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V.-P. Mäkinen, C. Forsblom, L. M. Thorn, J. Wadén, D. Gordin, O. Heikkilä, K. Hietala, J. Kytö, M. Rosengård-Bärlund, M. Saraheimo, M. Parkkonen, K. Kaski, M. Ala-Korpela, P.-H. Groop
Multivariate biochemical basis of vascular complications and mortality in 4,197 patients with type 1 diabetes.
The 44th Annual Meeting of the European Association for the Study of Diabetes (EASD)
Rome, Italy,
September 7-11, 2008 http://www.easd2008.org Poster in preparation
Background and aims: Risk assessment of diabetic complications is challenging due to the gradual disease processes and the lack of accurate metabolic phenotypes. Here the focus is on the latter problem: to reveal the multi-variate biochemical features behind the clinical outcomes and premature deaths in a set of Finnish patients with type 1 diabetes.
Materials and methods: Baseline biochemical and clinical data were collected for 2173 men and 2024 women with type 1 diabetes (age at onset below 35 years, insulin treatment within a year of onset) from the Finnish Diabetic Nephropathy Study. The vitality status was obtained after an average of 6.5 years of follow-up (25,714 patient years, 295 deaths). Clinical records and measurements of 20 biochemical variables (lipoprotein subfractions, apolipoproteins, serum and urine creatinine, inflammatory markers and 24h-urine albumin) were collected by standardized questionnaires and laboratory methods. The data were analysed by a self-organising map (SOM), and visualized separately for males and females with computational significance estimates and confidence intervals. The metabolic phenotypes revealed by the SOMs were then compared against the observed all-cause mortality.
Results: Two sides of the diabetic complications cluster were revealed: a metabolic syndrome profile of insulin resistance, low HDL2C, and abdominal obesity, and a high-adiponectin, high-LDLC, high HDL2C profile associated with microvascular complications. A 10.1-fold [CI95%: 7.3-13.1%] population adjusted risk of death in males and a 10.7-fold [CI95%: 7.9-13.7] risk in females was observed at the intersection of the two metabolic states.
Conclusion: The SOM approach offers a visual way of incorporating multi-variate biochemical datasets into clinical decision making, as demonstrated in this study by the dissection of diabetic complications into a metabolic continuum between two characteristic phenotypes. We expect this type of computational medicine to be crucial not only for cultivating the scientific understanding of multifactorial metabolic disorders, but also fro enabling tailored treatments of complex diseases.

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T. Tynkkynen, R. Laatikainen, T. Tukiainen, V.-P. Mäkinen, P.-H. Groop, K. Kaski, O. Gröhn, M. Hallikainen, H. Soininen, T. Pirttilä, M. Ala-Korpela, P. Soininen
Optimised methodology for 1H NMR lipidomics of serum.
The 30th Finnish NMR Symposium
Helsinki, Finland,
June 11-13, 2008 http://www.nmr.fi/ Download poster (pdf)
Altered lipid metabolism and subsequent vascular complications are the underlying causes for
clinical symptoms in common diseases like dementias, atherothrombosis and diabetes [1].
The non-selective nature and metabolic specificity are advantageous features of 1H NMR
spectroscopy to study lipid composition of body fluids. NMR spectroscopy can yield data on
all components in a mixture, without the need to fractionate or derivatise the sample.
Sophisticated analysis, however, is the key for reliability and extensive molecular coverage.
Our poster will focus on the optimisation of the 1H NMR lipidomics approach for
metabonomics use. The figure below illustrates a part from a 1H NMR spectrum of serum
lipid extracts together with line fitting using the total-line-shape fitting tool of the PERCH
NMR Software [2]. We have applied the presented methodology for over 500 serum samples
from two different clinical studies. At the poster we will present the lipid descriptors available
and discuss the suitability of this approach for clinical metabonomics.
- Mäkinen, VP; Soininen, P; Forsblom, C; Parkkonen, M; Ingman, P; Kaski, K; Groop, PH; Ala-Korpela, M. Mol. Syst. Biol. 2008, 4, 167.
- Soininen, P; Haarala, J; Vepsäläinen, J; Niemitz, M; Laatikainen, R. Anal. Chim. Acta. 2005, 542, 178.
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V.-P. Mäkinen, P. Soininen, T. Tukiainen, J. Niemi, P. Jylänki, A. J. Kangas, T. Peltola, J. Hokkanen, L. Kumpula, J. Ojanen, N. Sandholm, C. Forsblom, A. Vehtari, P.-H. Groop, K. Kaski, M. Ala-Korpela
1H NMR spectroscopy in computational medicine.
The 30th Finnish NMR Symposium
Helsinki, Finland,
June 11-13, 2008 http://www.nmr.fi/ Download poster (pdf)
Towards personalised medicine: Understanding the factors that influence human health and
cause diseases has always been a driving force of research. With the exciting progress in highthroughput
analytical techniques and the profound integration of experimental and
computational approaches, medicine has newly got hold of new technological and conceptual
tools for holistic investigations of living organisms at the system level. The still young
discipline of systems biology has mostly been applied to study well-characterised model
organisms. However, the first human studies also report on remarkable opportunities that
combined molecular and computational technologies can have for the progress of personalised
and predictive medicine:
"This application of 1H NMR metabonomics of serum demonstrates the diffuse nature
of complex vascular diseases and the limitations of single diagnostic biomarkers, but it
also promises cost-effective solutions through high-throughput analytics and advanced
computational methods, as illustrated here for patients with type 1 diabetes in a real
clinical situation." [1]
Metabonomics – a new field of 'omics': Genomics, transcriptomics and proteomics,
represent the 'genomistic' main discipline in life sciences. The phenotype of a biological
system, however, is principally reflected by its metabolite composition and their interactions.
Therefore, a key 'omics' in understanding of biomolecular function is metabonomics: the
measurements of multi-metabolic responses to (patho)physiological stimuli or genetic
modifications. Mass spectrometry (MS) and 1H NMR spectroscopy have become the two key
technologies in this area. An appealing feature of NMR is its specific yet non-selective nature:
"1H NMR spectroscopy techniques are rather fast and straightforward to apply to all
biofluids in vitro and also to various tissues ex vivo and in vivo – approaches
combining data on various biofluids and/or tissues of the same individuals (integrated
metabonomics) are thus increasingly used to study systems level biochemistry." [2]
Towards new technological platforms: The metabonomic applications are leading to
massive, complex data sets. We are systematically developing and applying various
bioinformatics methods in this area, for example, self-organising maps will be introduced as
an appealing tool for visual metabolic profiling [1]. Our collaborative medical applications
focus on metabolic phenotyping and risk assessment of vascular complications. Please come
and discuss the future of health care with us at the poster – does NMR really have a role here?
- Mäkinen, VP; Soininen, P; Forsblom, C; Parkkonen, M; Ingman, P; Kaski, K; Groop, PH; Ala-Korpela, M. Mol. Syst. Biol. 2008, 4, 167.
- [2] Ala-Korpela, M. Expert Rev. Mol. Diagn. 2007, 7, 761.
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V.-P. Mäkinen, C. Forsblom, L. M. Thorn, J. Wadén, D. Gordin, O. Heikkilä, K. Hietala, L. Kyllönen, J. Kytö, M. Rosengård-Bärlund, M. Saraheimo, N. Tolonen, M. Parkkonen, K. Kaski, M. Ala-Korpela, P.-H. Groop
Metabolic phenotypes of increased risk: a self-organizing map analysis of serum and urine biochemistry, vascular complications and premature death in type 1 diabetes.
The European Diabetic Nephropathy Study Group (EDNSG) meeting
Hanover, Germany,
May 16-17, 2008 No poster
Objective – Subclinical
risk assessment of diabetic kidney disease is challenging due to the
gradual disease processes and the lack of accurate metabolic phenotypes. Here the focus is on the
latter problem: to reveal the multivariate
biochemical features behind the clinical outcomes and
premature deaths in a populationbased
set of Finnish patients with type 1 diabetes.
Design and patients – Baseline biochemical and clinical data were collected for 2,176 males and
2,121 females with type 1 diabetes from the Finnish Diabetic Nephropathy Study, after excluding
those patients with age of onset ≥35, or more than 50% of data missing. The vitality status was
obtained after an average of 6.5 years of followup
(24,589 patient years, 271 deaths).
Methods – Clinical records and measurements of 19 biochemical variables (lipoprotein
subfractions, apolipoproteins, serum and urine creatinine, inflammatory markers and 24hurine
albumin) were collected by standardized questionnaires and laboratory methods. The data were
analysed by selforganizing
maps (SOMs) of males and females separately, with computational
significance estimates and confidence intervals. The metabolic phenotypes revealed by the SOMs
were compared against the observed allcause
mortality.
Results and conclusions – Two sides of the diabetic complications cluster were revealed: a
metabolic syndrome profile of insulin resistance, low HDL2C, and abdominal obesity, and a highadiponectin,
highLDLC,
highHDL2C
profile associated with microvascular complications and
longer diabetes duration. An 11.4fold
[CI95%: 9.713.4]
population adjusted risk of death in
males, and a 9.1fold
[CI95%: 6.911.3]
risk in females was observed at the intersection of the two
metabolic states, where also the prevalence of advanced kidney disease was the highest (67% for
males, 56% for females). At subclinical
level, this highrisk
metabolic phenotype was associated
with a 3.7fold
[CI95%: 1.36.0]
risk in males with no kidney disease (normoalbuminuria), and a
4.3fold
[CI95%: 0.57.8]
risk in males with unclassified albuminuria status. The SOM approach
offers a visual way of incorporating multivariate
biochemical datasets into clinical decision
making, as demonstrated in this study by the dissection of albuminuria into a metabolic continuum
between two characteristic phenotypes. We expect this type of computational medicine to be crucial
not only for cultivating the scientific understanding of complex diseases, but also for enabling
tailored treatments before clinical signs emerge.
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S. M. Mäkelä, T. Peltola, T. Salonurmi, M. J. Savolainen, M. L. Hannuksela, M. Ala-Korpela
Associations of lipoprotein phenotypes with plasma adiponectin in subjects with a wide range of alcohol consumption.
The 77th Annual Congress of the European Atherosclerosis Society (EAS)
Istanbul, Turkey,
April 26-29, 2008 Download poster (pdf)
Background and aim: Low plasma adiponectin is related to atherosclerosis. Interestingly, alcohol usage increases adiponectin concentrations. Here we investigated the link between adiponectin, conventional lipoprotein risk factors, and alcohol consumption.
Methods: Plasma adiponectin and lipids in VLDL, IDL, LDL and HDL of 70 subjects were measured and analysed using self-organizing maps, an unsupervised neural network methodology forming an overall picture of the biochemical situation.
Results: The analyses revealed four different lipoprotein phenotypes (PH). PH-I in which HDL particles were rich in cholesterol and phospholipids but poor in triglycerides reflecting a rise in the concentration of large HDL particles. Mean plasma adiponectin (14.6 µg/ml), apoA-I (1.84 g/l), and alcohol consumption (182 g/day) were high. VLDL, IDL and LDL concentrations were low. PH-II was characterized by an increased concentration of large LDL particles, medium HDL but low VLDL, and IDL. Mean adiponectin was 12.4 µg/ml and alcohol consumption 51 g/day. In PH-III, both LDL and HDL particles were poor in cholesterol but rich in triglycerides reflecting an increase in small dense LDL and HDL. VLDL and IDL triglycerides were also high. Mean adiponectin was 10.2 µg/ml and alcohol consumption 101 g/day. PH-IV had the lowest adiponectin (9.3 µg/ml) and low HDL, but high concentrations of VLDL, IDL, and LDL. Mean alcohol consumption was 42 g/day.
Conclusions: The results revealed a clearly anti-atherogenic lipoprotein phenotype (PH-I) that was associated with the highest adiponectin and alcohol consumption. In contrast, the atherogenic lipoprotein phenotypes (PH-III/IV) were associated with significantly lower adiponectin and alcohol consumption.
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V.-P. Mäkinen, P. Soininen, C. Forsblom, M. Parkkonen, P. Ingman, K. Kaski, M. Ala-Korpela, P.-H. Groop
Proton NMR metabonomics of type 1 diabetes reveals multivariate biochemical characteristics of diabetic complications.
Diabetologia, 50, Suppl., 2007
43rd Annual Meeting of the European Association for the Study of Diabetes (EASD)
Amsterdam, The Netherlands,
September 17-21, 2007 Download poster (pdf)
Background and Aims: Macrovascular disease in connection to diabetic nephropathy accounts for most of the premature deaths in type 1 diabetic patients. Metabolic syndrome is common in the subset that develop these serious complications, which suggests that the risk factors are similar to those in the general population. The definitions of risk criteria, however, may not be well suited for type 1 diabetes nor be accurate enough to detect subtle metabolic changes. For this reason, we have measured proton nuclear magnetic resonance (NMR) spectra of serum for a subset of type 1 diabetic patients from the Finnish Diabetic Nephropathy (FinnDiane) study. Our goal is to determine the multi-variate metabolic characteristics of type 1 diabetes that will serve as the baseline for the prospective phase of FinnDiane, and to evaluate the role of proton NMR as an analytical tool in this effort.
Materials and Methods: Proton NMR spectra of serum for 613 type 1 diabetic patients was measured on a Bruker AVANCE 500Mhz spectrometer. Age- and sex-matched patients were selected from the FinnDiane cohort based on nephropathy status. Proton NMR data was obtained from two molecular windows: a standard spectrum with wide lipoprotein lipid and albumin signals and a T2-filtered spectrum that better reveals the smaller metabolites with lower molecular weights. A double-tube system for reference substance was used to enable absolute quantification of metabolites. The complex spectral data was analysed by constructing a self-organising map, an unsupervised neural network analysis method.
Results: The self-organising map of the spectra identified multi-variate spectral profiles that are linked to clinical criteria such as nephropathy, retinopathy, metabolic syndrome and macrovascular complications. It also revealed specific connections between the diagnoses (e.g. nephropathy) and the corresponding serum biochemistry. The observations were validated by non-spectroscopic data from the FinnDiane database and interpreted with the help of statistical map colourings (figure).
Conclusion: A single proton NMR analysis of serum for type 1 diabetic patients gave enough information for a multi-metabolite characterisation of diabetic complications that is likely to be of great value in the sub-clinical screening of metabolically vulnerable patients.
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V.-P. Mäkinen, P. Soininen, K. Kaski, P.-H. Groop, M. Ala-Korpela
Multi-metabolite characterisation of the diabetic state by H NMR metabonomics – application of self-organising maps.
The Conferentia Chemometrica 2007 (CC 2007)
Budapest, Hungary,
September 2-5, 2007 Download poster (pdf)  | Selected as the best poster of the meeting by the scientific committee. |
Atherosclerosis and diabetic kidney disease are examples of gradually developing
complex conditions that lead and contribute to increased occurrence of
macrovascular events such as myocardial infarction and stroke. Patients with a long
history of diabetes are especially at risk, although not all develop these
complications. To distinguish the high-risk individuals, we applied 1H NMR
spectroscopy as a high-throughput metabolic characterization tool in a large clinical
study and investigated the multi-metabolite nature of various clinical classifications.
1H NMR spectra of serum were measured for 613 patients with type 1 diabetes from
the FinnDiane study. The spectral shapes were then analysed by constructing a selforganizing
map, and coloring the map based on the clinical criteria and several
metabolites that were directly quantified from the spectra. As expected, a decrease in
kidney function (elevated serum creatinine) was related to increased mortality
(figure). Increased triglycerides and decreased HDL2 were related to macrovascular
diseases, although there was also overlap with kidney disease. The combination of
1H NMR and self-organizing map provided a simple and easily interpretable, yet
powerful and efficient method to reveal subtle metabolic disturbances. It is likely that
this type of approach is crucial to monitor the disease progression and when deciding
treatements at an individual basis.
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N. Cañellas, J. Brezmes, A. Salminen, P. Soininen, K. Kaski, X. Correig, M. Ala-Korpela
Affinity propagation algorithms: A new way to classify 1H NMR metabonomics data on serum lipoproteins.
The Conferentia Chemometrica 2007 (CC 2007)
Budapest, Hungary,
September 2-5, 2007
Early identification of physiological conditions that relate to increased risk of
atherosclerosis would be advantageous to facilitate individual primary prevention.
Metabolic syndrome (MetS), accompanied with characteristic changes in lipoprotein
subclasses, is one such condition with a steeply increasing prevalence in the general
population. 1H NMR spectroscopy is an alternative approach to quantify lipoprotein
subclasses and can also provide a holistic overview of other serum metabolites. Here
we studied if the metabonomic tactic, i.e., 1H NMR spectroscopy together with a
newly proposed data analysis methodology, namely affinity propagation [1] would
enable characterisation of lipoprotein subclass-related metabolism in a clinically
relevant context. Using experimentally derived model signals for VLDL1, VLDL2, IDL,
LDL1, LDL2, LDL3, HDL2b, HDL2a, HDL3a, HDL3b and HDL3c two biochemically
characteristic categories of spectra were simulated, representing lipoprotein subclass
profiles for a normolipidaemic (healthy) and a metabolic syndrome (high risk) status.
Sets of spectra representing a metabolic pathway between these two main
categories were also included using three representative categories between the
healthy and MetS lipoprotein profiles. The analyses were performed with thousands
of spectra. Affinity propagation finds exemplars exchanging messages between data
points, taking as input the measures of similarity between pairs of samples. The
message passing algorithm can find clusters without the need of a pre-specified
number of clusters. The latter is a particularly important aspect in biomedical
applications. The results show that affinity propagation is capable of correctly
classifying from 68% to 81% of the spectra, and, importantly, confusion only occurs
between the biologically adjacent categories. Additionally, it should be emphasised
that the simulated spectra included both realistic statistical population variation as
well as individual variations in the lipoprotein subclass signals. Therefore, these
results demonstrate the inherent suitability of 1H NMR metabonomics to identify
subtle changes in lipoprotein subclass-related metabolism. This work appears as the
first application of affinity propagation to analyse NMR metabonomics data. Different
executions, using only different subsets of the 1H NMR spectra, show that it is
possible to optimise the measure of similarity between data points in order to improve
the clustering results. In general, our results suggest that affinity propagation might
have many application areas in metabonomics.
- B. J. Frey, et al. Science. 2007, 315, 972–976.
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N. Cañellas, A. Salminen, J. Brezmes, N. Lankinen, P. Soininen, X. Correig, M. Ala-Korpela
Affinity propagation algorithms. A new way to classify 1H NMR metabonomics data on serum lipoproteins and metabolic syndrome.
EUROMAR Magnetic Resonance Conference
Tarragona, Spain,
July 1-6,2007
Early identification of physiological conditions that relate to increased risk of
atherosclerosis would be advantageous to facilitate individual primary prevention.
Metabolic syndrome (MetS), accompanied with characteristic changes in lipoprotein
subclasses, is one such condition with a steeply increasing prevalence in the general
population. 1H NMR spectroscopy is an alternative approach to quantify lipoprotein
subclasses and can also provide a holistic overview of other serum metabolites. Here
we studied if the metabonomic tactic, i.e., 1H NMR spectroscopy together with a
newly proposed data analysis methodology, namely affinity propagation [1] would
enable characterisation of lipoprotein subclass-related metabolism in a clinically
relevant context. Using experimentally derived model signals for VLDL1, VLDL2, IDL,
LDL1, LDL2, LDL3, HDL2b, HDL2a, HDL3a, HDL3b and HDL3c two biochemically
characteristic categories of spectra were simulated, representing lipoprotein subclass
profiles for a normolipidaemic (healthy) and a metabolic syndrome (high risk) status.
Sets of spectra representing a metabolic pathway between these two main
categories were also included using three representative categories between the
healthy and MetS lipoprotein profiles. The analyses were performed with 1600
spectra. Affinity propagation finds exemplars exchanging messages between data
points, taking as input the measures of similarity between pairs of samples. The
message passing algorithm finds clusters with much lower classification error than
many other methods, and does not need a pre-specified number of clusters. The
latter is a particularly important aspect in biomedical applications. The results show
that affinity propagation is capable of correctly classifying from 68% to 81% of the
spectra, and, importantly, confusion only occurs between the adjacent categories.
Additionally, it should be emphasised that the simulated spectra included both
realistic statistical population variation as well as individual variations in the
lipoprotein subclass signals. Therefore, these results demonstrate the inherent
suitability of 1H NMR metabonomics to identify subtle changes in lipoprotein
subclass-related metabolism. This work appears as the first application of affinity
propagation to analyse NMR metabonomics data. Different executions, using only
different subsets of the 1H NMR spectra, show that it is possible to optimise the
measure of similarity between data points in order to improve the clustering results.
In general, our results suggest that affinity propagation might have many application
areas in metabonomics.
- B. J. Frey, et al. Science. 2007, 315, 972–976.
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J. Brezmes, A. Salminen, N. Cañellas, N. Lankinen, P. Soininen, X. Correig, M. Ala-Korpela
A probabilistic approach to the assessment of metabolic syndrome using 1H NMR spectroscopy and Fuzzy Artmap neural networks.
EUROMAR Magnetic Resonance Conference
Tarragona, Spain,
July 1-6, 2007
The presence of a metabolic syndrome (MetS) relates to particular changes in the
lipoprotein subclass profile and to an increased risk for atherosclerosis. Some
subclasses are known to be more important than others with respect to the risk for
atherosclerosis, but the current clinical risk assessment methodology cannot take this
properly into account. The use of 1H NMR spectroscopy seems to have significant
potential in clinical use since the technique enables a fast measurement of the
lipoprotein profile directly from a serum sample. Many computational methods have
been developed for this purpose [1]. However, the intrinsic capability of this approach
to identify the different lipoprotein subclass profiles has never been clearly evaluated
in a probabilistic manner. To accomplish this, we have applied Fuzzy Artmap
algorithms to classify individuals at the borderline of health and disease based on
their 1H NMR spectra of serum. Fuzzy Artmaps are neural network classification
algorithms that are trained in a supervised way. Compared to many other neural
paradigms, these networks can learn quickly from a reduced dataset, they are easy
to program (they require less computational power than many other paradigms), and
they also have the ability to learn rare events easily. Moreover, using the so-called
"voting strategy" they can give a confidence value to the category assignment given
to new samples not seen during the training [2]. We have used Fuzzy Artmap
algorithms to classify samples from an extensive simulated dataset of serum 1H NMR
spectra. This dataset was built based on experimental lipoprotein subclass
information and it includes typical lipoprotein profiles for normolipidaemic (healthy)
and MetS (high risk) individuals. Sets of spectra representing a metabolic pathway
between the two categories were also included using three representative categories
between the healthy and MetS lipoprotein profiles. The analyses were performed with
2500 spectra. In the Fuzzy Artmap analyses 50% of the samples were used for
training and 50% for independent evaluation. Fifty voting iterations were performed to
obtain the confidence values. The results show that Fuzzy Artmaps are capable of
correctly classifying 81% of the spectra. Moreover, confusion only occurs between
adjacent categories (i.e., 4% of healthy individuals are erroneously classified as
belonging to the first metabolic pathway group). These results clearly indicate that
the use of 1H NMR spectra for atherosclerosis risk assessment is feasible. Thus,
these results warrant further work in this direction to pursue the measurement of
statistically representative data on real populations.
- M. Ala-Korpela et al. Atherosclerosis. 2007, 190, 352–358.
- Carpenter et al. IEEE Transactions on neural networks. 1992, 3, 698–713.
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M. Ala-Korpela, V.-P. Mäkinen, P. Soininen, J. Brezmes-Llecha, A. Salminen, N. Lankinen, T. Suna, P. Ingman, N. Cañellas-Alberich, S. Mäkelä, M. Savolainen, M. Hannuksela, C. Forsblom, X. Correig-Blanchar, P.-H. Groop, K. Kaski
1H NMR metabonomics to identify lipoprotein subclass profiles. Metabolic syndrome at the borderline of health and disease.
EUROMAR Magnetic Resonance Conference
Tarragona, Spain,
July 1-6, 2007 Download poster (pdf)
Identification of (patho)physiological conditions that relate to increased risk of
atherosclerosis would be advantageous for individual primary prevention. Metabolic
syndrome (MetS), accompanied with characteristic changes in lipoprotein subclasses, is
one such condition with an increasing prevalence. 1H NMR spectroscopy is an
alternative approach to lipoprotein subclass measurements and can also provide an
overview of other serum metabolites1,2. Here we studied if the metabonomic strategy,
i.e., 1H NMR together with holistic data analyses, would enable the characterisation of
lipoprotein subclass-related metabolism in clinically relevant contexts. First, using
experimentally derived model signals for 11 lipoprotein subclasses (VLDL1-2, IDL,
LDL1-3, HDL2b&2a, and HDL3a-3c) two biochemically typical categories of spectra were
simulated, representing subclass profiles for a normolipidaemic and a MetS status. A set
of spectra representing a metabolic pathway between the two categories was also
generated. Various analyses of thousands of simulated 1H NMR spectra clearly
identified the lipoprotein subclass profiles and their changes. These findings are
supported by comparable analyses for a representative set of experimental 1H NMR
spectra of 69 serum samples with a wide range of lipoprotein lipid concentrations3. In
addition, we discuss the role of MetS in a cohort of over 700 type 1 diabetic patients and
illustrate how the multi-metabolite data via 1H NMR reveal the continuum of diabetic
complications, i.e., MetS, diabetic kidney disease and atherosclerosis4. All the results
demonstrate the inherent suitability of 1H NMR metabonomics to identify subtle changes
in lipoprotein subclass-related metabolism. Accordingly, 1H NMR can be seen as a new
methodology for screening individuals at high risk for atherosclerosis and also being
potentially useful in prospective assessment of individual 'health paths' in the borderline
of, for example, normal lipoprotein metabolism (health) and the MetS (disease).
- M. Ala-Korpela. Progr Nucl Magn Reson Spectr. 1995;27:475.
- M. Ala-Korpela, N. Lankinen, A. Salminen, T. Suna, P. Soininen, R. Laatikainen, P. Ingman,
M. Jauhiainen, M.-R. Taskinen, K. Heberger, K. Kaski. Atherosclerosis. 2007;190:352.
- T. Suna, A. Salminen, P. Soininen, R. Laatikainen, P. Ingman, S. Mäkelä, M. J. Savolainen,
M. L. Hannuksela, M. Jauhiainen, M.-R. Taskinen, K. Kaski, M. Ala-Korpela. NMR Biomed. 2007 Nov;20(7):658-72.
- V.-P. Mäkinen, P. Soininen, C. Forsblom, M. Parkkonen, P. Ingman, K. Kaski, P.-H. Groop,
M. Ala-Korpela. Magn Reson Mater Phy. 2006;19:281.
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M. Ala-Korpela, V.-P. Mäkinen, P. Soininen, J. Brezmes, A. Salminen, N. Lankinen, T. Suna, P. Ingman, N. Cañellas, S. Mäkelä, M. Savolainen, M. Hannuksela, C. Forsblom, X. Correig, P.-H. Groop, K. Kaski
1H NMR metabonomics of serum in identifying lipoprotein subclass metabolism in the borderline of health and disease.
The 29th Finnish NMR Symposium
Turku, Finland,
June 13–15, 2007 Download poster (pdf)
Identification of (patho)physiological conditions that relate to increased risk of atherosclerosis
would be advantageous for individual primary prevention. Metabolic syndrome (MetS),
accompanied with characteristic changes in lipoprotein subclasses, is one such condition with
an increasing prevalence. 1H NMR spectroscopy is an alternative approach to lipoprotein
subclass measurements and can also provide an overview of other serum metabolites. We
have studied if the metabonomic strategy, i.e., 1H NMR together with holistic data analyses,
would enable the characterisation of lipoprotein subclass-related metabolism in clinically
relevant contexts. First, using experimentally derived model signals for 11 lipoprotein
subclasses two biochemically typical categories of spectra were simulated, representing
subclass profiles for a normolipidaemic and a MetS status. A set of spectra representing a
metabolic pathway between the two categories was also generated. Various analyses of
thousands of simulated 1H NMR spectra, e.g., using self-organising maps (SOMs), fuzzy
artmaps and affinity propagation, clearly identified the lipoprotein subclass profiles and their
changes. These findings are supported by comparable analyses for a representative set of
experimental 1H NMR spectra of 69 serum samples with a wide range of lipoprotein lipid
concentrations [1]. In addition, we discuss the role of MetS in type 1 diabetic patients and
illustrate how the multi-metabolite data via 1H NMR reveal the continuum of diabetic
complications, i.e., MetS (see the figure below illustrating statistical SOM analysis).

All the results demonstrate the inherent suitability of 1H NMR to identify subtle changes in
lipoprotein subclass-related metabolism. Accordingly, 1H NMR can be seen as a new
methodology for screening individuals at high risk for atherosclerosis and also being
potentially useful in prospective assessment of individual 'health paths' in the borderline of
health (normal lipoprotein metabolism) and disease (MetS).
- T. Suna, A. Salminen, P. Soininen, R. Laatikainen, P. Ingman, S. Mäkelä, M. J. Savolainen,
M. L. Hannuksela, M. Jauhiainen, M.-R. Taskinen, K. Kaski, M. Ala-Korpela. NMR Biomed. 2007 Nov;20(7):658-72.
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P. Soininen, K. Öörni, H. Maaheimo, R. Laatikainen, P. T. Kovanen, K. Kaski, M. Ala-Korpela
Detailed phospholipid follow-up during atherogenic modifications of lipoprotein particles by 1H NMR at 800 MHz.
The 29th Finnish NMR Symposium
Turku, Finland,
June 13–15, 2007 Download poster (pdf)
Cholesterol in atherosclerotic lesions originates mostly from lipid droplets formed from
modified low-density lipoprotein (LDL) particles. Understanding of these modifications calls
for dynamic physicochemical studies on LDL modifications. In general, there is a lack of
techniques that would facilitate a non-destructive and dynamic follow-up of molecular
processes in a native LDL sample under an enzymatic attack in a physiological environment.
However, 1H NMR seems a feasible choice.
Particularly, since our recent studies on the
effects of phospholipase A2 (PLA2) on LDL
structure at 800 MHz distinguish all major
phospholipids, including lysophosphatidylcholine
(lyso-PC), at the LDL particles as
illustrated in the figure on the right.
The signal assignment for the lyso-PC is
novel and we illustrate the applicability of the
methodology in the case of lipid peroxidation
that is generally considered as one of the key
pro-atherogenic modifications of LDL (see
the figure below). It was found, somewhat
surprisingly, that the LDL-associated PLA2 is
activated in the very beginning of the
formation of PC-hydroperoxides. Together with the methodology, the (patho)physiological
rationale of the resulting lyso-PC generation will also be discussed in the presentation [1].
- P. Soininen, K. Öörni, H. Maaheimo, R. Laatikainen, P. T. Kovanen, K. Kaski, M. Ala-Korpela. Biochem Biophys Res Commun. 2007 Aug 17;360(1):290-4.
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P. Jylänki, J. Niemi, N. Lankinen, A. Salminen, A. Vehtari, M. Ala-Korpela
A Bayesian approach to metabonomic 1H NMR data of serum.
The 29th Finnish NMR Symposium
Turku, Finland,
June 13–15, 2007 Download poster (pdf)
A key challenge in metabonomics is to uncover quantitative associations between
multidimensional spectroscopic data and biochemical measures used for disease risk
assessment and diagnostics. Here we focus on clinically relevant estimation of lipoprotein
subclasses by 1H NMR spectroscopy of serum. Some subclasses are more important than
others with respect to the risk for atherosclerosis, but the current clinical risk assessment
methodology cannot take this properly into account. 1H NMR enables a fast measurement of
the lipoprotein profile, and several computational methods have already been developed for
this purpose [1]. We have recently presented a novel Bayesian approach to quantify clinical
variables and to determine their spectroscopic counterparts in 1H NMR data [2]. The analysis
focused on lipid concentrations of major lipoprotein fractions, namely VLDL, IDL, LDL and
HDL to test the automated Markov chain Monte Carlo (MCMC) Bayesian inference with a
well-known biochemical background and spectroscopic characteristics. The results illustrated
a high-quality quantification ability of the presented Bayesian approach [2].
In this work we study if the MCMC Bayesian inference could also be used to quantify the
lipoprotein subclasses from the 1H NMR spectra of serum. Using experimentally derived
model signals for VLDL1, VLDL2, IDL, LDL1, LDL2, LDL3, HDL2b, HDL2a, HDL3a,
HDL3b and HDL3c we simulated a representative set of spectra that contained extensive
variation in the lipoprotein subclass profiles. The simulated spectra also included individual
variations in the lipoprotein subclass signals. Our preliminary Bayesian MCMC analysis
results for the quantitative performance in the case of all the abovementioned 11 lipoprotein
subclasses are very good for the simulated data set. This suggests that the Bayesian approach,
while computationally demanding, could provide a
framework for quantitative modelling of
metabonomic NMR data. In line with our earlier
analysis [1], the quantification accuracy is subclass
dependent as illustrated in the adjacent figure. Even
though the preliminary results show very good
generalisation abilities with the simulated data, it is
possible that the simulation process itself may not
optimally represent the inter-subject variance of the
spectral features for a realistic population. Thus, the
results must be verified with extensive real data. The Bayesian approach is presented at the
poster together with critical considerations of the pros and cons of the methodology.
- M. Ala-Korpela; Lankinen, N; Salminen, A; Suna, T; P. Soininen; R. Laatikainen;
Ingman, P; Jauhiainen, M; Taskinen, MR; Heberger, K; K. Kaski. Atherosclerosis. 2007,
190, 352–358.
- Vehtari, A; Mäkinen, VP; P. Soininen; Ingman, P; Mäkelä, SM; Savolainen, MJ;
Hannuksela, ML; K. Kaski; M. Ala-Korpela. BMC Bioinformatics. 2007, 8(Suppl 2), S8.
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T. Peltola, V.-P. Mäkinen, S. Mäkelä, M. Laitinen, P. Soininen, P. Ingman, A. Nissinen, M. Savolainen, M. Hannuksela, K. Kaski, M. Ala-Korpela
Application of 1H NMR spectroscopy of serum to study alcohol-related metabolic effects.
The 29th Finnish NMR Symposium
Turku, Finland,
June 13–15, 2007 Download poster (pdf)
Alcohol has a major role in public health care and is of social importance to various
communities. Thus, unsurprisingly, it is also an ever-lively issue in Finnish politics. Alcohol
has multiple effects on the health of an individual on its own and also as modifying the
response of the body to various other metabolites. Ethanol has an immediate effect on the
neural system as a psychoactive drug. Sustained or excessive use might permanently impair
cognitive functions. Alcohol abuse also damages the liver and increases the probability for
progressive liver diseases such as fatty liver and cirrhosis. Alcohol affects energy and
substrate metabolism in addition to having high energy levels (especially beverages with
added sugar) and thus promote obesity. However, moderate alcohol consumption is known to
have beneficial effects, one of which is the decreased risk for coronary heart disease. This is
partly manifested via the increase of serum HDL cholesterol levels, but the exact molecular
mechanisms behind these effects are yet to be established. More information on the effects of
alcohol on serum lipoprotein subclasses would also be desirable.
NMR metabonomics is a readily utilisable method for quantifying body's metabolic response
to changing environment, diet & drinking or (patho)physiological state. 1H NMR
spectroscopy can be routinely applied to, for example, tissue extracts as well as to urine and
serum samples. Data can be recorded in multiple molecular windows in which different
metabolites are prominent. The resulting
information rich datasets call for various
statistical data analyses to retrieve the
metabolic information and associations.
Here we report preliminary results from a 1H
NMR metabonomics study of serum samples
from 71 individuals with low, moderate and
high alcohol consumption. We applied two
molecular windows: a LIPO window
(dominated by lipoprotein lipids) and a
LMWM window (low-molecular-weight
metabolites). These NMR data are
complemented with an extensive set of biochemical and clinical measurements. We welcome
all the symposium participants to our poster to discuss the pros and cons of alcohol
consumption and to look at the colour-coded pseudo-2D NMR spectra resulted from the
covariance analyses of the metabolite associations in the abovementioned molecular windows
and groups of individuals. There will be no permillage limit to enter the poster.
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A. Kangas, N. Lankinen, M. Ala-Korpela
Automated PERCHing for NMR spectral analysis.
The 29th Finnish NMR Symposium
Turku, Finland,
June 13–15, 2007 Download poster (pdf)
Lineshape fitting is a commonly used strategy in obtaining quantitative information from
NMR spectra. There is a great variety of software available for the analysis, but they are
generally restricted to manual treatment of one spectrum at a time. There is, however, a need
for effective ways to analyse large sets of spectra, for example when examining time series or
metabonomics data. We introduce software that automates the process of analysis and data
handling as well as provides the user with a modern graphical user interface and many timesaving
interpretation features.
The software package is programmed
around the well-known PERCH software
(PERCH Solutions Ltd., Kuopio, Finland)
[1] because of its various mathematical
capabilities, speed and features, including
the elegant options to use prior knowledge
in the analyses. Our software works as
illustrated in the figure at the bottom. First,
the user creates a work queue by stacking
the wished combinations of spectra and
different running parameters controlling
the functions of PERCH's lineshape fitting
routine. When the batch process is started,
the program automatically writes the input files, starts PERCH and reads in the results after
the fitting is complete; a process that is repeated for every spectrum and every specified
configuration in the work queue. In the interpretation section of the software, plots and tables
of individual parameters from the optimised lineshape models can be made. Furthermore,
composite variables can be created, for example, if a progression of a peak's area divided by
the area of another peak is of interest (as shown above in the figure). One can also import
external case-specific biochemical or other data to be incorporated into the interpretation
phase. The gathered information can finally be exported for visualisation or further analysis.
A laptop will be available at the poster for demonstration and evaluation. We acknowledge
R. Laatikainen and Matthias Niemitz from the PERCH-team for helpful information and
all the important perching details; we also anticipate that they will be around the poster.
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J. Hokkanen, T. Tukiainen, V.-P. Mäkinen, T. Tynkkynen, P. Soininen, O. Gröhn, M. Hallikainen, H. Soininen, K Kaski, R. Laatikainen, T. Pirttilä, M. Ala-Korpela
Atherosclerotic serum lipoprotein profiles predispose to Alzheimer's disease – a pilot study by 1H NMR metabonomics.
The 29th Finnish NMR Symposium
Turku, Finland,
June 13–15, 2007 Download poster (pdf)
Alzheimer's disease (AD) is the most common dementia in the world. It is a progressive brain
disorder that gradually destroys a person's memory and other cognitive abilities. The
initiation and development of AD are poorly understood and there are no distinct biomarkers
allowing for early detection and preventive treatment. The major focus in AD research has
traditionally been in proteomics but in recent years there has been an increasing interest in the
association of serum cholesterol (TC) and lipoproteins with the development of AD [1].
Cholesterol is a key component of cell membranes and exists in myelin sheath of nerve cell
axons. Cholesterol is also known to affect proteins that are associated with the pathophysiological
changes in the AD brain. Interestingly, cholesterol lowering drugs, such as
statins, decrease the progression of AD [1]. Both higher as well as lower TC levels have been
indicated to associate with the development of AD. However, only very limited data are
available on the associated serum lipoprotein profiles of the AD patients.
We present here results from
comprehensive meta-analyses of
the TC studies in this field during
1986–2007 (n~9000 individuals).
Indeed, our results reveal that the
opposite findings concerning the
role of TC and the development
of AD can be explained by two
distinct lipoprotein profiles: a
"conventional" atherosclerotic
risk profile (with high TC and
LDL-C) and a profile associated
with the metabolic syndrome (decreased TC and HDL-C plus elevated triglycerides). These
results suggest that disturbed lipoprotein metabolism is connected to the development of AD.
Moreover, the connection is not straightforward but two different metabolic pathways; also
associated with atherosclerosis, seem to be involved. These new findings that relate
lipoprotein profiles to the risk of AD also support the use of 1H NMR; the figure above
illustrates an idea of early risk detection. In the presentation we will discuss the meta-analyses
together with preliminary results from a prospective study of cognitive decline by 1H NMR.
- L. A. Shobab, G. Y. Hsiung, H. H. Feldman Lancet Neurol. 2005, 4, 841–852.
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A. Salminen, N. Lankinen, P. Soininen, K. Kaski, M. Ala-Korpela
The intrinsic capability of 1H NMR spectroscopy in quantifying serum lipoprotein subclasses.
The 29th Finnish NMR Symposium
Turku, Finland,
June 13–15 , 2007 Download poster (pdf)
Atherosclerosis is a major cause of cardiovascular disease that is the most common cause of
death in the Western World. Lipoproteins and more specifically the lipoprotein subclass
distribution, i.e., the so-called lipoprotein profile, plays a key role in the development of
atherosclerosis. Some subclasses are known to be more important than others with respect to
the risk for atherosclerosis, but the current clinical risk assessment methodology cannot take
this properly into account. 1H NMR spectroscopy enables a fast measurement of the
lipoprotein profile from a serum sample, and several computational methods have been
developed for this purpose [1]. The use of 1H NMR spectroscopy seems to have significant
potential also in clinical use. However, the intrinsic capability and accuracy of this approach
to identify and quantify the different lipoprotein subclasses has not been properly addressed.
In this work we studied the intrinsic accuracy of 1H
NMR spectroscopy using various computational methods
and an extensive, biochemically sound, set of simulated
serum spectra. The overall lipoprotein subclass
quantification accuracy was found high when i) the
spectral variables were selected according to a high
correlation to the lipoprotein subclass concentration, and
ii) partial least squares (PLS) or an early stop-MLP
committee, i.e., a regularized nonlinear function
approximator, was used. There were clear differences in
the methodological accuracy achieved for different
lipoprotein subclasses. A rather surprising new finding
was that the non-lipoprotein components, such as
albumin, in the 1H NMR spectra of serum do not pose
any difficulties for the quantification accuracy, but the
largest deviations seem to originate from the interindividual
variation in the composition and structure of
the lipoprotein subclass particles.
The current results support the potential role of 1H NMR
in the individual risk assessment of atherosclerosis.
However, further studies will be needed to detail the
effects of individual variations and the maximum
quantitative information available from the lipoprotein
subclass profiles in the 1H NMR spectra of serum.
- M. Ala-Korpela, N. Lankinen, A. Salminen, T. Suna, P. Soininen, R. Laatikainen,
P. Ingman, M. Jauhiainen, M.-R. Taskinen, K. Heberger, K. Kaski. Atherosclerosis. 2007, 190,
352–358.
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M. Ala-Korpela, S. M. Mäkelä, A. Salminen, P. Soininen, T. Suna, N. Lankinen, P. Ingman, M. J. Savolainen, M.-R. Taskinen, M. L. Hannuksela, M. Jauhiainen, K. Kaski
1H NMR metabonomics of serum to identify and classify lipoprotein subclass profiles.
Atherosclerosis, 8/1, Abstracts, 39;PO3-86, 2007
The 76th Annual Congress of The European Atherosclerosis Society (EAS)
Helsinki, Finland,
June 10-13, 2007 Download poster (pdf)
Identification of metabolic conditions for increased risk of atherosclerosis would be advantageous to
facilitate individual primary prevention. Metabolic syndrome, with characteristic changes in the
distribution of lipoprotein subclasses, is one such condition with an increasing prevalence in the
general population. 1H NMR spectroscopy is a rather new approach to quantify lipoprotein subclasses
along with a holistic overview of serum metabolites. Consequently, it can also be seen as a new
methodology for screening individuals at high risk for atherosclerosis. Here we studied whether 1H
NMR metabonomics would enable characterisation of lipoprotein subclass-related metabolism in a
clinically relevant context. Using experimentally derived model signals for VLDL1, VLDL2, IDL,
LDL1, LDL2, LDL3, HDL2b, HDL2a, HDL3a, HDL3b and HDL3c, two biochemically characteristic
categories of spectra were simulated, representing lipoprotein subclass profiles for a normolipidaemic
and a metabolic syndrome status. A set of spectra representing a metabolic pathway between these two
categories was also generated. The analysis, based solely on these 1H NMR spectra, clearly identified
the lipoprotein subclass profiles and their changes. The findings are supported by comparable analyses
for a representative set of experimental 1H NMR spectra of 69 serum samples with a wide range of
lipoprotein lipid distribution. The results demonstrate the inherent suitability of 1H NMR spectroscopy
to study lipoprotein subclass-related metabolic changes. In addition, the metabonomic strategy provides
information on subtle changes in lipoprotein subclasses and other serum metabolites, thus being
potentially useful in the evaluation and management of an individual's risk for atherosclerosis.
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V.-P. Mäkinen, P. Soininen, C. Forsblom, M. Parkkonen, P. Ingman, K. Kaski, P.-H. Groop, M. Ala-Korpela
Cardiovascular risk factors in type 1 diabetes, a metabonomic study by 1H NMR spectroscopy of serum.
Atherosclerosis, 8/1, Abstracts, 218;YI-821, 2007
The 76th Annual Congress of The European Atherosclerosis Society (EAS)
Helsinki, Finland,
June 10-13, 2007 Download poster (pdf)
Macrovascular disease in connection to diabetic nephropathy accounts for most of the premature deaths
in type 1 diabetes (T1DM). Metabolic syndrome (MetS) is common in the patients that are affected by
these complications, which suggests that the risk factors are similar to those in the general population.
The definitions of MetS, however, may not work in T1DM nor be accurate enough to detect subtle
changes. Our aim is therefore to investigate the metabolic features and their associations to
complications in T1DM patients. For this reason, we measured 1H NMR spectra of serum for a subset
of T1DM patients (n = 463) from the FinnDiane multicenter
study. Since the data are extensive and
complex, we used selforganising
maps (Figure) to visualise the multidimensional
patterns of
metabolism. Also, we did classification analysis to assess the descriptive power of 1H NMR, and found
strong links between the spectra, metabolic syndrome and nephropathy. Based on this study, 1H NMR
metabonomics yields a detailed and comprehensive picture of metabolic risk factors an
advantage that
is likely to have great value in the detection and treatment of diabetic complications.
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L. S. Kumpula, S. M. Mäkelä, V.-P. Mäkinen, M. J. Savolainen, K. Kaski, M. L. Hannuksela, M. Ala-Korpela
Compositional and metabolic associations of lipids in VLDL, IDL, LDL, HDL2 and HDL3 by self-organising maps.
Atherosclerosis, 8/1, Abstracts, 212;YI-796, 2007
The 76th Annual Congress of The European Atherosclerosis Society (EAS)
Helsinki, Finland,
June 10-13, 2007 Download poster (pdf)
The compositional variability within lipoprotein fractions and the metabolic relations between distinct
particles are of fundamental interest. Analysis and visualisation of such multi-dimensional data is often
hampered in conventional statistical tools. Here we introduce self-organising maps (SOMs) that
transform multi-dimensional data into a two-dimensional map of individuals, where neighbours have
similar lipid profiles. Each lipid variable can be visualised for the whole data set by colouring the map
regions according to the average value of their local inhabitants. In this study VLDL, IDL, LDL, HDL2
and HDL3 particles were isolated and their lipid and protein compositions measured for 146
individuals. Twenty-five input parameters were used in the SOM analysis. An example of the results
(for particle compositions per protein) is illustrated in the Figure. A group of individuals (upper boxes)
with dominant VLDL1 (high TG and medium CE) also possess small TG-rich LDL and another group
of individuals (lower boxes) with dominant VLDL2 (medium TG and high CE) have large CE-rich
LDL with low TG. These results, together with those that will be discussed in the presentation,
demonstrate that SOM analyses reveal relevant compositional and metabolic associations in lipoprotein
data and thus provide a new tool for lipoprotein research.
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S. M. Mäkelä, M. Ala-Korpela, T. Salonurmi, M. J. Savolainen, M. L. Hannuksela
High plasma adiponectin concentration in heavy alcohol drinkers is associated with high HDL cholesterol and low VLDL triglycerides.
Atherosclerosis, 8/1, Abstracts, 145;PO19-522, 2007
The 76th Annual Congress of The European Atherosclerosis Society (EAS)
Helsinki, Finland,
June 10-13, 2007 Download poster (pdf)
Background: Adiponectin, an adipocyte-derived cytokine, has been recently suggested to have an important role in the pathophysiology of atherosclerosis. Adiponectin can suppress the secretion of inflammatory cytokines, such as TNF-alpha. Moreover, adiponectin may inhibit the formation of foam cells. Plasma adiponectin concentrations are lower in patients with coronary artery disease than in control subjects. The effects of alcohol consumption on plasma adiponectin levels are still controversial.
Objective: To study the effects of alcohol consumption on plasma adiponectin consentrations in heavy alcohol drinkers and controls. Plasma adiponectin concentration was measured in 49 male alcohol drinkers (median alcohol intake 155 g/day) and 46 control men (11 g/day).
Results: Mean plasma adiponectin concentration was 58% higher in the heavy alcohol drinkers (13.3 ± 4.0 ng/ml) than in the controls (8.4 ± 2.6 ng/ml) (P < 0.001, ANCOVA adjusted for BMI). Plasma adiponectin concentration correlated with HDL-C concentration after adjustment for BMI in the heavy alcohol drinkers (r = 0.444, P < 0.01) and in the controls (r = 0.519, P < 0.001). In addition, adiponectin was inversely correlated with VLDL-TG concentration (r = -0.507, P < 0.01) in the heavy alcohol drinkers after adjustment for BMI
Conclusions: In addition to high plasma HDL cholesterol concentration, high plasma adiponectin concentration is likely one of the anti-atherogenic features in heavy alcohol drinkers.
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M. Ala-Korpela, J. Brezmes-Llecha, T. Tynkkynen, S. M. Mäkelä, P. Soininen, A. Salminen, T. Suna, N. Lankinen, T. Peltola, L. S. Kumpula, V.-P. Mäkinen, M. J. Savolainen, X. Correig-Blanchar, R. Laatikainen, M.-R. Taskinen, M. Jauhiainen, M. L. Hannuksela, K. Kaski
Proton NMR metabonomics of serum to identify lipoprotein subclass distribution in the borderline of health and disease case metabolic syndrome.
The 2nd International Congress on Prediabetes and the Metabolic Syndrome
Barcelona, Spain,
April 25-28, 2007 Download poster (pdf)
Identification of physiological conditions relating to increased risk of atherosclerosis would be
advantageous to facilitate individual primary prevention. Metabolic syndrome, with characteristic
changes in the distribution of lipoprotein subclasses, is such a condition with an increasing prevalence
in the general population. 1H NMR spectroscopy is an alternative approach to quantify lipoprotein
subclasses and can also provide a holistic overview of other serum metabolites. Here we studied
whether the metabonomic tactic, i.e., 1H NMR spectroscopy together with chemometric data analyses,
would enable characterisation of lipoprotein subclass-related metabolism in a clinically relevant
context. By using experimentally derived model signals for VLDL1, VLDL2, IDL, LDL1, LDL2,
LDL3, HDL2b, HDL2a, HDL3a, HDL3b and HDL3c, two biochemically characteristic categories of
spectra were simulated representing lipoprotein subclass profiles for a normolipidaemic and a
metabolic syndrome status. We also generated a set of spectra representing a metabolic pathway
between these two categories. The analysis of the 1H NMR spectra clearly identified the lipoprotein
subclass profiles and their changes. The findings are supported by comparable analyses for a
representative set of experimental 1H NMR spectra of 69 serum samples with a wide range of
lipoprotein lipid concentrations. The results demonstrate the inherent suitability of 1H NMR
metabonomics to identify subtle changes in lipoprotein subclass-related metabolism. Accordingly, 1H
NMR can be seen as a new methodology for screening individuals at high risk for atherosclerosis and
also being potentially useful in prospective assessment of individual 'health paths' in the borderline of,
for example, normal lipoprotein metabolism and the metabolic syndrome.
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S. M. Mäkelä, M. Jauhiainen, M. Ala-Korpela, J. Metso, T. M. Lehto, M. J. Savolainen, M. L. Hannuksela
HDL2 of heavy alcohol drinkers enhances cholesterol efflux from RAW-macrophages.
No abstract
National Lipid Meeting
Turku, Finland,
November 14, 2006 |
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T. Liimatainen, K. Lehtimäki, J.Hakumäki, M. Ala-Korpela
Mobile cholesterol compounds in experimental gliomas by 1H MRS in vivo effects of gene-therapy-induced apoptosis on lipids.
No abstract
National Lipid Meeting
Turku, Finland,
November 14, 2006 |
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P. Soininen, R. Laatikainen, K. Öörni, H. Maaheimo, P. Kovanen, K. Kaski, M. Ala-Korpela
Detailed phospholipid follow-up during atherogenic modifications of low density lipoprotein particles by 1H NMR spectroscopy at 800 MHz.
No abstract
American Chemical Society Meeting & Exposition
San Francisco, CA, USA,
September 10 - 14, 2006 |
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S. Mäkelä, M. Jauhiainen, M. Ala-Korpela, T. Lehto, M. Savolainen, M. Hannuksela
HDL2 of alcohol abusers increase cholesterol efflux.
No abstract
The Gordon Research Conference on Lipoprotein Metabolism
Mount Holyoke College, South Hadley, MA, USA,
July 2-7, 2006 Download poster (pdf) |
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K. Lähdesmäki, P. Soininen, M. Ala-Korpela, P. T. Kovanen, K. Öörni
PLA2-generated hydrolysis products, free fatty acid and lysophospholipid molecules, accumulate in LDL particles at acidic pH.
Chemistry and Physics of Lipids, 143, 114, 2006
The XIV International Symposium on Atherosclerosis
Rome, Italy,
June 18-22, 2006 Download poster (pdf)
Treatment of LDL with phospholipase A2 (PLA2) leads to hydrolysis of the sn-2 fatty acyl
ester bond in LDL phosphatidylcholine (PC), yielding one free fatty acid (FFA) and
lysophosphatidylcholine (lysoPC) molecule. At physiological albumin concentration and at
pH 7.4, most of the lipolysis products are transferred from LDL to albumin. Earlier studies
have shown that the affinity of albumin for FFAs is decreased if the pH is lowered. Recently,
it has been demonstrated that during atherogenesis, the pH in atherosclerotic lesions is
decreased. Since the hydrolysis products, FFA and lysoPC, promote atherosclerosis, the
objective of this study was to investigate the distribution of these hydrolysis products
between LDL and human serum albumin (HSA) at various pH values. Samples at pH range
5.5-7.5 with LDL concentrations of 1.0-1.3 mg/ml and fatty acid-free HSA at a final
concentration of 2% (w/v) were prepared. LDL particles were separated from HSA by
ultracentrifugation and the amount of FFAs was determined in each LDL sample. In addition,
distribution of the FFA and lysoPC between LDL and HSA were studied directly in the
incubation mixtures by using a novel application of 1H NMR spectroscopy at 800 MHz. We
found that the lower the pH, the higher was the amount of the hydrolysis products that were
not transferred to HSA but remained in the PLA2-treated LDL particles. The NMR indicated
that the amount of HSA-transferred molecules at pH 7.4 was almost double of the amount at
pH 5.5. Such PLA2-treated LDL particles act as proinflammatory particles, the effects of
which, at local acidic conditions in the intima, may be enhanced.
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T. Liimatainen, K. Lehtimäki, J. Hakumäki, M. Ala-Korpela
Mobile cholesterol compounds in experimental gliomas by 1H MRS in vivo effects of gene-therapy-induced apoptosis on lipids.
Book of abstracts (pdf)
The 28th Finnish NMR Symposium
Kuopio, Finland,
June 7–9, 2006 Download poster (pdf)
A novel identification and analysis of mobile cholesterol compounds (Cbs) in an experimental
glioma model by 1H MRS in vivo is presented. Previous 1H NMR MAS experiments [1] and
chromatographic findings of high cholesteryl ester content in BT4C gliomas [2] gave an idea
to investigate whether certain peak height anomalies in 1H MR in vivo spectra of tumours
could be explained by the presence of Cbs and their characteristic backbone resonance
beneath the fatty acid resonances in the aliphatic region of the spectra.
Fig. A typical 1H MR spectrum and
its lineshape fitting analysis The
inset visualizes the key role of the Cb
model in explaining the data.
Female BDIX (n = 10) rats carrying HSV tk+ BT4C tumours were treated with Ganciclovir to
induce programmed cell death, in a similar fashion as before [1, 2]. The MR experiments
were carried out in a 4.7 T magnet using the STEAM sequence (TE = 3 ms, NT = 256) to
obtain single voxel spectra at days 0, 2, 4, 6 and 8 prior to treatment. All spectral analyses
were done using the PERCH NMR software.
The lipid fatty acid resonances alone are not capable
of explaining the experimental spectra (see Fig.). In
fact, the Cb resonance was found to comprise 12.3 ±
0.8 % of the total MRS visible lipid signal in nontreated
tumours. We found continual increase for
CH= (p<0.05 at day 6, Student's t-test), which is in
line with previous studies [1, 2] and a peaking trend
for the Cb lipid signals (p<0.05 at day 4, Student's ttest)
during the treatment. The likely molecular
origin for the Cb resonance is mobile cholesteryl
esters within the intracellular lipid vesicles,
particularly in the case of untreated tumours.
Apparent biochemical process facilitating observed
lipid accumulation would be enhanced uptake of
serum lipoproteins and degradation of mitochondrial
membranes. Whatever cellular processes drive the
lipid accumulation and the increase in the pool of
mobile lipids, it is evident from our current findings
that the contribution of Cbs can not be overlooked.
- J. Griffin, K. Lehtimäki, P. Valonen, O. Gröhn,
M. Kettunen, S. Ylä-Herttuala, A. Pitkänen,
J. Nicholson, R. Kauppinen. Cancer Res. 2003, 63, 3195.
- J. Hakumäki, H. Poptani, A. Sandmair, S. Ylä-Herttuala, R. Kauppinen. Nat. Med.
1999, 5, 1323.
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V.-P. Mäkinen, A. Vehtari, A. Salminen, J. Saramäki, K. Kaski, M. Ala-Korpela
A hierarchical paradigm for knowledge discovery towards biomedical utilisation of 1H NMR metabonomics.
Book of abstracts (pdf)
The 28th Finnish NMR Symposium
Kuopio, Finland,
June 7–9, 2006 Download poster (pdf)
In a 1H NMR spectrum, one metabolite can manifest several peaks, and the signal intensities
are both biochemically and (patho)physiologically related. Furthermore, the data sets are
extensive but redundant: one measurement can yield tens of thousands of data points, but the
effective dimensionality is much less due to a smaller number of NMR-visible compounds.
There is also heavy overlap of metabolite resonances. For these reasons, bridging the gap
between biochemistry – as revealed by 1H NMR spectroscopy – and the relevant measures of
current clinical practise poses methodological challenges.
Here we propose a hierarchical paradigm for knowledge discovery in NMR metabonomics.
The key idea is to successively narrow the focus of attention to the most important spectral
regions within the limitations of statistical analysis and computing resources. At the lowest
level, unsupervised high-throughput screening algorithms are preferred, such as sample
correlation structure, linear component analysis and self-organising map. These methods can
quickly verify the integrity of the 1H NMR measurements and reveal their general statistical
properties. At the next level, non-NMR data is incorporated into the analysis. This can be
achieved by regression models and by comparing the results from the unsupervised learning
methods with independent classifications from other sources. Also a network-type of
visualisation for parameter correlation structures may prove useful. The emphasis is still on
throughput: regression models are fitted separately using small frequency bands and
computationally efficient methods such as partial linear least squares are preferred.
Finally, the most interesting non-NMR variables or parameter relationships are selected for
detailed inspection. As an example, we have applied advanced Bayesian modelling to the
analysis of clinical data on the metabolic effects of alcoholism. The method is based on
adaptive kernel parameterisation of the spectra, and a full Bayesian inference of the model
parameters. Although computationally heavy, this method exhibited excellent accuracy in
predicting biochemical measures from spectral features (see Fig.). The same associations
could not be seen as distinctly in the screening phase emphasising the call for advanced
approaches for increased insights and the overall benefits of a hierarchical paradigm.
Fig.The main kernels for
VLDL-TG (orange lines),
HDL-C (olive lines), the
related regions of the
experimental 1H NMR spectra
(black lines) and the
biochemically known spectral
regions in which significant
contributions originate from
VLDL (orange dashed lines) and HDL (olive dashed lines) particles. Notice the excellent
coincidence of the main kernels and the biochemically related spectral regions.
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N. Lankinen, L. Kumpula, J. Kumpula, P. P. Soininen. Ingman, M. Jauhiainen, M.-R. Taskinen, K. Kaski, M. Ala-Korpela
Molecular interactions in lipoprotein subclasses application of quantitative 1H NMR and geometric modelling.
Book of abstracts (pdf)
The 28th Finnish NMR Symposium
Kuopio, Finland,
June 7–9, 2006 Download poster (pdf)  | Selected as the best poster of the meeting by the scientific committee. |
The molecular structure of circulating lipoprotein particles and their modifications are central
in the development of atherosclerosis. It is currently established that each lipoprotein subclass
has an individual role in lipid transportation and metabolism. Accordingly, each subclass of
particles also has a unique role in the prediction of atherosclerosis risk. 1H NMR spectroscopy
as a means to quantify lipoprotein subclasses directly from serum has received wide clinical
and commercial interest. The experimental part is a fast procedure that contrasts favourably to
other lipoprotein measurement protocols. As far as we know, however, this is the first study
aiming to define the spectroscopic and molecular characteristics at the subclass level.
In this study we have separated 11 lipoprotein subclasses from twelve individuals using
ultracentrifugation procedures. The lipid and protein composition of each subclass was
determined using standard biochemical assays. The 1H NMR spectra of all the subclass
samples were recorded at 310 K at 600 MHz. A double tube system with an external reference
was used to enable absolute quantification. A lineshape fitting model, consistent for all the
subclasses, was constructed for the lipid resonances in the main aliphatic spectral region. This
kind of analysis lead to absolute quantification of all the
main lipid resonances in each subclass spectrum and
allowed quantitative comparison with the independent
biochemical lipid assays. The PERCH NMR software
was used for the spectral analysis.
Preliminary comparisons between the 1H NMR
spectroscopy (illustration of some aliphatic resonances on
the right) and the biochemical lipid assays show subclass
dependent molecular interactions for various lipid
molecules in the particles. These experimental findings
will be presented together with structural data from our
optimised geometric lipoprotein particle model. The
results reveal that remarkable portions of triglyceride and
cholesterol ester molecules are embedded in the surface
phospholipid and protein monolayer: the smaller the
lipoprotein particles the more pronounced appears the
content of hydrophobic core lipids in the particle surface.
Accordingly, at the poster, some new clues on the
molecular structure of lipoprotein particles will be free to
discuss and to potentially digest.
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A. Salminen, V.-P. Mäkinen, P. Soininen, P. Ingman, S. Mäkelä, M. Hannuksela, M. Savolainen, P.-H. Groop, K. Kaski, M. Ala-Korpela
Sample correlation spectroscopy associating clinical changes with the covariance structure of 1H NMR metabonomics data.
Book of abstracts (pdf)
The 28th Finnish NMR Symposium
Kuopio, Finland,
June 7–9, 2006 Download poster (pdf)
Metabonomics is an emerging complementary post-genomic technology. In mammalian studies 1H
NMR spectroscopy of body fluids is the most common single methodology applied for the
assessment of metabolic phenotypes. Two typical simplifications often made in handling
metabonomic data are the use of 'bins', i.e., summed spectral intensities over fairly broad regions
(e.g., 0.04 ppm), and the application of rather uninformative chemometric methods, such as
principal component analysis. We will present a straightforward and visual approach facilitating the
use of full spectral resolution in the data analysis and allowing detection of intra- and intermolecular
dependencies in metabonomic data sets.
The approach involves calculation of the correlation
and covariance between all the data points in the
whole data set and displaying the information in the
form of colour-coded pseudo-2D NMR spectra as
illustrated on the right in the case of simulated data:
The simulated spectra representing the lipoprotein
part of human serum were constructed as a sum of
experimentally obtained model signals for eleven
lipoprotein subclasses. By varying the levels of
these subclasses, two clinically distinct categories of
sum spectra were generated: a group of spectra
corresponding to a normal lipoprotein profile (N)
and another group corresponding to a lipoprotein
profile in metabolic syndrome (MS), a common
disturbance of lipoprotein metabolism related to
increased risk for coronary heart disease. Internal
heterogeneity was induced to these two categories
resulting in 729 spectra for each category. In
addition, a metabolic pathway (MP) consisting of
501 spectra combining linearly the N and MS categories was generated. While this simulation of
spectra is a simplification, it does provide an extensive dataset, in which the biological variability
and measurement errors are excluded, and, importantly, in which the metabolic changes in all the
lipoprotein subclasses are exactly known. For example, the associated changes in VLDL (increase)
and HDL2 (decrease) along the MP from N towards the MS are, even in the case of heavy signal
overlap, immediately evident from the covariance pattern of the pseudo-2D spectrum; the statistical
variation within N and MS groups produces a completely different pattern. At the poster we will
also present a new finding of dissimilar relation of glucose and lipoprotein metabolism in two
separate clinical studies of alcoholism and type 1 diabetes.
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T. Väänänen, T. Suna, P. Karjalainen, K. Kaski, M. Ala-Korpela
Assessment of molecular attributes for the product properties of oils via 13C NMR spectroscopy and self-organising neural networks.
Book of abstracts (pdf)
The 28th Finnish NMR Symposium
Kuopio, Finland,
June 7–9, 2006 Download poster (pdf)
In oil chemistry a key question is how the molecular attributes of composite hydrocarbon mixtures
can be associated with the macroscopic properties of the oil products. The hydrocarbon mixtures are
characterized by legislative and customer defined properties. These requirements can be met with
multiple variations in the chemical composition. The amount of aromatic components has been
restricted in solvents and diesel fuels due to heath criteria and previous knowledge of their
deteriorating influences on fuel quality. Consequently, the aromatic content in fuels has diminished
and understanding the effects of paraffinic and naphtenic structures on fuel quality has become of
increased value. Traditional product property analyses give only vague information on the chemical
composition since the isoparaffin branching structure of middle distillates is not identified. In fact,
there is no measure based on which accurate prediction of product properties would be possible. In
this work we are aiming at increased insight into the complex and often non-linear relationships
between product properties and molecular composition. Our results indicate that the combination of
13C NMR spectroscopy and self-organising neural networks offers some clear advantages over the
traditional protocols used in the oil industry and also provides means for predicting the product
properties based on the identified molecular attributes.
Self-organising maps are a
class of unsupervised neural
networks whose characteristic
feature is their ability to map
non-linear relations in multidimensional
data sets into
visually more friendly, two
dimensional planes of nodes.
In this particular case, as
shown on the right, the input
data to the SOM analysis were
2060 aromatic and 2266
aliphatic data points from the
13C NMR spectra. The SOM
algorithm transforms the input
data vectors into a two
dimensional map in which each node will be represented by a single feature vector representing the
original parameter space. The point density of the feature vectors follows roughly the probability
density of the data thereby making SOM as a valuable tool for detecting similarities and groupings
in a data set. A visual inspection of the grouping in the U-matrix above, demonstrating the distances
between the nodes, clearly verifies that the 13C spectra are grouped on the basis of the spectral
characteristics: the samples S43 and S20, with similar spectra, locate near in the SOM map in
contrast to S19 and S20, with markedly different spectra. At the poster more details will be given on
the associations between the 13C NMR data and the product properties of the oils.
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M. Ala-Korpela
Saving money and human suffering via MR technology schemes for atherothrombosis risk assessment and diagnostics.
Book of abstracts (pdf)
The 28th Finnish NMR Symposium
Kuopio, Finland,
June 7–9, 2006 Download poster (pdf)
It would be advantageous to detect molecular and cellular processes related to the early stages of
developing atherosclerosis. This would clinically facilitate early individual primary prevention and
also give a personal rationale to comply with lifestyle modifications and potential drug therapies.
The recent applications of MR in atherothrombosis research suggest the potential usage of in vitro
MRS for risk assessment and of in vivo MRI for direct detection of plaque composition and
vulnerability. The scheme presented below can be seen as one option to elucidate the potential of
MR in detecting individual intermediate atherothrombotic end points and utilising their prognostic
value before the occurrence of a definite end point.
Fig.
A potential scheme
utilising MR in the risk
assessment of long-term risk
for atherothrombotic events
(non-symptomatic individuals)
and of short-term risk for
recurrent cardiovascular events
after an experienced acute
coronary syndrome (ACS)
(symptomatic patients). At risk
assessment point I the
metabolites of serum could be
assessed by in vitro 1H MRS in
non-symptomatic individuals.
If high long-term risk for
atherothrombotic events is
indicated, non-invasive in vivo
MRI could follow for the
detection of plaque (risk
assessment point IIa) and
subsequent evaluation of the
vulnerability of the detected
plaque(s) (IIb). Depending on
the outcome from the
MRI plaque assessment the
individual could accordingly be directed for further actions. If vulnerable plaque at point IIb would
be detected, also considerations for invasive therapies such as angiographic stenting would be
needed. In the case of an individual with an experienced ACS (III) in vitro 1H MRS metabonomics
could be used to complement the clinical protocols when evaluating the risk for recurrent
cardiovascular events and the proper individual treatment options. The recent MR developments
awaken confidence that this kind of schemes might be operational in the near future saving both
human suffering and societal health costs.
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S. Mäkelä, M. Jauhiainen, T. Lehto, M. Ala-Korpela, M. Savolainen, M. Hannuksela
HDL2 of alcohol abusers increase cholesterol efflux.
No abstract
The Faculty of Medicine Science Day
University of Oulu, Oulu, Finland,
February 14, 2006 Download poster (pdf)  | Selected as the best poster of the meeting by the audience. | |
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Dr Mika Ala-Korpela
Group Leader in Computational Medicine
The Academy of Finland Centre of Excellence in Computational Complex Systems Research 2006-2011
Helsinki University of Technology
Faculty of Information and Natural Sciences
Department of Biomedical Engineering and Computational Science
P.O. Box 9203
FI-02015 HUT
Finland &
The Folkhälsan Research Center
Institute of Genetics, Department of Diabetes Genetics
The FinnDiane Study Group
P.O. Box 63, Biomedicum
00014 University of Helsinki
Finland &
Helsinki University Central Hospital, Department of Medicine,
Division of Nephrology, Helsinki, Finland
Mobile: + 358 50 35 35 457
E-mail: 
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