1. Introduction
Vitamin E deficiency (VED) is the most prevalent micronutrient deficiency in dairy cattle, with a herd incidence rate of up to 21% during early lactation [
1]. It leads to severe degenerating disorders, a reduction in the immune reaction, and possibly lameness, retained placenta, metritis, and mastitis, then brings substantial financial loss to the global dairy sector [
2,
3]. Vitamin E, a potent antioxidant, is a necessary and complex micronutrient for cattle [
4,
5]. Its predominant component in the circulatory system is α-tocopherol (α-Toc) [
6]. Vitamin E shortage can be induced by various factors such as alterations in α-Toc intake, elevated oxidative stress and lipid peroxidation, and the transfer of α-Toc into colostrum near calving [
3]. To date, the physiological causes or processes underpinning VED during the transition period of high-yielding dairy cows remain unknown.
The plasma/serum levels of α-Toc in high-yielding dairy cattle reduce steadily during prepartum, beginning multiple weeks before calving, achieving a minimum at parturition, staying at low rates during the puerperium time (approximately 3–7 days), and rising afterward [
7,
8,
9,
10,
11]. According to the National Research Council (NRC, 2001) standards [
12], plasma/serum concentrations of α-Toc must be greater than 3 μg/mL throughout the transition period; otherwise, an α-Toc shortage, also known as VED, can occur. Therefore, VED for adult dairy cows is defined as serum α-Toc concentration < 3 μg/mL [
1,
3].
Over the past three decades, numerous studies have been conducted on the disease risk of VED and the influence of α-Toc supplements on the health of transition dairy cows and heifers. A comprehensive study by Haga et al. [
3] revealed that VED in the transition period is a risk factor for peripartum disorders and reduced reproduction in dairy cows and that α-Toc supplements are an excellent method for preventing peripartum disorder in high-yielding dairy cows. Some proteins and metabolites may exhibit alterations during disease initiation and remain at the same altered level throughout the course of disease. Unfortunately, few studies have investigated the altered proteins and metabolites in cows with VED during the transition period. Only recently, the proteomics characteristics of VED cows during early lactation were characterized in plasma [
13]. However, no studies have reported about metabolic changes in VED cows until now.
For metabolic phenotyping, proton nuclear magnetic resonance (
1H NMR) spectroscopy is among the preferred analytical techniques [
14]. The advantages of
1H NMR include that the sample pre-treatment is straightforward and non-destructive, and the identification of the metabolite is extensive [
15]. Recently,
1H NMR technology has been increasingly used for cows to probe the differences in metabolites between diseased and non-diseased states. However, these studies involved negative energy balance [
16], inactive ovaries [
17], displaced abomasum [
18], milk fever [
19], mastitis [
20], and ketosis [
21,
22,
23,
24,
25], but not VED. Oxidative stress is the consequence of imbalanced redox homeostasis due to a lack of sufficient antioxidants that neutralize reactive oxygen species, whereas metabolic alterations are likely to be mediated by oxidative stress [
26]. Therefore, we hypothesized that VED changes the metabolic status of dairy cows during the transition period. To test this hypothesis, we applied
1H NMR spectroscopy to analyze the metabolome of serum between VED and normal cows.
2. Materials and Methods
All animal operations were approved by the Institutional Animal Care and Use Committee of Heilongjiang Bayi Agricultural University (Daqing, China) (approval No.: DWKJXY2023065; approval date: 15 January 2023).
2.1. Animals and Diets
Twenty-eight clinically healthy multiparous
Holstein dairy cows (2.2 ± 0.48 of parity, 635 ± 22.9 kg of weight, 34.6 ± 5.4 kg of daily milk yield, mean ± SD) from an intensive dairy farm of Heilongjiang in China were selected at 21 days postpartum in this research. Cows were assigned into a normal (α-Toc ≥ 4 μg/mL,
n = 14) and VED (α-Toc < 3 μg/mL,
n = 14) groups based on serum α-Toc concentrations. Cows were kept in separated tie-stall barns bedded with kiln-dried sawdust and fed individually an early-lactation total mixed rations (TMR) diet following parturition. The formulation of TMR for the early lactation followed the NRC (2001) [
12] standards (
Table 1). Age, parity, weight, milk yield, and dry matter intake (DMI) were recorded using the specific software (Afifarm, Afimilk, Kibbutz Afikim, 1514800, Israel). Two qualified field veterinarians determined the body condition score (BCS) using a 5-point scale ranging from 1 to 5 with 0.25-unit intervals [
27]. Blood samples for biochemical and
1H NMR analysis were obtained on day 21 relative to calving date.
2.2. Blood Collection
Blood samples were collected from two groups of cows via the tail vein utilizing vacuum blood collecting tubes without any additives, and kept at room temperature for 30 min, then centrifuged at 3,500 × g for 10 min to obtain serum. Tubes of serum were kept frozen at −80°C for the biochemical and 1H NMR testing.
2.3. Serum Detection
Serum levels of vitamin E (α-Toc), vitamin A (retinol), and vitamin C (ascorbic acid) were determined using high-performance liquid chromatography according to Siomek et al [
28]. Serum selenium, zinc, and copper levels were determined by inductively coupled plasma mass spectrometry as previously described [
29].
Serum levels of β-hydroxybutyrate (BHB), non-esterified fatty acids (NEFA), glucose, aspartate aminotransferase (AST), alanine aminotransferase (ALT), albumin, total cholesterol (TC), low-density lipoprotein (LDL), high-density lipoprotein (HDL), calcium, phosphorus, and magnesium were analyzed using commercial biochemical assay kits (Mindray Biomedical Electronics Co. Ltd, Shenzhen, China) by the Mindray BS-830S fully automatic biochemistry analyzer (Mindray Biomedical Electronics Co. Ltd, Shenzhen, China) at the Biotechnology Centre of Heilongjiang Bayi Agricultural University. All measurements were conducted following the manufacturer's guidelines.
The functions of total antioxidant capacity (TAC), superoxide dismutase (SOD), glutathione peroxidase (GSH-Px), catalase, and malondialdehyde (MDA) in serum were measured using commercial assay kits (Nanjing Built Biology, Nanjing, China), following the manufacturer's instructions.
2.4. Sample Preparation
The testing procedure for
1H-NMR was carried out as described detailed [
30]. In brief, 28 freezing serum samples were quickly defrosted in the room atmosphere. The serum sample (200 μL) was transferred utilizing a pipette into a 1.5 mL Eppendorf tube, and 400 μL of buffer (45 m
M NaH2PO4/K2HPO4; 0.9% NaCl; pH: 7.4; 50% D2O) was then supplied. Following vortex and centrifugation (16,099 × g, 10 min, 4°C), 550 μL of the supernatant was transmitted to a 5 mm NMR tube for additional examination.
2.5. NMR Measurements
Proton NMR spectra were acquired on a Varian-600 MHz NMR spectrometer (Varian, Palo Alto, CA, USA) operating at 599.93 MHz. A water-suppressed Carr-Purcell-Meiboom-Gill sequence was used to obtain transversal relaxation periods. In total, 64 transients were captured using a spectral width of 12,000 Hz, a relaxing latency of 2.0 s, a combining time of 100 ms, and an acquisition time of 1.5 s at 25°C.
2.6. Data Preprocessing
The NMR spectra were analysed utilizing MestReNova program (version 12.0.0, Mestrelab Research, St. Louis, MO, USA). The free induction decay signal of all the recorded 1H NMR spectra was submitted to an exponential window function with a broadening factor of 1 Hz. Then, a Fourier transform was applied to enhance the signal-to-noise proportion, and the spectral stage and baseline correction were conducted manually. The normalization of multivariable statistics followed the normalization of integrated statistics.
2.7. Multivariate Statistical Analysis
A multivariate study was conducted on the normalized information using the SIMCA tool (version 15.0, MKS Data Analytics Solutions, Umea, Sweden). First, the 1H NMR spectra were subjected to a principal component analysis (PCA) according to the mean-centre scale to reveal broad variations. The spectra were subsequently evaluated using the supervised approach of orthogonal partial least-squares discriminant analysis (OPLS-DA). Using the goodness-of-fit parameter (R2) and goodness-of-prediction parameter (Q2), the performance for every model was detected. The OPLS-DA was employed to assess the statistical significance of changes in metabolite levels and the relevant correlation coefficients.
2.8. The Differential Metabolites Identification and the Analysis of the Metabolic Pathway
Based on the number of samples in the present test, the actual level of the correlation coefficient (
r) > 0.5324 was utilized as the cut-off level for the significance of differential metabolites. The Euclidean distance matrix for the mathematical calculations of the differential metabolites was constructed for every series of analyses. Using the entire linkage technique, the divergent metabolites were clustered and shown as a heatmap of hierarchical clustering. The Kyoto Encyclopedia of Genes and Genomes (KEGG) database (
www.kegg.jp/kegg/pathway.html) was used for the differential metabolites linked to several distinct metabolic pathways. The outcomes of the metabolic pathway investigation were displayed using a bubble plot.
2.9. Statistical Analysis
Cow was the experimental unit. Statistical analysis was performed with SPSS 22.0 software (IBM Corp, Armonk, NY, USA). The independent samples t-test was used to examine variations in clinical variables (age, parity, BCS, milk yield, DMI, vitamins, and minerals) and biochemical variables between cows with VED and normal cows. Probability (p) values < 0.05 and < 0.01 were deemed to be statistically significant and extremely significant, respectively.
4. Discussion
The present study investigated the metabolic changes associated with VED in dairy cows after calving by applying an untargeted metabolomics screening. Following the global non-target metabolomics screening, 24 differential metabolites that can relate to VED were described, and their correlating metabolomic pathways were also identified. The data presented provide the most comprehensive metabolomics analysis of VED in cows to date.
Most dairy cattle, during early lactation, undergo a period of negative energy balance (NEB) associated with multiple metabolic changes when DMI is reduced to levels lower than the required energy to maintain the body condition and the production of milk [
16,
31]. In the present study, we observed lower DMI and milk yield in the VED group relative to the normal group, indicating that VED may be accompanied by NEB. Moreover, the low milk yield can be attributed to a low DMI [
32]; the latter may be one of the reasons for VED [
7]. In the early phase after parturition in dairy cattle, negative energy balance is typically characterized by substantial mobilization of bodily energy stores [
33]. Consequently, the lower postpartum BCS indicated that VED cows suffered an NEB [
34]. Increased systemic concentrations of NEFA result from the breakdown of fat storage [
35]. This reinforces the circulating NEFA outcomes obtained in the VED group. These data imply that VED cows exhibited an increase in lipid mobilization in the early lactation stage due to NEB.
Abnormal lipid metabolism is associated with the occurrence of VED. Very low-density lipoproteins such as TG-rich lipoprotein are synthesized in the liver [
36]. The liver exports vitamin E to extrahepatic tissues through the secretion of VLDL [
37]. In the circulatory system, VLDL is transformed into LDL, which becomes the primary transporter of vitamin E isomers to peripheral tissues [
38]. Consequently, elevated VLDL values likewise elevate LDL levels [
39]. In this investigation, we discovered that circulating VLDL and LDL levels are elevated in VED cows compared with normal cows. This suggests an increased vitamin E consumption in peripheral tissues of VED cows, contributing to the decreased vitamin E in circulation, eventually resulting in VED. In addition, the higher circulating concentrations of unsaturated lipids (L7, L8, L9) in VED cows may potentially be accounted for by the changes in liver fat metabolism [
40].
When the energy demand increases but the supply is insufficient, energy metabolism becomes imbalanced [
41]. In the current investigation, there was a statistically significant elevation in the serum concentrations of citrate, glucose, and pyruvate when VED was existent. This revealed that the VED cows had an imbalance in their energy metabolism. Citric acid levels, which are a key TCA intermediate, elevated significantly in the serum of the VED group, which indicated that the primary energy supply route, which is the TCA cycle, was blocked. Because the TCA cycle is the main critical system in the energy metabolism of the body, any disruption to this process will eventually result in an energy metabolism imbalance [
42,
43]. In addition, increased serum glucose and pyruvate levels in VED cows imply promoted gluconeogenesis and altered carbohydrate and energy metabolism. Insufficient energy, in turn, enhances other energy production pathways, such as the creatine and phosphate creatine balance system [
44]. Creatine plays a key role in energy metabolism, and the majority of creatine is stored in skeletal muscle as creatine phosphate [
45]. Creatinine is a breakdown product of the intracellular creatinine precursors creatine and creatine phosphate [
46]. In this study, VED cows exhibited an increase in serum creatinine levels compared to normal cows. This result suggests that NEB in VED cows could be relieved by increasing muscle breakdown.
Vitamin E deficiency can alter amino acid metabolism. Eight differential amino acids were identified in this study. In VED cows, these amino acids were mainly involved in D-glutamine and D-glutamate metabolism; phenylalanine, tyrosine, and tryptophan biosynthesis; alanine, aspartate, and glutamate metabolism; valine, leucine, and isoleucine biosynthesis; and glycine, serine, and threonine metabolism. As the D-glutamine and D-glutamate metabolism pathway had an effective value of 1 showed that the D-glutamine and D-glutamate metabolism pathway as well as the metabolite D-glutamic acid, are major aspects of alterations in amino acid metabolism in VED cows. According to the outcome of their breakdown byproducts, the eight amino acids are classified as either glucogenic amino acids (alanine, glutamate, glutamine, glycine, histidine, and valine), ketogenic amino acids (lysine), or both ketogenic and glucogenic amino acids (phenylalanine) [
47]. Gluconeogenic amino acids are those amino acids that when broken down, create either pyruvate or one of the metabolites of the TCA cycle (such as α-ketoglutarate, succinyl-CoA, fumarate, or oxaloacetate), all of which can transform into glucose [
48]. On the other hand, ketogenic amino acids can be transformed into ketone bodies through the decomposition of lipids and the production of a source of energy [
49]. In the present study, the above glucogenic and/or ketogenic amino acids in the serum were all increased in the VED cows compared with the normal cows. Therefore, the pattern of alterations in amino acid metabolism in VED cows could be explained by an increased synthesis of glucogenic precursors to promote gluconeogenesis and increased synthesis of alternative energy substrate precursors to provide energy production.
Vitamin E deficiency may accelerate lipid oxidation. In the VED group, the concentrations of serum ketone bodies like acetone rose. The beta-oxidation of fatty acids in the mitochondria results in the production of acetone [
50]. It was hypothesized that VED stimulated the β-oxidation of fatty acids since there was an elevation in the concentrations of acetone. In addition, the level of lipid peroxidation and lipid peroxidation byproducts that are generated is directly proportional to the amount of unsaturated fats [
51]. The results of the present study confirmed this, with higher serum concentrations of unsaturated lipids (L7, L8, L9) and MDA in VED cows. The findings provide additional evidence of the more oxidized cell conditions, which can be achieved by an elevation in the oxidation of fatty acids. This is similar to a study in which VED triggered lipid peroxidation [
52]. Malondialdehyde is the main byproduct of lipid peroxidation [
53]. A rise in MDA values is associated with an increase in oxidative stress and destruction that is controlled by oxidation [
54]. In addition, vitamin E is a strong antioxidant, and the decrease in its levels indicates a decline in the TAC, which also indirectly represents the values of oxidative stress non-enzymatic antioxidants [
55]. In addition to high levels of MDA, cows with VED also exhibit low levels of TAC. Thus, VED can induce an oxidative stress response in cows.
Vitamin E deficiency can elicit inflammation. Hepatocytes, in response to the harm to the surrounding tissue, will produce acetylated glycoproteins, which will then act as inflammatory mediators [
56]. N-acetylated glycoproteins are a type of acute phase protein that is seen in higher levels during the initial phases of various pathologies, including inflammation, infection, neoplasia, stress, and trauma [
57]. In response to cytokines, these "acute phase" acetyl glycoproteins are mostly generated in the liver parenchymal cells [
46]. Oxidative stress can occur in cows with VED because of lipid peroxidation. In this investigation, N-acetyl glycoproteins and O-acetyl glycoproteins were found with larger signal strength in the spectra of serum from the VED group contrasted with the normal cows. This may have been in response to oxidative stress, and the VED cows could have had increased liver or peripheral inflammation.
In dairy cattle, hepatic damage and disorders are most likely to occur during the peripartum period because of the substantial shifts in lipid metabolism [
58], oxidative stress, and inflammation that can occur during this time [
59]. One common method for determining whether there was damage to the liver is to look for elevated levels of the enzyme AST [
60]. A low quantity of albumin can impair immunological performance and hinder cellular immune function [
61]. Albumin is another important liver function index that is widely recognized as an evaluation tool for the nutritive and inflammation state of the body [
62]. In this study, the levels of AST correlated with hepatic injury were increased, and the levels of albumin were markedly lower in cows with VED related to the normal group. Hence, liver injury may occur in VED cows. In addition, a significant reduction in the serum concentrations of HDL was seen in the VED cows. This observation was consistent with a previous study showing that cows with hepatic injury had low HDL concentrations in the blood [
63]. Thus, it is reasonable to speculate that cows with VED exhibit hepatic injury. Altogether, hepatic impairment in VED cows relates to the substantial shifts in lipid metabolism, oxidative stress, and inflammation that are generated by VED during early lactation.
Vitamin E deficiency can change rumen microbial metabolism. In dairy production, formate is produced endogenously by rumen methanogens, which use microbial fermentation to create formic acid and hydrogen [
64]. Acetate is one of the principal volatile fatty acids produced by ruminal microorganisms through the fermentation of carbohydrates [
65]. Dimethylamine is a choline metabolite mediated by microbiota [
66]. Taken together, rumen microbiota can manufacture these products. In the present study, serum formate, acetate, and dimethylamine were elevated in the VED group when contrasted with the normal group, which is an interesting finding that VED might alter rumen microbial metabolism, consequently increasing these serum metabolites. However, further studies in rumen microbiota are required to confirm this.
Figure 1.
Typical 1H-NMR spectra (600.13 MHz) of serum acquired from the (a) normal and (b) vitamin E deficiency (VED) groups. The horizontal scale represents the chemical shift (ppm). The area with a range of δ5.601–9.0 ppm is magnified 32-fold in comparison to the area with a range of δ0.6–5.6 ppm. For, formate; His, histidine; Phe, phenylalanine; Tyr, tyrosine; L9, lipid, -CH=CH-; α-Glc, α-glucose; Lac, lactate; Cr, creatinine; β-Glc, β-glucose; Ala, alanine; Val, valine; Gly, glycine; PC/GPC, phosphorylcholine/glycerophosphocholine; Cho, choline; Lys, lysine; L8, lipid, =CH-CH2-CH=; Dim, dimethylamine; Cit, citrate; Gln, glutamine; Pyr, pyruvate; Glu, glutamate; Acet, acetone; L7, lipid, -CH2-C=O; OAG, O-acetyl-glycoprotein; NAG, N-acetyl-glycoprotein; L6, lipid, -CH2-CH=CH-; Ace, acetate; L5, VLDL, -CH2-CH2-C=O; L3, lipid, CH3-(CH2)n-(LDL); 3-HB, 3-hydroxybutyrate; Ile, isoleucine; Leu, leucine; L2, lipid, CH3-(CH2)n-(VLDL); L1, lipid, CH3-(CH2)n-(LDL).
Figure 1.
Typical 1H-NMR spectra (600.13 MHz) of serum acquired from the (a) normal and (b) vitamin E deficiency (VED) groups. The horizontal scale represents the chemical shift (ppm). The area with a range of δ5.601–9.0 ppm is magnified 32-fold in comparison to the area with a range of δ0.6–5.6 ppm. For, formate; His, histidine; Phe, phenylalanine; Tyr, tyrosine; L9, lipid, -CH=CH-; α-Glc, α-glucose; Lac, lactate; Cr, creatinine; β-Glc, β-glucose; Ala, alanine; Val, valine; Gly, glycine; PC/GPC, phosphorylcholine/glycerophosphocholine; Cho, choline; Lys, lysine; L8, lipid, =CH-CH2-CH=; Dim, dimethylamine; Cit, citrate; Gln, glutamine; Pyr, pyruvate; Glu, glutamate; Acet, acetone; L7, lipid, -CH2-C=O; OAG, O-acetyl-glycoprotein; NAG, N-acetyl-glycoprotein; L6, lipid, -CH2-CH=CH-; Ace, acetate; L5, VLDL, -CH2-CH2-C=O; L3, lipid, CH3-(CH2)n-(LDL); 3-HB, 3-hydroxybutyrate; Ile, isoleucine; Leu, leucine; L2, lipid, CH3-(CH2)n-(VLDL); L1, lipid, CH3-(CH2)n-(LDL).
Figure 2.
Principal component testing scores of the normal and VED groups plotted side by side. t[
1] = initial main component. t[
2] = second main component.
Figure 2.
Principal component testing scores of the normal and VED groups plotted side by side. t[
1] = initial main component. t[
2] = second main component.
Figure 3.
Orthogonal partial least-squares discriminant analysis (OPLS-DA) scores (
a) and permutation testing of the OPLS-DA framework (
b) for the normal and VED groups, respectively. t[
1] = initial primary element of the matrix. to[
1] = orthogonal primary element. The plot of Q
2 derived from the permutation testing included in the OPLS-DA framework is the intercept limit of Q
2, which is calculated with the regression line.
Figure 3.
Orthogonal partial least-squares discriminant analysis (OPLS-DA) scores (
a) and permutation testing of the OPLS-DA framework (
b) for the normal and VED groups, respectively. t[
1] = initial primary element of the matrix. to[
1] = orthogonal primary element. The plot of Q
2 derived from the permutation testing included in the OPLS-DA framework is the intercept limit of Q
2, which is calculated with the regression line.
Figure 4.
The OPLS-DA loading plot for the normal group and VED group.
Figure 4.
The OPLS-DA loading plot for the normal group and VED group.
Figure 5.
Heatmap visualization of the 24 differential metabolites identified in serum samples from the VED and normal groups.
Figure 5.
Heatmap visualization of the 24 differential metabolites identified in serum samples from the VED and normal groups.
Figure 6.
KEGG pathway enrichment analysis comparing the VED and normal groups. Each bubble in the diagram depicts a metabolic pathway, and its abscissa and size show the degree of the pathway influence variables in the topological analyses. The ordinates and colors of the bubbles show the p values (−ln p-value) of the enrichment test, with darker colors indicating a greater level of enrichment.
Figure 6.
KEGG pathway enrichment analysis comparing the VED and normal groups. Each bubble in the diagram depicts a metabolic pathway, and its abscissa and size show the degree of the pathway influence variables in the topological analyses. The ordinates and colors of the bubbles show the p values (−ln p-value) of the enrichment test, with darker colors indicating a greater level of enrichment.
Table 1.
Ingredient and chemical composition of the early-lactation TMR diet for 28 multiparous Holstein dairy cows.
Table 1.
Ingredient and chemical composition of the early-lactation TMR diet for 28 multiparous Holstein dairy cows.
Ingredient |
Content (g/kg DM) |
Corn silage |
250 |
Alfalfa hay |
120 |
Oat hay |
130 |
Corn grain, ground |
251 |
Wheat bran |
55 |
Soybean meal |
106 |
Rapeseed meal |
25 |
Cottonseed cake |
45 |
Calcium carbonate |
5 |
Salt |
5 |
Calcium phosphate |
3 |
Mineral and vitamin premix1
|
5 |
Chemical composition |
|
Organic matter |
919.3 |
CP |
176.4 |
Ether extract |
31.3 |
NDF |
353.1 |
ADF |
191.0 |
Non-fiber carbohydrate2
|
358.7 |
Ca |
8.3 |
P |
4.2 |
Table 2.
Background characteristics of the vitamin E deficiency (VED) group and normal group.
Table 2.
Background characteristics of the vitamin E deficiency (VED) group and normal group.
Parameters |
Normal (n = 14) |
VED (n = 14) |
p-Value |
Age |
3.16 ± 0.27 |
3.22 ± 0.13 |
0.230 |
Parity |
2.22 ± 0.64 |
2.14 ± 0.55 |
0.363 |
BCS |
3.29 ± 0.24 |
3.06 ± 0.27 |
0.012 |
Milk yield (kg/d) |
35.98 ± 2.54 |
33.23 ± 2.37 |
0.003 |
DMI (kg/d) |
15.24 ± 0.34 |
14.61 ± 0.49 |
< 0.001 |
Vitamin E (μg/mL) |
7.33 ± 1.38 |
2.59 ± 0.77 |
< 0.001 |
Vitamin A (μg/mL) |
0.19 ± 0.06 |
0.18 ± 0.05 |
0.318 |
Vitamin C (μg/mL) |
2.66 ± 0.34 |
2.45 ± 0.67 |
0.153 |
Selenium (μg/mL) |
0.05 ± 0.01 |
0.05 ± 0.01 |
0.683 |
Zinc (μg/mL) |
1.22 ± 0.26 |
1.28 ± 0.23 |
0.262 |
Copper (μg/mL) |
0.98 ± 0.31 |
0.96 ± 0.24 |
0.425 |
Calcium (mmol/L) |
2.08 ± 0.69 |
2.07 ± 0.93 |
0.487 |
Phosphorus (mmol/L) |
2.72 ± 0.38 |
2.60 ± 0.29 |
0.178 |
Magnesium (mmol/L) |
1.54 ± 0.31 |
1.43 ± 0.46 |
0.232 |
Table 3.
Comparison of serum biochemical indicators between the VED and normal groups.
Table 3.
Comparison of serum biochemical indicators between the VED and normal groups.
Parameters |
Normal (n = 14) |
VED (n = 14) |
p-Value |
BHB (mmol/L) |
1.02 ± 0.34 |
1.14 ± 0.39 |
0.197 |
NEFA (mmol/L) |
0.51 ± 0.18 |
0.78 ± 0.18 |
< 0.001 |
Glucose (mmol/L) |
5.90 ± 2.59 |
6.84 ± 2.38 |
0.163 |
AST (U/L) |
74.06 ± 3.62 |
95.46 ± 7.10 |
< 0.001 |
ALT (U/L) |
43.60 ± 8.30 |
42.76 ± 8.86 |
0.399 |
Albumin (g/L) |
58.01 ± 8.62 |
46.87 ± 7.69 |
< 0.001 |
TC (mmol/L) |
5.65 ± 1.45 |
5.98 ± 1.84 |
0.301 |
LDL (mmol/L) |
3.93 ± 0.94 |
5.05 ± 0.82 |
0.001 |
HDL (mmol/L) |
1.51 ± 0.21 |
1.13 ± 0.22 |
< 0.001 |
TAC (mmol/L) |
0.54 ± 0.17 |
0.24 ± 0.10 |
< 0.001 |
SOD (U/mL) |
114.30 ± 14.67 |
122.20 ± 15.32 |
0.088 |
GSH-Px (U/mL) |
31.65 ± 8.05 |
29.08 ± 8.49 |
0.209 |
Catalase (U/mL) |
21.75 ± 1.64 |
22.57 ± 1.19 |
0.071 |
MDA (mmol/L) |
9.84 ± 1.51 |
12.59 ± 2.04 |
< 0.001 |
Table 4.
Differential serum metabolites of the VED and normal groups screened with 1H NMR.
Table 4.
Differential serum metabolites of the VED and normal groups screened with 1H NMR.
No. |
Metabolites |
ra
|
Trendb
|
p-Value |
1 |
Acetate |
0.7093 |
↑ |
0.0001 |
2 |
Acetone |
0.7099 |
↑ |
< 0.0001 |
3 |
Alanine |
0.6812 |
↑ |
0.0003 |
4 |
Citrate |
0.5886 |
↑ |
0.0023 |
5 |
Creatinine |
0.5632 |
↑ |
0.0046 |
6 |
Dimethylamine |
0.5760 |
↑ |
0.0016 |
7 |
Formate |
0.7439 |
↑ |
< 0.0001 |
8 |
Glutamate |
0.7495 |
↑ |
< 0.0001 |
9 |
Glutamine |
0.8136 |
↑ |
< 0.0001 |
10 |
Glycine |
0.6464 |
↑ |
0.0015 |
11 |
Histidine |
0.6720 |
↑ |
0.0001 |
12 |
Lipid, CH3-(CH2)n-(LDL) |
0.6718 |
↑ |
0.0004 |
13 |
VLDL, -CH2-CH2-C=O |
0.7018 |
↑ |
< 0.0001 |
14 |
Lipid, -CH2-C=O |
0.7270 |
↑ |
< 0.0001 |
15 |
Lipid, =CH-CH2-CH= |
0.6644 |
↑ |
0.0005 |
16 |
Lipid, -CH=CH- |
0.5873 |
↑ |
0.0005 |
17 |
Lysine |
0.7403 |
↑ |
< 0.0001 |
18 |
N-acetyl-glycoprotein |
0.5738 |
↑ |
0.0034 |
19 |
O-acetyl-glycoprotein |
0.8071 |
↑ |
< 0.0001 |
20 |
Phenylalanine |
0.7010 |
↑ |
0.0001 |
21 |
Pyruvate |
0.7923 |
↑ |
< 0.0001 |
22 |
Valine |
0.5915 |
↑ |
0.0025 |
23 |
α-Glucose |
0.7466 |
↑ |
< 0.0001 |
24 |
β-Glucose |
0.7968 |
↑ |
< 0.0001 |
Table 5.
Main pathway affected between VED and normal groups.
Table 5.
Main pathway affected between VED and normal groups.
Main pathway |
Totala
|
Hitsb
|
Raw pc
|
Holm pd
|
-ln(p)e
|
Impactf
|
Nitrogen metabolism |
9 |
4 |
< 0.001 |
< 0.001 |
13.75 |
0 |
Aminoacyl-tRNA biosynthesis |
64 |
7 |
< 0.001 |
< 0.001 |
13.40 |
0 |
Alanine, aspartate, and glutamate metabolism |
23 |
4 |
< 0.001 |
0.005 |
9.58 |
0.40 |
D-Glutamine and D-glutamate metabolism |
5 |
2 |
0.001 |
0.083 |
6.84 |
1.00 |
Valine, leucine, and isoleucine biosynthesis |
11 |
2 |
0.006 |
0.429 |
5.18 |
0.33 |
Glyoxylate and dicarboxylate metabolism |
16 |
2 |
0.012 |
0.896 |
4.43 |
0.41 |
Citrate cycle |
20 |
2 |
0.018 |
1 |
3.99 |
0.13 |
Pyruvate metabolism |
22 |
2 |
0.022 |
1 |
3.81 |
0.24 |
Glycolysis or gluconeogenesis |
26 |
2 |
0.030 |
1 |
3.49 |
0.13 |
Phenylalanine, tyrosine, and tryptophan biosynthesis |
4 |
1 |
0.043 |
1 |
3.16 |
0.50 |
Glycine, serine, and threonine metabolism |
32 |
2 |
0.045 |
1 |
3.11 |
0.29 |