Medizinische Universität Graz - Research portal
Selected Publication:
SHR Neuro Cancer Cardio Lipid Metab Microb
Bordag, N; Klie, S; Jürchott, K; Vierheller, J; Schiewe, H; Albrecht, V; Tonn, JC; Schwartz, C; Schichor, C; Selbig, J.
Glucocorticoid (dexamethasone)-induced metabolome changes in healthy males suggest prediction of response and side effects.
Sci Rep. 2015; 5: 15954-15954.
Doi: 10.1038/srep15954
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- Leading authors Med Uni Graz
- Bordag Natalie
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- Abstract:
- Glucocorticoids are indispensable anti-inflammatory and decongestant drugs with high prevalence of use at (~)0.9% of the adult population. Better holistic insights into glucocorticoid-induced changes are crucial for effective use as concurrent medication and management of adverse effects. The profiles of 214 metabolites from plasma of 20 male healthy volunteers were recorded prior to and after ingestion of a single dose of 4 mg dexamethasone (+20 mg pantoprazole). Samples were drawn at three predefined time points per day: seven untreated (day 1 midday - day 3 midday) and four treated (day 3 evening - day 4 evening) per volunteer. Statistical analysis revealed tremendous impact of dexamethasone on the metabolome with 150 of 214 metabolites being significantly deregulated on at least one time point after treatment (ANOVA, Benjamini-Hochberg corrected, q < 0.05). Inter-person variability was high and remained uninfluenced by treatment. The clearly visible circadian rhythm prior to treatment was almost completely suppressed and deregulated by dexamethasone. The results draw a holistic picture of the severe metabolic deregulation induced by single-dose, short-term glucocorticoid application. The observed metabolic changes suggest a potential for early detection of severe side effects, raising hope for personalized early countermeasures increasing quality of life and reducing health care costs.
- Find related publications in this database (using NLM MeSH Indexing)
- 2-Pyridinylmethylsulfinylbenzimidazoles - administration & dosage
- 2-Pyridinylmethylsulfinylbenzimidazoles - pharmacology
- Administration, Oral -
- Adult -
- Chromatography, High Pressure Liquid -
- Circadian Rhythm - drug effects
- Dexamethasone - administration & dosage
- Dexamethasone - pharmacology
- Glucocorticoids - administration & dosage
- Glucocorticoids - pharmacology
- Healthy Volunteers -
- Humans -
- Male -
- Metabolome - drug effects
- Metabolomics - methods
- Multivariate Analysis -
- Pantoprazole -
- Tandem Mass Spectrometry -
- Young Adult -