Metabolomic pattern associated with physical sequelae in patients presenting with respiratory symptoms validates the aestivation concept in dehydrated patients

Author:

Barrueta Tenhunen Annelie1ORCID,Butler-Laporte Guillaume23,Yoshiji Satoshi3456,Morrison Dave R.74,Nakanishi Tomoko3456,Chen Yiheng34,Forgetta Vincenzo348,Farjoun Yossi38910,Marton Adriana11ORCID,Titze Jens Marc1112,Nihlén Sandra1,Frithiof Robert1ORCID,Lipcsey Miklos17ORCID,Richards J. Brent234138,Hultström Michael12314ORCID

Affiliation:

1. Anaesthesiology and Intensive Care Medicine, Department of Surgical Sciences, Uppsala University, Uppsala, Sweden

2. Department of Epidemiology, Biostatistics and Occupational Health, McGill University, Montréal, Québec, Canada

3. Lady Davis Institute of Medical Research, Jewish General Hospital, McGill University, Montréal, Québec, Canada

4. Department of Human Genetics, McGill University, Montréal, Québec, Canada

5. Kyoto-McGill International Collaborative Program in Genomic Medicine, Graduate School of Medicine, Kyoto University, Kyoto, Japan

6. Research Fellow, Japan Society for the Promotion of Science, Tokyo, Japan

7. Hedenstierna Laboratory, Department of Surgical Sciences, Uppsala University, Uppsala, Sweden

8. 5 Prime Sciences, Montréal, Québec, Canada

9. The Broad Institute of Harvard and MIT, Cambridge, Massachusetts, United States

10. Fulcrum Genomics, Boulder, Colorado, United States

11. Program in Cardiovascular and Metabolic Disorders, Duke-NUS Medical School, Singapore, Singapore

12. Division of Nephrology, Duke University Medical Center, Durham, North Carolina, United States

13. Department of Twin Research, King’s College London, London, United Kingdom

14. Integrative Physiology, Department of Medical Cell Biology, Uppsala University, Uppsala, Sweden

Abstract

We have previously shown that humans exhibit an aestivation-like response where dehydration leads to a metabolic shift to urea synthesis, which is associated with long-term weakness indicating muscle wasting. In the present study, we validate this response in a new cohort and present a deeper metabolomic analysis and pathway analysis. Finally, we present a sex-stratified analysis suggesting weaker aestivation in women. However, women show less dehydration, so the association warrants further study.

Funder

Canada Foundation for Innovation

Canadian Government | Canadian Institutes of Health Research

Cancer Research UK

Fonds de recherche du Québec

Foundation for the National Institutes of Health

Hjärt-Lungfonden

JGH | Lady Davis Institute for Medical Research

MEXT | Japan Society for the Promotion of Science

McGill University

Njurfonden

Public Health Agency of Canada

Svenska Läkaresällskapet

Vetenskapsrådet

Publisher

American Physiological Society

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1. Vasopressin, protein metabolism, and water conservation;Current Opinion in Nephrology & Hypertension;2024-06-27

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