Abstract

Aim To analyze the serum metabolites in patients with coronary heart disease (CHD) showing dampness syndrome and patients with chronic renal failure (CRF) showing dampness syndrome and to seek the substance that serves as the underlying basis of dampness syndrome in “same syndromes in different diseases.” Methods. Metabolic spectrum by GC-MS was performed using serum samples from 29 patients with CHD showing dampness syndrome and 32 patients with CRF showing dampness syndrome. The principal component analysis and statistical analysis of partial least squares were performed to detect the metabolites with different levels of expression in patients with CHD and CRF. Furthermore, by comparing the VIP value and data mining in METLIN and HMDB, we identified the common metabolites in both patient groups. Results (1) Ten differential metabolites were found in patients with CHD showing dampness syndrome when compared to healthy subjects. Meanwhile, nine differential metabolites were found in patients with CRF showing dampness syndrome when compared to healthy subjects. (2) There were 9 differential metabolites identified when the serum metabolites of the CHD patients with dampness syndrome were compared to those of CRF patients with dampness syndrome. There were 4 common metabolites found in the serums of both patient groups.

Highlights

  • “Syndromes” are a typical concept in Traditional Chinese Medicine (TCM)

  • When looking through the coronary heart disease (CHD)-related syndromes literature in TCM collected over the past 40 years, we found that patients with phlegm-dampness syndrome were 13.48% among 34640 patients with CHD, and it was just a little bit less than 15.02%, which is the highest ratio of patients with stagnant blockade of heart blood [4]

  • Serums from healthy subjects and patients with CHD and chronic renal failure (CRF) showing dampness syndrome were examined by GC-Mass Spectrometry (MS)

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Summary

Introduction

“Syndromes” are a typical concept in Traditional Chinese Medicine (TCM). It is the core of the disease development discipline in TCM. The complexity and integrity of syndromes determine the fact that a certain syndrome is not the result of the quantitative accumulation of individual change, but the outcome of comprehensive functions from multifactors. Thanks to the development in science and technology, extensive and thorough study about “syndromes” has been able to conduct recently; for example, the nature of syndromes has been investigated by applying multiomics approach using system biology theory

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