Metabolomics analysis of the saliva in patients with chronic hepatitis B using nuclear magnetic resonance: a pilot study

Authors

  • Ashraf Mohamadkhani Digestive Diseases Research Center, Digestive Diseases Research Institute, Tehran University of Medical Sciences, Tehran, Iran
  • Babak Arjmand Cell Therapy and Regenerative Medicine Research Center, Endocrinology and Metabolism Molecular Cellular Sciences Institute, Tehran University of Medical Sciences, Tehran, Iran
  • Bibi Fatemeh Nobakht Motlagh Ghoochani Noncommunicable Diseases Research Center, Neyshabur University of Medical Sciences, Neyshabur, Iran|Department of Basic Medical Sciences, Neyshabur University of Medical Sciences, Neyshabur, Iran
  • Kambiz Gilany Reproductive Biotechnology Research Center, Avicenna Research Institute, ACECR, Tehran, Iran|Integrative Oncology Department, Breast Cancer Research Center, Motamed Cancer Institute, ACECR, Tehran, Iran
  • Mehdi Amini Reproductive Biotechnology Research Center, Avicenna Research Institute, ACECR, Tehran, Iran
  • Parisa Shahnazari Reproductive Biotechnology Research Center, Avicenna Research Institute, ACECR, Tehran, Iran
  • Reza Malekzadeh Digestive Diseases Research Center, Digestive Diseases Research Institute, Tehran University of Medical Sciences, Tehran, Iran
Abstract:

Objective(s): Hepatitis B virus infection causes chronic disease such as cirrhosis and hepatocellular carcinoma. The metabolomics investigations have been demonstrated to be related to pathophysiologic mechanisms in many disorders such as hepatitis B infection. The aim of this study was to investigate the saliva metabolic profile of patients with chronic hepatitis B infection and to identify underlying mechanisms as well as potential biomarkers associated with the disease. Materials and Methods: Saliva from 16 healthy subjects and 20 patients with chronic hepatitis B virus were analyzed by nuclear magnetic resonance (NMR). Then, multivariate statistical analysis was performed to identify discriminative metabolites between two groups. Results: A set of metabolites were detected, including propionic acid, putrescine, acetic acid, succinic acid, tyrosine, lactic acid, butyric acid, pyruvic acid, 4-pyridoxic acid and 4-hydroxybenzoic acid, which in combination with one another could accurately distinguish patients from healthy controls. Our results clearly demonstrated altered metabolites are involved in nine metabolic pathways. Conclusion: Metabolomics has the potential to be considered as a novel clinical tool for hepatitis B diagnosis while contributing to a comprehensive understanding of disease mechanisms.

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Journal title

volume 22  issue 9

pages  1044- 1049

publication date 2019-09-01

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