#METABOLOMICS WORKBENCH juliehaines_20250310_124425 DATATRACK_ID:5714 STUDY_ID:ST003794 ANALYSIS_ID:AN006236 PROJECT_ID:PR002369 VERSION 1 CREATED_ON March 13, 2025, 7:40 pm #PROJECT PR:PROJECT_TITLE Advancing the Biochemical Understanding of Maple Syrup Urine Disease and the PR:PROJECT_TITLE impact of liver transplantation: A Pilot Study PR:PROJECT_SUMMARY Maple syrup urine disease (MSUD) is a rare autosomal recessive metabolic PR:PROJECT_SUMMARY disorder caused by impaired catabolism of branched-chain amino acids (BCAAs), PR:PROJECT_SUMMARY leading to severe systemic dysregulation. The disease has an incidence of PR:PROJECT_SUMMARY approximately 1 in 185,000 live births in the general U.S. population, with much PR:PROJECT_SUMMARY higher prevalence in the Mennonite communities (up to 1 in 140 live births in PR:PROJECT_SUMMARY the latter due to the c.1312T>A p.Tyr438Asn BCKDHA founder mutation). Using a PR:PROJECT_SUMMARY multi-omics approach integrating metabolomics, lipidomics, and proteomics, we PR:PROJECT_SUMMARY analyzed blood samples from three MSUD patients on a BCAA-restricted diet, two PR:PROJECT_SUMMARY post-liver transplantation patients, and six healthy controls. Gene ontology PR:PROJECT_SUMMARY analysis highlighted enriched pathways in MSUD, including glycolysis, oxidative PR:PROJECT_SUMMARY phosphorylation, and purine metabolism, revealing systemic metabolic imbalances. PR:PROJECT_SUMMARY Lipidomics indicated disruptions in sphingolipids and lysophosphatidylcholines, PR:PROJECT_SUMMARY which impact cellular signaling and membrane integrity. Liver transplantation PR:PROJECT_SUMMARY corrected some abnormalities, but several metabolites and proteins remained PR:PROJECT_SUMMARY dysregulated. Proteomic analysis revealed significant alterations in redox PR:PROJECT_SUMMARY homeostasis, energy metabolism, and cytoskeletal organization, with only partial PR:PROJECT_SUMMARY recovery post-transplantation. Post-translational modifications, such as PR:PROJECT_SUMMARY methylation and cysteine oxidation, suggested ongoing oxidative stress and PR:PROJECT_SUMMARY immune activation in the LT group. Elevated levels of L-isoleucine, L-valine, PR:PROJECT_SUMMARY and their ketoacids persisted post-transplant, correlating with impaired amino PR:PROJECT_SUMMARY acid metabolism, lipid remodeling, and protein folding. These findings provide PR:PROJECT_SUMMARY comprehensive insight into MSUD-associated metabolic dysfunctions and highlight PR:PROJECT_SUMMARY potential therapeutic targets to improve patient outcomes. PR:INSTITUTE University of Colorado Denver PR:LABORATORY Angelo D'Alessandro in collaboration with D. Holmes Morton PR:LAST_NAME Haines PR:FIRST_NAME Julie PR:ADDRESS 12801 E 17th Ave, Room 1303, Aurora, Colorado, 80045, USA PR:EMAIL julie.haines@cuanschutz.edu PR:PHONE 3037243339 #STUDY ST:STUDY_TITLE Metabolomics characterization of blood samples from patients with maple syrup ST:STUDY_TITLE urine disease (MSUD) in comparison to healthy controls ST:STUDY_SUMMARY Metabolomics analysis was performed on blood samples from MSUD patients and MSUD ST:STUDY_SUMMARY patients post-liver transplantation in comparison to healthy controls. ST:INSTITUTE University of Colorado Denver ST:LAST_NAME Haines ST:FIRST_NAME Julie ST:ADDRESS 12801 E 17th Ave, Room 1303, Aurora, Colorado, 80045, USA ST:EMAIL julie.haines@cuanschutz.edu ST:PHONE 3037243339 #SUBJECT SU:SUBJECT_TYPE Human SU:SUBJECT_SPECIES Homo sapiens SU:TAXONOMY_ID 9606 SU:GENDER Male and female #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 - AG-88-1 Disease state:Healthy control | Sample source:Whole blood RAW_FILE_NAME(raw file name)=AG-88-1 SUBJECT_SAMPLE_FACTORS - AG-88-2 Disease state:Healthy control | Sample source:Whole blood RAW_FILE_NAME(raw file name)=AG-88-2 SUBJECT_SAMPLE_FACTORS - AG-88-3 Disease state:Healthy control | Sample source:Whole blood RAW_FILE_NAME(raw file name)=AG-88-3 SUBJECT_SAMPLE_FACTORS - AG-88-4 Disease state:Healthy control | Sample source:Whole blood RAW_FILE_NAME(raw file name)=AG-88-4 SUBJECT_SAMPLE_FACTORS - AG-88-5 Disease state:Healthy control | Sample source:Whole blood RAW_FILE_NAME(raw file name)=AG-88-5 SUBJECT_SAMPLE_FACTORS - AG-88-6 Disease state:Healthy control | Sample source:Whole blood RAW_FILE_NAME(raw file name)=AG-88-6 SUBJECT_SAMPLE_FACTORS - AG-88-7 Disease state:MSUD | Sample source:Whole blood RAW_FILE_NAME(raw file name)=AG-88-7 SUBJECT_SAMPLE_FACTORS - AG-88-8 Disease state:MSUD | Sample source:Whole blood RAW_FILE_NAME(raw file name)=AG-88-8 SUBJECT_SAMPLE_FACTORS - AG-88-9 Disease state:MSUD | Sample source:Whole blood RAW_FILE_NAME(raw file name)=AG-88-9 SUBJECT_SAMPLE_FACTORS - AG-88-10 Disease state:MSUD with transplant | Sample source:Whole blood RAW_FILE_NAME(raw file name)=AG-88-10 SUBJECT_SAMPLE_FACTORS - AG-88-11 Disease state:MSUD with transplant | Sample source:Whole blood RAW_FILE_NAME(raw file name)=AG-88-11 SUBJECT_SAMPLE_FACTORS - AG-88-12 Disease state:Pool of MSUD with transplant | Sample source:Whole blood RAW_FILE_NAME(raw file name)=AG-88-12 #COLLECTION CO:COLLECTION_SUMMARY The study was conducted in accordance with the Declaration of Helsinki; CO:COLLECTION_SUMMARY specimens were collected at the Central Pennsylvania Clinic, Boston Children’s CO:COLLECTION_SUMMARY Hospital, and Lancaster General Hospitals under institutionally reviewed CO:COLLECTION_SUMMARY Protocol No. 2014-12 and upon signing of informed consent. Blood collections CO:COLLECTION_SUMMARY were carried out using standard equipment and clinical procedures. To study the CO:COLLECTION_SUMMARY metabolic changes occurring in patients with maple syrup urine disease, whole CO:COLLECTION_SUMMARY blood was collected from 3 patients having diagnosis of MSUD with a biallelic CO:COLLECTION_SUMMARY inactivating mutation of BCKDHA (c.1312T>A p.Tyr438Asn). Additional samples were CO:COLLECTION_SUMMARY collected from 6 healthy controls. Finally, samples were collected from two CO:COLLECTION_SUMMARY patients having a previous diagnosis of MSUD, but who had received liver CO:COLLECTION_SUMMARY transplantations to cure their condition. These two samples were combined 1:1, CO:COLLECTION_SUMMARY v:v, to generate a third replicate for statistical analysis. CO:SAMPLE_TYPE Blood (whole) #TREATMENT TR:TREATMENT_SUMMARY No treatment was performed #SAMPLEPREP SP:SAMPLEPREP_SUMMARY Blood aliquots were thawed on ice, then 10 uL of whole blood was treated with SP:SAMPLEPREP_SUMMARY with 90 uL of cold 5:3:2 methanol:acetonitrile:water. Samples were vortexed 30 SP:SAMPLEPREP_SUMMARY min at 4 degrees C then supernatants clarified by centrifugation (10 min, 10,000 SP:SAMPLEPREP_SUMMARY g, 4 degrees C). For negative ion mode runs, supernatants were transferred to SP:SAMPLEPREP_SUMMARY autosampler vials. For positive ion mode runs, 35 uL of extract was dried on a SP:SAMPLEPREP_SUMMARY speedvac then resuspended in 35 uL of 0.1% formic acid in water. FA solutions SP:SAMPLEPREP_SUMMARY were then transferred to autosampler vials for analysis. SP:PROCESSING_STORAGE_CONDITIONS 4℃ SP:EXTRACT_STORAGE -80℃ #CHROMATOGRAPHY CH:CHROMATOGRAPHY_SUMMARY Negative C18 CH:CHROMATOGRAPHY_TYPE Reversed phase CH:INSTRUMENT_NAME Thermo Vanquish CH:COLUMN_NAME Waters ACQUITY UPLC BEH C18 (100 x 2.1mm,1.7um) CH:SOLVENT_A 5% acetonitrile/95% water; 5 mM ammonium acetate CH:SOLVENT_B 95% acetonitrile/5% water; 5 mM ammonium acetate CH:FLOW_GRADIENT 0-0.5 min hold at 0% B, 0.5-1.1 min increase to 100% B, 1.1-2.75 min hold at CH:FLOW_GRADIENT 100% B, 2.75-3 min decrease to 0% B, 3-5 min hold at 0% B CH:FLOW_RATE 0.45 mL/min CH:COLUMN_TEMPERATURE 45 CH:SAMPLE_INJECTION 10 uL #ANALYSIS AN:ANALYSIS_TYPE MS #MS MS:INSTRUMENT_NAME Thermo Orbitrap Exploris 120 MS:INSTRUMENT_TYPE Orbitrap MS:MS_TYPE ESI MS:ION_MODE NEGATIVE MS:MS_COMMENTS The Q Exactive was run in negative ion mode, scanning using full MS from 65-975 MS:MS_COMMENTS m/z at 120,000 resolution. Electrospray ionization was achieved with 50 Arb MS:MS_COMMENTS sheath gas, 10 Arb auxiliary gas, and 3 kV spray voltage. Calibration was MS:MS_COMMENTS performed prior to the run using the PierceTM Positive and Negative Ion MS:MS_COMMENTS Calibration Solutions (Thermo Fisher Scientific). Run order of samples was MS:MS_COMMENTS randomized and technical replicates were injected after every 4 samples to MS:MS_COMMENTS assess quality control. #MS_METABOLITE_DATA MS_METABOLITE_DATA:UNITS peak area MS_METABOLITE_DATA_START Samples AG-88-1 AG-88-2 AG-88-3 AG-88-4 AG-88-5 AG-88-6 AG-88-7 AG-88-8 AG-88-9 AG-88-10 AG-88-11 AG-88-12 Factors Disease state:Healthy control | Sample source:Whole blood Disease state:Healthy control | Sample source:Whole blood Disease state:Healthy control | Sample source:Whole blood Disease state:Healthy control | Sample source:Whole blood Disease state:Healthy control | Sample source:Whole blood Disease state:Healthy control | Sample source:Whole blood Disease state:MSUD | Sample source:Whole blood Disease state:MSUD | Sample source:Whole blood Disease state:MSUD | Sample source:Whole blood Disease state:MSUD with transplant | Sample source:Whole blood Disease state:MSUD with transplant | Sample source:Whole blood Disease state:Pool of MSUD with transplant | Sample source:Whole blood glycine 466614 546020 411829 430852 434297 499400 799135 525566 717210 578105 599232 704481 4-Methyl-2-Oxpentanoate/(S)-3-Methyl-2-Oxopentanoic Acid (ketoacids of Ile and Leu) 3979470 2465150 3542359 2342348 4903095 4710568 8724376 44493708 16774944 12342003 34239404 22105800 3-Methyl-2-Oxobutanoate (ketoacid of Val) 285402 186107 223336 186783 310081 244396 526609 1117966 1181681 599505 1073736 760161 L-cystine 113895 140508 261614 235200 363109 103855 112324 126120 40553 181699 86103 135267 ATP 3532202 2703264 3291713 2164781 2526715 1453303 69333 2452231 1756146 1151121 1826653 1504946 ADP 7140995 5302198 5668330 7519953 7188327 6906394 2472224 8414191 5327123 6609845 7824236 7579892 dAMP 47258 224128 35183 84926 241167 249138 108339 93782 178704 72793 121683 60481 GTP 21083 19393 65880 9554 101803 8519 0 7127 13753 7337 11883 6075 GDP 152677 348712 101474 92099 158576 308603 229663 192730 683230 98631 236332 183631 CDP 14309 35787 25913 25895 61996 11857 14746 9049 8052 21540 5946 23479 Cytidine 136792 67906 138710 126655 77637 89640 15966 41071 12036 41302 13386 23974 UTP 23688 138917 292157 164959 196472 51341 0 142805 131262 89660 94198 92525 UDP 2795835 2213462 3046668 2806685 5664696 4125783 2170798 2359892 974574 4368987 2142563 3197919 IDP 150941 204303 197308 236159 218913 281795 210996 200872 168508 156208 174115 217687 IMP 26398032 44412288 27989568 37411340 19303130 28428614 46200252 41046508 44048892 41148404 47130848 41653520 Urate 16737375 15935768 24884840 18073896 29559488 20771928 29040586 23763530 31844390 27577718 20629360 24371250 3',5'-Cyclic IMP 4876240 4457984 6575490 6403547 7966091 5505051 4798955 5397751 2524015 5991496 4755628 5712591 5'-Phosphoribosyl-N-formylglycinamide 55275 107715 215893 228179 206185 111973 0 96285 50612 215181 173663 188338 Pyridoxal 9297 10129 10933 11225 11169 12588 11925 35108 20447 9479 381934 219535 4-Pyridoxate 254312 91157 84035 100045 112906 135272 87999 756910 59383 71342 7594639 3700703 Pyridoxamine 5'-phosphate 22245 196320 31523 137021 119528 10065 80671 104470 180077 54766 32157 55885 Nicotinate ribonucleotide 452163 235717 720470 543039 1137387 397373 328635 257204 39062 395286 141160 275032 UDP-glucose 152928 137662 87112 102661 65029 116330 102302 177471 199330 97787 157730 117753 NADP+ 456869 217356 326462 336599 273284 291170 328657 409071 404503 348965 365780 322684 Phosphate 21757170 28021094 17743658 24721688 24130946 30267298 35360272 27880870 29992534 27374106 34025436 28652206 Diphosphate 677858 1080047 955602 1324391 1109779 2000109 2972236 1039514 1553971 964610 1360301 1072717 D-Glucose 20791242 13201824 16033291 10994628 20579578 21409488 19039244 14360365 13817011 22822170 14526976 17709482 D-Glucose 6-phosphate 2662528 3131834 2516401 2123761 1388508 1870145 4985709 5049560 3618644 3383498 3128733 3482714 D-Fructose 1-6-bisphosphate 16327531 37603868 12461575 26016416 17195844 14936541 35761136 28379200 34530056 36809204 22730672 28418752 D-Glyceraldehyde 3-phosphate/Glycerone phosphate 4566206 6932574 3211095 4913172 3949267 4163356 9098933 6976719 9022806 8257012 10157501 9678907 1-3-Bisphosphoglycerate 84719936 83098536 80710696 80374248 103715096 55919824 51801644 76862544 53466876 92354752 50799616 69033744 2/3-Phospho-D-glycerate 4735806 2303639 3905103 3640334 4497438 2927349 1793503 1835837 895634 2288960 1050425 1511168 Phosphoenolpyruvate 6591192 6119639 5791106 6104623 7485054 4270332 3777309 5685996 3760162 6547730 3490534 4889670 Pyruvate 2947825 9407305 3542799 6604818 3764191 6393598 15770455 9597808 13189813 5425212 11690163 8273352 Lactate 31054358 39022084 66869780 60138628 48247940 26240326 36559136 44078604 57426740 40377840 46689900 41047692 Maltose 103994 619697 811351 811607 639606 771762 957621 572229 380212 832936 820127 877102 Maltotriose 41941 370167 627288 339596 404732 205659 139351 497708 183894 474810 294025 411998 Mannitol 1204598 2343608 1770368 1203524 1020741 2176087 3256531 2260296 2880361 2176138 1610624 1909841 D-Ribose 890887 586781 652741 436358 846484 1028459 635538 670000 577134 915916 434864 749256 D-Rhamnose 473394 360405 715710 434689 565704 511013 328118 566879 397009 223541 426554 307299 D-Arabitol 213434 481569 178057 348385 313857 383750 365560 201341 205249 202371 244462 228999 Citrate 14058904 6198444 61422996 37199788 89383912 20024466 9437557 12915979 6665404 18337520 7974246 12899320 2-Oxoglutarate 2235869 603387 2334044 3882578 613324 1168627 1001824 4380410 143580 2585040 4572503 3116727 Succinate 592007 789093 779651 1246010 973890 875327 814228 715108 672211 486494 1040462 655436 Fumarate 986434 1605354 1322232 1294586 1191729 967550 1269696 995588 1521018 1229974 1585840 1216496 Malate 16864386 26071638 21626210 22140018 20919762 15170181 17733916 18945470 23815530 20091490 25338574 19884806 2-Hydroxyglutarate/Citramalate 2740842 4097557 3053519 4008814 3612112 2841457 3095371 3797785 3899338 2502681 3476848 2409449 6-Phospho-D-gluconate 656707 956842 762575 618375 512679 705721 594830 1016489 1393662 692162 791579 714505 D-Erythrose 4-phosphate 82467 59657 43877 10690 34349 40457 44474 80452 67177 21458 42806 38554 Sedoheptulose 1-phosphate 83878 181003 40716 88608 59964 125847 136750 139632 298816 134909 126076 114412 alpha-D-Ribose 1-phosphate 1090719 5594320 622395 1028958 1463650 1227393 2516848 3239717 7278613 3590260 3051519 2954641 5-Oxoproline 2709873 4509018 4156629 5147067 4403662 3175966 5224536 4087878 7590486 5458920 4864611 5494521 N-Acetylneuraminate 1002946 1622657 1332872 1568537 1324178 1397641 1577492 2019379 2140271 1550579 2981740 1996734 1-4-beta-D-Xylan 690463 423927 617573 432747 793564 719254 744973 611749 488757 958686 597068 690993 UDP-N-acetyl-D-glucosamine 202802 68190 150770 93123 131487 64482 124524 212095 441080 61848 126061 151123 N-Acetylornithine 115120 254359 220729 125975 140475 276183 128107 96409 300196 140681 162345 133282 trans-4-Hydroxy-L-proline 295819 483084 575963 487024 586577 456049 614089 337562 636425 457268 518104 540941 N-Succinyl-L-glutamate 5-semialdehyde 255743 554303 576152 521979 644375 238863 584022 424994 351083 260408 624500 415849 3-Sulfocatechol 3453954 3448242 1381209 5586090 4501252 5990082 538238 2245730 3676940 977140 2171515 1400257 5-Hydroxyindoleacetate 121859 415905 342847 449028 197878 190075 928811 559394 1070462 331146 655068 480114 3-Methyleneoxindole 2177520 1130355 1601923 1474540 439546 773324 978204 1035037 762949 1657221 1012539 1178015 Indole-3-acetate 56384 44828 40490 25415 39765 55341 43136 49581 18622 31350 40650 36069 2-Aminomuconate 400560 427269 393353 519609 665750 475419 688916 432917 469572 704680 468526 527652 Quinolinic Acid 34778 120505 120609 71559 73075 62492 67618 83655 165186 79476 77171 45416 Glycerol 3-phosphate 865573 710630 180999 171893 633733 748335 241863 688478 922657 579955 436022 536885 Ethanolamine phosphate 24281 245420 493575 473213 275414 142727 327700 333232 336310 294669 439446 352886 Sphingosine 1-phosphate 289890 419823 404328 478711 317161 468673 482796 665989 575383 755048 1064698 779048 Heptanoic acid 62645 35273 67513 50876 36195 35587 40451 38830 36180 58116 24462 29081 Octanoic acid (caprylate) 111904 92004 157917 126293 147844 99764 85977 85623 80591 119668 125709 117751 Nonanoic acid (pelargonate) 501795 488052 708751 664966 585522 688759 513909 574658 506683 671714 645473 571572 Hexadecanoic acid (palmitic acid) 252858096 290259712 425453536 323784704 377684000 383187232 262274960 402803232 207397712 282437888 242928912 251681856 Tetradecenoic acid (myristoleic acid) 376880 726349 1385447 319702 5784196 1267835 751150 845547 309990 437125 276357 318802 Octadecenoic acid (Oleic acid) 107957080 159055088 190661520 78609608 481994784 245082512 229081904 169607184 96811560 81528544 87401336 84808888 Linoleic acid ((9Z,12Z)-Octadecadienoic acid) 54452304 113862144 84841000 42562884 312265184 247701824 154881968 155192576 71359512 41396048 85657080 59915888 a-Linolenic acid (Octadecatrienoic acid) 2490233 6403652 5026770 4109901 22903792 23867078 6600468 14548349 5155651 2730231 6677708 4535530 (8Z-11Z-14Z)-Icosatrienoic acid 1932173 5485629 4590310 3183671 8088771 5132096 6417316 6055853 4139024 3112656 3373178 3012484 Hemine 95130 99083 97725 83854 89697 92259 77850 92378 62874 103446 83179 73685 MS_METABOLITE_DATA_END #METABOLITES METABOLITES_START metabolite_name KEGG ID Pathway m/z r.t. glycine C00037 Amino acids 74.0248 0.4910 4-Methyl-2-Oxpentanoate/(S)-3-Methyl-2-Oxopentanoic Acid (ketoacids of Ile and Leu) C00233/C00671 Amino acids 129.0557 1.6460 3-Methyl-2-Oxobutanoate (ketoacid of Val) C00141 Amino acids 115.0401 0.6370 L-cystine C00491 Amino acids 239.0149 0.4930 ATP C00002 Nucleotides 505.988525 0.529 ADP C00008 Nucleotides 426.022308 0.537 dAMP C00360 Nucleotides 330.055817 0.533 GTP C00044 Nucleotides 521.984436 0.456 GDP C00035 Nucleotides 442.010223 0.529 CDP C00112 Nucleotides 402.00766 1.698 Cytidine C00475 Nucleotides 242.079117 0.496 UTP C00075 Nucleotides 482.961243 0.447 UDP C00015 Nucleotides 402.999023 0.481 IDP C00104 Nucleotides 427.005798 0.46 IMP C00130 Nucleotides 347.039734 0.531 Urate C00366 Nucleotides 167.021042 0.532 3',5'-Cyclic IMP C00943 Nucleotides 329.030457 0.481 5'-Phosphoribosyl-N-formylglycinamide C04376 Nucleotides 313.040283 0.494 Pyridoxal C00250 Nucleotides 166.050995 0.617 4-Pyridoxate C00847 Nucleotides 182.045898 1.621 Pyridoxamine 5'-phosphate C00647 Nucleotides 247.044754 0.558 Nicotinate ribonucleotide C01185 Nucleotides 335.034821 0.56 UDP-glucose C00029 Nucleotides 565.048218 0.486 NADP+ C00006 Nucleotides 742.068787 0.526 Phosphate C00009 Phosphates 96.96962 0.465 Diphosphate C00013 Phosphates 176.935654 0.459 D-Glucose C00031 Glycolysis 179.056137 0.503 D-Glucose 6-phosphate C02965 Glycolysis 259.022552 0.458 D-Fructose 1-6-bisphosphate C00354 Glycolysis 338.988708 0.43 D-Glyceraldehyde 3-phosphate/Glycerone phosphate C00118 Glycolysis 168.990829 0.46 1-3-Bisphosphoglycerate C00236 Glycolysis 264.951965 0.427 2/3-Phospho-D-glycerate C00631 Glycolysis 184.985306 0.443 Phosphoenolpyruvate C00074 Glycolysis 166.975098 0.427 Pyruvate C00022 Glycolysis 87.008766 0.522 Lactate C01432 Glycolysis 89.024406 0.497 Maltose C00208 Other sugars 341.108917 0.539 Maltotriose C01835 Other sugars 503.161957 0.536 Mannitol C00392 Other sugars 181.071182 0.513 D-Ribose C00121 Other sugars 149.045639 0.505 D-Rhamnose C01684 Other sugars 163.061234 0.545 D-Arabitol C01904 Other sugars 151.061234 0.549 Citrate C00158 TCA cycle 191.01976 0.43 2-Oxoglutarate C00026 TCA cycle 145.014618 0.459 Succinate C00042 TCA cycle 117.019402 0.46 Fumarate C00122 TCA cycle 115.00367 0.474 Malate C00149 TCA cycle 133.014236 0.461 2-Hydroxyglutarate/Citramalate C02630 Alternative Carboxylic acids 147.030106 0.462 6-Phospho-D-gluconate C00345 Pentose Phosphate Pathway 275.017395 0.436 D-Erythrose 4-phosphate C00279 Pentose Phosphate Pathway 199.001312 0.51 Sedoheptulose 1-phosphate C06222 Pentose Phosphate Pathway 289.033081 0.46 alpha-D-Ribose 1-phosphate C00620 Pentose Phosphate Pathway 229.011871 0.465 5-Oxoproline C01879 GSH homeostasis 128.035324 0.527 N-Acetylneuraminate C00270 Aminosugars 308.098785 0.515 1-4-beta-D-Xylan C02352 Aminosugars 131.034973 0.49 UDP-N-acetyl-D-glucosamine C00043 Aminosugars 606.074463 0.503 N-Acetylornithine C00437 Arginine and proline metabolism 173.093185 0.543 trans-4-Hydroxy-L-proline C01157 Arginine and proline metabolism 130.050995 0.535 N-Succinyl-L-glutamate 5-semialdehyde C05932 Arginine and proline metabolism 230.063644 0.498 3-Sulfocatechol C06336 Sulfur metabolism 188.986221 1.643 5-Hydroxyindoleacetate C05635 Indole and Tryptophan 190.054001 0.682 3-Methyleneoxindole C02796 Indole and Tryptophan 144.045471 1.805 Indole-3-acetate C00954 Indole and Tryptophan 174.055466 1.669 2-Aminomuconate C02220 Indole and Tryptophan 156.028427 0.529 Quinolinic Acid C03722 Indole and Tryptophan 166.014526 0.537 Glycerol 3-phosphate C00093 Glycerophospholipid biosynthesis 171.007324 0.46 Ethanolamine phosphate C00346 Glycerophospholipid biosynthesis 140.010803 0.493 Sphingosine 1-phosphate C06124 Glycerophospholipid biosynthesis 378.241577 2.292 Heptanoic acid C17714 Saturated Fatty acids 129.092133 1.828 Octanoic acid (caprylate) C06423 Saturated Fatty acids 143.107758 1.892 Nonanoic acid (pelargonate) C01601 Saturated Fatty acids 157.123474 1.966 Hexadecanoic acid (palmitic acid) C00249 Saturated Fatty acids 255.232864 2.553 Tetradecenoic acid (myristoleic acid) C08322 Monounsaturated Fatty Acids 225.18602 2.221 Octadecenoic acid (Oleic acid) C00712 Monounsaturated Fatty Acids 281.248535 2.563 Linoleic acid ((9Z,12Z)-Octadecadienoic acid) C01595 Poly-unsaturated Fatty Acids 279.23291 2.398 a-Linolenic acid (Octadecatrienoic acid) C06427 Poly-unsaturated Fatty Acids 277.217316 2.292 (8Z-11Z-14Z)-Icosatrienoic acid C03242 Essential fatty acids 305.248657 2.449 Hemine C06767 Hemolysis markers 650.139099 2.233 METABOLITES_END #END