Diet-Related Metabolites Associated with Cognitive Decline Revealed by Untargeted Metabolomics in a Prospective Cohort
2019
Low, Dorrain | Lefèvre-Arbogast, Sophie | Dominguez-Gonzalez, Raúl | Urpi Sarda, Mireia | Micheau, Pierre | Pétéra, Mélanie | Centeno, Delphine | Durand, Stéphanie | Pujos-Guillot, Estelle | Korosi, Aniko | Lucassen, Paul J. | Aigner, Ludwig. | Proust-Lima, Cecile | Hejblum, Boris P. | Helmer, Catherine | Andres-Lacueva, Cristina | Thuret, Sandrine | Samieri, Cecilia | Manach, Claudine | Unité de Nutrition Humaine (UNH) ; Institut National de la Recherche Agronomique (INRA)-Université Clermont Auvergne [2017-2020] (UCA [2017-2020]) | Bordeaux population health (BPH) ; Université de Bordeaux (UB)-Institut de Santé Publique, d'Épidémiologie et de Développement (ISPED)-Institut National de la Santé et de la Recherche Médicale (INSERM) | Universitat de Barcelona (UB) | Instituto de Salud Carlos III [Madrid] (ISCIII) | Plateforme Exploration du Métabolisme (PFEM) ; Institut National de la Recherche Agronomique (INRA)-Université Blaise Pascal - Clermont-Ferrand 2 (UBP)-MetaboHUB-Clermont ; MetaboHUB-MetaboHUB | Universiteit van Amsterdam = University of Amsterdam (UvA) | Paracelsus Medizinische Privatuniversität = Paracelsus Medical University (PMU) | Statistics In System biology and Translational Medicine (SISTM) ; Centre Inria de l'Université de Bordeaux ; Institut National de Recherche en Informatique et en Automatique (Inria)-Institut National de Recherche en Informatique et en Automatique (Inria)-Bordeaux population health (BPH) ; Université de Bordeaux (UB)-Institut de Santé Publique, d'Épidémiologie et de Développement (ISPED)-Institut National de la Santé et de la Recherche Médicale (INSERM)-Université de Bordeaux (UB)-Institut de Santé Publique, d'Épidémiologie et de Développement (ISPED)-Institut National de la Santé et de la Recherche Médicale (INSERM) | King‘s College London | ANR-11-INBS-0010,METABOHUB,Développement d'une infrastructure française distribuée pour la métabolomique dédiée à l'innovation(2011) | ANR-15-HDHL-0002,D-CogPlast,Identification of dietary modulators of cognitive ageing and brain plasticity and proof of concept of efficacy for preventing-reversing cognitive decline(2015)
Epub ahead of print
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Afficher plus [+] Moins [-]anglais. SCOPE: Untargeted metabolomics may reveal preventive targets in cognitive aging, including within the food metabolome. METHODS AND RESULTS: A case-control study nested in the prospective Three-City study included participants aged >/=65 years and initially free of dementia. We contrasted 209 cases of cognitive decline and 209 controls (matched for age, gender and educational level) with slower cognitive decline over up to 12 years. This article is protected by copyright. All rights reserved Using a bootstrap-enhanced LASSO regression on the baseline serum metabolomes analyzed with LC-QTOF, we identified a signature of 22 metabolites associated with subsequent cognitive decline. The signature included three coffee metabolites, a biomarker of citrus intake, a cocoa metabolite, two metabolites putatively derived from fish and wine, three medium-chain acylcarnitines, glycodeoxycholic acid, lysoPC(18:3), trimethyllysine, glucose, cortisol, creatinine and arginine. Adding the 22 metabolites to a reference predictive model for cognitive decline (conditioned on age, gender and education and including ApoE-epsilon4, diabetes, BMI and number of medications) substantially increased the predictive performance: cross-validated Area Under the Receiver Operating Curve = 75% [95% CI 70-80%] compared to 62% [95% CI 56-67%] CONCLUSIONS: Our untargeted metabolomics study supports a protective role of specific foods (e.g., coffee, cocoa, fish) and various alterations in the endogenous metabolism responsive to diet in cognitive aging.
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