

浏览全部资源
扫码关注微信
云南中医药大学,昆明 650500
Received:29 June 2019,
Published Online:09 October 2019,
Published:20 January 2020
移动端阅览
Shuai CHEN, Shan-shan WEI, Yong JIA, et al. Overview of Metabolomics in Research of Hypertension[J]. Chinese journal of experimental traditional medical formulae, 2020, 26(2): 210-217.
Shuai CHEN, Shan-shan WEI, Yong JIA, et al. Overview of Metabolomics in Research of Hypertension[J]. Chinese journal of experimental traditional medical formulae, 2020, 26(2): 210-217. DOI: 10.13422/j.cnki.syfjx.20200240.
高血压是一种最常见的慢性病,是多种心、脑血管疾病的重要危险因素。由于其多基因、多因素及异质性的特征,病理机制尚未完全阐明,也未收到令人完全满意的疗效。代谢组学以整体的视角对生物体的代谢网络变化进行研究,并将代谢物与生物过程关联起来,揭示机体变化。近年来,研究者们将代谢组学方法运用于高血压的研究,分别从发病机制、潜在生物标志物、生活方式干预的影响、降压药物起效机制等方面,以人或动物的血液、尿液或组织中代谢产物为研究对象,运用非靶向或靶向的思路开展研究。肠道菌群、氧化应激、脂肪酸、氨基酸等代谢通路成为新的关注点,由此发现的代谢物(组)有可能作为潜在的生物标志物,进一步成为高血压早期诊断的依据以及治疗的靶点。此外,中医药无论在辨证或者治疗上都是一个整体复杂系统,代谢组学与之十分契合,中医药工作者也将该方法运用于高血压中医辨证分型的生物学基础及降压中药作用机制的阐明。不同证型之间代谢物组有明显差异,中药治疗可以在很大程度上恢复高血压带来的代谢物扰动,这很可能是中药降压的药理途径之一。近年来高血压代谢组学研究已取得诸多进展,但在数据分析与整合(不同研究之间、不同组学之间)及因果关系的探讨等方面仍面临挑战。
Hypertension is one of the most common chronic diseases
also an important risk factor for a series of cardio-and cerebra-vascular diseases. Due to its polygenic
multi-factorial nature and heterogeneity
the underlying cause has not been fully elucidated
satisfied therapeutic effect hasn't been totally achieved either. Metabolomics is used to evaluate metabolic changes of organisms from a holistic perspective
associating with biological processes to reveal the whole situation of the body. In recent years
researchers have used metabolomics to study the pathogenesis of hypertension
potential biomarkers
effects of lifestyle interventions
and mechanisms of antihypertensive drugs. Targeted or untargeted ways are applied to study metabolites form blood
urine
or tissues of human or animals. Metabolic pathways of gut microflora
oxidative stress
fatty acids
and amino acids have drawn more attention
and the discovered metabolites may become potential biomarkers
further the diagnostic biomarkers and treatment targets. In addition
traditional Chinese medicine (TCM) is an integrated complex system in syndrome diagnosis and treatment
and metabolomics coincides well with the concepts of it. TCM researchers also use this method to study the biological basis of syndromes in hypertension and the mechanism of antihypertensive Chinese medicine. There are significant differences in the metabolites between different syndromes. TCM treatments can restore the metabolite disturbance caused by high pressure
which is probably one of the pharmacological pathways of antihypertensive Chinese medicine. Metabolomic studies in hypertension have achieved great progress
but there're still challenges in data analysis
integration with other metabolomic studies and other omic studies and causal relationship in further study.
Anon . Global,regional,and national comparative risk assessment of 79 behavioural,environmental and occupational,and metabolic risks or clusters of risks,1990-2015:a systematic analysis for the global burden of disease study 2015 [J]. Lancet , 2016 , 388 ( 10053 ): 1659 - 1724 .
J K Nicholson , J C Lindon . Systems biology:metabonomics [J]. Nature , 2008 , 455 ( 7216 ): 1054 - 1056 .
B M Pannier , M S Cambillau , V Vellaud , et al . Abnormalities of lipid metabolism and arterial rigidity in young subjects with borderline hypertension [J]. Clin Invest Med , 1994 , 17 ( 1 ): 42 - 51 .
E Falaschetti , M Chaudhury , J Mindell , et al . Continued improvement in hypertension management in England:results from the health survey for England 2006 [J]. Hypertension , 2009 , 53 ( 3 ): 480 - 486 .
C Menni , D Graham , Kastenmuller , et al . Metabolomic identification of a novel pathway of blood pressure regulation involving hexadecanedioate novelty and significance [J]. Hypertension , 2015 , 66 ( 2 ): 422 - 429 .
J LI , F Q ZHAO , Y D WANG , et al . Gut microbiota dysbiosis contributes to the development of hypertension [J]. Microbiome , 2017 , 5 ( 1 ): 14 .
J Miyamoto , M Kasubuchi , A Nakajima , et al . The role of short-chain fatty acid on blood pressure regulation [J]. Curr Opin Nephrol Hypertens , 2016 , 25 ( 5 ): 379 - 383 .
M Ufnal , R Jazwiec , M Dadlez , et al . Trimethylamine-N-Oxide:a carnitine-derived metabolite that prolongs the hypertensive effect of angiotensin Ⅱ in rats [J]. Can J Cardiol , 2014 , 30 ( 12 ): 1700 - 1705 .
W Renata , Y M Arlette , S L Wiktoria , et al . Untargeted metabolomics provides insight into mechanisms underlying resistant hypertension [J]. Curr Med Chem , 2019 , 26 ( 1 ): 232 - 243 .
H ZHAN , Y J LIU , Z LI , et al . Identification of essential hypertension biomarkers in human urine by non-targeted metabolomics based on UPLC-Q-TOF/MS [J]. Clin Chim Acta , 2018 , 486 : 192 - 198 .
Q R BAI , B H PENG , X WU , et al . Metabolomic study for essential hypertension patients based on dried blood spot mass spectrometry approach [J]. Iubmb Life , 2018 , 70 ( 8 ): 777 - 785 .
C F KE , X H ZHU , Y X ZHANG , et al . Metabolomic characterization of hypertension and dyslipidemia [J]. Metabolomics , 2018 , 14 ( 9 ): 117 .
K Ameta , A Gupta , S Kumar , et al . Essential hypertension:a filtered serum based metabolomics study [J]. Sci Rep , 2017 , 7 ( 1 ): 2153 .
M X YANG , Z YU , S F DENG , et al . A Targeted metabolomics MRM-MS study on identifying potential hypertension biomarkers in Human plasma and evaluating acupuncture effects [J]. Sci Rep , 2016 , 6 : 25871 .
S Dietrich , A Floegel , C Weikert , et al . Identification of serum metabolites associated with incident hypertension in the european prospective investigation into cancer and nutrition-potsdam study [J]. Hypertension , 2016 , 68 ( 2 ): 471 - 477 .
L WANG , E T HOU , L J WANG , et al . Reconstruction and analysis of correlation networks based on GC-MS metabolomics data for young hypertensive men [J]. Anal Chim Acta , 2015 , 854 : 95 - 105 .
C A Van Deventer , J Z Lindeque , P J J Van Rensburg , et al . Use of metabolomics to elucidate the metabolic perturbation associated with hypertension in a black South African male cohort:the SABPA study [J]. J Am Soc Hypertens , 2015 , 9 ( 2 ): 104 - 114 .
L ZHONG , J P ZHANG , A G Nuermaimaiti , et al . Study on plasmatic metabolomics of Uygur patients with essential hypertension based on nuclear magnetic resonance technique [J]. Eur Rev Med Pharmaco , 2014 , 18 ( 23 ): 3673 - 3680 .
K Minjoo , J Saem , K S Yeon , et al . Prehypertension-associated elevation in circulating lysophosphatidlycholines,Lp-PLA2 activity,and oxidative stress [J]. PLoS One , 2014 , 9 : e96735 .
K Ameta , A Gupta , S Kumar , et al . Essential hypertension:a filtered serum based metabolomics study [J]. Sci Rep , 2017 , 7 : 2153 .
J Stamler , P Elliott , B Dennis , et al . Intermap:background,aims,design,methods,and descriptive statistics (nondietary) [J]. J Hum Hypertens , 2003 , 17 : 591 - 608 .
E Holmes , R L Loo , J Stamler , et al . Human metabolic phenotype diversity and its association with diet and blood pressure [J]. Nature , 2008 , 453 ( 7193 ): 396 - 400 .
A Derkach , J Sampson , J Joseph , et al . Effects of dietary sodium on metabolites:the dietary approaches to stop hypertension (DASH)-sodium feeding study [J]. Am J Clin Nutr , 2017 , 106 : 1131 - 1141 .
A V Mathew , E M Seymour , J Byun , et al . Altered metabolic profile with sodium-restricted dietary approaches to stop hypertension diet in hypertensive heart failure with preserved ejection fraction [J]. J Card Fail , 2015 , 21 : 963 - 967 .
D Sleiman , M R Al-Badri , S T Azar . Effect of mediterranean diet in diabetes control and cardiovascular risk modification:a systematic review [J]. Front Public Health , 2015 , 3 : 69 .
R L Loo , X ZOU , L J Appel , et al . Characterization of metabolic responses to healthy diets and association with blood pressure:application to the optimal macronutrient intake trial for heart health (OmniHeart),a randomized controlled study [J]. Am J Clin Nutr , 2018 , 107 : 323 - 334 .
Y CHENG , H Y SONG , X Q PAN , et al . Urinary metabolites associated with blood pressure on a low-or high-sodium diet [J]. Theranostics , 2018 , 8 : 1468 - 1480 .
蒋海强 , 李运伦 , 解君 . 基于高效液相色谱-飞行时间质谱技术的高血压病肝阳上亢证尿液代谢组学研究 [J]. 中国中西医结合杂志 , 2012 , 32 ( 3 ): 333 - 337 .
杨传华 , 林家茂 , 解君 , 等 . 高血压病肝阳上亢证、阴阳两虚证代谢物差异研究 [J]. 中国中西医结合杂志 , 2012 , 32 ( 9 ): 1204 - 1207 .
吴天敏 , 陈金水 , 薛文娟 , 等 . 中青年高血压病痰湿壅盛证患者血清样品代谢组学分析 [J]. 中国中医药信息杂志 , 2016 , 23 ( 10 ): 21 - 25 .
Y L LI , L NIE , H Q JIANG , et al . Metabonomics study of essential hypertension and its Chinese medicine subtypes by using gas chromatography-mass spectrometry and nuclear magnetic resonance spectroscopy [J]. Evid-Based Compl Alt , 2013 , doi: 10.1155/2013/625906 http://dx.doi.org/10.1155/2013/625906 .
蒋海强 , 马斌 , 聂磊 , 等 . 高血压病肝阳上亢证患者尿液样品的核磁共振谱代谢组学研究 [J]. 浙江中医药大学学报 , 2011 , 35 ( 5 ): 662 - 664,669 .
T P Hiltunen , J M Rimpelä , R P Mohney , et al . Effects of four different antihypertensive drugs on plasma metabolomic profiles in patients with essential hypertension [J]. PLoS One , 2017 , 12 : e0187729 .
E l Altmaier , G Fobo , M Heier , et al . Metabolomics approach reveals effects of antihypertensives and lipid-lowering drugs on the human metabolism [J]. Eur J Epidemiol , 2014 , 29 ( 5 ): 325 - 336 .
C J HE , Y B LIU , Y C WANG , et al . H NMR based pharmacometabolomics analysis of metabolic phenotype on predicting metabolism characteristics of losartan in healthy volunteers [J]. J Chromatogr B , 2018 , 1095 : 15 - 23 .
M H Shahin , Y GONG , C W McDonough , et al . A Genetic response score for hydrochlorothiazide use:insights from genomics and metabolomics integration [J]. Hypertension , 2016 , 68 : 621 - 629 .
D M Rotroff , M H Shahin , S B Gurley , et al . Pharmacometabolomic assessments of atenolol and hydrochlorothiazide treatment reveal novel drug response phenotypes [J]. CPT Pharmacometrics Syst Pharmacol , 2015 , 4 ( 11 ): 669 - 679 .
J Y AA , G J WANG , H P HAO , et al . Differential regulations of blood pressure and perturbed metabolism by total ginsenosides and conventional antihypertensive agents in spontaneously hypertensive rats [J]. Acta Pharmacol Sin , 2010 , 31 ( 8 ): 930 - 937 .
H Q JIANG , L NIE , L LI , et al . Application of ultra-performance liquid chromatography coupled with mass spectrometry to metabonomic study on spontaneously hypertensive rats and intervention effects of Ping Gan prescription [J]. J Sep Sci , 2012 , 35 ( 4 ): 483 - 489 .
K Akira , H Hichiya , M Morita , et al . Metabonomic study on the biochemical response of spontaneously hypertensive rats to chronic taurine supplementation using 1H NMR spectroscopic urinalysis [J]. J Pharm Biomed Anal , 2013 , 85 : 155 - 161 .
H Q JIANG , Z Z SHEN , Y J CHU , et al . Serum metabolomics research of the anti-hypertensive effects of Tengfu Jiangya tablet on spontaneously hypertensive rats [J]. J Chromatogr B Analyt Technol Biomed Life Sci , 2015 , 1002 : 210 - 217 .
Y J CHU , H Q JIANG , J Q JU , et al . A metabolomic study using HPLC-TOF/MS coupled with ingenuity pathway analysis:intervention effects of Rhizoma Alismatis on spontaneous hypertensive rats [J]. J Pharm Biomed Anal , 2016 , 117 : 446 - 452 .
W Q YANG , Y DENG , H L ZHOU , et al . Metabolic characteristics of Rhizoma Coptidis intervention in spontaneously hypertensive rats:insights gained from metabolomics analysis of serum [J]. Mol Med Rep , 2017 , 16 ( 4 ): 4301 - 4308 .
A N LIU , Y J CHU , X M WANG , et al . Serum metabolomics study based on LC-MS and antihypertensive effect of on spontaneously hypertensive rats [J]. Evid-Based Compl Alt , 2018 , doi: 10.1155/2018/9281946 http://dx.doi.org/10.1155/2018/9281946 .
Y P TIAN , F JIANG , Y L LI , et al . Evaluation of the anti-hypertensive effect of Tengfu Jiangya tablet by combination of UPLC-Q-exactive-MS-based metabolomics and iTRAQ-based proteomics technology [J]. Biomed Pharmacother , 2018 , 100 : 324 - 334 .
X W ZHENG , X X LI , M CHEN , et al . The protective role of hawthorn fruit extract against high salt-induced hypertension in Dahl salt-sensitive rats:impact on oxidative stress and metabolic patterns [J]. Food Funct , 2019 , 10 : 849 - 858 .
0
Views
19
下载量
5
CSCD
Publicity Resources
Related Articles
Related Author
Related Institution
京公网安备11010802024621