#METABOLOMICS WORKBENCH fbertuc_20240909_093538 DATATRACK_ID:5181 STUDY_ID:ST003780 ANALYSIS_ID:AN006208 PROJECT_ID:PR002358 VERSION 1 CREATED_ON March 7, 2025, 10:40 am #PROJECT PR:PROJECT_TITLE Dengue Virus infection in infants: serum metabolomics profiling for biomarker PR:PROJECT_TITLE discovery PR:PROJECT_TYPE LC-MS exploratory metabolomics PR:PROJECT_SUMMARY For this study, serum samples from 40 children between 0 and 17 years old were PR:PROJECT_SUMMARY included. The samples were subjected to molecular diagnosis by RT-PCR and PR:PROJECT_SUMMARY divided into two groups: Dengue (N=25) and healthy controls (N=15). Serum PR:PROJECT_SUMMARY metabolites were extracted following the Glasgow Polyomics protocol. The PR:PROJECT_SUMMARY metabolites were analyzed by ultra-performance liquid chromatography coupled to PR:PROJECT_SUMMARY a mass spectrometer (UPLC-MS), and the resulting data were analyzed by PR:PROJECT_SUMMARY multivariate statistics using partial least squares discriminant analysis PR:PROJECT_SUMMARY (PLS-DA). PR:INSTITUTE Escuela Superior Politécnica del Litoral (ESPOL) PR:DEPARTMENT Facultad Ciencias de la Vida PR:LABORATORY Laboratorio para investigaciones biomédicas PR:LAST_NAME B. Cordeiro PR:FIRST_NAME Fernanda PR:ADDRESS km 30.5 Via Perimetral, Campus Gustavo Galindo PR:EMAIL fbertuc@espol.edu.ec PR:PHONE +593984594225 PR:CONTRIBUTORS Ricardo E Correa Fierro, Noroska Gabriela Mogollón Salazar, Washington PR:CONTRIBUTORS Cárdenas, Evencio Joel Medina-Villamizar, Jefferson Pastuña-Fasso, Melanie PR:CONTRIBUTORS Ochoa-Ocampo, Giovanna Morán-Marcillo, Melanie Cedeño-Zambrano, Mary Ernestina PR:CONTRIBUTORS Regato Arrata, Mildred Zambrano, Joyce Andrade, Juan Chang #STUDY ST:STUDY_TITLE Dengue Virus infection in infants: serum metabolomics profiling for biomarker ST:STUDY_TITLE discovery ST:STUDY_SUMMARY Dengue is an acute febrile illness transmitted by mosquitoes infected with the ST:STUDY_SUMMARY dengue virus (DENV), considered one of the leading causes of morbidity and ST:STUDY_SUMMARY mortality globally.The study of metabolites in the serum of infected patients ST:STUDY_SUMMARY aims to identify biomarkers for a better understanding of the pathophysiological ST:STUDY_SUMMARY mechanisms and the development of diagnostic tools.For this study, serum samples ST:STUDY_SUMMARY from 40 children between 0 and 17 years old, treated at the Dr. Roberto Gilbert ST:STUDY_SUMMARY Children’s Hospital in Guayaquil, were included. The samples were subjected to ST:STUDY_SUMMARY molecular diagnosis by RT-PCR and divided into two groups: Dengue (N=25) and ST:STUDY_SUMMARY healthy controls (N=15). Serum metabolites were extracted following the Glasgow ST:STUDY_SUMMARY Polyomics protocol. The metabolites were analyzed by ultra-performance liquid ST:STUDY_SUMMARY chromatography coupled to a mass spectrometer (UPLC-MS), and the resulting data ST:STUDY_SUMMARY were analyzed by multivariate statistics using partial least squares ST:STUDY_SUMMARY discriminant analysis (PLS-DA). The metabolite masses with biomarker potential ST:STUDY_SUMMARY were attributed to molecules using the Lipid Maps platform. As a result, PLS-DA ST:STUDY_SUMMARY showed a separation between the two groups and identified 14 metabolites with ST:STUDY_SUMMARY higher importance values in the projection of these variables (VIP>2), ST:STUDY_SUMMARY responsible for the separation considering the top 5 components of the PLS-DA. ST:STUDY_SUMMARY Relative concentrations of 3 metabolites were found to be higher in dengue ST:STUDY_SUMMARY patients, while 11 were more abundant in the control group. These metabolites ST:STUDY_SUMMARY belong to different lipid classes, such as fatty acids, sphingolipids, ST:STUDY_SUMMARY glycerolipids, sterols, and glycerophospholipids. ST:INSTITUTE Escuela Superior Politécnica del Litoral (ESPOL) ST:DEPARTMENT Facultad Ciencias de la Vida ST:LABORATORY Laboratorio para investigaciones biomédicas ST:LAST_NAME B. Cordeiro ST:FIRST_NAME Fernanda ST:ADDRESS km 30.5 Via Perimetral, Campus Gustavo Galindo ST:EMAIL fbertuc@espol.edu.ec ST:PHONE +593984594225 ST:NUM_GROUPS 2 ST:TOTAL_SUBJECTS 40 ST:NUM_MALES 18 ST:NUM_FEMALES 22 #SUBJECT SU:SUBJECT_TYPE Human SU:SUBJECT_SPECIES Homo sapiens SU:TAXONOMY_ID 9606 SU:AGE_OR_AGE_RANGE 0 - 16 SU:GENDER Male and female SU:HUMAN_INCLUSION_CRITERIA Dengue mono-infected individuals vs. age paired healthy controls #FACTORS #SUBJECT_SAMPLE_FACTORS: SUBJECT(optional)[tab]SAMPLE[tab]FACTORS(NAME:VALUE pairs separated by |)[tab]Raw file names and additional sample data SUBJECT_SAMPLE_FACTORS QCC QCC_0 Sample source:Pool Control | Sex:NA | Disease cohort:CONTROL Age=NA; RAW_FILE_NAME=QCC_0 SUBJECT_SAMPLE_FACTORS QCD QCD_0 Sample source:Pool DENV | Sex:NA | Disease cohort:DENV Age=NA; RAW_FILE_NAME=QCD_0 SUBJECT_SAMPLE_FACTORS 2 2_1 Sample source:Serum | Sex:Female | Disease cohort:DENV Age=NR; RAW_FILE_NAME=Mx 2_1 SUBJECT_SAMPLE_FACTORS 2 2_2 Sample source:Serum | Sex:Female | Disease cohort:DENV Age=NR; 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RAW_FILE_NAME=QCC_15 SUBJECT_SAMPLE_FACTORS QCD QCD_15 Sample source:Pool DENV | Sex:NA | Disease cohort:DENV Age=NA; RAW_FILE_NAME=QCD_15 SUBJECT_SAMPLE_FACTORS 151 151_1 Sample source:Serum | Sex:Male | Disease cohort:DENV Age=NR; RAW_FILE_NAME=Mx 151_1 SUBJECT_SAMPLE_FACTORS 151 151_2 Sample source:Serum | Sex:Male | Disease cohort:DENV Age=NR; RAW_FILE_NAME=Mx 151_2 SUBJECT_SAMPLE_FACTORS 151 151_3 Sample source:Serum | Sex:Male | Disease cohort:DENV Age=NR; RAW_FILE_NAME=Mx 151_3 SUBJECT_SAMPLE_FACTORS 155 155_1 Sample source:Serum | Sex:Female | Disease cohort:DENV Age=NR; RAW_FILE_NAME=Mx 155_1 SUBJECT_SAMPLE_FACTORS 155 155_2 Sample source:Serum | Sex:Female | Disease cohort:DENV Age=NR; RAW_FILE_NAME=Mx 155_2 SUBJECT_SAMPLE_FACTORS 155 155_3 Sample source:Serum | Sex:Female | Disease cohort:DENV Age=NR; RAW_FILE_NAME=Mx 155_3 SUBJECT_SAMPLE_FACTORS 157 157_1 Sample source:Serum | Sex:Female | Disease cohort:DENV Age=D2; RAW_FILE_NAME=Mx 157_1 SUBJECT_SAMPLE_FACTORS 157 157_2 Sample source:Serum | Sex:Female | Disease cohort:DENV Age=D2; RAW_FILE_NAME=Mx 157_2 SUBJECT_SAMPLE_FACTORS 157 157_3 Sample source:Serum | Sex:Female | Disease cohort:DENV Age=D2; RAW_FILE_NAME=Mx 157_3 SUBJECT_SAMPLE_FACTORS 158 158_1 Sample source:Serum | Sex:Female | Disease cohort:DENV Age=D2; RAW_FILE_NAME=Mx 158_1 SUBJECT_SAMPLE_FACTORS 158 158_2 Sample source:Serum | Sex:Female | Disease cohort:DENV Age=D2; RAW_FILE_NAME=Mx 158_2 SUBJECT_SAMPLE_FACTORS 158 158_3 Sample source:Serum | Sex:Female | Disease cohort:DENV Age=D2; RAW_FILE_NAME=Mx 158_3 SUBJECT_SAMPLE_FACTORS QCC QCC_16 Sample source:Pool Control | Sex:NA | Disease cohort:CONTROL Age=NA; RAW_FILE_NAME=QCC_16 SUBJECT_SAMPLE_FACTORS QCD QCD_16 Sample source:Pool DENV | Sex:NA | Disease cohort:DENV Age=NA; RAW_FILE_NAME=QCD_16 #COLLECTION CO:COLLECTION_SUMMARY Patients with fever above 38.5° C and at least one of the following symptoms: CO:COLLECTION_SUMMARY headache, retro-orbital pain, myalgia, arthralgia, nausea, vomiting and rash. CO:COLLECTION_SUMMARY Clinical staff nurse or treating physician performed a single venipuncture and CO:COLLECTION_SUMMARY filled two study blood tubes at the same time as samples are collected for CO:COLLECTION_SUMMARY clinical testing, using a vacutainer: a tube for whole blood and plasma CO:COLLECTION_SUMMARY collection with 3.2% sodium citrate and a sterile non-additives tube, both with CO:COLLECTION_SUMMARY approximately 4 mL. Serum and plasma fractions were obtained by centrifugation CO:COLLECTION_SUMMARY and distributed in aliquots on 1.5mL micro-centrifuge tubes for long-time CO:COLLECTION_SUMMARY storage at -80°C. Healthy individuals without any sign or symptom of arboviral CO:COLLECTION_SUMMARY infection were also recruited as a Control group. Personal information and data CO:COLLECTION_SUMMARY from interviews during patient enrollment were codified to guarantee anonymous CO:COLLECTION_SUMMARY processing. Nucleic acid amplification tests were performed in three blood CO:COLLECTION_SUMMARY fractions: whole blood, plasma and serum to discriminate between arboviral CO:COLLECTION_SUMMARY infections with overlapping symptoms (Dengue, Zika and Chikungunya). Dengue CO:COLLECTION_SUMMARY mono-infection was confirmed by Reverse-Transcription Polymerase Chain Reaction CO:COLLECTION_SUMMARY (RT-PCR) using the SuperScript III Platinum One Step RT-PCR Kit (Invitrogen; CO:COLLECTION_SUMMARY CA). A two-step heminested protocol targeting the C-prM region of the POLY gene, CO:COLLECTION_SUMMARY common to all 4 serotypes allowed molecular diagnosis. The Infected DENV group CO:COLLECTION_SUMMARY consists of 25 individuals and a Healthy group CONTROL with 15 individuals, both CO:COLLECTION_SUMMARY groups with participants under 16 years CO:SAMPLE_TYPE Blood (serum) CO:COLLECTION_METHOD Peripheral venipuncture CO:COLLECTION_LOCATION Guayaquil, Guayas, Ecuador CO:STORAGE_CONDITIONS Described in summary CO:COLLECTION_VIALS Sterile non-additive tubes. CO:STORAGE_VIALS 1.5 mL microcentrifuge sterile tubes. CO:ADDITIVES None #TREATMENT TR:TREATMENT_SUMMARY No treatment. Sera samples selected from a cohort of DENV and CONTROL groups TR:TREATMENT_SUMMARY were randomized and assigned a new codification prior to metabolic extraction. TR:TREATMENT_SUMMARY After thawing serum for 15 to 30 min at room temperature, samples were gently TR:TREATMENT_SUMMARY homogenized by inverting the original tube 5 times. Using sterile filtered tips TR:TREATMENT_SUMMARY and a pipettor, 25 uL were aliquoted to a fresh 1.5mL microcentrifuge tube. TR:TREATMENT_SUMMARY Liquid-liquid metabolite extraction requires the addition of 1mL of solvent TR:TREATMENT_SUMMARY mixture in a (1:3:1) ratio of HPLC grade Chloroform/Methanol/Water as described TR:TREATMENT_SUMMARY in Glasgow Polyomics guidelines for serum preparation. Samples were vigorously TR:TREATMENT_SUMMARY mixed and centrifuged in a 4°C chilled centrifuge at 13000 g for 3 minutes. TR:TREATMENT_SUMMARY This extraction allows protein and cellular residues to precipitate, isolating TR:TREATMENT_SUMMARY the metabolites of interest in the supernatant. Metabolites were concentrated by TR:TREATMENT_SUMMARY speed-vacuum centrifugation of 300uL from the previous step. Two pools of TR:TREATMENT_SUMMARY metabolite extract from both groups were obtained and treated as Quality Control TR:TREATMENT_SUMMARY in DENV (QCD) and CONTROL groups (QCC). Dried samples were resuspended with TR:TREATMENT_SUMMARY 200uL of Ultrapure distilled water + 0.1% formic acid and transferred to micro TR:TREATMENT_SUMMARY vials on a 4°C chilled autosampler. #SAMPLEPREP SP:SAMPLEPREP_SUMMARY Metabolites were concentrated by speed-vacuum centrifugation of 300uL from the SP:SAMPLEPREP_SUMMARY previous step. Two pools of metabolite extract from both groups were obtained SP:SAMPLEPREP_SUMMARY and treated as Quality Control in DENV (QCD) and CONTROL groups (QCC). Dried SP:SAMPLEPREP_SUMMARY samples were resuspended with 200uL of Ultrapure distilled water + 0.1% formic SP:SAMPLEPREP_SUMMARY acid and transferred to micro vials on a 4°C chilled autosampler. SP:PROCESSING_STORAGE_CONDITIONS 4℃ SP:EXTRACTION_METHOD Liquid-liquid metabolite extraction requires the addition of 1mL of solvent SP:EXTRACTION_METHOD mixture in a (1:3:1) ratio of HPLC grade Chloroform/Methanol/Water as described SP:EXTRACTION_METHOD in Glasgow Polyomics guidelines for serum preparation SP:EXTRACT_STORAGE 4℃ #CHROMATOGRAPHY CH:CHROMATOGRAPHY_TYPE Reversed phase CH:INSTRUMENT_NAME Waters Acquity I-Class CH:COLUMN_NAME Waters ACQUITY UPLC BEH C18 (100 x 2.1mm,1.7um) CH:SOLVENT_A 100% water; 0.1% formic acid CH:SOLVENT_B 100% acetonitrile;0.1% formic acid CH:FLOW_GRADIENT 80% A and 20% B for 1 minute, followed by a linear transition to 50% A and 50% B CH:FLOW_GRADIENT for the next minute. Subsequently, the gradient was adjusted to 35% A and 65% B CH:FLOW_GRADIENT for 2 minutes. Next, the gradient was inverted, employing 20% A and 80% B for 3 CH:FLOW_GRADIENT minutes. The gradient was further modified to 3% A and 97% B for the next 10 CH:FLOW_GRADIENT minutes. Finally, the initial conditions were restored for column washing for 1 CH:FLOW_GRADIENT minute. CH:FLOW_RATE 0.5 mL/min CH:COLUMN_TEMPERATURE 50 #ANALYSIS AN:ANALYSIS_TYPE MS AN:LABORATORY_NAME Laboratorio de Productos Naturales AN:DATA_FORMAT .raw #MS MS:INSTRUMENT_NAME Waters Xevo G2 QTOF MS:INSTRUMENT_TYPE QTOF MS:MS_TYPE ESI MS:ION_MODE POSITIVE MS:MS_COMMENTS For mass spectrometry, electrospray ionization (ESI) source was used in positive MS:MS_COMMENTS mode, and data were acquired in full scan. The capillary voltage was set at 0.5 MS:MS_COMMENTS kV, with a cone gas flow rate of 30 L/h and a desolvation gas flow rate of 900 MS:MS_COMMENTS L/h. The source temperature was maintained at 120 °C, while the desolvation MS:MS_COMMENTS temperature was set at 450 °C. Both the sampling cone and source compensation MS:MS_COMMENTS were adjusted to 40 and 80 V, respectively. Scan rate of 1 s and covering a mass MS:MS_COMMENTS range of m/z 100 to 1200 Da was used in full scan mode. To ensure data quality, MS:MS_COMMENTS MS data was obtained from the QC samples from dengue and control groups. The QC MS:MS_COMMENTS samples were injected into the LC–MS instrument sixteen times along the MS:MS_COMMENTS analytical block to condition and equilibrate the system. Data from QC samples MS:MS_COMMENTS were used to graph the retention time drift and as a reference for data MS:MS_COMMENTS processing. To assess the quality of the experiment, Principal Component MS:MS_COMMENTS Analysis (PCA) was performed including QCC and QCD pools presenting the expected MS:MS_COMMENTS nested grouping of the samples to their identified class groups in the cluster MS:MS_COMMENTS analysis (Supplementary Figure 1). The raw data from LC-MS (*.raw) was converted MS:MS_COMMENTS to *.mzML format using ProteoWizard (19) Then, the *.mzML files were processed MS:MS_COMMENTS in MS-DIAL ver. 4.9.221218 (http://prime.psc.riken.jp/) considering peak MS:MS_COMMENTS detection, alignment, gap filling, and blank filtering (maximum sample MS:MS_COMMENTS intensity/average blank intensity ratio > 7) according to parameters shown in MS:MS_COMMENTS Supplementary Table 1. The MS-DIAL feature list table *.txt was exported for MS:MS_COMMENTS statistical analysis. Prior to statistical analysis, we preprocessed the MS:MS_COMMENTS MS-DIAL-exported data to obtain high-quality data. The data preprocessing was MS:MS_COMMENTS implemented in R 4.2.2 using “notame” package MS:MS_COMMENTS (https://github.com/antonvsdata/notame). Preprocessing included drift correction MS:MS_COMMENTS by smoothed cubic spline, batch correction by mean/median difference of QCs, and MS:MS_COMMENTS data imputation by the random forest algorithm. The detailed method is available MS:MS_COMMENTS at the GitHub repository (https://github.com/IKIAM-NPLab/Dengue_metabolomics). MS:CAPILLARY_VOLTAGE 0.5 kV MS:FRAGMENT_VOLTAGE NA MS:FRAGMENTATION_METHOD NA MS:SOURCE_TEMPERATURE 120 MS:DESOLVATION_GAS_FLOW 900 L/h MS:DESOLVATION_TEMPERATURE 450 MS:MS_RESULTS_FILE ST003780_AN006208_Results.txt UNITS:Peak intentsity Has m/z:Yes Has RT:Yes RT units:Minutes #END