#METABOLOMICS WORKBENCH cclish_20250406_182430 DATATRACK_ID:5820 STUDY_ID:ST003867 ANALYSIS_ID:AN006356 PROJECT_ID:PR002423 VERSION 1 CREATED_ON April 9, 2025, 8:53 pm #PROJECT PR:PROJECT_TITLE Fatty-acid oxidation is a metabolic hallmark of human proliferative retinopathy PR:PROJECT_SUMMARY In this experiment, we used nontargeted metabolomics to measure metabolite PR:PROJECT_SUMMARY profiles of vitreous humor from subjects with proliferative diabetic PR:PROJECT_SUMMARY retinopathy. Vitreous samples were collected adjacent to leaky pathological PR:PROJECT_SUMMARY neovascular tufts that characterize PR. Amongst the top 25 most significantly PR:PROJECT_SUMMARY dysregulated metabolites, we observed an accumulation of acylcarnitines in human PR:PROJECT_SUMMARY neovascular PR samples compared to control subjects with epiretinal membranes. PR:INSTITUTE Broad Institute of MIT and Harvard PR:DEPARTMENT Metabolomics Platform PR:LAST_NAME Clish PR:FIRST_NAME Clary PR:ADDRESS 300 BineyStreet, Cambridge, MA, 02142, USA PR:EMAIL clary@broadinstitute.org PR:PHONE 617-714-7654 PR:PUBLICATIONS submitted PR:CONTRIBUTORS Gael Cagnone, Sheetal Pundir, Charlotte Betus, Tapan Agnihotri, Anli Ren, Jin PR:CONTRIBUTORS SungKim, Noémie-Rose Harvey, Emilie Heckel, Mei Xi Chen, Anu Situ, Perrine PR:CONTRIBUTORS Gaub, Nicholas Kim, Ashim Das, Severine Leclerc, Florian Wünnemann, Louis PR:CONTRIBUTORS Berillon, Gregor Andelfinger, Sergio Crespo-Garcia, Alexandre Dubrac, Flavio A. PR:CONTRIBUTORS Rezende, Clary B. Clish, Bruno Maranda, José Carlos Rivera, Lois E. H. Smith, PR:CONTRIBUTORS Przemyslaw Sapieha, JeanSébastien Joyal #STUDY ST:STUDY_TITLE Fatty-acid oxidation is a metabolic hallmark of human proliferative retinopathy ST:STUDY_TYPE comparison of vitreous humor from subjects with proliferative diabetic ST:STUDY_TYPE retinopathy to epiretinal membrane (control) ST:STUDY_SUMMARY Healthy blood vessels supply neurons to preserve metabolic function. In blinding ST:STUDY_SUMMARY proliferative retinopathies (PRs), pathological neovascular tufts often emerge ST:STUDY_SUMMARY in lieu of needed physiological revascularization. Here we show that metabolic ST:STUDY_SUMMARY shifts in the neovascular niche define angiogenic fate. Fatty acid oxidation ST:STUDY_SUMMARY (FAO) metabolites accumulated in human and murine retinopathy samples. ST:STUDY_SUMMARY Neovascular tufts with a distinct single-cell transcriptional signature highly ST:STUDY_SUMMARY expressed FAO enzymes. The deletion of Sirt3, an FAO regulator, shifted the ST:STUDY_SUMMARY neovascular niche metabolism from FAO to glycolysis and suppressed tuft ST:STUDY_SUMMARY formation. This metabolic transition increased Vegf expression in astrocytes and ST:STUDY_SUMMARY reprogrammed pathological neovessels to a physiological phenotype, hastening ST:STUDY_SUMMARY vascular regeneration of the ischemic retina and improving vision. Hence, ST:STUDY_SUMMARY strategies to change the metabolic environment of vessels could promote a ST:STUDY_SUMMARY regenerative phenotype in vascular diseases. In this experiment, we used ST:STUDY_SUMMARY nontargeted metabolomics to measure metabolite profiles of vitreous humor from ST:STUDY_SUMMARY subjects with proliferative diabetic retinopathy. Vitreous samples were ST:STUDY_SUMMARY collected adjacent to leaky pathological neovascular tufts that characterize PR. ST:STUDY_SUMMARY Amongst the top 25 most significantly dysregulated metabolites, we observed an ST:STUDY_SUMMARY accumulation of acylcarnitines in human neovascular PR samples compared to ST:STUDY_SUMMARY control subjects with epiretinal membranes. Fatty acylcarnitines are by-products ST:STUDY_SUMMARY of fatty-acid beta-oxidation (FAO), the process of oxidizing fatty acids in ST:STUDY_SUMMARY mitochondria to produce acetyl-CoA (Fig. 1b). 5 of the 6 most enriched metabolic ST:STUDY_SUMMARY pathways in human PR pertained to FA metabolism, including long and short-chain ST:STUDY_SUMMARY saturated FAO pathways. ST:INSTITUTE Broad Institute of MIT and Harvard ST:DEPARTMENT Metabolomics Platform ST:LAST_NAME Clish ST:FIRST_NAME Clary ST:ADDRESS 300 Binney Street, Cambridge, MA, 02142, USA ST:EMAIL clary@broadinstitute.org ST:PHONE 617-714-7654 ST:NUM_GROUPS 2 ST:TOTAL_SUBJECTS 15 ST:NUM_MALES 9 ST:NUM_FEMALES 6 #SUBJECT SU:SUBJECT_TYPE Human SU:SUBJECT_SPECIES Homo sapiens SU:TAXONOMY_ID 9606 SU:AGE_OR_AGE_RANGE 35-84 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 - 14 Sample source:Vitreous humor | Dianosis:Epiretinal membrane (ERM) | Disease Status:Control Sex=F; Age=46; Eye Collected=OS; Past Medical History=-; Medications=none; Flagged as outlier in MetaboAnalyst Random Forest analysis (excluded)=-; RAW_FILE_NAME(HILIC-pos_raw_file_name)=0006_JOY_VitHum_HIL-ERM-14.raw; RAW_FILE_NAME(HILIC-neg_raw_file_name)=0006_JOY_ERM_CMH-14.raw SUBJECT_SAMPLE_FACTORS - 15 Sample source:Vitreous humor | Dianosis:Epiretinal membrane (ERM) | Disease Status:Control Sex=F; Age=84; Eye Collected=OD; Past Medical History=Hypertension, Dyslipidemia; Medications=Warfarin, Fluoxetine; Flagged as outlier in MetaboAnalyst Random Forest analysis (excluded)=-; RAW_FILE_NAME(HILIC-pos_raw_file_name)=0007_JOY_VitHum_HIL-ERM-15.raw; RAW_FILE_NAME(HILIC-neg_raw_file_name)=0007_JOY_ERM_CMH-15.raw SUBJECT_SAMPLE_FACTORS - 16 Sample source:Vitreous humor | Dianosis:Epiretinal membrane (ERM) | Disease Status:Control Sex=M; Age=78; Eye Collected=OS; Past Medical History=Hypertension, Dyslipidemia, Coronary artery disease, Gout, Diabetes Type 2, Atrial fibrillation; Medications=Warfarin; Flagged as outlier in MetaboAnalyst Random Forest analysis (excluded)=-; RAW_FILE_NAME(HILIC-pos_raw_file_name)=0008_JOY_VitHum_HIL-ERM-16.raw; RAW_FILE_NAME(HILIC-neg_raw_file_name)=0008_JOY_ERM_CMH-16.raw SUBJECT_SAMPLE_FACTORS - 108 Sample source:Vitreous humor | Dianosis:Epiretinal membrane (ERM) | Disease Status:Control Sex=M; Age=57; Eye Collected=OS; Past Medical History=Hypertension; Medications=NifedipineIrbezartan/Hydrochlorothiazide, Acetaminophen; Flagged as outlier in MetaboAnalyst Random Forest analysis (excluded)=-; RAW_FILE_NAME(HILIC-pos_raw_file_name)=0009_JOY_VitHum_HIL-ERM-108.raw; RAW_FILE_NAME(HILIC-neg_raw_file_name)=0009_JOY_ERM_CMH-108.raw SUBJECT_SAMPLE_FACTORS - 136 Sample source:Vitreous humor | Dianosis:Epiretinal membrane (ERM) | Disease Status:Control Sex=M; Age=68; Eye Collected=OD; Past Medical History=Diabetes Type 1; Medications=Formoterol/ budesonide, Rosuvastatin, Calcium/Vit D, Perindopril/Erbumine, Tamsulosine; Flagged as outlier in MetaboAnalyst Random Forest analysis (excluded)=excluded; RAW_FILE_NAME(HILIC-pos_raw_file_name)=0010_JOY_VitHum_HIL-ERM-136.raw; RAW_FILE_NAME(HILIC-neg_raw_file_name)=0010_JOY_ERM_CMH-136.raw SUBJECT_SAMPLE_FACTORS - 85 Sample source:Vitreous humor | Dianosis:Proliferative diabetic retinopathy (PDR) | Disease Status:Active with vitreous hemorrhage and tractional retinal detachments Sex=M; Age=74; Eye Collected=OD; Past Medical History=Diabetes Type 2, Dyslipidemia, Hypertension, stroke, Coronary artery disease; Medications=Warfarin, Metformin, Glicazide, Acetaminophen, Gabapentin, Biocal-D forte, Alendronate, Atorvastatin, AAS, Furosemide; Flagged as outlier in MetaboAnalyst Random Forest analysis (excluded)=-; RAW_FILE_NAME(HILIC-pos_raw_file_name)=0031_JOY_VitHum_HIL-DR-85.raw; RAW_FILE_NAME(HILIC-neg_raw_file_name)=0031_JOY_DR_CMH-85.raw SUBJECT_SAMPLE_FACTORS - 126 Sample source:Vitreous humor | Dianosis:Proliferative diabetic retinopathy (PDR) | Disease Status:Active with neovascular glaucoma Sex=F; Age=79; Eye Collected=OS; Past Medical History=Diabetes Type 2, Hemodialysis, Hypertension, Coronary artery disease; Medications=NA; Flagged as outlier in MetaboAnalyst Random Forest analysis (excluded)=excluded; RAW_FILE_NAME(HILIC-pos_raw_file_name)=0032_JOY_VitHum_HIL-DR-126.raw; RAW_FILE_NAME(HILIC-neg_raw_file_name)=0032_JOY_DR_CMH-126.raw SUBJECT_SAMPLE_FACTORS - 124 Sample source:Vitreous humor | Dianosis:Proliferative diabetic retinopathy (PDR) | Disease Status:Active with vitreous hemorrhage and tractional retinal detachments Sex=M; Age=35; Eye Collected=OD; Past Medical History=Diabetes Type 2; Medications=NA; Flagged as outlier in MetaboAnalyst Random Forest analysis (excluded)=-; RAW_FILE_NAME(HILIC-pos_raw_file_name)=0033_JOY_VitHum_HIL-DR-124.raw; RAW_FILE_NAME(HILIC-neg_raw_file_name)=0033_JOY_DR_CMH-124.raw SUBJECT_SAMPLE_FACTORS - 86 Sample source:Vitreous humor | Dianosis:Proliferative diabetic retinopathy (PDR) | Disease Status:Active with vitreous hemorrhage Sex=F; Age=78; Eye Collected=OD; Past Medical History=Diabetes Type 2, Dyslipidemia, Hypertension, Renal insufficiency; Medications=Metformin, Formoterol/budesonide, Escitalopram, Vit D; Flagged as outlier in MetaboAnalyst Random Forest analysis (excluded)=-; RAW_FILE_NAME(HILIC-pos_raw_file_name)=0034_JOY_VitHum_HIL-DR-86.raw; RAW_FILE_NAME(HILIC-neg_raw_file_name)=0034_JOY_DR_CMH-86.raw SUBJECT_SAMPLE_FACTORS - 142 Sample source:Vitreous humor | Dianosis:Proliferative diabetic retinopathy (PDR) | Disease Status:Active with tractional retinal detachments Sex=M; Age=36; Eye Collected=OD; Past Medical History=Diabetes Type 2, Stroke, Renal insufficiency; Medications=NA; Flagged as outlier in MetaboAnalyst Random Forest analysis (excluded)=-; RAW_FILE_NAME(HILIC-pos_raw_file_name)=0035_JOY_VitHum_HIL-DR-142.raw; RAW_FILE_NAME(HILIC-neg_raw_file_name)=0035_JOY_DR_CMH-142.raw SUBJECT_SAMPLE_FACTORS - 153 Sample source:Vitreous humor | Dianosis:Proliferative diabetic retinopathy (PDR) | Disease Status:Active with macular edema and pre-retinal hemorrhage Sex=M; Age=45; Eye Collected=OD; Past Medical History=Diabetes Type 2, Dyslipidemia, Hypertension; Medications=Insulin, Diltiazem, EzetimibeRosuvastatin, Perindopril/Erbumine/IndapamideMontelukast, EmpagliflozineSemaglutide, AAS, Metformin; Flagged as outlier in MetaboAnalyst Random Forest analysis (excluded)=excluded; RAW_FILE_NAME(HILIC-pos_raw_file_name)=0036_JOY_VitHum_HIL-DR-153.raw; RAW_FILE_NAME(HILIC-neg_raw_file_name)=0036_JOY_DR_CMH-153.raw SUBJECT_SAMPLE_FACTORS - 87 Sample source:Vitreous humor | Dianosis:Proliferative diabetic retinopathy (PDR) | Disease Status:Active with vitreous hemorrhage Sex=F; Age=72; Eye Collected=OS; Past Medical History=Diabetes Type 2, Hypertension; Medications=Lyrica, Coumadin, Furosemide, Pantoprazol, Metformin, Dilaudil, Bisoprolol, Ferrous sulfate, Lorazepan; Flagged as outlier in MetaboAnalyst Random Forest analysis (excluded)=-; RAW_FILE_NAME(HILIC-pos_raw_file_name)=0037_JOY_VitHum_HIL-DR-87.raw; RAW_FILE_NAME(HILIC-neg_raw_file_name)=0037_JOY_DR_CMH-87.raw SUBJECT_SAMPLE_FACTORS - 144 Sample source:Vitreous humor | Dianosis:Proliferative diabetic retinopathy (PDR) | Disease Status:Active with vitreous hemorrhage and cataract Sex=F; Age=81; Eye Collected=OD; Past Medical History=Diabetes Type 2, Hypertension, Irondeficiency anaemia, dyslipidemia; Medications=Adalat, AAS, Docusate sodium, Metoprolol, Novolin, Furosemide, Ferrous sulfate; Flagged as outlier in MetaboAnalyst Random Forest analysis (excluded)=excluded; RAW_FILE_NAME(HILIC-pos_raw_file_name)=0038_JOY_VitHum_HIL-DR-144.raw; RAW_FILE_NAME(HILIC-neg_raw_file_name)=0038_JOY_DR_CMH-144.raw SUBJECT_SAMPLE_FACTORS - 77 Sample source:Vitreous humor | Dianosis:Proliferative diabetic retinopathy (PDR) | Disease Status:Active with vitreous hemorrhage Sex=M; Age=73; Eye Collected=OS; Past Medical History=Diabetes Type 2; Medications=AAS, Atorvastatin, Metoprolol, Amlodipine, Oxybutynin, Tamsulosine, Januvia, Novolin, Gliclazide, Lorazepan, Nitro; Flagged as outlier in MetaboAnalyst Random Forest analysis (excluded)=-; RAW_FILE_NAME(HILIC-pos_raw_file_name)=0039_JOY_VitHum_HIL-DR-77.raw; RAW_FILE_NAME(HILIC-neg_raw_file_name)=0039_JOY_DR_CMH-77.raw SUBJECT_SAMPLE_FACTORS - 76 Sample source:Vitreous humor | Dianosis:Proliferative diabetic retinopathy (PDR) | Disease Status:Active with vitreous hemorrhage Sex=M; Age=80; Eye Collected=OS; Past Medical History=Diabetes Type 2, Hypertension, Coronary artery disease; Medications=NA; Flagged as outlier in MetaboAnalyst Random Forest analysis (excluded)=-; RAW_FILE_NAME(HILIC-pos_raw_file_name)=0040_JOY_VitHum_HIL-DR-76.raw; RAW_FILE_NAME(HILIC-neg_raw_file_name)=0040_JOY_DR_CMH-76.raw SUBJECT_SAMPLE_FACTORS - QC01 Sample source:pooled vitreous QC | Dianosis:NA | Disease Status:NA Sex=NA; Age=NA; Eye Collected=NA; Past Medical History=NA; Medications=NA; Flagged as outlier in MetaboAnalyst Random Forest analysis (excluded)=NA; RAW_FILE_NAME(HILIC-pos_raw_file_name)=0000g_JOY_VitHum_HIL-PREFB01.raw; RAW_FILE_NAME(HILIC-neg_raw_file_name)=0000d_JOY_VitHum_CMH_JP01.raw SUBJECT_SAMPLE_FACTORS - QC02 Sample source:pooled vitreous QC | Dianosis:NA | Disease Status:NA Sex=NA; Age=NA; Eye Collected=NA; Past Medical History=NA; Medications=NA; Flagged as outlier in MetaboAnalyst Random Forest analysis (excluded)=NA; RAW_FILE_NAME(HILIC-pos_raw_file_name)=0020b_JOY_VitHum_HIL-PREFB02.raw; RAW_FILE_NAME(HILIC-neg_raw_file_name)=0020a_JOY_VitHum_CMH_JP02.raw SUBJECT_SAMPLE_FACTORS - QC03 Sample source:pooled vitreous QC | Dianosis:NA | Disease Status:NA Sex=NA; Age=NA; Eye Collected=NA; Past Medical History=NA; Medications=NA; Flagged as outlier in MetaboAnalyst Random Forest analysis (excluded)=NA; RAW_FILE_NAME(HILIC-pos_raw_file_name)=0040b_JOY_VitHum_HIL-PREFB03.raw; RAW_FILE_NAME(HILIC-neg_raw_file_name)=0040a_JOY_VitHum_CMH_JP03.raw #COLLECTION CO:COLLECTION_SUMMARY The study conforms to the tenets of the Declaration of Helsinki, and approval of CO:COLLECTION_SUMMARY the human clinical protocol and informed consent were obtained from the CO:COLLECTION_SUMMARY Maisonneuve-Rosemont Hospital Ethics Committee (CER: 10059). All patients CO:COLLECTION_SUMMARY previously diagnosed with proliferative diabetic retinopathy or epiretinal CO:COLLECTION_SUMMARY membrane were followed clinically, and surgery was performed by a single CO:COLLECTION_SUMMARY vitreoretinal surgeon when indicated by 'standard-of-care' guidelines. Informed CO:COLLECTION_SUMMARY consent was obtained. Undiluted vitreous samples were aspirated in the region CO:COLLECTION_SUMMARY adjacent to neovascular tufts or epiretinal membrane (control) and were frozen CO:COLLECTION_SUMMARY on dry ice immediately after biopsy and stored at –80°C. All patients CO:COLLECTION_SUMMARY received their first anti-VEGF injection after vitreous sampling; they did not CO:COLLECTION_SUMMARY have prior anti-VEGF or photocoagulation treatment. Medication details are CO:COLLECTION_SUMMARY provided in the metadata table, except for four deceased diabetic patients whose CO:COLLECTION_SUMMARY records were no longer available (NA). Sex and gender factors were not analyzed CO:COLLECTION_SUMMARY due to insufficient statistical power when disaggregated. CO:COLLECTION_PROTOCOL_ID CER: 10059 CO:SAMPLE_TYPE Vitreous humor CO:STORAGE_CONDITIONS -80℃ #TREATMENT TR:TREATMENT_SUMMARY No treatment was used in the study #SAMPLEPREP SP:SAMPLEPREP_SUMMARY Samples were thawed on ice, vortexes, and aliquoted to prepare extracts for SP:SAMPLEPREP_SUMMARY three different LC-MS methods: HILIC-pos: 10 µL of vitreous sample was SP:SAMPLEPREP_SUMMARY extracted using 90 µL of acetonitrile/methanol/formic acid (74.9:24.9:0.2 SP:SAMPLEPREP_SUMMARY v/v/v) containing stable isotope-labeled internal standards (valine-d8, SP:SAMPLEPREP_SUMMARY Sigma-Aldrich; St. Louis, MO; and phenylalanine-d8, Cambridge Isotope SP:SAMPLEPREP_SUMMARY Laboratories; Andover, MA). The samples were centrifuged (10 min, 9,000 x g, SP:SAMPLEPREP_SUMMARY 4°C), and the supernatants were transferred to autosampler vials containing SP:SAMPLEPREP_SUMMARY deactivated glass inserts. HILIC-neg: 30 µL of each vitreous sample was SP:SAMPLEPREP_SUMMARY extracted using 120 µL of 80% methanol containing inosine-15N4, thymine-d4 and SP:SAMPLEPREP_SUMMARY glycocholate-d4 internal standards (Cambridge Isotope Laboratories; Andover, SP:SAMPLEPREP_SUMMARY MA). The samples were centrifuged (10 min, 9,000 x g, 4°C), and the SP:SAMPLEPREP_SUMMARY supernatants were transferred to autosampler vials containing deactivated glass SP:SAMPLEPREP_SUMMARY inserts. #CHROMATOGRAPHY CH:CHROMATOGRAPHY_SUMMARY HILIC-neg: Hydrophilic interaction liquid chromatography (HILIC) analysis of CH:CHROMATOGRAPHY_SUMMARY water soluble metabolites in the negative ionization mode CH:CHROMATOGRAPHY_TYPE HILIC CH:INSTRUMENT_NAME Shimadzu Nexera X2 CH:COLUMN_NAME Phenomenex Luna NH2 (150 x 2 mm,5um,100Å) CH:SOLVENT_A 100% water; 20 mM ammonium acetate; 20 mM ammonium hydroxide CH:SOLVENT_B 75% methanol/25% acetonitrile; 10 mM ammonium hydroxide CH:FLOW_GRADIENT 0-10 min, gradient from 90% B to 0% B; 10-12 min, isocratic 0% B; 12-14 min, CH:FLOW_GRADIENT gradient from 0% B to 90% B CH:FLOW_RATE 400 uL/min CH:COLUMN_TEMPERATURE 30 #ANALYSIS AN:ANALYSIS_TYPE MS #MS MS:INSTRUMENT_NAME Thermo Q Exactive Plus Orbitrap MS:INSTRUMENT_TYPE Orbitrap MS:MS_TYPE ESI MS:ION_MODE NEGATIVE MS:MS_COMMENTS MS analyses were carried out using electrospray ionization in the negative ion MS:MS_COMMENTS mode using full scan analysis over m/z 70-750 at 70,000 resolution and 3 Hz data MS:MS_COMMENTS acquisition rate. Additional MS settings were: ion spray voltage, -3.0 kV; MS:MS_COMMENTS capillary temperature, 350°C; probe heater temperature, 325 °C; sheath gas, MS:MS_COMMENTS 55; auxiliary gas, 10; and S-lens RF level 50. Raw data were processed using MS:MS_COMMENTS TraceFinder 4.1 software (Thermo Fisher Scientific; Waltham, MA) and Progenesis MS:MS_COMMENTS QI (Nonlinear Dynamics; Newcastle upon Tyne, UK). Metabolite identities were MS:MS_COMMENTS confirmed using authentic reference standards. #MS_METABOLITE_DATA MS_METABOLITE_DATA:UNITS peak areas MS_METABOLITE_DATA_START Samples QC01 14 15 16 108 136 QC02 85 126 124 86 142 153 87 144 77 76 QC03 Factors Sample source:pooled vitreous QC | Dianosis:NA | Disease Status:NA Sample source:Vitreous humor | Dianosis:Epiretinal membrane (ERM) | Disease Status:Control Sample source:Vitreous humor | Dianosis:Epiretinal membrane (ERM) | Disease Status:Control Sample source:Vitreous humor | Dianosis:Epiretinal membrane (ERM) | Disease Status:Control Sample source:Vitreous humor | Dianosis:Epiretinal membrane (ERM) | Disease Status:Control Sample source:Vitreous humor | Dianosis:Epiretinal membrane (ERM) | Disease Status:Control Sample source:pooled vitreous QC | Dianosis:NA | Disease Status:NA Sample source:Vitreous humor | Dianosis:Proliferative diabetic retinopathy (PDR) | Disease Status:Active with vitreous hemorrhage and tractional retinal detachments Sample source:Vitreous humor | Dianosis:Proliferative diabetic retinopathy (PDR) | Disease Status:Active with neovascular glaucoma Sample source:Vitreous humor | Dianosis:Proliferative diabetic retinopathy (PDR) | Disease Status:Active with vitreous hemorrhage and tractional retinal detachments Sample source:Vitreous humor | Dianosis:Proliferative diabetic retinopathy (PDR) | Disease Status:Active with vitreous hemorrhage Sample source:Vitreous humor | Dianosis:Proliferative diabetic retinopathy (PDR) | Disease Status:Active with tractional retinal detachments Sample source:Vitreous humor | Dianosis:Proliferative diabetic retinopathy (PDR) | Disease Status:Active with macular edema and pre-retinal hemorrhage Sample source:Vitreous humor | Dianosis:Proliferative diabetic retinopathy (PDR) | Disease Status:Active with vitreous hemorrhage Sample source:Vitreous humor | Dianosis:Proliferative diabetic retinopathy (PDR) | Disease Status:Active with vitreous hemorrhage and cataract Sample source:Vitreous humor | Dianosis:Proliferative diabetic retinopathy (PDR) | Disease Status:Active with vitreous hemorrhage Sample source:Vitreous humor | Dianosis:Proliferative diabetic retinopathy (PDR) | Disease Status:Active with vitreous hemorrhage Sample source:pooled vitreous QC | Dianosis:NA | Disease Status:NA thymine-d4 757591 736032 737870 720539 756598 783336 723075 669133 662413 679303 659163 745462 707949 707613 663888 660229 608413 722007 inosine-15N4 512664 465337 434370 503166 674065 509770 547413 629797 466346 593806 667465 552309 597162 739030 437596 737300 573404 537122 glycocholate-d4 166010 167793 171726 139550 151905 137940 142571 122874 149782 140135 110911 106750 150211 121519 130293 118836 110420 161258 2-aminoadipate 140116 118897 2-furoylglycine 1181190 260467 2-hydroxyglutarate 6908039 4655201 2507568 3972282 5848281 6257697 6115755 10661942 5897374 7096391 8933459 9296928 3716466 12187232 9864628 7537061 8483374 5683040 3-methyladipate/pimelate 3621931 3039336 2879050 3338109 3243267 3694492 2981655 3640911 2956793 2756307 3623916 4296923 3096537 2756032 3175558 3562356 2836757 2630082 4-hydroxymandelate 78255 22131 118604 178389 54900 155055 83170 127934 50291 4-methylcatechol 624600 377920 486138 523362 300990 254328 454168 268762 348127 410932 373924 433100 1196606 307728 709622 465273 279140 396299 acetylalanine 4727882 4048314 988457 2893686 5115816 4597461 3511941 4645143 3922782 3639750 6512248 7151039 1074834 4417236 5134565 4692583 3424671 3601916 aconitate 143284230 53743790 25612519 53587263 146513800 141000637 178850303 66038201 89973454 154208083 71961786 277990408 361948474 72850662 225888997 94490882 92773750 183742800 alpha-hydroxybutyrate/beta-hydroxybutyrate 220381116 80652362 43649619 103665402 150324520 653316324 157364621 205373971 173858124 64408771 106480028 246055135 56965547 363012035 58246163 150687755 561986507 138325427 alpha-ketoglutarate 21219708 12852070 10534273 15162722 21541113 14781000 16397436 29807329 21792551 17402652 18426604 15898364 6582454 26119703 35468556 13885575 34220938 14453384 AMP 25574 421354 caproate 1635828 298705 dihydroorotate 170370 138395 50955 241334 47148 98126 61321 167935 251332 183576 94934 236060 118379 30860 gentisate 49678 278946 314721 120754 377942 230227 54153 glutathione reduced 135499 343332 2494799 864990 60585 37601 glycerate 13129710 10924853 2927592 8771934 14340560 11666850 8744624 23967276 10987906 6563399 8938201 10881928 4075722 10784422 9101565 8550689 22384510 7937408 homogentisate 78255 22131 118604 178389 54900 155055 83170 127934 50291 homovanillate 1153094 1517395 26808 801759 1682196 1995891 1056973 1282515 927870 978592 2267598 1823503 243431 1842718 1942542 1443889 2272473 830183 MDA 3139055 1929638 566572 2333900 2619125 3044817 2354638 6358045 2293546 2460186 2108591 2662725 1077989 2853659 2147624 2138707 4898970 2029496 methylmalonate 11596281 11477596 9057499 8315005 11154190 16204990 13475915 13859528 12888477 12834855 14722628 16713134 8470822 15204348 12502844 11158358 7659652 13310993 pentose monophosphate 29097 47682 184656 pyruvate 518294066 410802913 167834664 210071384 380510657 575204182 325517742 409877409 337421600 255172685 129306344 204575918 129700290 143804480 261087215 165833465 271856938 202726718 sebacate 761755 619625 655864 741224 797513 776355 825378 949341 660578 759142 855599 955575 982042 724734 934474 747795 782979 769273 adipate 41573 45771 45439 45206 42157 50934 53870 45912 38003 40198 63244 67070 37860 49379 44300 40221 45842 48311 alpha-glycerophosphate 577 836 121 1416 1612 822 3038 5268 3061 9180 12315 6705 1403 1552 1608 4047 1755 2992 alpha-keto-beta-methylvalerate/alpha-ketoisocaproate 130802 86646 25578 88309 117971 247415 111188 214512 136687 132426 98739 171024 71673 231965 112006 211190 187440 107514 aspartate 796 260 201 1887 6713 680 1411 1487 17479 1397 1770 2233 3602 1537 1987 azelate 18227 25311 30104 30988 28893 29211 30846 31940 29851 31869 34322 33121 29990 31002 31398 35352 34667 30743 citrate 90082151 3972169 1835292 3178373 57761033 40836536 79173315 6766810 18559619 65487415 5417089 74690669 195852104 13228674 80997347 24079472 16986110 75585031 CMPF 77 15705 177361 13444 121537 1853 29995 6246 60559 424 12385 cystathionine 5397 203 2402 4402 9200 4247 11330 753 fructose/glucose/galactose 25219502 19658218 22648682 21091008 18750674 36639075 22472633 14452532 17275267 19229945 15594427 33087172 37963022 11156312 22773704 21608569 36081389 20866576 fucose 5104861 6127696 3272939 3755490 7245085 4366195 5092752 8599778 4719545 8997260 2126794 2553082 2096244 4642133 1016628 507639 2391240 5106504 fumarate/maleate 402548 295466 293474 332843 403394 349626 358289 401611 381083 341257 320303 365597 285344 378589 416250 331549 368546 348420 glucuronate 4610 3801 7635 24399 4080 25223 42366 130688 5478 43211 690659 626068 46243 151830 129091 224752 173400 54031 glutathione oxidized 230367 642076 3668033 1807050 224063 204616 hydrochlorothiazide 250 20655 23565 405 indoxylsulfate 681 1135 2666 12621 28090 14142 574 18540 20325 8930 1345 inositol 2541512 2908035 978520 1923957 3971862 2558462 2894252 3114694 3784221 2368250 3511930 3682547 1212474 2167611 7424044 2708214 3007490 3041181 isoleucine/leucine 3381542 2066120 1273718 2532017 2890417 3915223 3277532 4806675 5988737 6521982 3268211 4969996 1902385 2271170 1966419 3970632 3597270 3108948 lactate 11720045 7746939 3824710 7882723 9908310 11831171 8565920 11314478 9133530 8979008 8498255 10314704 5135330 10119066 8311327 8132445 9448718 7179280 malate 733153 401645 204802 438396 943354 513566 646758 816228 889352 682240 448933 781464 401590 911179 1083946 552195 784786 658983 malonate 57468 60702 63224 77198 66547 63854 62814 66934 65164 60336 62307 63579 55321 62331 65949 64835 67538 63302 methylcysteine 169 3862 657 969 8436 1953 4533 758 5056 4517 418 orotate 2807 482 2075 317 706 oxalate 59039 1227 18949 35815 46919 62210 36109 169165 36513 58830 100456 276894 27543 121322 61359 103020 102253 46276 oxaloacetate 60386 769 520 37301 25839 52401 2963 11086 43743 1998 47079 130567 7660 52791 14505 9890 51139 pantothenate 405949 264709 124692 582009 314974 266133 314215 320675 453509 579756 600710 382541 64801 497948 434908 231395 342320 257703 quinate 48920 75197 5740 41515 24541 124613 36195 39474 19308 1637 72935 20193 910 35564 377938 305801 141431 29369 quinolinate 12450 2240 6973 7326 17499 14685 25611 7032 11719 80660 225194 3015 46186 21095 31043 25731 15044 ribothymidine 109541 92693 25074 74212 162010 135111 105515 141840 116365 107952 152340 134278 46548 130778 163569 95644 105698 95320 salicylurate 2486 50771 2937 12069 146254 57954 19003 2652 sorbitol 3781657 2529735 682111 2114544 4037036 4332225 3646748 2360146 3145246 2302907 4996840 5555048 1048224 3617339 5662808 1924675 2239225 3479660 suberate 70 4048 5563 7706 8909 7205 11225 8473 6769 8005 8353 10768 10699 5713 8179 5942 7690 7997 succinate 840738 620433 486989 759467 1534833 671043 988619 1366697 1205720 1032561 697144 773197 549793 1147317 1639075 599636 819089 913507 sucrose 203558 7616 110818 84817 48522 101677 251471 74596 4661 95702 436070 346446 135777 144612 301013 112548 228260 253164 thymine 43462 31019 13479 30106 46523 52363 39670 48897 39641 43373 77279 92055 18245 51867 69706 49020 47820 39770 uracil 112400 127949 55417 71493 182363 160833 106374 137637 138200 73421 105493 105298 62576 116310 65190 116761 92793 114454 urate 2198616 1454316 1212008 1717595 1157704 2821636 2271070 3400441 1261970 3399144 3985680 4482815 2120018 3970450 2348680 2860395 2958056 2150336 uridine 888074 1109697 428629 591539 1621494 1364880 919321 1191627 1127407 728213 852006 846409 453952 906630 532966 878919 739968 920251 MS_METABOLITE_DATA_END #METABOLITES METABOLITES_START metabolite_name Compound_ID MZ RT HMDB_ID (*representative) mz_rt thymine-d4 TF1 129.0608 1.30 internal standard 129.0608_1.3 inosine-15N4 TF2 271.0616 3.15 internal standard 271.0616_3.15 glycocholate-d4 TF3 468.3269 3.70 internal standard 468.3269_3.7 2-aminoadipate TF4 160.0615 5.25 HMDB00510 160.0615_5.25 2-furoylglycine TF5 168.0302 3.80 HMDB00439 168.0302_3.8 2-hydroxyglutarate TF6 147.0299 7.00 HMDB59655* 147.0299_7 3-methyladipate/pimelate TF7 159.0663 6.75 HMDB00555* 159.0663_6.75 4-hydroxymandelate TF8 167.0350 4.60 HMDB00822 167.035_4.6 4-methylcatechol TF9 123.0452 1.30 HMDB00873 123.0452_1.3 acetylalanine TF10 130.0510 3.90 HMDB00766 130.051_3.9 aconitate TF11 173.0092 9.10 HMDB00072* 173.0092_9.1 alpha-hydroxybutyrate/beta-hydroxybutyrate TF12 103.0401 3.40 HMDB00008* 103.0401_3.4 alpha-ketoglutarate TF13 145.0142 7.35 HMDB00208 145.0142_7.35 AMP TF14 346.0558 7.65 HMDB00045 346.0558_7.65 caproate TF15 115.0765 3.50 HMDB00535 115.0765_3.5 dihydroorotate TF17 157.0255 4.10 HMDB03349 157.0255_4.1 gentisate TF18 153.0193 4.60 HMDB00152 153.0193_4.6 glutathione reduced TF19 306.0765 5.90 HMDB00125 306.0765_5.9 glycerate TF20 105.0193 4.10 HMDB00139 105.0193_4.1 homogentisate TF22 167.0340 4.60 HMDB00130 167.034_4.6 homovanillate TF23 181.0506 4.40 HMDB00118 181.0506_4.4 MDA TF25 71.0139 3.75 HMDB06112 71.0139_3.75 methylmalonate TF26 117.0193 7.10 HMDB00202 117.0193_7.1 pentose monophosphate TF27 229.0119 7.25 HMDB01548* 229.0119_7.25 pyruvate TF28 87.0088 4.80 HMDB00243 87.0088_4.8 sebacate TF29 201.1132 6.75 HMDB00792 201.1132_6.75 adipate QI2 145.0506 6.80 HMDB00448 145.0506_6.8 alpha-glycerophosphate QI4 171.0064 7.25 HMDB00126 171.0064_7.25 alpha-keto-beta-methylvalerate/alpha-ketoisocaproate QI5 129.0557 3.40 HMDB00491* 129.0557_3.4 aspartate QI8 132.0302 5.25 HMDB00191 132.0302_5.25 azelate QI9 187.0976 6.95 HMDB00784 187.0976_6.95 citrate QI10 191.0197 9.00 HMDB00094 191.0197_9 CMPF QI12 239.0925 7.40 HMDB61112 239.0925_7.4 cystathionine QI13 221.0602 5.35 HMDB00099 221.0602_5.35 fructose/glucose/galactose QI14 179.0561 1.85 HMDB00122* 179.0561_1.85 fucose QI15 163.0612 1.40 HMDB00174 163.0612_1.4 fumarate/maleate QI16 115.0037 7.05 HMDB00134* 115.0037_7.05 glucuronate QI17 193.0354 5.00 HMDB00127 193.0354_5 glutathione oxidized QI20 611.1447 7.80 HMDB03337 611.1447_7.8 hydrochlorothiazide QI24 179.0350 4.65 HMDB01928 179.035_4.65 indoxylsulfate QI26 212.0023 3.80 HMDB00682 212.0023_3.8 inositol QI27 179.0561 2.70 HMDB00211 179.0561_2.7 isoleucine/leucine QI28 130.0870 2.50 HMDB00172* 130.087_2.5 lactate QI29 89.0244 3.85 HMDB00190 89.0244_3.85 malate QI31 133.0142 6.95 HMDB00156 133.0142_6.95 malonate QI32 103.0037 5.00 HMDB00691 103.0037_5 methylcysteine QI34 134.0281 3.45 HMDB02108 134.0281_3.45 orotate QI36 155.0098 4.50 HMDB00226 155.0098_4.5 oxalate QI37 88.9880 7.40 HMDB02329 88.988_7.4 oxaloacetate QI38 130.9990 1.00 HMDB00223 130.999_1 pantothenate QI39 218.1034 3.90 HMDB00210 218.1034_3.9 quinate QI42 191.0561 4.30 HMDB03072 191.0561_4.3 quinolinate QI43 166.0146 7.45 HMDB00232 166.0146_7.45 ribothymidine QI44 257.0779 1.55 HMDB00884 257.0779_1.55 salicylurate QI45 194.0459 6.10 HMDB00840 194.0459_6.1 sorbitol QI47 181.0718 2.00 HMDB00247 181.0718_2 suberate QI48 173.0819 6.75 HMDB00893 173.0819_6.75 succinate QI49 117.0193 6.90 HMDB00254 117.0193_6.9 sucrose QI50 341.1080 2.20 HMDB00258 341.108_2.2 thymine QI53 125.0357 1.35 HMDB00262 125.0357_1.35 uracil QI56 111.0200 1.50 HMDB00300 111.02_1.5 urate QI57 167.0211 5.25 HMDB00289 167.0211_5.25 uridine QI58 243.0623 1.75 HMDB00296 243.0623_1.75 METABOLITES_END #END