Key result
Metabolomic profiling using C22:0-LPC and GLN/LYS clusters ~95% of unexplained syncope cases as neuromediated.
Why the study?
To identify a metabolomic signature facilitating syncope classification and the categorization of unexplained syncope to aid in its management.
Does metabolomic profiling improve the classification and categorization of unexplained syncope?
Observational (n=95)
Does metabolomic profiling improve the classification and categorization of unexplained syncope?
Metabolomic profiling using C22:0-LPC and GLN/LYS levels may provide a novel method to reclassify unexplained syncope, predominantly clustering it with neuromediated etiologies.
Answers are grounded in this paper and cite their sources.
May aid reclassification of unexplained syncope as neuromediated; hypothesis-generating and requires prospective validation before clinical use.
Background: This study aims to identify a metabolomic signature that facilitates the classification of syncope and the categorization of the unexplained syncope (US) to aid in its management. Methods: We compared a control group (CTRL, n = 10) with a transient loss of consciousness (TLC) group divided into the OH group (n = 23) for orthostatic syncope, the NMS group (n = 26) for neuromediated syncope, the CS group (n = 9) for cardiological syncope, and the US group (n = 27) for US defined as syncope without a precise categorization after first- and second-level diagnostic approaches. Results: The CTRL and the TLC groups significantly differed in metabolic profile. A new logistic regression model has been developed to predict how the US will be clustered. Using differences in lysophosphatidylcholine with 22 carbon atom (C22:0-LPC) levels, 96% of the US belongs to the NMS and 4% to the CS subgroup. Differences in glutamine and lysine (GLN/LYS) levels clustered 95% of the US in the NMS and 5% in the CS subgroup. Conclusions: We hypothesize a possible role of C22:0 LPC and GLN/LYS in re-classifying US and differentiating it from cardiological syncope.
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Longo et al. (2024) conducted an observational in Unexplained syncope (n=95). Metabolomic profiling (C22:0-LPC and GLN/LYS levels) vs. Healthy controls and known syncope subgroups was evaluated on Clustering of unexplained syncope based on metabolic profile. Metabolomic profiling using C22:0-LPC and GLN/LYS levels clustered 95-96% of unexplained syncope cases into the neuromediated subgroup and 4-5% into the cardiological subgroup.
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