Metabolomics-Based Screening of Inborn Errors of Metabolism: Enhancing Clinical Application with a Robust Computational Pipeline

Inborn errors of metabolism (IEM) are inherited conditions caused by genetic defects in enzymes or cofactors. These defects result in a specific metabolic fingerprint in patient body fluids, showing accumulation of substrate or lack of an end-product of the defective enzymatic step. Untargeted metab...

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Main Authors: Brechtje Hoegen, Alan Zammit, Albert Gerritsen, Udo F. H. Engelke, Steven Castelein, Maartje van de Vorst, Leo A. J. Kluijtmans, Marleen C. D. G. Huigen, Ron A. Wevers, Alain J. van Gool, Christian Gilissen, Karlien L. M. Coene, Purva Kulkarni
Format: Article
Language:English
Published: MDPI AG 2021-08-01
Series:Metabolites
Subjects:
Online Access:https://www.mdpi.com/2218-1989/11/9/568
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spelling doaj-e09c0be30392434688b1e4c9754a14622021-09-26T00:40:41ZengMDPI AGMetabolites2218-19892021-08-011156856810.3390/metabo11090568Metabolomics-Based Screening of Inborn Errors of Metabolism: Enhancing Clinical Application with a Robust Computational PipelineBrechtje Hoegen0Alan Zammit1Albert Gerritsen2Udo F. H. Engelke3Steven Castelein4Maartje van de Vorst5Leo A. J. Kluijtmans6Marleen C. D. G. Huigen7Ron A. Wevers8Alain J. van Gool9Christian Gilissen10Karlien L. M. Coene11Purva Kulkarni12Department of Human Genetics, Radboud University Medical Center, 6525 GA Nijmegen, The NetherlandsDepartment of Human Genetics, Radboud University Medical Center, 6525 GA Nijmegen, The NetherlandsDepartment of Human Genetics, Radboud University Medical Center, 6525 GA Nijmegen, The NetherlandsRadboud Institute of Molecular Life Sciences, Radboud University Medical Center, 6525 GA Nijmegen, The NetherlandsDepartment of Human Genetics, Radboud University Medical Center, 6525 GA Nijmegen, The NetherlandsDepartment of Human Genetics, Radboud University Medical Center, 6525 GA Nijmegen, The NetherlandsTranslational Metabolic Laboratory, Department of Laboratory Medicine, Radboud University Medical Center, 6525 GA Nijmegen, The NetherlandsTranslational Metabolic Laboratory, Department of Laboratory Medicine, Radboud University Medical Center, 6525 GA Nijmegen, The NetherlandsRadboud Institute of Molecular Life Sciences, Radboud University Medical Center, 6525 GA Nijmegen, The NetherlandsRadboud Institute of Molecular Life Sciences, Radboud University Medical Center, 6525 GA Nijmegen, The NetherlandsDepartment of Human Genetics, Radboud University Medical Center, 6525 GA Nijmegen, The NetherlandsRadboud Institute of Molecular Life Sciences, Radboud University Medical Center, 6525 GA Nijmegen, The NetherlandsRadboud Institute of Molecular Life Sciences, Radboud University Medical Center, 6525 GA Nijmegen, The NetherlandsInborn errors of metabolism (IEM) are inherited conditions caused by genetic defects in enzymes or cofactors. These defects result in a specific metabolic fingerprint in patient body fluids, showing accumulation of substrate or lack of an end-product of the defective enzymatic step. Untargeted metabolomics has evolved as a high throughput methodology offering a comprehensive readout of this metabolic fingerprint. This makes it a promising tool for diagnostic screening of IEM patients. However, the size and complexity of metabolomics data have posed a challenge in translating this avalanche of information into knowledge, particularly for clinical application. We have previously established next-generation metabolic screening (NGMS) as a metabolomics-based diagnostic tool for analyzing plasma of individual IEM-suspected patients. To fully exploit the clinical potential of NGMS, we present a computational pipeline to streamline the analysis of untargeted metabolomics data. This pipeline allows for time-efficient and reproducible data analysis, compatible with ISO:15189 accredited clinical diagnostics. The pipeline implements a combination of tools embedded in a workflow environment for large-scale clinical metabolomics data analysis. The accompanying graphical user interface aids end-users from a diagnostic laboratory for efficient data interpretation and reporting. We also demonstrate the application of this pipeline with a case study and discuss future prospects.https://www.mdpi.com/2218-1989/11/9/568untargeted metabolomicsnext-generation metabolic screeninginherited metabolic diseasesdata analysismass spectrometrybioinformatics pipeline
collection DOAJ
language English
format Article
sources DOAJ
author Brechtje Hoegen
Alan Zammit
Albert Gerritsen
Udo F. H. Engelke
Steven Castelein
Maartje van de Vorst
Leo A. J. Kluijtmans
Marleen C. D. G. Huigen
Ron A. Wevers
Alain J. van Gool
Christian Gilissen
Karlien L. M. Coene
Purva Kulkarni
spellingShingle Brechtje Hoegen
Alan Zammit
Albert Gerritsen
Udo F. H. Engelke
Steven Castelein
Maartje van de Vorst
Leo A. J. Kluijtmans
Marleen C. D. G. Huigen
Ron A. Wevers
Alain J. van Gool
Christian Gilissen
Karlien L. M. Coene
Purva Kulkarni
Metabolomics-Based Screening of Inborn Errors of Metabolism: Enhancing Clinical Application with a Robust Computational Pipeline
Metabolites
untargeted metabolomics
next-generation metabolic screening
inherited metabolic diseases
data analysis
mass spectrometry
bioinformatics pipeline
author_facet Brechtje Hoegen
Alan Zammit
Albert Gerritsen
Udo F. H. Engelke
Steven Castelein
Maartje van de Vorst
Leo A. J. Kluijtmans
Marleen C. D. G. Huigen
Ron A. Wevers
Alain J. van Gool
Christian Gilissen
Karlien L. M. Coene
Purva Kulkarni
author_sort Brechtje Hoegen
title Metabolomics-Based Screening of Inborn Errors of Metabolism: Enhancing Clinical Application with a Robust Computational Pipeline
title_short Metabolomics-Based Screening of Inborn Errors of Metabolism: Enhancing Clinical Application with a Robust Computational Pipeline
title_full Metabolomics-Based Screening of Inborn Errors of Metabolism: Enhancing Clinical Application with a Robust Computational Pipeline
title_fullStr Metabolomics-Based Screening of Inborn Errors of Metabolism: Enhancing Clinical Application with a Robust Computational Pipeline
title_full_unstemmed Metabolomics-Based Screening of Inborn Errors of Metabolism: Enhancing Clinical Application with a Robust Computational Pipeline
title_sort metabolomics-based screening of inborn errors of metabolism: enhancing clinical application with a robust computational pipeline
publisher MDPI AG
series Metabolites
issn 2218-1989
publishDate 2021-08-01
description Inborn errors of metabolism (IEM) are inherited conditions caused by genetic defects in enzymes or cofactors. These defects result in a specific metabolic fingerprint in patient body fluids, showing accumulation of substrate or lack of an end-product of the defective enzymatic step. Untargeted metabolomics has evolved as a high throughput methodology offering a comprehensive readout of this metabolic fingerprint. This makes it a promising tool for diagnostic screening of IEM patients. However, the size and complexity of metabolomics data have posed a challenge in translating this avalanche of information into knowledge, particularly for clinical application. We have previously established next-generation metabolic screening (NGMS) as a metabolomics-based diagnostic tool for analyzing plasma of individual IEM-suspected patients. To fully exploit the clinical potential of NGMS, we present a computational pipeline to streamline the analysis of untargeted metabolomics data. This pipeline allows for time-efficient and reproducible data analysis, compatible with ISO:15189 accredited clinical diagnostics. The pipeline implements a combination of tools embedded in a workflow environment for large-scale clinical metabolomics data analysis. The accompanying graphical user interface aids end-users from a diagnostic laboratory for efficient data interpretation and reporting. We also demonstrate the application of this pipeline with a case study and discuss future prospects.
topic untargeted metabolomics
next-generation metabolic screening
inherited metabolic diseases
data analysis
mass spectrometry
bioinformatics pipeline
url https://www.mdpi.com/2218-1989/11/9/568
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