Metabolomics reveals impaired maturation of HDL particles in adolescents with hyperinsulinaemic androgen excess

Sara Samino, Maria Vinaixa, Marta Díaz, Antoni Beltran, Miguel A. Rodríguez, Roger Mallol, Mercedes Heras, Anna Cabre, Lorena Garcia, Nuria Canela, Francis De Zegher, Xavier Correig, Lourdes Ibáñez, Oscar Yanes

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Resum

Hyperinsulinaemic androgen excess (HIAE) in prepubertal and pubertal girls usually precedes a broader pathological phenotype in adulthood that is associated with anovulatory infertility, metabolic syndrome and type 2 diabetes. The metabolic derangements that determine these long-term health risks remain to be clarified. Here we use NMR and MS-based metabolomics to show that serum levels of methionine sulfoxide in HIAE girls are an indicator of the degree of oxidation of methionine-148 residue in apolipoprotein-A1. Oxidation of apo-A1 in methionine-148, in turn, leads to an impaired maturation of high-density lipoproteins (HDL) that is reflected in a decline of large HDL particles. Notably, such metabolic alterations occur in the absence of impaired glucose tolerance, hyperglycemia and hypertriglyceridemia, and were partially restored after 18 months of treatment with a low-dose combination of pioglitazone, metformin and flutamide.

Idioma originalAnglès
Número d’article11496
RevistaScientific Reports
Volum5
DOIs
Estat de la publicacióPublicada - 23 de juny 2015
Publicat externament

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