184.07318 | -0.766 | 7.96 | p | 1.45 | 0.71↓** | – | 1.31↑* | 1.41↑** | Organonitrogen compounds |
| 32 | 5-Hydroxyisourate | 183.01597 | 183.01587 | -0.590 | 1.14 | n | 1.53 | 4.99↑* | 0.42↓* | 0.39↓* | 0.36↓** | Organic acids |
| 33 | Indoleacrylic acid | 186.05605 | 186.05608 | 0.151 | 5.18 | n | 1.19 | 0.15↓** | 2.62↑* | – | 4.56↑* | Indole derivatives |
| 34 | N6,N6,N6-Trimethyl-L-lysine | 189.15975 | 189.15982 | 0.347 | 0.80 | p | 1.58 | 2.29↑** | – | 0.45↓** | 0.52↓** | Amino acids |
| 35 | Citric acid# | 191.01972 | 191.01987 | 0.755 | 1.12 | n | 1.15 | 0.47↓* | – | 1.81↑* | 1.90↑* | Organic acids |
| 36 | Acetyl-L-carnitine# | 204.12303 | 204.12308 | 0.223 | 1.13 | p | 1.35 | 1.45↑** | – | – | 0.60↓** | Acyl carnitine |
| 37 | Lipoic acid | 207.05079 | 207.05067 | -0.617 | 0.79 | p | 1.71 | 2.39↑** | 0.69↓* | 0.70↓* | 0.54↓** | Organic acids |
| 38 | N-Acetyl-L-phenylalanine† | 206.08226 | 206.08238 | 0.550 | 4.40 | n | 1.08 | 0.61↓* | – | – | – | Amino acids |
| 39 | 3-Oxododecanoic acid | 213.14961 | 213.14978 | 0.761 | 6.98 | n | 1.44 | 4.16↑* | 0.38↓* | – | 0.40↓* | Free fatty acids |
| 40 | 12-Hydroxydodecanoic acid | 215.16526 | 215.16531 | 0.196 | 7.49 | n | 1.06 | 1.86↑* | – | – | – | Free fatty acids |
| 41 | Prolylleucine | 229.15466 | 229.15454 | -0.563 | 0.90 | p | 1.26 | 2.75↑* | – | – | – | Amino acids |
| 42 | Pseudouridine† | 243.06225 | 243.06239 | 0.538 | 0.90 | n | 1.43 | 1.86↑** | – | 0.65↓* | 0.59↓* | other |
| 43 | 3-hydroxybutyrylcarnitine | 248.14924 | 248.14923 | -0.078 | 1.15 | p | 1.13 | 1.53↑* | – | – | 0.56↓** | Acyl carnitine |
| 44 | Hexanoylcarnitine | 260.18563 | 260.18576 | 0.481 | 4.37 | p | 1.68 | 3.01↑** | 0.73↓* | 0.54↓* | 0.40↓** | Acyl carnitine |
| 45 | Neuraminic acid† | 266.08813 | 266.08823 | 0.339 | 0.88 | n | 1.71 | 3.03↑** | – | 0.54↓* | 0.34↓** | Organic acids |
| 46 | His-asp | 269.08914 | 269.08789 | -4.656 | 0.89 | n | 1.63 | 2.37↑** | 0.55↓* | 0.45↓** | 0.44↓** | Amino acids |
| 47 | Juniperic acid | 271.22786 | 271.22806 | 0.707 | 9.67 | n | 1.48 | 1.54↑** | 0.82↓* | – | 0.74↓* | Free fatty acids |
| 48 | Methyl aspartylphenylalaninate† | 295.12884 | 295.12888 | 0.108 | 3.53 | p | 1.40 | 1.79↑* | – | 0.59↓* | 0.55↓* | Amino acids |
| 49 | Sphingosine# | 300.28970 | 300.28952 | -0.619 | 7.32 | p | 1.21 | 0.32↓** | 2.16↑** | – | 2.77↑* | Sphingolipids |
| 50 | Sphinganine | 302.30535 | 302.30524 | -0.384 | 7.08 | p | 1.30 | 0.75↓** | 1.16↑* | – | 1.24↑* | Sphingolipids |
| 51 | Arachidonic acid# | 303.23295 | 303.23315 | 0.648 | 9.78 | n | 1.21 | 1.30↑** | 0.81↓* | – | 0.83↓* | Free fatty acids |
| 52 | N-Acetylneuraminic acid | 308.09870 | 308.09891 | 0.668 | 0.95 | n | 1.70 | 7.06↑** | – | 0.37↓* | 0.20↓** | Organic acids |
| 53 | Docosahexaenoic acid# | 327.23295 | 327.23325 | 0.906 | 9.62 | n | 1.50 | 1.94↑** | 0.74↓* | – | 0.64↓* | Free fatty acids |
| 54 | Trihydroxy octadecenoic acid | 329.23334 | 329.23315 | -0.600 | 5.90 | n | 1.36 | 2.41↑* | 0.44↓* | 0.41↓* | 0.56↓* | Free fatty acids |
| 55 | Docosapentaenoic acid# | 329.24860 | 329.24881 | 0.627 | 10.02 | n | 1.08 | 1.99↑* | 0.53↓* | – | 0.58↓* | Free fatty acids |
| 56 | 3-Indole carboxylic acid glucuronide† | 336.07248 | 336.07285 | 1.072 | 3.61 | n | 1.05 | 0.08↓* | – | – | 5.13↑* | other |
| 57 | 5-Hydroxy-6-methoxyindole glucuronide† | 338.08813 | 338.08853 | 1.154 | 3.86 | n | 1.28 | 0.07↓** | – | – | – | other |
| 58 | N-Acetyl-4-O-Acetylneuraminate† | 350.10926 | 350.10959 | 0.917 | 1.15 | n | 1.52 | 11.90↑* | – | – | 0.11↓* | Organic acids |
| 59 | Tetradecenoylcarnitine | 370.29518 | 370.29489 | -0.797 | 7.05 | p | 1.23 | 2.04↑** | 1.60↑* | – | – | Acyl carnitine |
| 60 | Ursodeoxycholic acid† | 391.28538 | 391.28583 | 1.142 | 7.02 | n | 1.37 | 3.05↑** | 0.41↓* | – | 0.36↓** | Bile acids |
| 61 | Deoxycholic acid#† | 391.28538 | 391.28580 | 1.066 | 7.65 | n | 1.21 | 3.21↑** | 0.31↓* | – | 0.31↓* | Bile acids |
| 62 | Hexadecenoylcarnitine | 398.32648 | 398.32642 | -0.164 | 7.54 | p | 1.42 | 2.15↑** | 0.72↓* | – | 0.64↓* | Acyl carnitine |
| 63 | Palmitoylcarnitine# | 400.34213 | 400.34189 | -0.613 | 7.94 | p | 1.45 | 2.23↑** | 0.74↓* | – | 0.60↓* | Acyl carnitine |
| 64 | Linoleyl carnitine | 424.34213 | 424.34198 | -0.366 | 7.70 | p | 1.37 | 1.87↑** | 0.76↓* | 0.68↓* | 0.66↓* | Acyl carnitine |
| 65 | Oleoylcarnitine | 426.35778 | 426.35764 | -0.341 | 8.04 | p | 1.37 | 2.28↑** | – | – | – | Acyl carnitine |
| 66 | Stearoylcarnitine | 428.37343 | 428.37335 | -0.200 | 8.40 | p | 1.48 | 2.63↑** | – | – | – | Acyl carnitine |
| 67 | Chenodeoxyglycocholic acid† | 448.30684 | 448.30734 | 1.100 | 6.83 | n | 1.44 | 4.79↑** | 0.37↓* | – | 0.31↓** | Bile acids |
| 68 | LysoPE(18:0)† | 482.32411 | 482.32391 | -0.427 | 8.05 | p | 1.22 | 0.31↓** | – | 1.89↑* | 2.85↑** | Glycerophospholipids |
| 69 | LysoPC(O-16:0) | 482.36050 | 482.36060 | 0.205 | 8.73 | p | 1.10 | 0.80↓* | – | 1.34↑* | 1.32↑* | Glycerophospholipids |
| 70 | LysoPC(16:0) | 496.33976 | 496.33972 | -0.092 | 8.49 | p | 1.21 | 0.79↓** | – | – | 1.16↑* | Glycerophospholipids |
| 71 | LysoPE(20:4)† | 502.29281 | 502.29251 | -0.609 | 8.07 | p | 1.31 | 1.57↑** | – | – | 0.69↓* | Glycerophospholipids |
| 72 | LysoPE(20:3)† | 504.30846 | 504.30826 | -0.408 | 8.38 | p | 1.17 | 0.21↓* | – | – | 3.74↑** | Glycerophospholipids |
| 73 | LysoPC(17:0) | 510.35541 | 510.35541 | -0.012 | 8.93 | p | 1.48 | 0.45↓** | 1.17↑* | 1.55↑* | 2.13↑** | Glycerophospholipids |
| 74 | LysoPC(18:3) | 518.32411 | 518.32416 | 0.085 | 7.73 | p | 1.34 | 0.75↓** | – | – | – | Glycerophospholipids |
| 75 | LysoPC(18:2) | 520.33976 | 520.33984 | 0.143 | 8.11 | p | 1.36 | 0.68↓** | – | – | 1.38↑* | Glycerophospholipids |
| 76 | LysoPC(18:1) | 522.35541 | 522.35553 | 0.218 | 8.68 | p | 1.16 | 0.66↓* | 1.27↑* | 1.28↑* | 1.50↑* | Glycerophospholipids |
| 77 | LysoPE(22:6)† | 526.29281 | 526.29272 | -0.182 | 8.02 | p | 1.13 | 0.75↓* | 1.98↑** | 1.64↑* | 1.74↑** | Glycerophospholipids |
| 78 | LysoPC(20:5) | 542.32411 | 542.32410 | -0.029 | 7.64 | p | 1.41 | 0.68↓** | – | 1.27↑* | 1.31↑* | Glycerophospholipids |
| 79 | LysoPC(20:4) | 544.33976 | 544.33936 | -0.746 | 8.09 | p | 1.68 | 0.65↓** | – | 1.35↑** | 1.43↑** | Glycerophospholipids |
| 80 | LysoPC(20:2) | 548.37106 | 548.37091 | -0.284 | 8.86 | p | 1.21 | 0.42↓** | 1.34↑* | 1.63↑* | 2.25↑* | Glycerophospholipids |
| 81 | Taurolithocholic acid-3-sulfate | 562.25138 | 562.25158 | 0.356 | 13.50 | n | 1.74 | 13.29↑** | – | – | – | Bile acids |
| 82 | LysoPC(22:4) | 572.37106 | 572.37103 | -0.063 | 8.70 | p | 1.23 | 0.60↓** | 1.27↑* | 1.34↑* | 1.52↑** | Glycerophospholipids |
| 83 | LysoPI(20:4) | 619.28888 | 619.28912 | 0.377 | 13.50 | n | 1.66 | 0.52↓** | 1.61↑** | 1.51↑* | 1.62↑* | Glycerophospholipids |
| 84 | PC(16:0/18:2) | 758.56943 | 758.56940 | -0.041 | 13.42 | p | 1.29 | 1.51↑** | – | – | – | Glycerophospholipids |
| 85 | PC(16:0/18:1) | 760.58508 | 760.58337 | -2.250 | 13.48 | p | 1.50 | 0.38↓** | – | – | – | Glycerophospholipids |
| 86 | PC(18:3/18:2) | 780.55378 | 780.55139 | -3.064 | 13.42 | p | 1.39 | 2.38↑* | – | – | 0.63↓* | Glycerophospholipids |
| 87 | PC(18:1/18:2) | 784.58508 | 784.58270 | -3.035 | 13.52 | p | 1.62 | 4.31↑** | 0.54↓* | 0.61↓* | 0.61↓* | Glycerophospholipids |
| 88 | PC(18:0/18:2) | 786.60073 | 786.60071 | -0.027 | 13.44 | p | 1.25 | 1.56↑** | 0.81↓* | 0.75↓* | 0.82↓* | Glycerophospholipids |
| 89 | PC(16:0/22:6) | 806.56943 | 806.56696 | -3.064 | 13.42 | p | 1.08 | 1.21↑* | – | – | – | Glycerophospholipids |
| 90 | PC(16:0/22:5) | 808.58508 | 808.58246 | -3.242 | 13.41 | p | 1.24 | 1.91↑** | 0.69↓* | 0.71↓* | 0.67↓* | Glycerophospholipids |
| 91 | PC(18:0/22:6) | 834.60073 | 834.60034 | -0.469 | 13.53 | p | 1.39 | 3.12↑* | – | – | – | Glycerophospholipids |
#metabolites were identified by reference standards; †metabolites were detected in both negative and positive ion modes; *p values < 0.05; **p values < 0.01; RT, retention time; VIP, variable importance in the projection obtained from Model group vs. Sham group; XBJ, xuebijing injection; BIPM, biapenem; COM, combination of xuebijing injection and biapenem; LysoPE, lysophosphatidylethanolamine; LysoPC, lysophosphatidylcholine; LysoPI, lysophosphatidylinositol; PC, phosphatidylcholine; p, positive ion mode; n, negative ion mode.