OBJECTIVE
Metabolomics may unravel global metabolic changes in response to environmental exposures and identify important biological pathways involved in the pathophysiology of childhood obesity. Phthalate has been considered an obesogen and contributing to overweight and obesity in children. The purpose of this study is to evaluate changes in urine metabolites in response to the environmental phthalate exposure among overweight or obese children, and to investigate the metabolic mechanisms involved in the obesogenic effect of phthalate on children at puberty.
METHODS
Within the national Puberty Timing and Health Effects in Chinese Children (PTHEC) study, 69 overweight/obese children and 80 normal weight children were selected into the current study according to their puberty timing and WGOC (The Working Group for obesity in China) references. Urinary concentrations of six phthalate monoesters (MMP, MEP, MnBP, MEHP, MEOHP and MEHHP) were measured using API 2000 electrospray triple quadrupole mass spectrometer (ESIMS/MS). Metabolomic profiling of spot urine was performed using gas chromatography-mass spectrometry. Differentially expressed urinary metabolites associated with phthalate monoesters exposure were examined using orthogonal partial least square-discriminant analysis and multiple linear regression models. In addition, the candidate metabolites were regressed to obesity indices with multiple linear regression models and logistic regression models in all subjects.
RESULTS
Compared with <em>n</em>ormal weight childre<em>n</em>, higher levels of M<em>n</em>BP were detected i<em>n</em> uri<em>n</em>ary samples of childre<em>n</em> with overweight a<em>n</em>d obesity. After adjusti<em>n</em>g for co<em>n</em>fou<em>n</em>ders i<em>n</em>cludi<em>n</em>g chro<em>n</em>ological age, ge<em>n</em>der, puberty o<em>n</em>set, daily e<em>n</em>ergy i<em>n</em>take a<em>n</em>d physical activity a<em>n</em>d socio-eco<em>n</em>omic level, positive associatio<em>n</em> remai<em>n</em>ed betwee<em>n</em> uri<em>n</em>ary M<em>n</em>BP co<em>n</em>ce<em>n</em>tratio<em>n</em> a<em>n</em>d childhood overweight/obesity [OR = 1.<em>5</em>86, 9<em>5</em>% CI:1.043,2.412]. We observed elevated M<em>n</em>BP co<em>n</em>ce<em>n</em>tratio<em>n</em> was sig<em>n</em>ifica<em>n</em>tly correlated with i<em>n</em>creased levels of mo<em>n</em>osteari<em>n</em>, 1-mo<em>n</em>opalmiti<em>n</em>, stearic acid, itaco<em>n</em>ic acid, glycerol 3-phosphate, <em>5</em>-<em>methoxytryptamine</em>, kyotorphi<em>n</em>, 1-methylhyda<em>n</em>toi<em>n</em>, d-ala<em>n</em>yl-d-ala<em>n</em>i<em>n</em>e, pyrrole-2-carboxylic acid, 3,4-Dihydroxyphe<em>n</em>ylglycol, a<em>n</em>d butyraldehyde. Mea<em>n</em>while, i<em>n</em>creased M<em>n</em>BP co<em>n</em>ce<em>n</em>tratio<em>n</em> was also sig<em>n</em>ifica<em>n</em>tly correlated with decreased levels of lactate, glucose 6-phosphate, d-fructose 6-phosphate, palmitic acid, 4-acetamidobutyric acid, l-glutamic acid, <em>n</em>-<em>acetyl</em>-l-phe<em>n</em>ylala<em>n</em>i<em>n</em>e, imi<em>n</em>odiacetic acid, hydroxyproli<em>n</em>e, pipecoli<em>n</em>ic acid, l-or<em>n</em>ithi<em>n</em>e, <em>n</em>-<em>acetyl</em>-l-glutamic acid, gua<em>n</em>osi<em>n</em>e, cytosi<em>n</em>, a<em>n</em>d (s)-ma<em>n</em>delic acid i<em>n</em> the <em>n</em>ormal weight subjects. The observatio<em>n</em>s i<em>n</em>dicated that M<em>n</em>BP exposure was related to global uri<em>n</em>e metabolic ab<em>n</em>ormalities characterized by disrupti<em>n</em>g argi<em>n</em>i<em>n</em>e a<em>n</em>d proli<em>n</em>e metabolism a<em>n</em>d i<em>n</em>creasi<em>n</em>g oxidative stress a<em>n</em>d fatty acid reesterificatio<em>n</em>. Amo<em>n</em>g the metabolic markers related to M<em>n</em>BP exposure, 1-methylhyda<em>n</em>toi<em>n</em>, pyrrole-2-carboxylic acid a<em>n</em>d mo<em>n</em>osteari<em>n</em> were fou<em>n</em>d to be positively correlated with obesity i<em>n</em>dices, while hydroxyproli<em>n</em>e, l-or<em>n</em>ithi<em>n</em>e, a<em>n</em>d lactate were <em>n</em>egatively associated with overweight/obesity i<em>n</em> childre<em>n</em>.
CONCLUSIONS
Our results suggested that the disrupted arginine and proline metabolism associated with phthalate exposure might contribute to the development of overweight and obesity in school-age children, providing insights into the pathophysiological changes and molecular mechanisms involved in childhood obesity.