Poonam Rana1, Ritu Tyagi1, Apurva Watve1, Sujeet Kumar Mewar2, Uma Sharma2, N. R. Jagannathan2, and Subash Khushu1
1NMR Research Centre, Institute of Nuclear Medicine and Allied Sciences (INMAS), DRDO, Delhi, India, 2Department of NMR, All India Institute of Medical Sciences (AIIMS), Delhi, India
Synopsis
Increasing radiation exposure is a big threat
to population worldwide. The present study predicts the early predictive
biomarker for radiation injury using 1H NMR based metabolomics. The
animals were exposed to 7.5 Gy whole body radiation. The variable importance of
projection (VIP) score showed six most significant metabolites having VIP score
of >1. The partial least square discriminant
analysis (PLS-DA) based receiver-operating
characteristic (ROC) curve of all the six metabolites showed taurine
with highest area under curve (AUC) value of 0.996 and with sensitivity (100%)
and specificity (90%). It could be used as early prognostic biomarker for
radiation injury. Introduction
Increasing
burden of natural background radiation and terrestrial radionuclides is a big
threat of radiation exposure to the population at large. It is necessary to
develop biomarker of ionizing radiation exposure that can be used for mass
screening in the event of a radiological mass casuality incident
1.
Metabolomics has already been proven as an excellent
developing prospect for capturing diseases specific metabolic signatures as
possible biomarkers
2. Urine analysis provides insights into
metabolic perturbations associated with radiation exposure. Our previous
studies demonstrated radiation induced pathophysiological perturbation using
1H NMR
based metabolomics of urine
3. The aim of the present study is to
evaluate the sensitivity and specificity of the urinary metabolites after whole
body radiation exposure which can further be used as early predictive marker.
Material and Methods
A
total of 55 C57 male mice (8 to 10 weeks old) were taken and acclimatized for
48 h in polypropylene cages under standard temperature, humidity conditions
prior to group allocation and treatment. Twenty seven animals were given 7.5 Gy
whole body radiation through Tele
60Co irradiation facility (Bhabhatron II)
with source operating at 2.496 Gy/min. The remaining 28 animals served as sham
irradiated controls. All animal handling and experimental protocols were performed in strict accordance with the guidelines of the Institutional Animal Ethics Committee. Urine samples were collected only at 24 h post irradiation and
placed at -80
0C till NMR Spectroscopy was carried out. 350 µl of
centrifuged urine sample was added to 250 µl of deuterated phosphate buffer
(pH= 7.4) containing 1 mM TSP and transferred to 5 mm NMR tube.
1H NMR
spectra were acquired at 700 MHz NMR (Varian) spectrometer at 298 K. 1D NOESYPR
pulse sequence was used to achieve satisfactory water suppression on all urine
samples. Typically 64 scans were acquired with a relaxation delay of 5 s, flip
angle of 90° and spectral width 10 ppm. All data sets were zero-filled to 64 K
data points and FID was weighted by an exponential function with a 0.3 Hz line
broadening prior to Fourier transformation. NMR spectra were segmented into
region of 0.04 ppm width. The data was normalized using mean centering and
pareto-scaling. Following data normalization multivariate analysis was carried
out. Multivariate analysis and Partial least squares-discriminant analysis (PLS-DA) based receiver-operating characteristic (ROC) curve for
detection of early predictive marker of radiation was carried out using metaboanalyst
software (http://www.metaboanalyst.ca/Metaboanalyst/faces/Home.jsp).
Results
The
PLS-DA score plot showed clear
demarcation of control and irradiated group (Figure. 1). Out of the 24 metabolite
identified the most significant metabolites having a Variable Importance of
Projection (VIP) score >1 were taurine, citrate, trimethyl amine oxide (TMAO),
trimethyl amine (TMA), creatine, α-ketoglutarate (α-KG) (Figure. 2). There was
significant reduction in the level of energy metabolites while taurine, TMAO
and creatine were found to be increased. To assess the predictive performance
of the selected metabolites in the radiation group, the area under curve (AUC) value
was calculated. When the combination of all the six metabolites were considered the AUC
value was found to be 0.989 (Figure. 3). Among the above 6 metabolites taurine was
identified as top ranked candidates, with AUC value of 0.996 and with 100%
sensitivity and 90% specificity on the basis of PLS-DA based ROC curve (Figure.
4).
Discussion
The consequences of accidental radiation
exposure can be extensive, both physically and physiologically. Radiation
injuries affect the body at cellular, molecular, tissue and organ level leading
to metabolic perturbations. By employing
1H NMR based metabolomics
and statistical tools, our results demonstrated that biomarker of whole body γ irradiation can be detected and validated.
PLS-DA-based ROC curves employed in the present study showed that among the six
metabolites identified taurine with highest AUC value could potentially
serve as a biomarker for early radiation injury. Similar finding of increase in
the level of taurine only in 8 Gy irradiated mice was illustrated in one of
the earlier study using UPLC-TOFMS
1. Our previous finding also
illustrated increase in the level of taurine in dose dependent manner
4.
Taurine is a well known urinary metabolite of radiation exposure, but its
elevation in response to radiation is unknown. Radiation induced tissue injury may
results in higher level of circulating sulfur-containing amino acids and thus
excess taurine is excreted
5.
Conclusion
The PLS-DA based ROC curve depicted taurine
as a biomarker of early radiation injury. This study along with other
‘omics’ technique will be useful to help design strategies for non-invasive
radiation biodosimetry through metabolomics in human populations.
Acknowledgements
This work is a part of sanctioned DRDO Project No. TD-15/INM 313 References
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