Metabolomics of nasal lavage fluid in patients with allergic rhinitis treated by Xiaoqinglong Decoction.
10.19540/j.cnki.cjcmm.20230718.501
- Author:
Qin-Dong LIU
1
;
Min ZHOU
2
;
Jia-Jun ZHANG
3
;
Xue-Cheng HE
3
;
Wei-Zhen XU
3
;
Jing LI
2
;
Chun-Qiao LI
2
;
Ya-Jie YAN
4
;
Yan RUAN
4
Author Information
1. the First Clinical Medical College of Guangzhou University of Chinese Medicine Guangzhou 510405, China Department of Otorhinolaryngology, Shenzhen Traditional Chinese Medicine Hospital Shenzhen 518033, China.
2. the First Affiliated Hospital of Guangzhou University of Chinese Medicine Guangzhou 510405, China.
3. the First Clinical Medical College of Guangzhou University of Chinese Medicine Guangzhou 510405, China.
4. the First Affiliated Hospital of Guangzhou University of Chinese Medicine Guangzhou 510405, China Lingnan Institute of Otolaryngology, Guangdong Clinical Research Academy of Chinese Medicine Guangzhou 510405, China.
- Publication Type:Journal Article
- Keywords:
LC-MS;
Xiaoqinglong Decoction;
allergic rhinitis;
metabolomics;
nasal lavage fluid
- MeSH:
Humans;
Nasal Lavage Fluid;
Rhinitis, Allergic/drug therapy*;
Metabolomics/methods*;
Metabolome
- From:
China Journal of Chinese Materia Medica
2023;48(22):6164-6172
- CountryChina
- Language:Chinese
-
Abstract:
This study used nasal lavage fluid for metabolomics to explore its feasibility, and applied it to the clinical metabolomics study of Xiaoqinglong Decoction in the treatment of allergic rhinitis(AR), aiming to investigate the molecular mechanism of Xiaoqing-long Decoction in the treatment of AR through differential changes in local nasal metabolism. AR patients were selected as the research subjects, and nasal lavage fluid was collected as the sample. Metabolomics analysis using liquid chromatography-mass spectrometry was performed on normal group, AR group, and Xiaoqinglong Decoction group. The differences in metabolic profiles among the groups were compared using principal component analysis and partial least squares discriminant analysis, and differential metabolites were identified and subjected to corresponding metabolic pathway analysis. The results showed that Xiaoqinglong Decoction significantly improved the symptoms of AR patients. The metabolomics analysis revealed 20 differential metabolites between AR group and Xiaoqinglong Decoction group. The core metabolite with a trending return in comparison to normal group was trimethyladipic acid. The metabolites were involved in multiple pathways, including β-alanine metabolism, glutathione metabolism, and phenylalanine, tyrosine, and tryptophan biosynthesis. The feasibility of applying nasal lavage fluid in nasal metabolomics was preliminarily demonstrated. Differential metabolites and enriched pathways in the treatment of AR patients with Xiaoqinglong Decoction were identified, indicating that it may improve rhinitis symptoms through the regulation of various metabolites, including antioxidant effects and correction of Th1/Th2 imbalance.