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Targeted lipidomics uncovers oxylipin perturbations and potential circulation biomarkers in Bietti’s crystalline dystrophy

Purpose Abnormalities in lipid metabolism have been proposed in Bietti’s crystalline dystrophy (BCD). We aim to characterize the lipid profiles in a case-control study. Methods All participants were genetically confirmed by CYP4V2 gene sequencing and underwent chorioretinopathy evaluation by calcula...

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Published in:Graefe's archive for clinical and experimental ophthalmology 2024-12, Vol.262 (12), p.3773-3786
Main Authors: Li, Qian, Wang, Cong, Zhang, Shengjuan, Fu, Zhongjie, Jiao, Xiaodong, Jin, Zibing, Hejtmancik, J. Fielding, Miao, Huan, Qi, Simeng, Peng, Xiaoyan
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container_title Graefe's archive for clinical and experimental ophthalmology
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creator Li, Qian
Wang, Cong
Zhang, Shengjuan
Fu, Zhongjie
Jiao, Xiaodong
Jin, Zibing
Hejtmancik, J. Fielding
Miao, Huan
Qi, Simeng
Peng, Xiaoyan
description Purpose Abnormalities in lipid metabolism have been proposed in Bietti’s crystalline dystrophy (BCD). We aim to characterize the lipid profiles in a case-control study. Methods All participants were genetically confirmed by CYP4V2 gene sequencing and underwent chorioretinopathy evaluation by calculating the percentages of AF atrophy (PAFA). Fasting blood samples of BCD patients and controls were collected, and plasma was analyzed for routine lipid profiles. Targeted lipidomic evaluation includes long chain polyunsaturated fatty acids (LCPUFA) and associated eicosanoid metabolites. Results Routine lipids profiles showed elevated plasma levels of triglyceride ( P  = 0.043) and low-density lipoprotein cholesterol ( P  = 0.024) in BCD patients. Lipidomic analysis showed significantly decreased levels of ω-3 LCPUFA including docosahexaenoic acid (DHA, 22:6, P  = 0.00068) and eicosapentaenoic acid (EPA, 20:5, P  = 0.0016), as well as ω-6 LCPUFA arachidonic acid (ARA, 20:4, P  
doi_str_mv 10.1007/s00417-024-06554-2
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Fielding ; Miao, Huan ; Qi, Simeng ; Peng, Xiaoyan</creator><creatorcontrib>Li, Qian ; Wang, Cong ; Zhang, Shengjuan ; Fu, Zhongjie ; Jiao, Xiaodong ; Jin, Zibing ; Hejtmancik, J. Fielding ; Miao, Huan ; Qi, Simeng ; Peng, Xiaoyan</creatorcontrib><description>Purpose Abnormalities in lipid metabolism have been proposed in Bietti’s crystalline dystrophy (BCD). We aim to characterize the lipid profiles in a case-control study. Methods All participants were genetically confirmed by CYP4V2 gene sequencing and underwent chorioretinopathy evaluation by calculating the percentages of AF atrophy (PAFA). Fasting blood samples of BCD patients and controls were collected, and plasma was analyzed for routine lipid profiles. Targeted lipidomic evaluation includes long chain polyunsaturated fatty acids (LCPUFA) and associated eicosanoid metabolites. Results Routine lipids profiles showed elevated plasma levels of triglyceride ( P  = 0.043) and low-density lipoprotein cholesterol ( P  = 0.024) in BCD patients. Lipidomic analysis showed significantly decreased levels of ω-3 LCPUFA including docosahexaenoic acid (DHA, 22:6, P  = 0.00068) and eicosapentaenoic acid (EPA, 20:5, P  = 0.0016), as well as ω-6 LCPUFA arachidonic acid (ARA, 20:4, P  &lt; 0.0001) in BCD patients. Eicosanoid metabolites, either derived from ω-3 and/ or ω-6 LCPUFAs via cyclooxygenase (COX) or lipoxygenase (LOX) pathways, including 5-HEPE, 12-HEPE, 13-HDHA, 15-HETE, 12-HETE, 5-HETE, 6k-PGF1a, PGE2, PGJ2, and TXB2, exhibited significant differences ( P  &lt; 0.0001) between BCD patients and controls. Genotypes of CYP4V2 , specifically the biallelic null mutations, were observed to correlate with more remarkably reduced levels of oxylipins, involving major LOX pathway metabolites including 5-HETE, 5-HEPE, 12-HEPE and LTB4. Conclusions BCD patients demonstrated significant decreases in plasma levels of ω-3 and ω-6 LCPUFA (DHA, EPA, and ARA), as well as their downstream metabolites via the COX and LOX pathways, suggesting that these might be implicated in BCD pathogenesis and could serve as biomarkers and therapeutic targets of the disease. Key messages What is known BCD is a vision-threatening hereditary disease the causative gene of which is CYP4V2 . Abnormalities in lipid metabolism have been proposed and demonstrated previously in BCD studies. The detailed pathogenesis remains unclear and controversial. What is new We observed prominent lipidomic alterations in the circulation when compared with age, gender, and bodymass index (BMI)-matched healthy controls. BCD patients demonstrated significant decreases in plasma levels of ω-3 and ω-6 LCPUFA (DHA, EPA, and ARA). Remarkable changes were observed in the downstream metabolites of the LCPUFA via the COX and LOX pathways. Genotypes of CYP4V2 , specifically the biallelic null mutations, were observed to correlate with more remarkably reduced levels of oxylipins, involving major LOX pathway metabolites.</description><identifier>ISSN: 0721-832X</identifier><identifier>ISSN: 1435-702X</identifier><identifier>EISSN: 1435-702X</identifier><identifier>DOI: 10.1007/s00417-024-06554-2</identifier><identifier>PMID: 38963460</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Adult ; Arachidonic acid ; Atrophy ; Biomarkers ; Biomarkers - blood ; Biomarkers - metabolism ; Case-Control Studies ; Cholesterol ; Corneal Dystrophies, Hereditary - blood ; Corneal Dystrophies, Hereditary - diagnosis ; Corneal Dystrophies, Hereditary - genetics ; Corneal Dystrophies, Hereditary - metabolism ; Cytochrome P450 Family 4 - genetics ; Cytochrome P450 Family 4 - metabolism ; DNA - genetics ; Docosahexaenoic acid ; Dystrophy ; Eicosapentaenoic acid ; Female ; Genotypes ; Hereditary diseases ; Humans ; Lipid metabolism ; Lipid Metabolism - physiology ; Lipidomics - methods ; Lipids ; Lipoxygenase ; Male ; Medicine ; Medicine &amp; Public Health ; Metabolism ; Metabolites ; Middle Aged ; Mutation ; Ophthalmology ; Oxylipins - blood ; Pathogenesis ; Plasma ; Plasma levels ; Polyunsaturated fatty acids ; Prostaglandin E2 ; Prostaglandin endoperoxide synthase ; Retinal Diseases - blood ; Retinal Diseases - diagnosis ; Retinal Diseases - genetics ; Retinal Diseases - metabolism ; Retinal Disorders ; Therapeutic targets</subject><ispartof>Graefe's archive for clinical and experimental ophthalmology, 2024-12, Vol.262 (12), p.3773-3786</ispartof><rights>The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature 2024. Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.</rights><rights>2024. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c256t-86735fdac5bcd722ec373f41d8c1ed27d2a4095debe52dd31faaf356ac97a6213</cites><orcidid>0000-0002-4275-6856 ; 0000-0003-0613-9591</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/38963460$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Li, Qian</creatorcontrib><creatorcontrib>Wang, Cong</creatorcontrib><creatorcontrib>Zhang, Shengjuan</creatorcontrib><creatorcontrib>Fu, Zhongjie</creatorcontrib><creatorcontrib>Jiao, Xiaodong</creatorcontrib><creatorcontrib>Jin, Zibing</creatorcontrib><creatorcontrib>Hejtmancik, J. Fielding</creatorcontrib><creatorcontrib>Miao, Huan</creatorcontrib><creatorcontrib>Qi, Simeng</creatorcontrib><creatorcontrib>Peng, Xiaoyan</creatorcontrib><title>Targeted lipidomics uncovers oxylipin perturbations and potential circulation biomarkers in Bietti’s crystalline dystrophy</title><title>Graefe's archive for clinical and experimental ophthalmology</title><addtitle>Graefes Arch Clin Exp Ophthalmol</addtitle><addtitle>Graefes Arch Clin Exp Ophthalmol</addtitle><description>Purpose Abnormalities in lipid metabolism have been proposed in Bietti’s crystalline dystrophy (BCD). We aim to characterize the lipid profiles in a case-control study. Methods All participants were genetically confirmed by CYP4V2 gene sequencing and underwent chorioretinopathy evaluation by calculating the percentages of AF atrophy (PAFA). Fasting blood samples of BCD patients and controls were collected, and plasma was analyzed for routine lipid profiles. Targeted lipidomic evaluation includes long chain polyunsaturated fatty acids (LCPUFA) and associated eicosanoid metabolites. Results Routine lipids profiles showed elevated plasma levels of triglyceride ( P  = 0.043) and low-density lipoprotein cholesterol ( P  = 0.024) in BCD patients. Lipidomic analysis showed significantly decreased levels of ω-3 LCPUFA including docosahexaenoic acid (DHA, 22:6, P  = 0.00068) and eicosapentaenoic acid (EPA, 20:5, P  = 0.0016), as well as ω-6 LCPUFA arachidonic acid (ARA, 20:4, P  &lt; 0.0001) in BCD patients. Eicosanoid metabolites, either derived from ω-3 and/ or ω-6 LCPUFAs via cyclooxygenase (COX) or lipoxygenase (LOX) pathways, including 5-HEPE, 12-HEPE, 13-HDHA, 15-HETE, 12-HETE, 5-HETE, 6k-PGF1a, PGE2, PGJ2, and TXB2, exhibited significant differences ( P  &lt; 0.0001) between BCD patients and controls. Genotypes of CYP4V2 , specifically the biallelic null mutations, were observed to correlate with more remarkably reduced levels of oxylipins, involving major LOX pathway metabolites including 5-HETE, 5-HEPE, 12-HEPE and LTB4. Conclusions BCD patients demonstrated significant decreases in plasma levels of ω-3 and ω-6 LCPUFA (DHA, EPA, and ARA), as well as their downstream metabolites via the COX and LOX pathways, suggesting that these might be implicated in BCD pathogenesis and could serve as biomarkers and therapeutic targets of the disease. Key messages What is known BCD is a vision-threatening hereditary disease the causative gene of which is CYP4V2 . Abnormalities in lipid metabolism have been proposed and demonstrated previously in BCD studies. The detailed pathogenesis remains unclear and controversial. What is new We observed prominent lipidomic alterations in the circulation when compared with age, gender, and bodymass index (BMI)-matched healthy controls. BCD patients demonstrated significant decreases in plasma levels of ω-3 and ω-6 LCPUFA (DHA, EPA, and ARA). Remarkable changes were observed in the downstream metabolites of the LCPUFA via the COX and LOX pathways. Genotypes of CYP4V2 , specifically the biallelic null mutations, were observed to correlate with more remarkably reduced levels of oxylipins, involving major LOX pathway metabolites.</description><subject>Adult</subject><subject>Arachidonic acid</subject><subject>Atrophy</subject><subject>Biomarkers</subject><subject>Biomarkers - blood</subject><subject>Biomarkers - metabolism</subject><subject>Case-Control Studies</subject><subject>Cholesterol</subject><subject>Corneal Dystrophies, Hereditary - blood</subject><subject>Corneal Dystrophies, Hereditary - diagnosis</subject><subject>Corneal Dystrophies, Hereditary - genetics</subject><subject>Corneal Dystrophies, Hereditary - metabolism</subject><subject>Cytochrome P450 Family 4 - genetics</subject><subject>Cytochrome P450 Family 4 - metabolism</subject><subject>DNA - genetics</subject><subject>Docosahexaenoic acid</subject><subject>Dystrophy</subject><subject>Eicosapentaenoic acid</subject><subject>Female</subject><subject>Genotypes</subject><subject>Hereditary diseases</subject><subject>Humans</subject><subject>Lipid metabolism</subject><subject>Lipid Metabolism - physiology</subject><subject>Lipidomics - methods</subject><subject>Lipids</subject><subject>Lipoxygenase</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine &amp; Public Health</subject><subject>Metabolism</subject><subject>Metabolites</subject><subject>Middle Aged</subject><subject>Mutation</subject><subject>Ophthalmology</subject><subject>Oxylipins - blood</subject><subject>Pathogenesis</subject><subject>Plasma</subject><subject>Plasma levels</subject><subject>Polyunsaturated fatty acids</subject><subject>Prostaglandin E2</subject><subject>Prostaglandin endoperoxide synthase</subject><subject>Retinal Diseases - blood</subject><subject>Retinal Diseases - diagnosis</subject><subject>Retinal Diseases - genetics</subject><subject>Retinal Diseases - metabolism</subject><subject>Retinal Disorders</subject><subject>Therapeutic targets</subject><issn>0721-832X</issn><issn>1435-702X</issn><issn>1435-702X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><recordid>eNp9kU1OHDEQha0IFCaQC2QRWWKTTQf_tmeWgCBEQmIDEjvLbVcTkx67Y7sRI2XBNXK9nAQPQ4jEgpVLru-9sush9ImSr5QQdZAJEVQ1hImGtFKKhr1DMyq4bBRh11toRhSjzZyz6x30IedbUnku6Xu0w-eLlouWzNDvS5NuoIDDgx-9i0tvM56CjXeQMo73q_V1wCOkMqXOFB9DxiY4PMYCoXgzYOuTnYanFu58XJr0c62tqiMPpfi_D38ytmmVixkGHwC7WqY4_ljtoe3eDBk-Pp-76Or05PL4rDm_-Pb9-PC8sUy2pZm3isveGSs76xRjYLnivaBubik4phwzgiykgw4kc47T3piey9bYhTIto3wXfdn4jin-miAXvfTZwjCYAHHKmhMlVd2lJBXdf4XeximF-jrNKReCsFaxSrENZVPMOUGvx-Trx1eaEr3ORm-y0TUb_ZSNXos-P1tP3RLci-RfGBXgGyDXVriB9H_2G7aP4DWe1w</recordid><startdate>20241201</startdate><enddate>20241201</enddate><creator>Li, Qian</creator><creator>Wang, Cong</creator><creator>Zhang, Shengjuan</creator><creator>Fu, Zhongjie</creator><creator>Jiao, Xiaodong</creator><creator>Jin, Zibing</creator><creator>Hejtmancik, J. 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Fielding ; Miao, Huan ; Qi, Simeng ; Peng, Xiaoyan</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c256t-86735fdac5bcd722ec373f41d8c1ed27d2a4095debe52dd31faaf356ac97a6213</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>Adult</topic><topic>Arachidonic acid</topic><topic>Atrophy</topic><topic>Biomarkers</topic><topic>Biomarkers - blood</topic><topic>Biomarkers - metabolism</topic><topic>Case-Control Studies</topic><topic>Cholesterol</topic><topic>Corneal Dystrophies, Hereditary - blood</topic><topic>Corneal Dystrophies, Hereditary - diagnosis</topic><topic>Corneal Dystrophies, Hereditary - genetics</topic><topic>Corneal Dystrophies, Hereditary - metabolism</topic><topic>Cytochrome P450 Family 4 - genetics</topic><topic>Cytochrome P450 Family 4 - metabolism</topic><topic>DNA - genetics</topic><topic>Docosahexaenoic acid</topic><topic>Dystrophy</topic><topic>Eicosapentaenoic acid</topic><topic>Female</topic><topic>Genotypes</topic><topic>Hereditary diseases</topic><topic>Humans</topic><topic>Lipid metabolism</topic><topic>Lipid Metabolism - physiology</topic><topic>Lipidomics - methods</topic><topic>Lipids</topic><topic>Lipoxygenase</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine &amp; Public Health</topic><topic>Metabolism</topic><topic>Metabolites</topic><topic>Middle Aged</topic><topic>Mutation</topic><topic>Ophthalmology</topic><topic>Oxylipins - blood</topic><topic>Pathogenesis</topic><topic>Plasma</topic><topic>Plasma levels</topic><topic>Polyunsaturated fatty acids</topic><topic>Prostaglandin E2</topic><topic>Prostaglandin endoperoxide synthase</topic><topic>Retinal Diseases - blood</topic><topic>Retinal Diseases - diagnosis</topic><topic>Retinal Diseases - genetics</topic><topic>Retinal Diseases - metabolism</topic><topic>Retinal Disorders</topic><topic>Therapeutic targets</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Li, Qian</creatorcontrib><creatorcontrib>Wang, Cong</creatorcontrib><creatorcontrib>Zhang, Shengjuan</creatorcontrib><creatorcontrib>Fu, Zhongjie</creatorcontrib><creatorcontrib>Jiao, Xiaodong</creatorcontrib><creatorcontrib>Jin, Zibing</creatorcontrib><creatorcontrib>Hejtmancik, J. 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Fielding</au><au>Miao, Huan</au><au>Qi, Simeng</au><au>Peng, Xiaoyan</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Targeted lipidomics uncovers oxylipin perturbations and potential circulation biomarkers in Bietti’s crystalline dystrophy</atitle><jtitle>Graefe's archive for clinical and experimental ophthalmology</jtitle><stitle>Graefes Arch Clin Exp Ophthalmol</stitle><addtitle>Graefes Arch Clin Exp Ophthalmol</addtitle><date>2024-12-01</date><risdate>2024</risdate><volume>262</volume><issue>12</issue><spage>3773</spage><epage>3786</epage><pages>3773-3786</pages><issn>0721-832X</issn><issn>1435-702X</issn><eissn>1435-702X</eissn><abstract>Purpose Abnormalities in lipid metabolism have been proposed in Bietti’s crystalline dystrophy (BCD). We aim to characterize the lipid profiles in a case-control study. Methods All participants were genetically confirmed by CYP4V2 gene sequencing and underwent chorioretinopathy evaluation by calculating the percentages of AF atrophy (PAFA). Fasting blood samples of BCD patients and controls were collected, and plasma was analyzed for routine lipid profiles. Targeted lipidomic evaluation includes long chain polyunsaturated fatty acids (LCPUFA) and associated eicosanoid metabolites. Results Routine lipids profiles showed elevated plasma levels of triglyceride ( P  = 0.043) and low-density lipoprotein cholesterol ( P  = 0.024) in BCD patients. Lipidomic analysis showed significantly decreased levels of ω-3 LCPUFA including docosahexaenoic acid (DHA, 22:6, P  = 0.00068) and eicosapentaenoic acid (EPA, 20:5, P  = 0.0016), as well as ω-6 LCPUFA arachidonic acid (ARA, 20:4, P  &lt; 0.0001) in BCD patients. Eicosanoid metabolites, either derived from ω-3 and/ or ω-6 LCPUFAs via cyclooxygenase (COX) or lipoxygenase (LOX) pathways, including 5-HEPE, 12-HEPE, 13-HDHA, 15-HETE, 12-HETE, 5-HETE, 6k-PGF1a, PGE2, PGJ2, and TXB2, exhibited significant differences ( P  &lt; 0.0001) between BCD patients and controls. Genotypes of CYP4V2 , specifically the biallelic null mutations, were observed to correlate with more remarkably reduced levels of oxylipins, involving major LOX pathway metabolites including 5-HETE, 5-HEPE, 12-HEPE and LTB4. Conclusions BCD patients demonstrated significant decreases in plasma levels of ω-3 and ω-6 LCPUFA (DHA, EPA, and ARA), as well as their downstream metabolites via the COX and LOX pathways, suggesting that these might be implicated in BCD pathogenesis and could serve as biomarkers and therapeutic targets of the disease. Key messages What is known BCD is a vision-threatening hereditary disease the causative gene of which is CYP4V2 . Abnormalities in lipid metabolism have been proposed and demonstrated previously in BCD studies. The detailed pathogenesis remains unclear and controversial. What is new We observed prominent lipidomic alterations in the circulation when compared with age, gender, and bodymass index (BMI)-matched healthy controls. BCD patients demonstrated significant decreases in plasma levels of ω-3 and ω-6 LCPUFA (DHA, EPA, and ARA). Remarkable changes were observed in the downstream metabolites of the LCPUFA via the COX and LOX pathways. Genotypes of CYP4V2 , specifically the biallelic null mutations, were observed to correlate with more remarkably reduced levels of oxylipins, involving major LOX pathway metabolites.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>38963460</pmid><doi>10.1007/s00417-024-06554-2</doi><tpages>14</tpages><orcidid>https://orcid.org/0000-0002-4275-6856</orcidid><orcidid>https://orcid.org/0000-0003-0613-9591</orcidid></addata></record>
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subjects Adult
Arachidonic acid
Atrophy
Biomarkers
Biomarkers - blood
Biomarkers - metabolism
Case-Control Studies
Cholesterol
Corneal Dystrophies, Hereditary - blood
Corneal Dystrophies, Hereditary - diagnosis
Corneal Dystrophies, Hereditary - genetics
Corneal Dystrophies, Hereditary - metabolism
Cytochrome P450 Family 4 - genetics
Cytochrome P450 Family 4 - metabolism
DNA - genetics
Docosahexaenoic acid
Dystrophy
Eicosapentaenoic acid
Female
Genotypes
Hereditary diseases
Humans
Lipid metabolism
Lipid Metabolism - physiology
Lipidomics - methods
Lipids
Lipoxygenase
Male
Medicine
Medicine & Public Health
Metabolism
Metabolites
Middle Aged
Mutation
Ophthalmology
Oxylipins - blood
Pathogenesis
Plasma
Plasma levels
Polyunsaturated fatty acids
Prostaglandin E2
Prostaglandin endoperoxide synthase
Retinal Diseases - blood
Retinal Diseases - diagnosis
Retinal Diseases - genetics
Retinal Diseases - metabolism
Retinal Disorders
Therapeutic targets
title Targeted lipidomics uncovers oxylipin perturbations and potential circulation biomarkers in Bietti’s crystalline dystrophy
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