Tear metabolomics for the diagnosis of primary open-angle glaucoma

Primary Open-Angle Glaucoma (POAG) is the most prevalent glaucoma type, and the leading cause of irreversible visual impairment and blindness worldwide. Identification of early POAG biomarkers is of enormous value, as there is not an effective treatment for the glaucomatous optic nerve degeneration...

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Authors: Botello-Marabotto, M; Martinez-Bisbal, MC; Piazo-Duran, MD; Martinez-Manez, R
Format: Article
Status:Published version
Publication date:2024
Country:España
Institution:Centro de Investigación Principe Felipe (CIPF)
Repository:r-CIPF. Repositorio Institucional Producción Científica del Centro de Investigación Principe Felipe (CIPF)
OAI Identifier:oai:cipf.fundanetsuite.com:p4356
Online Access:https://cipf.fundanetsuite.com/Publicaciones/ProdCientif/PublicacionFrw.aspx?id=4356
Access Level:Open access
Keyword:Primary open angle glaucoma
Metabolomics
1 H NMR spectroscopy
Biomarkers
Diagnosis
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author Botello-Marabotto, M
author2 Martinez-Bisbal, MC
Piazo-Duran, MD
Martinez-Manez, R
author2_role author
author
author
author_browse Botello-Marabotto, M
Martinez-Bisbal, MC
Martinez-Manez, R
Piazo-Duran, MD
author_facet Botello-Marabotto, M
Martinez-Bisbal, MC
Piazo-Duran, MD
Martinez-Manez, R
author_role author
collection r-CIPF. Repositorio Institucional Producción Científica del Centro de Investigación Principe Felipe (CIPF)
description Primary Open-Angle Glaucoma (POAG) is the most prevalent glaucoma type, and the leading cause of irreversible visual impairment and blindness worldwide. Identification of early POAG biomarkers is of enormous value, as there is not an effective treatment for the glaucomatous optic nerve degeneration (OND). In this pilot study, a metabolomic analysis, by using proton (1H) nuclear magnetic resonance (NMR) spectroscopy was conducted in tears, in order to determine the changes of specific metabolites in the initial glaucoma eyes and to discover potential diagnostic biomarkers. A classification model, based on the metabolomic fingerprint in tears was generated as a non-invasive tool to support the preclinical and clinical POAG diagnosis. 1H NMR spectra were acquired from 30 tear samples corresponding to the POAG group (n = 11) and the control group (n = 19). Data were analysed by multivariate statistics (partial least squares-discriminant analysis: PLS-DA) to determine a model capable of differentiating between groups. The whole data set was split into calibration (65%)/validation (35%), to test the performance and the ability for glaucoma discrimination. The calculated PLS-DA model showed an area under the curve (AUC) of 1, as well as a sensitivity of 100% and a specificity of 83.3% to distinguish POAG group versus control group tear data. This model included 11 metabolites, potential biomarkers of the disease. When comparing the study groups, a decrease in the tear concentration of phenylalanine, phenylacetate, leucine, n-acetylated compounds, formic acid, and uridine, was found in the POAG group. Moreover, an increase in the tear concentration of taurine, glycine, urea, glucose, and unsaturated fatty acids was observed in the POAG group. These results highlight the potential of tear metabolomics by 1H NMR spectroscopy as a non-invasive approach to support early POAG diagnosis and in order to prevent visual loss.
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instname_str Centro de Investigación Principe Felipe (CIPF)
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publishDate 2024
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reponame_str r-CIPF. Repositorio Institucional Producción Científica del Centro de Investigación Principe Felipe (CIPF)
spelling Tear metabolomics for the diagnosis of primary open-angle glaucoma Botello-Marabotto, M Martinez-Bisbal, MC Piazo-Duran, MD Martinez-Manez, R Primary open angle glaucoma Metabolomics 1 H NMR spectroscopy Biomarkers Diagnosis Primary Open-Angle Glaucoma (POAG) is the most prevalent glaucoma type, and the leading cause of irreversible visual impairment and blindness worldwide. Identification of early POAG biomarkers is of enormous value, as there is not an effective treatment for the glaucomatous optic nerve degeneration (OND). In this pilot study, a metabolomic analysis, by using proton (1H) nuclear magnetic resonance (NMR) spectroscopy was conducted in tears, in order to determine the changes of specific metabolites in the initial glaucoma eyes and to discover potential diagnostic biomarkers. A classification model, based on the metabolomic fingerprint in tears was generated as a non-invasive tool to support the preclinical and clinical POAG diagnosis. 1H NMR spectra were acquired from 30 tear samples corresponding to the POAG group (n = 11) and the control group (n = 19). Data were analysed by multivariate statistics (partial least squares-discriminant analysis: PLS-DA) to determine a model capable of differentiating between groups. The whole data set was split into calibration (65%)/validation (35%), to test the performance and the ability for glaucoma discrimination. The calculated PLS-DA model showed an area under the curve (AUC) of 1, as well as a sensitivity of 100% and a specificity of 83.3% to distinguish POAG group versus control group tear data. This model included 11 metabolites, potential biomarkers of the disease. When comparing the study groups, a decrease in the tear concentration of phenylalanine, phenylacetate, leucine, n-acetylated compounds, formic acid, and uridine, was found in the POAG group. Moreover, an increase in the tear concentration of taurine, glycine, urea, glucose, and unsaturated fatty acids was observed in the POAG group. These results highlight the potential of tear metabolomics by 1H NMR spectroscopy as a non-invasive approach to support early POAG diagnosis and in order to prevent visual loss. ELSEVIER https://cipf.fundanetsuite.com/Publicaciones/ProdCientif/PublicacionFrw.aspx?id=4356
spellingShingle Tear metabolomics for the diagnosis of primary open-angle glaucoma
Botello-Marabotto, M
Primary open angle glaucoma
Metabolomics
1 H NMR spectroscopy
Biomarkers
Diagnosis
status_str publishedVersion
title Tear metabolomics for the diagnosis of primary open-angle glaucoma
title_full Tear metabolomics for the diagnosis of primary open-angle glaucoma
title_fullStr Tear metabolomics for the diagnosis of primary open-angle glaucoma
title_full_unstemmed Tear metabolomics for the diagnosis of primary open-angle glaucoma
title_short Tear metabolomics for the diagnosis of primary open-angle glaucoma
title_sort Tear metabolomics for the diagnosis of primary open-angle glaucoma
topic Primary open angle glaucoma
Metabolomics
1 H NMR spectroscopy
Biomarkers
Diagnosis
topic_facet Primary open angle glaucoma
Metabolomics
1 H NMR spectroscopy
Biomarkers
Diagnosis
url https://cipf.fundanetsuite.com/Publicaciones/ProdCientif/PublicacionFrw.aspx?id=4356