Plasma Metabolite Markers of Parkinson's Disease and Atypical Parkinsonism.

Differentiating between Parkinson's disease (PD) and the atypical Parkinsonian disorders of multiple system atrophy (MSA) and progressive supranuclear palsy (PSP) is difficult clinically due to overlapping symptomatology, especially at early disease stages. Consequently, there is a need to identify metabolic markers for these diseases and to develop them into viable biomarkers. In the present investigation, solution nuclear magnetic resonance and mass spectrometry metabolomics were used to quantitatively characterize the plasma metabolomes (a total of 167 metabolites) of a cohort of 94 individuals comprising 34 PD, 12 MSA, and 17 PSP patients, as well as 31 control subjects. The distinct and statistically significant differences observed in the metabolite concentrations of the different disease and control groups enabled the identification of potential plasma metabolite markers of each disorder and enabled the differentiation between the disorders. These group-specific differences further implicate disturbances in specific metabolic pathways. The two metabolites, formic acid and succinate, were altered similarly in all three disease groups when compared to the control group, where a reduced level of formic acid suggested an effect on pyruvate metabolism, methane metabolism, and/or the kynurenine pathway, and an increased succinate level suggested an effect on the citric acid cycle and mitochondrial dysfunction.

Processing strategies to obtain clean interleaved ultrafast 2D NMR spectra.

Ultrafast (UF) 2D NMR enables the acquisition of 2D spectra in a single-scan. In spite of its promising potential, the accessible spectral width is highly limited by the maximum gradient amplitude, which limits the general applicability of the method. A number of solutions have been recently described to deal with this limitation, among which stands the possibility to record several interleaved scans. However, this alternative acquisition scheme leads to numerous ghost peaks characteristic of interleaved acquisitions. These artefacts highly affect the readability of 2D spectra for structural elucidation, as well as their quantitative performance. Here, we propose several pre-FT or post-FT processing corrections to clean artefacts from interleaved ultrafast NMR spectra. Their performances are compared, and their potentialities are illustrated in a small organic molecule context. Post-FT processing corrections such as ArSub (Artefact Subtraction) or symmetrisation appear to be the most efficient ones in terms of artefact removal. While not purely single-scan, these strategies open new perspectives towards the routine use of UF 2D NMR for structural or quantitative analysis.

New practical tools for the implementation and use of ultrafast 2D NMR experiments.

Ultrafast (UF) 2D NMR is a very promising methodology enabling the acquisition of 2D spectra in a single scan. In the last few years, the analytical performance of UF 2D NMR has been highly increased, consequently maximizing its range of applications. However, its implementation and use by non-specialists are far from being straightforward, because of the specific acquisition and processing procedures and parameters characterizing UF NMR. To make this methodology implementable and applicable by non-specialists, we developed a simple routine capable of translating conventional parameters (spectral widths and transmitter frequencies) into specific UF parameters (gradient and chirp pulse parameters). This macro was subsequently implemented in a Web page, which is available for external users. Although the algorithm was designed for two widely used 2D experiments, COSY and HSQC, it can easily be extended to any other pulse sequence. The robustness of this routine was verified successfully on a variety of small molecules. We believe that this tool will eliminate much of the technical difficulties related to UF 2D NMR and will make the technique accessible to a wider audience of organic and analytical chemists.

Fast determination of absolute metabolite concentrations by spatially encoded 2D NMR: application to breast cancer cell extracts.

Two-dimensional nuclear magnetic resonance (2D NMR) forms a powerful tool for the quantitative analysis of complex mixtures such as samples of metabolic relevance. However, its use for quantitative purposes is far from being trivial, not only because of the associated experiment time, but also due to its subsequent high sensitivity to hardware instabilities affecting its precision. In this paper, an alternative approach is considered to measure absolute metabolite concentrations in complex mixtures with a high precision in a reasonable time. It is based on a "multi-scan single shot" (M3S) strategy, which is derived from the ultrafast 2D NMR methodology. First, the analytical performance of this methodology is compared to the one of conventional 2D NMR. 2D correlation spectroscopy (COSY) spectra are obtained in 10 min on model metabolic mixtures, with a precision in the 1-4% range (versus 5-18% for the conventional approach). The M3S approach also shows a better linearity than its conventional counterpart. It ensures that accurate quantitative results can be obtained provided that a calibration procedure is carried out. The M3S COSY approach is then applied to measure the absolute metabolite concentration in three breast cancer cell line extracts, relying on a standard addition protocol. M3S COSY spectra of such extracts are recorded in 20 min and give access to the absolute concentration of 14 major metabolites, showing significant differences between cell lines.

Ultrafast hetero-nuclear 2D J-resolved spectroscopy.

Ultrafast techniques enable the acquisition of 2D NMR spectra in a single scan. In this study, we propose a new ultrafast experiment designed to record hetero-nuclear (1)H-(13)C J-resolved spectra in a fraction of a second. The approach is based on continuous constant-time phase modulated spatial encoding followed by a J-resolved detection scheme. An optional isotopic filter is implemented to remove the signal arising from (1)H bound to (12)C. While the most evident application of the technique proposed in this paper is the direct measurement of one bond scalar (13)C-(1)H couplings for structural elucidation purposes, it also offers interesting potentialities for measuring (13)C isotopic enrichments in metabolic samples. The main features of this methodology are presented, and the analytical performances of the ultrafast hetero-nuclear J-resolved pulse sequence are evaluated on model samples.

"Multi-scan single shot" quantitative 2D NMR: a valuable alternative to fast conventional quantitative 2D NMR.

Quantitative Ultrafast (UF) 2D NMR is a very promising methodology enabling the acquisition of 2D spectra in a single scan. The analytical performances of UF 2D NMR have been highly increased in the last few years, however little is known about the sensitivity of ultrafast experiments versus conventional 2D NMR. A fair and relevant comparison has to consider the Signal-to-Noise Ratio (SNR) per unit of time, in order to answer the following question: for a given experiment time, should we run a conventional 2D experiment or is it preferable to accumulate ultrafast acquisitions? To answer this question, we perform here a systematic comparison between accumulated ultrafast experiments and conventional ones, for different experiment durations. Sensitivity issues and other analytical aspects are discussed for the COSY experiment in the context of quantitative analysis. The comparison is first carried out on a model sample, and then extended to model metabolic mixtures. The results highlight the high analytical performance of the "multi-scan single shot" approach versus conventional 2D NMR acquisitions. This result is attributed to the absence of t(1) noise in spatially encoded experiments. The multi-scan single shot approach is particularly interesting for quantitative applications of 2D NMR, whose occurrence in the literature has been greatly increasing in the last few years.