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Metabolomic Profiling Reveals Biochemical Pathways and Biomarkers Associated with Pathogenesis in Cystic Fibrosis Cells
Authors:Diana R Wetmore  Elizabeth Joseloff  Joseph Pilewski  Douglas P Lee  Kay A Lawton  Matthew W Mitchell  Michael V Milburn  John A Ryals  and Lining Guo
Institution:From Cystic Fibrosis Foundation Therapeutics, Inc., Bethesda, Maryland 20814, ;the §Department of Medicine, University of Pittsburgh, Pittsburgh, Pennsylvania 15251, and ;Metabolon, Inc., Durham, North Carolina 27713
Abstract:Cystic fibrosis (CF) is a life-shortening disease caused by a mutation in the cystic fibrosis transmembrane conductance regulator (CFTR) gene. To gain an understanding of the epithelial dysfunction associated with CF mutations and discover biomarkers for therapeutics development, untargeted metabolomic analysis was performed on primary human airway epithelial cell cultures from three separate cohorts of CF patients and non-CF subjects. Statistical analysis revealed a set of reproducible and significant metabolic differences between the CF and non-CF cells. Aside from changes that were consistent with known CF effects, such as diminished cellular regulation against oxidative stress and osmotic stress, new observations on the cellular metabolism in the disease were generated. In the CF cells, the levels of various purine nucleotides, which may function to regulate cellular responses via purinergic signaling, were significantly decreased. Furthermore, CF cells exhibited reduced glucose metabolism in glycolysis, pentose phosphate pathway, and sorbitol pathway, which may further exacerbate oxidative stress and limit the epithelial cell response to environmental pressure. Taken together, these findings reveal novel metabolic abnormalities associated with the CF pathological process and identify a panel of potential biomarkers for therapeutic development using this model system.
Keywords:Cystic Fibrosis  Energy Metabolism  Metabolomics  Oxidative Stress  Purine
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