(A) Human newborn cord blood was stimulated in vitro with vehicle control (saline) or BCG for 18 h. The extracellular fluid (90% plasma v/v) was collected by centrifugation for metabolomics analysis as described in STAR Methods. The principal-component analysis demonstrated a marked separation of metabolites between BCG-stimulated and vehicle-stimulated newborn samples, as indicated by the ellipses.
(B) Unsupervised hierarchical clustering revealed major differences between treatments. BCG stimulation of blood was associated with a reduction in many metabolites, especially in the lipid pathway. Each column represents individual samples; BCG-stim denotes BCG-stimulated blood; control denotes vehicle control.
(C) Top 50 enrichment overview based on metabolite set enrichment analysis (MSEA; MetaboAnalyst) highlighted pathways that were prominently altered after BCG stimulation, including those relating to the glucose-alanine cycle, lactose, and sphingolipid metabolism. Fold enrichment was calculated by dividing the observed number of hits by the expected number of hits of the overrepresented pathway. MSEA calculates a hypergeometric test score employing a cumulative binomial distribution based on the probability of seeing at least a particular number of metabolites with the biological term of interest in a given compound list.
(D) The volcano plot illustrated BCG-induced changes in metabolites as compared with vehicle control. Red color represents significant (p < 0.05), pink marginally significant (p < 0.1–p > 0.05), and gray non-significant lipids.