PMID- 26674646 OWN - NLM STAT- MEDLINE DCOM- 20160627 LR - 20181113 IS - 1932-6203 (Electronic) IS - 1932-6203 (Linking) VI - 10 IP - 12 DP - 2015 TI - Serum Metabolite Biomarkers Discriminate Healthy Smokers from COPD Smokers. PG - e0143937 LID - 10.1371/journal.pone.0143937 [doi] LID - e0143937 AB - COPD (chronic obstructive pulmonary disease) is defined by a fixed expiratory airflow obstruction associated with disordered airways and alveolar destruction. COPD is caused by cigarette smoking and is the third greatest cause of mortality in the US. Forced expiratory volume in 1 second (FEV1) is the only validated clinical marker of COPD, but it correlates poorly with clinical features and is not sensitive enough to predict the early onset of disease. Using LC/MS global untargeted metabolite profiling of serum samples from a well-defined cohort of healthy smokers (n = 37), COPD smokers (n = 41) and non-smokers (n = 37), we sought to discover serum metabolic markers with known and/or unknown molecular identities that are associated with early-onset COPD. A total of 1,181 distinct molecular ions were detected in 95% of sera from all study subjects and 23 were found to be differentially-expressed in COPD-smokers vs. healthy-smokers. These 23 putative biomarkers were differentially-correlated with lung function parameters and used to generate a COPD prediction model possessing 87.8% sensitivity and 86.5% specificity. In an independent validation set, this model correctly predicted COPD in 8/10 individuals. These serum biomarkers included myoinositol, glycerophopshoinositol, fumarate, cysteinesulfonic acid, a modified version of fibrinogen peptide B (mFBP), and three doubly-charged peptides with undefined sequence that significantly and positively correlate with mFBP levels. Together, elevated levels of serum mFBP and additional disease-associated biomarkers point to a role for chronic inflammation, thrombosis, and oxidative stress in remodeling of the COPD airways. Serum metabolite biomarkers offer a promising and accessible window for recognition of early-stage COPD. FAU - Chen, Qiuying AU - Chen Q AD - Department of Pharmacology, Weill Cornell Medicine, 1300 York Avenue, New York, NY, 10065, United States of America. FAU - Deeb, Ruba S AU - Deeb RS AD - Department of Genetic Medicine, Weill Cornell Medicine, 1300 York Avenue, New York, NY, 10065, United States of America. FAU - Ma, Yuliang AU - Ma Y AD - Department of Pharmacology, Weill Cornell Medicine, 1300 York Avenue, New York, NY, 10065, United States of America. FAU - Staudt, Michelle R AU - Staudt MR AD - Department of Genetic Medicine, Weill Cornell Medicine, 1300 York Avenue, New York, NY, 10065, United States of America. FAU - Crystal, Ronald G AU - Crystal RG AD - Department of Genetic Medicine, Weill Cornell Medicine, 1300 York Avenue, New York, NY, 10065, United States of America. FAU - Gross, Steven S AU - Gross SS AD - Department of Pharmacology, Weill Cornell Medicine, 1300 York Avenue, New York, NY, 10065, United States of America. LA - eng GR - R37 HL087062/HL/NHLBI NIH HHS/United States GR - P20 HL113443/HL/NHLBI NIH HHS/United States GR - R37HL087062/HL/NHLBI NIH HHS/United States GR - R01HL1189541/HL/NHLBI NIH HHS/United States GR - R01 HL107882/HL/NHLBI NIH HHS/United States GR - R01HL107882/HL/NHLBI NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural DEP - 20151216 PL - United States TA - PLoS One JT - PloS one JID - 101285081 RN - 0 (Biomarkers) SB - IM MH - Adult MH - Biomarkers MH - Case-Control Studies MH - Chromatography, Liquid MH - Cluster Analysis MH - Female MH - Forced Expiratory Volume MH - Healthy Volunteers MH - Humans MH - Male MH - Mass Spectrometry MH - *Metabolome MH - *Metabolomics/methods MH - Middle Aged MH - Pulmonary Disease, Chronic Obstructive/*blood/physiopathology MH - Reproducibility of Results MH - Respiratory Function Tests MH - Smoking/*blood PMC - PMC4682670 COIS- Competing Interests: The authors have declared that no competing interests exist. EDAT- 2015/12/18 06:00 MHDA- 2016/06/28 06:00 PMCR- 2015/12/16 CRDT- 2015/12/18 06:00 PHST- 2015/05/05 00:00 [received] PHST- 2015/11/11 00:00 [accepted] PHST- 2015/12/18 06:00 [entrez] PHST- 2015/12/18 06:00 [pubmed] PHST- 2016/06/28 06:00 [medline] PHST- 2015/12/16 00:00 [pmc-release] AID - PONE-D-15-19036 [pii] AID - 10.1371/journal.pone.0143937 [doi] PST - epublish SO - PLoS One. 2015 Dec 16;10(12):e0143937. doi: 10.1371/journal.pone.0143937. eCollection 2015.