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2015 ; 36
(6
): 689-98
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An integrated metabonomic and proteomic study on Kidney-Yin Deficiency Syndrome
patients with diabetes mellitus in China
#MMPMID25937635
Jiang N
; Liu HF
; Li SD
; Zhou WX
; Zhang YX
; Zhang Q
; Yan XZ
Acta Pharmacol Sin
2015[Jun]; 36
(6
): 689-98
PMID25937635
show ga
AIM: To investigate specific changes in metabolites and proteins of Kidney-Yin
Deficiency Syndrome (KYDS) patients with diabetes mellitus (DM) in China.
METHODS: KYDS (n=29) and non-KYDS (n=23) patients with DM were recruited for this
study. The KYDS was diagnosed by two senior TCM clinicians separately. The
metabonomic and proteomic profiles of the patients were assessed using a
metabonomic strategy based on NMR with multivariate analysis and a proteomic
strategy based on MALDI-TOF-MS, respectively. RESULTS: Eighteen upregulated
peptides and thirty downregulated peptides were observed in the plasma of the
KYDS patients. Comparing the proteomic profiles of the KYDS and non-KYDS groups,
however, no significantly differentially expressed peptides were found. At the
same time, major metabolic alterations were found to distinguish the two groups,
including eight significantly changed metabolites (creatinine, citrate, TMAO,
phenylalanine, tyrosine, alanine, glycine and taurine). The levels of creatinine,
citrate, TMAO, phenylalanine and tyrosine were decreased, whereas the levels of
alanine, glycine and taurine were increased in the KYDS patients. These
biochemical changes were found to be associated with alterations in amino acid
metabolism, energy metabolism and gut microflora. CONCLUSION: The identification
of distinct expression profiles of metabolites and signaling pathways in KYDS
patients with DM suggests that there are indeed molecular signatures underlying
the principles of 'Syndrome Differentiation' in traditional Chinese medicine.