Distinct metabolic profiles associated with autism spectrum disorder versus cancer in individuals with germline PTEN mutations

Autor: Lamis Yehia, Ying Ni, Tammy Sadler, Thomas W. Frazier, Charis Eng
Jazyk: angličtina
Rok vydání: 2022
Předmět:
Zdroj: npj Genomic Medicine, Vol 7, Iss 1, Pp 1-9 (2022)
Druh dokumentu: article
ISSN: 2056-7944
DOI: 10.1038/s41525-022-00289-x
Popis: Abstract PTEN hamartoma tumor syndrome (PHTS), caused by germline PTEN mutations, has been associated with organ-specific cancers and autism spectrum disorder (ASD) and/or developmental delay (DD). Predicting precise clinical phenotypes in any one PHTS individual remains impossible. We conducted an untargeted metabolomics study on an age- and sex-matched series of PHTS individuals with ASD/DD, cancer, or both phenotypes. Using agnostic metabolomic-analyses from patient-derived lymphoblastoid cells and their spent media, we found 52 differentially abundant individual metabolites, 69 cell/media metabolite ratios, and 327 pair-wise metabotype (shared metabolic phenotype) ratios clearly distinguishing PHTS individuals based on phenotype. Network analysis based on significant metabolites pointed to hubs converging on PTEN-related insulin, MAPK, AMPK, and mTOR signaling cascades. Internal cross-validation of significant metabolites showed optimal overall accuracy in distinguishing PHTS individuals with ASD/DD versus those with cancer. Such metabolomic markers may enable more accurate risk predictions and prevention in individual PHTS patients at highest risk.
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