Multi-omics examination of Q fever fatigue syndrome identifies similarities with chronic fatigue syndrome.

CFS Fatigue Inflammation Metabolome Microbiome Omics Q fever QFS

Journal

Journal of translational medicine
ISSN: 1479-5876
Titre abrégé: J Transl Med
Pays: England
ID NLM: 101190741

Informations de publication

Date de publication:
26 11 2020
Historique:
received: 10 08 2020
accepted: 24 10 2020
entrez: 27 11 2020
pubmed: 28 11 2020
medline: 15 5 2021
Statut: epublish

Résumé

Q fever fatigue syndrome (QFS) is characterised by a state of prolonged fatigue that is seen in 20% of acute Q fever infections and has major health-related consequences. The molecular mechanisms underlying QFS are largely unclear. In order to better understand its pathogenesis, we applied a multi-omics approach to study the patterns of the gut microbiome, blood metabolome, and inflammatory proteome of QFS patients, and compared these with those of chronic fatigue syndrome (CFS) patients and healthy controls (HC). The study population consisted of 31 QFS patients, 50 CFS patients, and 72 HC. All subjects were matched for age, gender, and general geographical region (South-East part of the Netherlands). The gut microbiome composition was assessed by Metagenomic sequencing using the Illumina HiSeq platform. A total of 92 circulating inflammatory markers were measured using Proximity Extension Essay and 1607 metabolic features were assessed with a high-throughput non-targeted metabolomics approach. Inflammatory markers, including 4E-BP1 (P = 9.60 We show that QFS and CFS patients are similar across three different omics layers and 4E-BP1 and MMP-1 have the potential to distinguish QFS and CFS patients from HC.

Sections du résumé

BACKGROUND
Q fever fatigue syndrome (QFS) is characterised by a state of prolonged fatigue that is seen in 20% of acute Q fever infections and has major health-related consequences. The molecular mechanisms underlying QFS are largely unclear. In order to better understand its pathogenesis, we applied a multi-omics approach to study the patterns of the gut microbiome, blood metabolome, and inflammatory proteome of QFS patients, and compared these with those of chronic fatigue syndrome (CFS) patients and healthy controls (HC).
METHODS
The study population consisted of 31 QFS patients, 50 CFS patients, and 72 HC. All subjects were matched for age, gender, and general geographical region (South-East part of the Netherlands). The gut microbiome composition was assessed by Metagenomic sequencing using the Illumina HiSeq platform. A total of 92 circulating inflammatory markers were measured using Proximity Extension Essay and 1607 metabolic features were assessed with a high-throughput non-targeted metabolomics approach.
RESULTS
Inflammatory markers, including 4E-BP1 (P = 9.60
CONCLUSIONS
We show that QFS and CFS patients are similar across three different omics layers and 4E-BP1 and MMP-1 have the potential to distinguish QFS and CFS patients from HC.

Identifiants

pubmed: 33243243
doi: 10.1186/s12967-020-02585-5
pii: 10.1186/s12967-020-02585-5
pmc: PMC7690002
doi:

Types de publication

Journal Article Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

448

Subventions

Organisme : Innovatiefonds Zorgverzekeraars
ID : Microbioom van QVS
Pays : International
Organisme : H2020 European Research Council
ID : 833247
Pays : International
Organisme : Scientific Institute for Quality of Healthcare, Radboud Universitair Medisch Centrum
ID : Hypatia Tenure Track Grant
Pays : International

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Auteurs

Ruud P H Raijmakers (RPH)

Division of Infectious Diseases 463, Department of Internal Medicine, Radboud Expertise Center for Q Fever, Radboud University Medical Center, P.O. Box 9101, 6500 HB, Nijmegen, The Netherlands. Ruud.Raijmakers@radboudumc.nl.
Department of Internal Medicine, Radboud University Medical Center, Nijmegen, The Netherlands. Ruud.Raijmakers@radboudumc.nl.

Megan E Roerink (ME)

Department of Internal Medicine, Radboud University Medical Center, Nijmegen, The Netherlands.

Anne F M Jansen (AFM)

Division of Infectious Diseases 463, Department of Internal Medicine, Radboud Expertise Center for Q Fever, Radboud University Medical Center, P.O. Box 9101, 6500 HB, Nijmegen, The Netherlands.
Department of Internal Medicine, Radboud University Medical Center, Nijmegen, The Netherlands.

Stephan P Keijmel (SP)

Division of Infectious Diseases 463, Department of Internal Medicine, Radboud Expertise Center for Q Fever, Radboud University Medical Center, P.O. Box 9101, 6500 HB, Nijmegen, The Netherlands.
Department of Internal Medicine, Radboud University Medical Center, Nijmegen, The Netherlands.

Ranko Gacesa (R)

Department of Genetics, University Medical Center Groningen, Groningen, The Netherlands.

Yang Li (Y)

Department of Internal Medicine, Radboud University Medical Center, Nijmegen, The Netherlands.
Centre for Individualised Infection Medicine, CiiM, A Joint Venture between the Hannover Medical School and the Helmholtz Centre for Infection Research, Hannover, Germany.
TWINCORE, Centre for Experimental and Clinical Infection Research, A Joint Venture between the Hannover Medical School and the Helmholtz Centre for Infection Research, Hannover, Germany.

Leo A B Joosten (LAB)

Division of Infectious Diseases 463, Department of Internal Medicine, Radboud Expertise Center for Q Fever, Radboud University Medical Center, P.O. Box 9101, 6500 HB, Nijmegen, The Netherlands.
Department of Internal Medicine, Radboud University Medical Center, Nijmegen, The Netherlands.
Radboud Center for Infectious Diseases, Radboud University Medical Center, Nijmegen, The Netherlands.

Jos W M van der Meer (JWM)

Division of Infectious Diseases 463, Department of Internal Medicine, Radboud Expertise Center for Q Fever, Radboud University Medical Center, P.O. Box 9101, 6500 HB, Nijmegen, The Netherlands.
Department of Internal Medicine, Radboud University Medical Center, Nijmegen, The Netherlands.

Mihai G Netea (MG)

Division of Infectious Diseases 463, Department of Internal Medicine, Radboud Expertise Center for Q Fever, Radboud University Medical Center, P.O. Box 9101, 6500 HB, Nijmegen, The Netherlands.
Department of Internal Medicine, Radboud University Medical Center, Nijmegen, The Netherlands.
Radboud Center for Infectious Diseases, Radboud University Medical Center, Nijmegen, The Netherlands.

Chantal P Bleeker-Rovers (CP)

Division of Infectious Diseases 463, Department of Internal Medicine, Radboud Expertise Center for Q Fever, Radboud University Medical Center, P.O. Box 9101, 6500 HB, Nijmegen, The Netherlands.
Department of Internal Medicine, Radboud University Medical Center, Nijmegen, The Netherlands.
Radboud Center for Infectious Diseases, Radboud University Medical Center, Nijmegen, The Netherlands.

Cheng-Jian Xu (CJ)

Department of Internal Medicine, Radboud University Medical Center, Nijmegen, The Netherlands.
Centre for Individualised Infection Medicine, CiiM, A Joint Venture between the Hannover Medical School and the Helmholtz Centre for Infection Research, Hannover, Germany.
TWINCORE, Centre for Experimental and Clinical Infection Research, A Joint Venture between the Hannover Medical School and the Helmholtz Centre for Infection Research, Hannover, Germany.

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