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Primary progressive multiple sclerosis (PPMS) shows a highly variable disease progression with poor prognosis and a characteristic accumulation of disabilities in patients. These hallmarks of PPMS make it difficult to diagnose and currently impossible to efficiently treat. This study aimed to identify plasma metabolite profiles that allow diagnosis of PPMS and its differentiation from the relapsing remitting subtype (RRMS), primary neurodegenerative disease (Parkinson’s disease, PD), and healthy controls (HCs) and that significantly change during the disease course and could serve as surrogate markers of multiple sclerosis (MS)-associated neurodegeneration over time. We applied untargeted high-resolution metabolomics to plasma samples to identify PPMS-specific signatures, validated our findings in independent sex- and age-matched PPMS and HC cohorts and built discriminatory models by partial least square discriminant analysis (PLS-DA). This signature was compared to sex- and age-matched RRMS patients, to patients with PD and HC. Finally, we investigated these metabolites in a longitudinal cohort of PPMS patients over a 24-month period. PLS-DA yielded predictive models for classification along with a set of 20 PPMS-specific informative metabolite markers. These metabolites suggest disease-specific alterations in glycerophospholipid and linoleic acid pathways. Notably, the glycerophospholipid LysoPC(20:0) significantly decreased during the observation period. These findings show potential for diagnosis and disease course monitoring, and might serve as biomarkers to assess treatment efficacy in future clinical trials for neuroprotective MS therapies.
Die Qualität von Nutzpflanzen ist von zahlreichen Einflussfaktoren wie beispielsweise Lagerbedingungen und Sorteneigenschaften abhängig. Um Qualitätsmängel zu minimieren und Absatzchancen von Nutzpflanzen zu steigern sind umfangreiche Analysen hinsichtlich ihrer stofflichen Zusammensetzung notwendig. Chromatographische Techniken gekoppelt an ein Massenspektrometer und die Kernspinresonanzspektroskopie wurden dafür bislang verwendet. In der vorliegenden Arbeit wurde ein Gaschromatograph an ein Flugzeitmassenspektrometer (GC-TOF-MS) gekoppelt, um physiologische Prozesse bzw. Eigenschaften (die Schwarzfleckigkeit, die Chipsbräunung, das Physiologische Alter und die Keimhemmung) von Nutzpflanzen aufzuklären. Als Pflanzenmodell wurde dafür die Kartoffelknolle verwendet. Dazu wurden neue analytische Lösungsansätze entwickelt, die eine zielgerichtete Auswertung einer Vielzahl von Proben, die Etablierung einer umfangreichen Referenzspektrenbibliothek und die sichere Archivierung aller experimentellen Daten umfassen. Das Verfahren der Probenvorbereitung wurde soweit modifiziert, dass gering konzentrierte Substanzen mittels GC-TOF-MS analysiert werden können. Dadurch wurde das durch die Probenvorbereitung limitierte Substanzspektrum erweitert. Anhand dieser Lösungsansätze wurden physiologisch relevante Stoffwechselprodukte identifiziert, welche indikativ (klassifizierend) bzw. prädiktiv (vorhersagend) für die physiologischen Prozesse sind. Für die Schwarzfleckigkeitsneigung und die Chipseignung wurde jeweils ein biochemisches Modell zur Vorhersage dieser Prozesse aufgestellt und auf eine Züchtungspopulation übertragen. Ferner wurden für die Schwarzfleckigkeit Stoffwechselprodukte des Respirationsstoffwechsels identifiziert sowie Aminosäuren, Glycerollipide und Phenylpropanoide für das Physiologische Alter als relevant erachtet. Das physiologische Altern konnte durch die Anwendung höherer Temperaturen beschleunigt werden. Durch Anwendung von Keimhemmern (Kümmelöl, Chlorpropham) wurde eine Verzögerung des physiologischen Alterns beobachtet. Die Applikation von Kümmelöl erwies sich dabei als besonders vorteilhaft. Kümmelöl behandelte Knollen wiesen im Vergleich zu unbehandelten Knollen nur Veränderungen im Aminosäure-, Zucker- und Sekundärstoffwechsel auf. Chlorpropham behandelte Knollen wiesen einen ähnlichen Stoffwechsel wie die unbehandelten Knollen auf. Für die bislang noch nicht identifizierten Stoffwechselprodukte wurden im Rahmen dieser Arbeit das Verfahren der „gezielten An-/Abreicherung“, der „gepaarten NMR/GC-TOF-MS Analyse“ und das „Entscheidungsbaumverfahren“ entwickelt. Diese ermöglichen eine Klassifizierung von GC-MS Signalen im Hinblick auf ihre chemische Funktionalität. Das Verfahren der gekoppelten NMR/GC-TOF-MS Analyse erwies sich dabei als besonders erfolgversprechend, da es eine Aufklärung bislang unbekannter gaschromatographischer Signale ermöglicht. In der vorliegenden Arbeit wurden neue Stoffwechselprodukte in der Kartoffelknolle identifiziert, wodurch ein wertvoller Beitrag zur Analytik der Metabolomik geleistet wurde.
Neuroinflammatory and neurodegenerative diseases such as Parkinson's (PD) and multiple sclerosis (MS) often result in a severe impairment of the patient´s quality of life. Effective therapies for the treatment are currently not available, which results in a high socio-economic burden. Due to the heterogeneity of the disease subtypes, stratification is particularly difficult in the early phase of the disease and is mainly based on clinical parameters such as neurophysiological tests and central nervous imaging. Due to good accessibility and stability, blood and cerebrospinal fluid metabolite markers could serve as surrogates for neurodegenerative processes. This can lead to an improved mechanistic understanding of these diseases and further be used as "treatment response" biomarkers in preclinical and clinical development programs. Therefore, plasma and CSF metabolite profiles will be identified that allow differentiation of PD from healthy controls, association of PD with dementia (PDD) and differentiation of PD subtypes such as akinetic rigid and tremor dominant PD patients. In addition, plasma metabolites for the diagnosis of primary progressive MS (PPMS) should be investigated and tested for their specificity to relapsing-remitting MS (RRMS) and their development during PPMS progression.
By applying untargeted high-resolution metabolomics of PD patient samples and in using random forest and partial least square machine learning algorithms, this study identified 20 plasma metabolites and 14 CSF metabolite biomarkers. These differentiate against healthy individuals with an AUC of 0.8 and 0.9 in PD, respectively. We also identify ten PDD specific serum metabolites, which differentiate against healthy individuals and PD patients without dementia with an AUC of 1.0, respectively. Furthermore, 23 akinetic-rigid specific plasma markers were identified, which differentiate against tremor-dominant PD patients with an AUC of 0.94 and against healthy individuals with an AUC of 0.98. These findings also suggest more severe disease pathology in the akinetic-rigid PD than in tremor dominant PD. In the analysis of MS patient samples a partial least square analysis yielded predictive models for the classification of PPMS and resulted in 20 PPMS specific metabolites. In another MS study unknown changes in human metabolism were identified after administration of the multiple sclerosis drug dimethylfumarate, which is used for the treatment of RRMS. These results allow to describe and understand the hitherto completely unknown mechanism of action of this new drug and to use these findings for the further development of new drugs and targets against RRMS.
In conclusion, these results have the potential for improved diagnosis of these diseases and improvement of mechanistic understandings, as multiple deregulated pathways were identified. Moreover, novel Dimethylfumarate targets can be used to aid drug development and treatment efficiency. Overall, metabolite profiling in combination with machine learning identified as a promising approach for biomarker discovery and mode of action elucidation.
Anthropogenic climate change alters the hydrological cycle. While certain areas experience more intense precipitation events, others will experience droughts and increased evaporation, affecting water storage in long-term reservoirs, groundwater, snow, and glaciers. High elevation environments are especially vulnerable to climate change, which will impact the water supply for people living downstream. The Himalaya has been identified as a particularly vulnerable system, with nearly one billion people depending on the runoff in this system as their main water resource. As such, a more refined understanding of spatial and temporal changes in the water cycle in high altitude systems is essential to assess variations in water budgets under different climate change scenarios.
However, not only anthropogenic influences have an impact on the hydrological cycle, but changes to the hydrological cycle can occur over geological timescales, which are connected to the interplay between orogenic uplift and climate change. However, their temporal evolution and causes are often difficult to constrain. Using proxies that reflect hydrological changes with an increase in elevation, we can unravel the history of orogenic uplift in mountain ranges and its effect on the climate.
In this thesis, stable isotope ratios (expressed as δ2H and δ18O values) of meteoric waters and organic material are combined as tracers of atmospheric and hydrologic processes with remote sensing products to better understand water sources in the Himalayas. In addition, the record of modern climatological conditions based on the compound specific stable isotopes of leaf waxes (δ2Hwax) and brGDGTs (branched Glycerol dialkyl glycerol tetraethers) in modern soils in four Himalayan river catchments was assessed as proxies of the paleoclimate and (paleo-) elevation. Ultimately, hydrological variations over geological timescales were examined using δ13C and δ18O values of soil carbonates and bulk organic matter originating from sedimentological sections from the pre-Siwalik and Siwalik groups to track the response of vegetation and monsoon intensity and seasonality on a timescale of 20 Myr.
I find that Rayleigh distillation, with an ISM moisture source, mainly controls the isotopic composition of surface waters in the studied Himalayan catchments. An increase in d-excess in the spring, verified by remote sensing data products, shows the significant impact of runoff from snow-covered and glaciated areas on the surface water isotopic values in the timeseries.
In addition, I show that biomarker records such as brGDGTs and δ2Hwax have the potential to record (paleo-) elevation by yielding a significant correlation with the temperature and surface water δ2H values, respectively, as well as with elevation. Comparing the elevation inferred from both brGDGT and δ2Hwax, large differences were found in arid sections of the elevation transects due to an additional effect of evapotranspiration on δ2Hwax. A combined study of these proxies can improve paleoelevation estimates and provide recommendations based on the results found in this study.
Ultimately, I infer that the expansion of C4 vegetation between 20 and 1 Myr was not solely dependent on atmospheric pCO2, but also on regional changes in aridity and seasonality from to the stable isotopic signature of the two sedimentary sections in the Himalaya (east and west).
This thesis shows that the stable isotope chemistry of surface waters can be applied as a tool to monitor the changing Himalayan water budget under projected increasing temperatures. Minimizing the uncertainties associated with the paleo-elevation reconstructions were assessed by the combination of organic proxies (δ2Hwax and brGDGTs) in Himalayan soil. Stable isotope ratios in bulk soil and soil carbonates showed the evolution of vegetation influenced by the monsoon during the late Miocene, proving that these proxies can be used to record monsoon intensity, seasonality, and the response of vegetation. In conclusion, the use of organic proxies and stable isotope chemistry in the Himalayas has proven to successfully record changes in climate with increasing elevation. The combination of δ2Hwax and brGDGTs as a new proxy provides a more refined understanding of (paleo-)elevation and the influence of climate.