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Profound Perturbation of the Metabolome in Obesity Is Associated with Health Risk.

Elizabeth T Cirulli | Lining Guo | Christine Leon Swisher | Naisha Shah | Lei Huang | Lori A Napier | Ewen F Kirkness | Tim D Spector | C Thomas Caskey | Bernard Thorens | J Craig Venter | Amalio Telenti
Cell metabolism | 2019

Obesity is a heterogeneous phenotype that is crudely measured by body mass index (BMI). There is a need for a more precise yet portable method of phenotyping and categorizing risk in large numbers of people with obesity to advance clinical care and drug development. Here, we used non-targeted metabolomics and whole-genome sequencing to identify metabolic and genetic signatures of obesity. We find that obesity results in profound perturbation of the metabolome; nearly a third of the assayed metabolites associated with changes in BMI. A metabolome signature identifies the healthy obese and lean individuals with abnormal metabolomes-these groups differ in health outcomes and underlying genetic risk. Specifically, an abnormal metabolome associated with a 2- to 5-fold increase in cardiovascular events when comparing individuals who were matched for BMI but had opposing metabolome signatures. Because metabolome profiling identifies clinically meaningful heterogeneity in obesity, this approach could help select patients for clinical trials.

Pubmed ID: 30318341

Associated grants

  • Agency: Wellcome Trust, United Kingdom
  • Agency: Medical Research Council, United Kingdom
    Id: MR/M004422/1
  • Agency: NCATS NIH HHS, United States
    Id: UL1 TR002550
  • Agency: Department of Health, United Kingdom

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