2022
DOI: 10.3390/jcm11020404
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A Tear Metabolomic Profile Showing Increased Ornithine Decarboxylase Activity and Spermine Synthesis in Thyroid-Associated Orbitopathy

Abstract: About half of patients with Graves’ disease develop an orbitopathy related to an inflammatory expansion of the periorbital adipose tissue and muscles. We used a targeted metabolomic approach measuring 188 metabolites by mass spectrometry to compare the metabolic composition of tears in patients with active (n = 21) versus inactive (n = 24) thyroid-associated orbitopathy. Among the 44 metabolites accurately measured, 8 showed a significant alteration of their concentrations between the two groups. Two short-cha… Show more

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Cited by 8 publications
(5 citation statements)
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“…However, there is no overlap between the reported metabolites in Dong Yoon Ji's study compared with the detected metabolites in our study. On the other hand, we found that the level of spermine was downregulated in the OAT of patients with TED rather than upregulated in tears of patients with TED reported by Benjamin Billiet's study (10). However, in Dong Yoon Ji's study, they did not distinguish inactive or active stage of TED in their participants.…”
Section: Discussioncontrasting
confidence: 69%
See 2 more Smart Citations
“…However, there is no overlap between the reported metabolites in Dong Yoon Ji's study compared with the detected metabolites in our study. On the other hand, we found that the level of spermine was downregulated in the OAT of patients with TED rather than upregulated in tears of patients with TED reported by Benjamin Billiet's study (10). However, in Dong Yoon Ji's study, they did not distinguish inactive or active stage of TED in their participants.…”
Section: Discussioncontrasting
confidence: 69%
“…Moreover, Ujheli et al showed that the concentrations of plasminogen activator inhibitor-1, IL-17A, IL-18, IL-13, and IL-6 were increased in tear samples collected from patients with TED compared with controls without TED (9). Benjamin Billiet et al reported elevated level of spermine in the tears of patients with active TED (10). Apart from biomarkers in tears, metabolites and lipidomic profiles in the blood and the orbital tissue of patients with TED also warrants further investigation.…”
Section: Discussionmentioning
confidence: 99%
See 1 more Smart Citation
“…Thus, knowledge of a patient’s tear metabolome can extend the diagnostic potential of TAO. Following a study performed by Billiet et al [ 50 ] using mass spectrometry, wherein the accurate measurement of 44 metabolites to compare the metabolic composition of tears in patients with active versus inactive TAO was performed. Two short-chain acylcarnitines, propionylcarnitine and butyrylcarnitine, and spermine were reported with increased concentrations in the tears of patients with active TAO.…”
Section: Markers In the Tears Of Patients With Graves’ Orbitopathymentioning
confidence: 99%
“…In GO patients, the evaporation of tears may be caused by long-term ocular exposure because of eyelid retraction and proptosis ( 5 ). Studies have shown that lacrimal glands in GO patients are involved in autoimmune responses, leading to changes in the composition of tears ( 6 ). Therefore, changes in tears and lacrimal glands might be considered risk factors for progression in GO patients ( 7 ).…”
Section: Introductionmentioning
confidence: 99%