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Plasma acylcarnitines and gut-derived aromatic amino acids as sex-specific hub metabolites of the human aging metabolome
Authors:Joaquim Sol  Èlia Obis  Natalia Mota-Martorell  Irene Pradas  Jose Daniel Galo-Licona  Meritxell Martin-Garí  Anna Fernández-Bernal  Marta Ortega-Bravo  Jordi Mayneris-Perxachs  Consuelo Borrás  José Viña  Mónica de la Fuente  Ianire Mate  Carles Biarnes  Salvador Pedraza  Joan C. Vilanova  Ramon Brugada  Rafel Ramos  Joaquin Serena  Lluís Ramió-Torrentà  Víctor Pineda  Pepus Daunis-I-Estadella  Santiago Thió-Henestrosa  Jordi Barretina  Josep Garre-Olmo  Manuel Portero-Otin  José Manuel Fernández-Real  Josep Puig  Mariona Jové  Reinald Pamplona
Affiliation:1. Department of Experimental Medicine, University of Lleida-Lleida Biomedical Research Institute (UdL-IRBLleida), Lleida, Spain;2. Research Support Unit (USR) Lleida, Primary Care Services, Catalan Health Institute (ICS), Lleida, Spain

Fundació Institut Universitari per a la Recerca en Atenció Primària de Salut Jordi Gol i Gurina (IDIAP JGol), Lleida, Spain;3. Girona Biomedical Research Institute (IDIBGI), Hospital Universitari de Girona Dr Josep Trueta, Girona, Spain

Department of Nursing, University of Girona, Girona, Spain

Department of Diabetes, Endocrinology and Nutrition, IDIBGI, Hospital Universitari de Girona Dr Josep Trueta, Girona, Spain

CIBER Fisiopatología de la Obesidad y Nutrición (CIBERobn), Madrid, Spain;4. Freshage Research Group, Department of Physiology, Faculty of Medicine, University of Valencia, Centro de Investigación Biomédica en Red Fragilidad y Envejecimiento Saludable-Instituto de Salud Carlos III (CIBERFES-ISCIII), INCLIVA, Valencia, Spain;5. Department of Genetics, Physiology and Microbiology, Facultad de Ciencias Biológicas, Universidad Complutense de Madrid, Madrid, Spain;6. Girona Biomedical Research Institute (IDIBGI), Hospital Universitari de Girona Dr Josep Trueta, Girona, Spain

Department of Radiology (IDI), Hospital Universitari de Girona Dr Josep Trueta, Girona, Spain;7. Girona Biomedical Research Institute (IDIBGI), Hospital Universitari de Girona Dr Josep Trueta, Girona, Spain;8. Girona Biomedical Research Institute (IDIBGI), Hospital Universitari de Girona Dr Josep Trueta, Girona, Spain

Department of Nursing, University of Girona, Girona, Spain

Cardiovascular Genetics Center, CIBER-CV, IDIBGI, Girona, Spain;9. Girona Biomedical Research Institute (IDIBGI), Hospital Universitari de Girona Dr Josep Trueta, Girona, Spain

Department of Nursing, University of Girona, Girona, Spain

Vascular Health Research Group of Girona (ISV-Girona), Institut Universitari d'Investigació en Atenció Primària Jordi Gol (IDIAP Jordi Gol), Girona, Spain

Primary Care Services, Catalan Institute of Health (ICS), Girona, Spain;10. Girona Biomedical Research Institute (IDIBGI), Hospital Universitari de Girona Dr Josep Trueta, Girona, Spain

Department of Nursing, University of Girona, Girona, Spain

Department of Neurology, Hospital Universitari de Girona Dr Josep Trueta, Girona, Spain;11. Department of Computer Science, Applied Mathematics and Statistics, University of Girona, Girona, Spain;12. Institut Investigació Germans Trias i Pujol (IGTP), Comparative Medicine and Bioimage of Catalonia, Barcelona, Spain;13. Girona Biomedical Research Institute (IDIBGI), Hospital Universitari de Girona Dr Josep Trueta, Girona, Spain

Department of Nursing, University of Girona, Girona, Spain

Vascular Health Research Group of Girona (ISV-Girona), Institut Universitari d'Investigació en Atenció Primària Jordi Gol (IDIAP Jordi Gol), Girona, Spain

Abstract:Aging biology entails a cell/tissue deregulated metabolism that affects all levels of biological organization. Therefore, the application of “omic” techniques that are closer to phenotype, such as metabolomics, to the study of the aging process should be a turning point in the definition of cellular processes involved. The main objective of the present study was to describe the changes in plasma metabolome associated with biological aging and the role of sex in the metabolic regulation during aging. A high-throughput untargeted metabolomic analysis was applied in plasma samples to detect hub metabolites and biomarkers of aging incorporating a sex/gender perspective. A cohort of 1030 healthy human adults (45.9% females, and 54.1% males) from 50 to 98 years of age was used. Results were validated using two independent cohorts (1: n = 146, 53% females, 30–100 years old; 2: n = 68, 70% females, 19–107 years old). Metabolites related to lipid and aromatic amino acid (AAA) metabolisms arose as the main metabolic pathways affected by age, with a high influence of sex. Globally, we describe changes in bioenergetic pathways that point to a decrease in mitochondrial β-oxidation and an accumulation of unsaturated fatty acids and acylcarnitines that could be responsible for the increment of oxidative damage and inflammation characteristic of this physiological process. Furthermore, we describe for the first time the importance of gut-derived AAA catabolites in the aging process describing novel biomarkers that could contribute to better understand this physiological process but also age-related diseases.
Keywords:aging  aromatic amino acids  bioenergetics  liquid chromatography-mass spectrometry  metabolomics  sex/gender perspective
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