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Am J Physiol Regul Integr Comp Physiol (May 20, 2009). doi:10.1152/ajpregu.90757.2008
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Submitted on September 9, 2008
Revised on May 13, 2009
Accepted on May 13, 2009

Individual variation in macronutrient regulation measured by proton magnetic resonance spectroscopy of human plasma

Youngja Park1, Seoung Bum Kim2, Bing Wang1, Roberto A Blanco3, Ngoc-Anh Le, Shaoxiong Wu4, Carolyn J Accardi1, R. Wayne Alexander1, Thomas R Ziegler1, and Dean P. Jones1*

1 Emory University
2 Univ. of Texas Arlington
3 Univ North Carolina
4 Emory University, Atlanta, Georgia,

* To whom correspondence should be addressed. E-mail: dpjones{at}emory.edu.

Proton nuclear magnetic resonance (1H-NMR) spectroscopy of plasma provides a global metabolic profiling method which shows promise for clinical diagnostics. However, cross-sectional studies are complicated by a lack of understanding of intra-individual variation, and this limits experimental design and interpretation of data. The present study determined the diurnal variation detected by 1H NMR spectroscopy of human plasma. Data reduction methods revealed 3 time-of-day metabolic patterns, which were associated with morning, afternoon and night. Major discriminatory regions for these time-of-day patterns included the various kinds of lipid signals (-CH2- and -CH2OCOR) and the region between 3-4 ppm heavily overlapped with amino acids which had {alpha}-CH and {alpha}-CH2. The phasing and duration of time-of-day patterns were variable among individuals, apparently due to individual difference in food processing/digestion and absorption and clearance of macronutrient energy sources (fat, protein, carbohydrate). The times of day which were most consistent among individuals, and therefore most useful for cross-sectional studies, were fasting morning (8:30-9:30), post-prandial afternoon (14:30-16:30) and nighttime samples (4:30-5:30). Importantly, the integrated picture of metabolism provided by 1H-NMR spectroscopy of plasma suggests that this approach is suitable to study complex regulatory processes including eating patterns/eating disorders, upper gastrointestinal functions (gastric emptying, pancreatic, biliary functions) and absorption/clearance of macronutrients. Hence, 1H-NMR spectroscopy of plasma could provide a global metabolic tolerance test to assess complex processes involved in disease, including eating disorders and the range of physiologic processes causing dysregulation of energy homeostasis.







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