This core will provide a hybrid (targeted, non-targeted) metabolomics platform to support chemical profiling of RBC and other biological samples as needed by the POI studies. The central platform consists of dual chromatography-high-resolution mass spectrometry coupled with a series of data extraction algorithms that provide relative quantification of up to 90,000 high-mass accuracy (5 ppm) m/z features, representing in excess of 10,000 chemicals present in human samples. Targeted analysis allows direct measurement of over 300 chemicals with known identity and capabilities to detect unidentified and unknown chemicals contributing to outcomes. Experience with analyses of thousands of samples shows that the method measures ions that match more than half of the metabolites in human metabolic charts; selected confirmation of identities by co-elution and MS/MS shows that the approach provides an effective global survey of metabolism, capturing metabolites in 146 out of 154 pathways in KEGG human metabolic pathways. Potentially useful for the current proposal, the approach also detects thousands of chemicals derived from diet, the host microbiome, infectious agents and environmental exposures, which could contribute to variation in recipient susceptibility to transfusions of stored RBCs. Rigorous adherence to standard operating procedures using dedicated instruments with internal standards and external pooled reference samples will provide the capability to support metabolome-wide association studies (MWAS) to identify both endogenous and foreign chemicals in RBCs that are associated with specific clinical and/or functional outcomes in the proposed studies. Samples are analyzed in triplicate so that coefficients of variation are determined for each m/z feature in each sample. Selection of data extraction parameters allows more liberal data extraction criteria for discovery-based analysis and more rigorous targeted criteria using stable isotope dilution and multiple ion monitoring to test specific hypotheses. For unknown and unidentified chemicals, mass spectral data consisting of accurate mass m/z, retention time and relative quantification as ion intensity are used with data-based searching for putative chemical identification. Data dependent ion-dissociation (MS/MS and MS) analyses are provided on representative or selected samples to confirm identities of targeted metabolites and/or high abundance m/z features.

Public Health Relevance

The success of this Program is predicated on the ability to perform rapid, cost-effective metabolomic analyses, and correlate changes in specific metabolites with selected important clinical outcomes (RBC survival, vascular inhibition, necrotizing enterocolitis, and GvHD). This Metabolomics Core is critically to achieving this objective.

Agency
National Institute of Health (NIH)
Institute
National Heart, Lung, and Blood Institute (NHLBI)
Type
Research Program Projects (P01)
Project #
5P01HL086773-07
Application #
9100834
Study Section
Special Emphasis Panel (ZHL1)
Project Start
Project End
Budget Start
2016-05-01
Budget End
2017-04-30
Support Year
7
Fiscal Year
2016
Total Cost
Indirect Cost
Name
Emory University
Department
Type
DUNS #
066469933
City
Atlanta
State
GA
Country
United States
Zip Code
30322
Schultz, William M; Kelli, Heval M; Lisko, John C et al. (2018) Socioeconomic Status and Cardiovascular Outcomes: Challenges and Interventions. Circulation 137:2166-2178
Sullivan, Samaah; Hammadah, Muhammad; Al Mheid, Ibhar et al. (2018) Sex Differences in Hemodynamic and Microvascular Mechanisms of Myocardial Ischemia Induced by Mental Stress. Arterioscler Thromb Vasc Biol 38:473-480
Swimm, Alyson; Giver, Cynthia R; DeFilipp, Zachariah et al. (2018) Indoles derived from intestinal microbiota act via type I interferon signaling to limit graft-versus-host disease. Blood 132:2506-2519
Samman Tahhan, Ayman; Hammadah, Muhammad; Raad, Mohamad et al. (2018) Progenitor Cells and Clinical Outcomes in Patients With Acute Coronary Syndromes. Circ Res 122:1565-1575
Runco, Daniel V; Josephson, Cassandra D; Raikar, Sunil S et al. (2018) Hyperleukocytosis in infant acute leukemia: a role for manual exchange transfusion for leukoreduction. Transfusion 58:1149-1156
Hajjar, Ihab; Hayek, Salim S; Goldstein, Felicia C et al. (2018) Oxidative stress predicts cognitive decline with aging in healthy adults: an observational study. J Neuroinflammation 15:17
Sagiv, Eyal; Fasano, Ross M; Luban, Naomi L C et al. (2018) Glucose-6-phosphate-dehydrogenase deficient red blood cell units are associated with decreased posttransfusion red blood cell survival in children with sickle cell disease. Am J Hematol 93:630-634
Hosoba, Sakura; Waller, Edmund K; Shenvi, Neeta et al. (2018) Peritransplantation Red Blood Cell Transfusion Is Associated with Increased Risk of Graft-versus-Host Disease after Allogeneic Hematopoietic Stem Cell Transplantation. Biol Blood Marrow Transplant 24:973-982
Hammadah, Muhammad; Al Mheid, Ibhar; Wilmot, Kobina et al. (2018) Association Between High-Sensitivity Cardiac Troponin Levels and Myocardial Ischemia During Mental Stress and Conventional Stress. JACC Cardiovasc Imaging 11:603-611
Samman Tahhan, Ayman; Hammadah, Muhammad; Kelli, Heval Mohamed et al. (2018) Circulating Progenitor Cells and Racial Differences. Circ Res 123:467-476

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