Urine Metabolite of Mice with Orientia tsutsugamushi Infection

Sangho Choi Division of Zoonotic and Vector Borne Disease Research, Center for Infectious Disease Research, National Institute of Infectious Disease, National Institute of Health, Korea Disease Control and Prevention Agency, Osong-eup, Cheongju-si, Chungcheongbuk-do, 28160, Republic of Korea;

Search for other papers by Sangho Choi in
Current site
Google Scholar
PubMed
Close
,
Do-Hwan Ahn Division of Healthcare and Artificial Intelligence, Department of Precision Medicine, Korea National Institute of Health, Korea Disease Control and Prevention Agency, Osong-eup, Cheongju-si, Chungcheongbuk-do, 28160, Republic of Korea;

Search for other papers by Do-Hwan Ahn in
Current site
Google Scholar
PubMed
Close
,
Min-Gyu Yoo Division of Endocrine and Kidney Disease Research, Department of Chronic Disease Convergence Research, Korea National Institute of Health, Korea Disease Control and Prevention Agency, Osong-eup, Cheongju-si, Chungcheongbuk-do, 28160, Republic of Korea

Search for other papers by Min-Gyu Yoo in
Current site
Google Scholar
PubMed
Close
,
Hye-Ja Lee Division of Endocrine and Kidney Disease Research, Department of Chronic Disease Convergence Research, Korea National Institute of Health, Korea Disease Control and Prevention Agency, Osong-eup, Cheongju-si, Chungcheongbuk-do, 28160, Republic of Korea

Search for other papers by Hye-Ja Lee in
Current site
Google Scholar
PubMed
Close
,
Seong Beom Cho Division of Healthcare and Artificial Intelligence, Department of Precision Medicine, Korea National Institute of Health, Korea Disease Control and Prevention Agency, Osong-eup, Cheongju-si, Chungcheongbuk-do, 28160, Republic of Korea;

Search for other papers by Seong Beom Cho in
Current site
Google Scholar
PubMed
Close
,
Hee-Bin Park Division of Zoonotic and Vector Borne Disease Research, Center for Infectious Disease Research, National Institute of Infectious Disease, National Institute of Health, Korea Disease Control and Prevention Agency, Osong-eup, Cheongju-si, Chungcheongbuk-do, 28160, Republic of Korea;

Search for other papers by Hee-Bin Park in
Current site
Google Scholar
PubMed
Close
,
Sung Soon Kim Division of Zoonotic and Vector Borne Disease Research, Center for Infectious Disease Research, National Institute of Infectious Disease, National Institute of Health, Korea Disease Control and Prevention Agency, Osong-eup, Cheongju-si, Chungcheongbuk-do, 28160, Republic of Korea;

Search for other papers by Sung Soon Kim in
Current site
Google Scholar
PubMed
Close
, and
Hyuk Chu Division of Zoonotic and Vector Borne Disease Research, Center for Infectious Disease Research, National Institute of Infectious Disease, National Institute of Health, Korea Disease Control and Prevention Agency, Osong-eup, Cheongju-si, Chungcheongbuk-do, 28160, Republic of Korea;

Search for other papers by Hyuk Chu in
Current site
Google Scholar
PubMed
Close
Restricted access

ABSTRACT.

Scrub typhus is an acute febrile, mite-borne disease endemic to the Asia–Pacific region. In South Korea, it is a seasonal disease that occurs frequently in the autumn, and its incidence has increased steadily. In this study, we used a liquid chromatography and flow injection analysis–tandem mass spectrometry-based targeted urine metabolomics approach to evaluate the host response to Orientia tsutsugamushi infection. Balb/c mice were infected with O. tsutsugamushi Boryong, and their urine metabolite profile was examined. Metabolites that differed significantly between the experimental groups were identified using the Kruskal–Wallis test. Sixty-five differential metabolites were identified. The principal metabolite classes were acylcarnitines, glycerophospholipids, biogenic amines, and amino acids. An ingenuity pathway analysis revealed that several toxic (cardiotoxic, hepatotoxic, and nephrotoxic) metabolites are induced by scrub typhus infection. This is the first report of urinary metabolite biomarkers of scrub typhus infection and it enhances our understanding of the metabolic pathways involved.

    • Supplemental Materials (PDF 1660 KB)

Author Notes

Address correspondence to Hyuk Chu, Division of Bacterial Disease Research, Center for Infectious Diseases Research, Korea National Institute of Health, Korea Centers for Disease Control and Prevention, 187 Pspngsaengmyeong2-ro, Osong-eup, Cheongju-si, Chungcheongbuk-do 18159, Republic of Korea. E-mail: chuhyuk@korea.kr

These authors contributed equally to this work.

Financial support: This work was supported by intramural grants from KNIH (2018-NI002-02).

Authors’ addresses: Sangho Choi, Hee-Bin Park, Sung Soon Kim, and Hyuk Chu, Division of Zoonotic and Vector Borne Disease Research, Center for Infectious Disease Research, National Institute of Infectious Disease, National Institute of Health, Korea Disease Control and Prevention Agency, Osong-eup, Cheongju-si, Chungcheongbuk-do, 28160, Republic of Korea, E-mails: agas83@hanmail.net, gmlqls0505@korea.kr, sungskim63@korea.kr, and chuhyuk@korea.kr. Do-Hwan Ahn and Seong Beom Cho, Division of Healthcare and Artificial Intelligence, Department of Precision Medicine, Korea National Institute of Health, Korea Disease Control and Prevention Agency, Osong-eup, Cheongju-si, Chungcheongbuk-do, 28160, Republic of Korea, E-mails: ahndh@korea.kr and sbcho@gmail.com. Min-Gyu Yoo and Hye-Ja Lee, Division of Endocrine and Kidney Disease Research, Department of Chronic Disease Convergence Research, Korea National Institute of Health, Korea Disease Control and Prevention Agency, Osong-eup, Cheongju-si, Chungcheongbuk-do, 28160, Republic of Korea, E-mails: yoomingku@korea.kr and hyejalee@korea.kr.

  • 1.

    Luce-Fedrow A, Lehman ML, Kelly DJ, Mullins K, Maina AN, Stewart RL, Ge H, John HS, Jiang J, Richards AL , 2018. A review of scrub typhus (Orientia tsutsugamushi and related organisms): then, now, and tomorrow. Trop Med Infect Dis 3: 8.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 2.

    Diaz FE, Abarca K, Kalergis AM , 2018. An update on host-pathogen interplay and modulation of immune responses during Orientia tsutsugamushi infection. Clin Microbiol Rev 31: e000076-17.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 3.

    Xu G, Walker DH, Jupiter D, Melby PC, Arcari CM , 2017. A review of the global epidemiology of scrub typhus. PLoS Negl Trop Dis 11: e0006062.

  • 4.

    Rose W, Kang G, Verghese VP, Candassamy S, Samuel P, Prakash JJA, Muliyil J , 2019. Risk factors for acquisition of scrub typhus in children admitted to a tertiary centre and its surrounding districts in South India: a case control study. BMC Infect Dis 19: 665.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 5.

    Elliott I, Pearson I, Dahal P, Thomas NV, Roberts T, Newton PN , 2019. Scrub typhus ecology: a systematic review of Orientia in vectors and hosts. Parasit Vectors 12: 513.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 6.

    Kim S, Kim JS, Lee H , 2010. Epidemiological characteristics of scrub typhus in Korea, 2009. Osong Public Health Res Perspect 1: 5560.

  • 7.

    Noh M, Lee Y, Chu C, Gwack J, Youn SK, Huh S , 2013. Are there spatial and temporal correlations in the incidence distribution of scrub typhus in Korea? Osong Public Health Res Perspect 4: 3944.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 8.

    Manosroi J, Chutipongvivate S, Auwanit W, Manosroi A , 2003. Early diagnosis of scrub typhus in Thailand from clinical specimens by nested polymerase chain reaction. Southeast Asian J Trop Med Public Health 34: 831838.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 9.

    Rodkvamtook W et al.2015. Dot-ELISA rapid test using recombinant 56-kDa protein antigens for serodiagnosis of scrub typhus. Am J Trop Med Hyg 92: 967971.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 10.

    Pote K, Narang R, Deshmukh P , 2018. Diagnostic performance of serological tests to detect antibodies against acute scrub typhus infection in central India. Indian J Med Microbiol 36: 108112.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 11.

    Couturier MR, Graf EH, Griffin AT , 2014. Urine antigen tests for the diagnosis of respiratory infections: legionellosis, histoplasmosis, pneumococcal pneumonia. Clin Lab Med 34: 219236.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 12.

    Nagana Gowda GA, Raftery D , 2013. Biomarker discovery and translation in metabolomics. Curr Metabolomics 1: 227240.

  • 13.

    Jung J, Jung Y, Gill B, Kim C, Hwang KJ, Ju YR, Lee HJ, Chu H, Hwang GS , 2015. Metabolic responses to Orientia tsutsugamushi infection in a mouse model. PLoS Negl Trop Dis 9: e3427.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 14.

    Kim IS, Seong SY, Woo SG, Choi MS, Chang WH , 1993. High-level expression of a 56-kilodalton protein gene (bor56) of Rickettsia tsutsugamushi Boryong and its application to enzyme-linked immunosorbent assays. J Clin Microbiol 31: 598605.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 15.

    Chang WH, Kang JS, Lee WK, Choi MS, Lee JH , 1990. Serological classification by monoclonal antibodies of Rickettsia tsutsugamushi isolated in Korea. J Clin Microbiol 28: 685688.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 16.

    Tamura A, Urakami H , 1981. Easy method for infectivity titration of Rickettsia tsutsugamushi by infected cell counting. Nihon Saikingaku Zasshi 36: 783785.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 17.

    Metsalu T, Vilo J , 2015. ClustVis: a web tool for visualizing clustering of multivariate data using principal component analysis and heatmap. Nucl Acids Res 43: W566W570.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 18.

    Kramer A, Green J, Pollard J Jr , Tugendreich S , 2014. Causal analysis approaches in ingenuity pathway analysis. Bioinformatics 30: 523530.

  • 19.

    Everts B et al.2014. TLR-driven early glycolytic reprogramming via the kinases TBK1-IKKvarepsilon supports the anabolic demands of dendritic cell activation. Nat Immunol 15: 323332.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 20.

    Isa F et al.2018. Mass spectrometric identification of urinary biomarkers of pulmonary tuberculosis. EBioMedicine 31: 157165.

  • 21.

    Foschi C, Laghi L, D’Antuono A, Gaspari V, Zhu C, Dellarosa N, Salvo M, Marangoni A , 2018. Urine metabolome in women with Chlamydia trachomatis infection. PLoS One 13: e0194827.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 22.

    Al-Mubarak R, Vander Heiden J, Broeckling CD, Balagon M, Brennan PJ, Vissa VD , 2011. Serum metabolomics reveals higher levels of polyunsaturated fatty acids in lepromatous leprosy: potential markers for susceptibility and pathogenesis. PLoS Negl Trop Dis 5: e1303.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 23.

    Zhang A, Sun H, Wang P, Han Y, Wang X , 2012. Recent and potential developments of biofluid analyses in metabolomics. J Proteomics 75: 10791088.

  • 24.

    Mathis D, Shoelson SE , 2011. Immunometabolism: an emerging frontier. Nat Rev Immunol 11: 81.

  • 25.

    Chao CC, Ingram BO, Lurchachaiwong W, Ching WM , 2018. Metabolic characterization of serum from mice challenged with Orientia tsutsugamushi-infected mites. New Microbes New Infect 23: 7076.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 26.

    Prachason T, Konhan K, Pongnarin P, Chatsiricharoenkul S, Suputtamongkol Y, Limwongse C , 2012. Activation of indoleamine 2,3-dioxygenase in patients with scrub typhus and its role in growth restriction of Orientia tsutsugamushi. PLoS Negl Trop Dis 6: e1731.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 27.

    Minois N , 2014. Molecular basis of the ‘anti-aging’ effect of spermidine and other natural polyamines: a mini-review. Gerontology 60: 319326.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 28.

    Ko Y, Choi JH, Ha NY, Kim IS, Cho NH, Choi MS , 2013. Active escape of Orientia tsutsugamushi from cellular autophagy. Infect Immun 81: 552559.

  • 29.

    Kim DM, Kang DW, Kim JO, Chung JH, Kim HL, Park CY, Lim SC , 2008. Acute renal failure due to acute tubular necrosis caused by direct invasion of Orientia tsutsugamushi. J Clin Microbiol 46: 15481550.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 30.

    Moriyoshi K, Masu M, Ishii T, Shigemoto R, Mizuno N, Nakanishi S , 1991. Molecular cloning and characterization of the rat NMDA receptor. Nature 354: 3137.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 31.

    Hardingham GE, Bading H , 2003. The yin and yang of NMDA receptor signalling. Trends Neurosci 26: 8189.

  • 32.

    Choi DW, Koh JY, Peters S , 1988. Pharmacology of glutamate neurotoxicity in cortical cell culture: attenuation by NMDA antagonists. J Neurosci 8: 185196.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 33.

    Parsons MP, Raymond LA , 2014. Extrasynaptic NMDA receptor involvement in central nervous system disorders. Neuron 82: 279293.

  • 34.

    Leung JC, Marphis T, Craver RD, Silverstein DM , 2004. Altered NMDA receptor expression in renal toxicity: protection with a receptor antagonist. Kidney Int 66: 167176.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 35.

    Qu Q, Zeng F, Liu X, Wang QJ, Deng F , 2016. Fatty acid oxidation and carnitine palmitoyltransferase I: emerging therapeutic targets in cancer. Cell Death Dis 7: e2226.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 36.

    Tarasenko TN, Cusmano-Ozog K, McGuire PJ , 2018. Tissue acylcarnitine status in a mouse model of mitochondrial beta-oxidation deficiency during metabolic decompensation due to influenza virus infection. Mol Genet Metab 125: 144152.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 37.

    Renesto P, Ogata H, Audic S, Claverie JM, Raoult D , 2005. Some lessons from Rickettsia genomics. FEMS Microbiol Rev 29: 99117.

  • 38.

    Ogawa M, Fukasawa M, Satoh M, Hanada K, Saijo M, Uchiyama T, Ando S , 2014. The intracellular pathogen Orientia tsutsugamushi responsible for scrub typhus induces lipid droplet formation in mouse fibroblasts. Microbes Infect 16: 962966.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 39.

    Tipthara P, Thongboonkerd V , 2016. Differential human urinary lipid profiles using various lipid-extraction protocols: MALDI-TOF and LIFT-TOF/TOF analyses. Sci Rep 6: 33756.

    • PubMed
    • Search Google Scholar
    • Export Citation
Past two years Past Year Past 30 Days
Abstract Views 1416 908 82
Full Text Views 297 135 1
PDF Downloads 109 15 1
 
 
 
 
Affiliate Membership Banner
 
 
Research for Health Information Banner
 
 
CLOCKSS
 
 
 
Society Publishers Coalition Banner
Save