{
"METABOLOMICS WORKBENCH":{"STUDY_ID":"ST001390","ANALYSIS_ID":"AN002319","VERSION":"1","CREATED_ON":"June 2, 2020, 5:28 pm"},

"PROJECT":{"PROJECT_TITLE":"Natural History of the Systemic Responses to a Renal Inoculation of Uropathogenic E. coli in Swine","PROJECT_SUMMARY":"Metabolomics of whole blood samples from a novel large animal model of systemic infection.","INSTITUTE":"University of Michigan","LAST_NAME":"Flott","FIRST_NAME":"Thomas","ADDRESS":"428 Church St., Ann Arbor, MI, 48109","EMAIL":"thflott@med.umich.edu","PHONE":"7346604241","CONTRIBUTORS":"Mohamad Hakam Tiba, Brendan M. McCracken, Robert P.Dickson, Jean A. Nemzek, Carmen I. Colmenero, Danielle C. Leander, Thomas L. Flott, Rodney C. Daniels, Kristine Konopka, J. Scott VanEpps, Kathleen A. Stringer, and Kevin R. Ward"},

"STUDY":{"STUDY_TITLE":"Natural history of the systemic responses to a renal inoculation of uropathogenic E. coli in swine","STUDY_SUMMARY":"Background: The pathogenesis of systemic infection and its progression to sepsis remains poorly understood. Progress in the field has been stifled by the shortcomings of experimental models which include poor replication of the human condition. To address these challenges, we developed a novel large animal model of systemic infection that is capable of generating high-dimensional clinically relevant data. Methods: Male swine (n=5) were anesthetized, mechanically ventilated, and surgically instrumented for continuous hemodynamic monitoring and serial blood sampling. Animals were inoculated with uropathogenic E. coli by direct injection into the renal parenchyma and were maintained under anesthesia for up to 24 hours. The natural history of the infection was studied, animals were not resuscitated. Multi-dimensional data were collected hourly to every 6 hours; all animals were euthanized when at predetermined physiologic endpoints. Results: Core body temperature progressively increased from mean (SD) 37.9(0.8) ̊C at baseline to 43.0(1.2) ̊C at experiment termination (p=0.006). While mean arterial pressure did not begin to decline until 6h post inoculation, dropping from 86(9) mmHg at baseline to 28(5) mmHg (p=0.005) at termination. Blood glucose progressively declined but lactate levels did not elevate until the last hours of the experiment. There were also temporal changes in whole blood concentrations of a number of metabolites including increases in the catecholamine precursors, tyrosine (p=0.005) and phenylalanine (p=0.005). Lung, liver, and kidney function parameters worsened as infection progressed and at study termination there was histopathological evidence of injury in these end-organs. Conclusion: We demonstrate a versatile, multi-dimensional, longitudinal, swine model of systemic infection that could be used to further our understanding of the mechanisms that underlie infection-induced multi-organ dysfunction and failure, optimize resuscitation protocols and test therapeutic interventions. Such a model could improve translation of findings from the bench to the bedside, circumventing a significant obstacle in sepsis research.","INSTITUTE":"University of Michigan","LAST_NAME":"Flott","FIRST_NAME":"Thomas","ADDRESS":"428 Church St., Ann Arbor, MI, 48109","EMAIL":"thflott@med.umich.edu","PHONE":"7346604241"},

"SUBJECT":{"SUBJECT_TYPE":"Mammal","SUBJECT_SPECIES":"Sus Scrofa","TAXONOMY_ID":"9823","GENDER":"Male"},
"SUBJECT_SAMPLE_FACTORS":[
{
"Subject ID":"17x10022",
"Sample ID":"224_003",
"Factors":{"Timepoint":"6"},
"Additional sample data":{"Sample Collection Site":"JV","RAW_FILE_NAME":"224_003"}
},
{
"Subject ID":"17x10022",
"Sample ID":"224_035",
"Factors":{"Timepoint":"-"},
"Additional sample data":{"Sample Collection Site":"JV","RAW_FILE_NAME":"224_035"}
},
{
"Subject ID":"17x10022",
"Sample ID":"224_097",
"Factors":{"Timepoint":"12"},
"Additional sample data":{"Sample Collection Site":"JV","RAW_FILE_NAME":"224_097"}
},
{
"Subject ID":"17x10039",
"Sample ID":"224_013",
"Factors":{"Timepoint":"-"},
"Additional sample data":{"Sample Collection Site":"JV","RAW_FILE_NAME":"224_013"}
},
{
"Subject ID":"17x10039",
"Sample ID":"224_025",
"Factors":{"Timepoint":"12"},
"Additional sample data":{"Sample Collection Site":"JV","RAW_FILE_NAME":"224_025"}
},
{
"Subject ID":"17x10039",
"Sample ID":"224_079",
"Factors":{"Timepoint":"6"},
"Additional sample data":{"Sample Collection Site":"JV","RAW_FILE_NAME":"224_079"}
},
{
"Subject ID":"17x10055",
"Sample ID":"224_009",
"Factors":{"Timepoint":"-"},
"Additional sample data":{"Sample Collection Site":"JV","RAW_FILE_NAME":"224_009"}
},
{
"Subject ID":"17x10055",
"Sample ID":"224_010",
"Factors":{"Timepoint":"12"},
"Additional sample data":{"Sample Collection Site":"JV","RAW_FILE_NAME":"224_010"}
},
{
"Subject ID":"17x10055",
"Sample ID":"224_020",
"Factors":{"Timepoint":"6"},
"Additional sample data":{"Sample Collection Site":"JV","RAW_FILE_NAME":"224_020"}
},
{
"Subject ID":"17x10064",
"Sample ID":"224_001",
"Factors":{"Timepoint":"12"},
"Additional sample data":{"Sample Collection Site":"JV","RAW_FILE_NAME":"224_001"}
},
{
"Subject ID":"17x10064",
"Sample ID":"224_024",
"Factors":{"Timepoint":"-"},
"Additional sample data":{"Sample Collection Site":"JV","RAW_FILE_NAME":"224_024"}
},
{
"Subject ID":"17x10064",
"Sample ID":"224_090",
"Factors":{"Timepoint":"6"},
"Additional sample data":{"Sample Collection Site":"JV","RAW_FILE_NAME":"224_090"}
}
],
"COLLECTION":{"COLLECTION_SUMMARY":"Whole blood (WB) samples were collected from the indwelling line in the internal jugular vein. Blood was collected into 4ml Vacutainer tubes containing sodium heparin. Following collection, tubes were inverted several times to ensure adequate mixing and were immediately placed on ice. Each of two 600uL aliquots were added to screw-top cryogenic storage tubes and flash frozen in liquid nitrogen. Frozen samples were placed on dry ice until the completion of the experiment at which time they were transferred to storage in liquid nitrogen and stored until the time of assay. The remaining whole blood volume in the collection tube was centrifuged (1300g for 10 min at 4C). Aliquots of plasma(~600uL) were transferred into screw-top cryogenic storage tubes, flash frozen in liquid nitrogen, placed on dry ice, and stored in liquid nitrogen for future assays.","SAMPLE_TYPE":"Blood (whole)","STORAGE_CONDITIONS":"Described in summary"},

"TREATMENT":{"TREATMENT_SUMMARY":"Male swine (n=5) were anesthetized, mechanically ventilated, and surgically instrumented for continuous hemodynamic monitoring and serial blood sampling. Animals were inoculated with uropathogenic E. coli by direct injection into the renal parenchyma and were maintained under anesthesia for up to 24 hours. The natural history of the infection was studied, animals were not resuscitated. Multi-dimensional data were collected hourly to every 6 hours; all animals were euthanized when at predetermined physiologic endpoints."},

"SAMPLEPREP":{"SAMPLEPREP_SUMMARY":"Whole blood samples were thawed on ice and subjected to a methanol-chloroform precipitation. Briefly, samples were thawed in an ice-water bath after which 500 μL of blood was transferred to a microcentrifuge tube and 1ml of a 1:1 methanol-chloroform solution was added. Samples were sonicated for 2 minutes at 4°C, then incubated at -20°C for 20 minutes, and then centrifuged (13,400g at 4°C for 30 minutes). The aqueous supernatant was transferred to a new microcentrifuge tube and dried by lyophilization. Samples were then resuspended in 600 μL of 50mM sodium phosphate buffer in D2O for NMR analysis.","PROCESSING_STORAGE_CONDITIONS":"On ice"},

"ANALYSIS":{"ANALYSIS_TYPE":"NMR"},

"NM":{"INSTRUMENT_NAME":"Varian","INSTRUMENT_TYPE":"FT-NMR","NMR_EXPERIMENT_TYPE":"1D-1H","SPECTROMETER_FREQUENCY":"500 MHz"},

"NMR_METABOLITE_DATA":{
"Units":"uM",

"Data":[{"Metabolite":"Aminoadipic acid","224_035":"","224_013":"","224_009":"","224_024":"","224_003":"","224_079":"37.07096774","224_020":"","224_090":"52.572","224_097":"55.7375","224_010":"68.94097222","224_025":"83.5456","224_001":"222.9464286"},{"Metabolite":"2-Hydroxybutyric acid","224_035":"22","224_013":"","224_009":"","224_024":"","224_003":"","224_079":"23.6516129","224_020":"","224_090":"","224_097":"19.175","224_010":"","224_025":"","224_001":""},{"Metabolite":"Ketoleucine","224_035":"26.95","224_013":"27.5","224_009":"16.26595745","224_024":"30.88064","224_003":"20.87962963","224_079":"29.69032258","224_020":"17.95918367","224_090":"13.728","224_097":"22.1","224_010":"24.63541667","224_025":"19.9104","224_001":"35.49744898"},{"Metabolite":"ADP","224_035":"212.74","224_013":"193.0729167","224_009":"106.7234043","224_024":"144.97504","224_003":"135.2083333","224_079":"238.0258065","224_020":"288.0952381","224_090":"147.108","224_097":"247.1625","224_010":"194.21875","224_025":"178.2176","224_001":"219.4387755"},{"Metabolite":"AMP","224_035":"113.08","224_013":"73.33333333","224_009":"69.27659574","224_024":"135.41024","224_003":"181.5509259","224_079":"204.1419355","224_020":"108.6904762","224_090":"159.432","224_097":"166.725","224_010":"143.0381944","224_025":"194.224","224_001":"313.1632653"},{"Metabolite":"ATP","224_035":"323.51","224_013":"327.7083333","224_009":"185.8297872","224_024":"201.95392","224_003":"261.6319444","224_079":"301.7677419","224_020":"480.0340136","224_090":"150.696","224_097":"370.825","224_010":"369.9131944","224_025":"166.1152","224_001":"183.380102"},{"Metabolite":"Alanine","224_035":"199.32","224_013":"431.40625","224_009":"248.2021277","224_024":"553.52864","224_003":"596.2152778","224_079":"814.2193548","224_020":"636.6156463","224_090":"345.384","224_097":"740.1875","224_010":"1421.40625","224_025":"845.216","224_001":"1233.852041"},{"Metabolite":"Betaine","224_035":"112.2","224_013":"255.234375","224_009":"157.9787234","224_024":"347.47552","224_003":"100.3240741","224_079":"190.0516129","224_020":"156.7687075","224_090":"139.62","224_097":"118.4625","224_010":"194.7916667","224_025":"168.2624","224_001":"259.4260204"},{"Metabolite":"Carnitine","224_035":"","224_013":"","224_009":"","224_024":"","224_003":"","224_079":"","224_020":"6.36","224_090":"","224_097":"7.8","224_010":"12.8","224_025":"8.78","224_001":"8.28"},{"Metabolite":"Choline","224_035":"22.88","224_013":"18.046875","224_009":"14.62765957","224_024":"17.35328","224_003":"26.6087963","224_079":"24.82580645","224_020":"31.05442177","224_090":"12.48","224_097":"33.3125","224_010":"38.19444444","224_025":"19.3248","224_001":"25.67602041"},{"Metabolite":"Creatine","224_035":"94.82","224_013":"100.2604167","224_009":"174.9468085","224_024":"237.89024","224_003":"187.025463","224_079":"238.3612903","224_020":"332.4319728","224_090":"233.532","224_097":"397.8","224_010":"519.0625","224_025":"431.5872","224_001":"618.0484694"},{"Metabolite":"Creatinine","224_035":"68.2","224_013":"61.015625","224_009":"54.18085106","224_024":"53.2896","224_003":"75.37037037","224_079":"79.50967742","224_020":"142.3639456","224_090":"43.992","224_097":"185.9","224_010":"233.9409722","224_025":"98.7712","224_001":"164.1581633"},{"Metabolite":"Dimethyl sulfone","224_035":"8.36","224_013":"22.20052083","224_009":"13.69148936","224_024":"22.27232","224_003":"8.530092593","224_079":"24.32258065","224_020":"16.64965986","224_090":"9.672","224_097":"13.65","224_010":"16.04166667","224_025":"15.4208","224_001":"16.97704082"},{"Metabolite":"Glucose","224_035":"6417.62","224_013":"4338.268229","224_009":"2892.06383","224_024":"4863.56416","224_003":"2906.851852","224_079":"3267.277419","224_020":"2286.428571","224_090":"2214.576","224_097":"2254.6875","224_010":"1009.861111","224_025":"2061.8976","224_001":"1678.622449"},{"Metabolite":"Glutamic acid","224_035":"169.07","224_013":"286.171875","224_009":"150.2553191","224_024":"292.54624","224_003":"186.0069444","224_079":"363.3290323","224_020":"232.1598639","224_090":"316.992","224_097":"259.35","224_010":"224.9652778","224_025":"420.0704","224_001":"597.1428571"},{"Metabolite":"Glutamine","224_035":"228.03","224_013":"325.1302083","224_009":"200.3404255","224_024":"316.73152","224_003":"324.3981481","224_079":"505.0709677","224_020":"355.255102","224_090":"236.34","224_097":"571.35","224_010":"636.7013889","224_025":"503.8112","224_001":"569.0816327"},{"Metabolite":"Glutathione","224_035":"98.89","224_013":"87.08333333","224_009":"53.71276596","224_024":"69.41312","224_003":"133.1712963","224_079":"134.3612903","224_020":"106.0714286","224_090":"62.556","224_097":"127.5625","224_010":"105.7986111","224_025":"131.76","224_001":"125.5739796"},{"Metabolite":"Glycine","224_035":"1036.42","224_013":"1050.15625","224_009":"591.4255319","224_024":"1234.40576","224_003":"1225.405093","224_079":"1379.006452","224_020":"805.7312925","224_090":"742.404","224_097":"1446.575","224_010":"831.1111111","224_025":"1048.0288","224_001":"1357.181122"},{"Metabolite":"Hippuric acid","224_035":"","224_013":"","224_009":"","224_024":"","224_003":"","224_079":"","224_020":"72.58503401","224_090":"","224_097":"61.75","224_010":"109.2361111","224_025":"","224_001":"71.13520408"},{"Metabolite":"Histidine","224_035":"58.52","224_013":"71.61458333","224_009":"49.61702128","224_024":"36.61952","224_003":"70.02314815","224_079":"92.09032258","224_020":"101.207483","224_090":"56.004","224_097":"118.4625","224_010":"107.1354167","224_025":"89.5968","224_001":"112.8061224"},{"Metabolite":"Hypoxanthine","224_035":"","224_013":"","224_009":"","224_024":"","224_003":"27.24537037","224_079":"","224_020":"48.07823129","224_090":"","224_097":"36.2375","224_010":"122.03125","224_025":"","224_001":"42.65306122"},{"Metabolite":"IMP","224_035":"","224_013":"","224_009":"12.87234043","224_024":"","224_003":"34.12037037","224_079":"42.60645161","224_020":"49.57482993","224_090":"23.712","224_097":"34.9375","224_010":"88.22916667","224_025":"35.5264","224_001":"43.63520408"},{"Metabolite":"Isoleucine","224_035":"67.1","224_013":"90.6640625","224_009":"56.87234043","224_024":"97.28768","224_003":"70.40509259","224_079":"99.97419355","224_020":"64.3537415","224_090":"71.292","224_097":"80.275","224_010":"80.20833333","224_025":"117.7056","224_001":"203.0229592"},{"Metabolite":"Lactic acid","224_035":"1383.03","224_013":"1456.783854","224_009":"1099.06383","224_024":"1792.58016","224_003":"2291.666667","224_079":"1503.806452","224_020":"1394.829932","224_090":"596.076","224_097":"2600.4875","224_010":"7598.784722","224_025":"1075.7472","224_001":"2767.959184"},{"Metabolite":"Leucine","224_035":"145.2","224_013":"161.4192708","224_009":"101.106383","224_024":"154.12992","224_003":"132.7893519","224_079":"184.516129","224_020":"129.829932","224_090":"120.588","224_097":"177.6125","224_010":"169.0104167","224_025":"256.2976","224_001":"372.5127551"},{"Metabolite":"Lysine","224_035":"193.38","224_013":"162.7083333","224_009":"124.0425532","224_024":"198.67456","224_003":"295.2430556","224_079":"327.2645161","224_020":"302.1258503","224_090":"234","224_097":"422.5","224_010":"359.21875","224_025":"357.216","224_001":"495.1403061"},{"Metabolite":"Malonic acid","224_035":"174.35","224_013":"145.3776042","224_009":"104.5","224_024":"159.45888","224_003":"176.0763889","224_079":"185.1870968","224_020":"195.4931973","224_090":"111.228","224_097":"201.825","224_010":"183.5243056","224_025":"153.232","224_001":"197.130102"},{"Metabolite":"Methionine","224_035":"22.11","224_013":"31.3671875","224_009":"20.59574468","224_024":"32.7936","224_003":"37.04861111","224_079":"49.31612903","224_020":"39.09863946","224_090":"28.704","224_097":"48.9125","224_010":"65.12152778","224_025":"47.2384","224_001":"72.25765306"},{"Metabolite":"CAR(2:0)","224_035":"","224_013":"2.01","224_009":"","224_024":"","224_003":"","224_079":"2.85","224_020":"","224_090":"","224_097":"4.23","224_010":"7.45","224_025":"","224_001":""},{"Metabolite":"Ornithine","224_035":"89.21","224_013":"124.4661458","224_009":"114.9148936","224_024":"165.06112","224_003":"117.2569444","224_079":"183.1741935","224_020":"185.2040816","224_090":"131.508","224_097":"146.4125","224_010":"241.3888889","224_025":"207.888","224_001":"269.5280612"},{"Metabolite":"Phenylalanine","224_035":"51.7","224_013":"59.58333333","224_009":"39.20212766","224_024":"45.91104","224_003":"78.04398148","224_079":"110.2064516","224_020":"90.54421769","224_090":"70.824","224_097":"136.825","224_010":"124.3229167","224_025":"141.9104","224_001":"197.6913265"},{"Metabolite":"Proline","224_035":"223.63","224_013":"253.3723958","224_009":"149.4361702","224_024":"233.79104","224_003":"188.8078704","224_079":"354.1032258","224_020":"328.3163265","224_090":"164.58","224_097":"267.15","224_010":"281.4930556","224_025":"258.4448","224_001":"414.6045918"},{"Metabolite":"Pyruvic acid","224_035":"47.19","224_013":"73.90625","224_009":"63.65957447","224_024":"101.93344","224_003":"127.6967593","224_079":"142.7483871","224_020":"104.2006803","224_090":"59.748","224_097":"107.4125","224_010":"157.5520833","224_025":"82.3744","224_001":"121.7857143"},{"Metabolite":"Serine","224_035":"52.03","224_013":"132.34375","224_009":"51.60638298","224_024":"43.58816","224_003":"95.3587963","224_079":"114.5677419","224_020":"162.755102","224_090":"102.804","224_097":"143.65","224_010":"138.6458333","224_025":"134.4928","224_001":"186.0459184"},{"Metabolite":"Taurine","224_035":"","224_013":"82.35677083","224_009":"89.63829787","224_024":"71.46272","224_003":"158.125","224_079":"166.5677419","224_020":"217.9421769","224_090":"218.712","224_097":"163.15","224_010":"189.8263889","224_025":"120.048","224_001":"409.1326531"},{"Metabolite":"Threonine","224_035":"67.43","224_013":"84.93489583","224_009":"61.43617021","224_024":"34.56992","224_003":"142.8472222","224_079":"121.4451613","224_020":"127.0238095","224_090":"121.992","224_097":"206.7","224_010":"129.0972222","224_025":"162.6016","224_001":"295.7653061"},{"Metabolite":"Trimethylamine N-oxide","224_035":"51.04","224_013":"31.08072917","224_009":"21.53191489","224_024":"42.63168","224_003":"65.94907407","224_079":"56.19354839","224_020":"54.25170068","224_090":"30.264","224_097":"71.825","224_010":"52.51736111","224_025":"48.4096","224_001":"55.14030612"},{"Metabolite":"Tyrosine","224_035":"43.45","224_013":"45.83333333","224_009":"37.21276596","224_024":"45.7744","224_003":"62.25694444","224_079":"70.95483871","224_020":"82.68707483","224_090":"57.408","224_097":"87.75","224_010":"87.65625","224_025":"93.3056","224_001":"125.7142857"},{"Metabolite":"Valine","224_035":"170.17","224_013":"230.8854167","224_009":"155.4042553","224_024":"239.8032","224_003":"186.1342593","224_079":"262.3483871","224_020":"174.7278912","224_090":"159.744","224_097":"224.7375","224_010":"178.5590278","224_025":"291.6288","224_001":"427.9336735"}],

"Metabolites":[{"Metabolite":"Aminoadipic acid","KEGG ID":"C00956"},{"Metabolite":"2-Hydroxybutyric acid","KEGG ID":"C05984"},{"Metabolite":"Ketoleucine","KEGG ID":"C00233"},{"Metabolite":"ADP","KEGG ID":"C00008"},{"Metabolite":"AMP","KEGG ID":"C00020"},{"Metabolite":"ATP","KEGG ID":"C00002"},{"Metabolite":"Alanine","KEGG ID":"C00041"},{"Metabolite":"Betaine","KEGG ID":"C00719"},{"Metabolite":"Carnitine","KEGG ID":"C00318"},{"Metabolite":"Choline","KEGG ID":"C00114"},{"Metabolite":"Creatine","KEGG ID":"C00300"},{"Metabolite":"Creatinine","KEGG ID":"C00791"},{"Metabolite":"Dimethyl sulfone","KEGG ID":"C11142"},{"Metabolite":"Glucose","KEGG ID":"C00221"},{"Metabolite":"Glutamic acid","KEGG ID":"C00025"},{"Metabolite":"Glutamine","KEGG ID":"C00064"},{"Metabolite":"Glutathione","KEGG ID":"C00051"},{"Metabolite":"Glycine","KEGG ID":"C00037"},{"Metabolite":"Hippuric acid","KEGG ID":"C01586"},{"Metabolite":"Histidine","KEGG ID":"C00135"},{"Metabolite":"Hypoxanthine","KEGG ID":"C00262"},{"Metabolite":"IMP","KEGG ID":"C00130"},{"Metabolite":"Isoleucine","KEGG ID":"C00407"},{"Metabolite":"Lactic acid","KEGG ID":"C00186"},{"Metabolite":"Leucine","KEGG ID":"C00123"},{"Metabolite":"Lysine","KEGG ID":"C00047"},{"Metabolite":"Malonic acid","KEGG ID":"C00383"},{"Metabolite":"Methionine","KEGG ID":"C00073"},{"Metabolite":"CAR(2:0)","KEGG ID":"C02571"},{"Metabolite":"Ornithine","KEGG ID":"C00077"},{"Metabolite":"Phenylalanine","KEGG ID":"C00079"},{"Metabolite":"Proline","KEGG ID":"C00148"},{"Metabolite":"Pyruvic acid","KEGG ID":"C00022"},{"Metabolite":"Serine","KEGG ID":"C00065"},{"Metabolite":"Taurine","KEGG ID":"C00245"},{"Metabolite":"Threonine","KEGG ID":"C00188"},{"Metabolite":"Trimethylamine N-oxide","KEGG ID":"C01104"},{"Metabolite":"Tyrosine","KEGG ID":"C00082"},{"Metabolite":"Valine","KEGG ID":"C00183"}]
}

}