@article{c28889d5ba064254b6799a45c1bb8579,
title = "Machine-learning-based integrative –{\textquoteleft}omics analyses reveal immunologic and metabolic dysregulation in environmental enteric dysfunction",
abstract = "Environmental enteric dysfunction (EED) is a subclinical enteropathy challenging to diagnose due to an overlap of tissue features with other inflammatory enteropathies. EED subjects (n = 52) from Pakistan, controls (n = 25), and a validation EED cohort (n = 30) from Zambia were used to develop a machine-learning-based image analysis classification model. We extracted histologic feature representations from the Pakistan EED model and correlated them to transcriptomics and clinical biomarkers. In-silico metabolic network modeling was used to characterize alterations in metabolic flux between EED and controls and validated using untargeted lipidomics. Genes encoding beta-ureidopropionase, CYP4F3, and epoxide hydrolase 1 correlated to numerous tissue feature representations. Fatty acid and glycerophospholipid metabolism-related reactions showed altered flux. Increased phosphatidylcholine, lysophosphatidylcholine (LPC), and ether-linked LPCs, and decreased ester-linked LPCs were observed in the duodenal lipidome of Pakistan EED subjects, while plasma levels of glycine-conjugated bile acids were significantly increased. Together, these findings elucidate a multi-omic signature of EED.",
keywords = "Gastroenterology, Lipidomics, Machine learning, Medical imaging, Metabolic flux analysis, Transcriptomics",
author = "Fatima Zulqarnain and Xueheng Zhao and Setchell, {Kenneth D.R.} and Yash Sharma and Phillip Fernandes and Sanjana Srivastava and Aman Shrivastava and Lubaina Ehsan and Varun Jain and Shyam Raghavan and Christopher Moskaluk and Yael Haberman and Denson, {Lee A.} and Khyati Mehta and Iqbal, {Najeeha T.} and Najeeb Rahman and Kamran Sadiq and Zubair Ahmad and Romana Idress and Junaid Iqbal and Sheraz Ahmed and Aneeta Hotwani and Fayyaz Umrani and Beatrice Amadi and Paul Kelly and Brown, {Donald E.} and Moore, {Sean R.} and Ali, {Syed Asad} and Sana Syed",
note = "Publisher Copyright: {\textcopyright} 2024 The Authors",
year = "2024",
month = jun,
day = "21",
doi = "10.1016/j.isci.2024.110013",
language = "אנגלית",
volume = "27",
journal = "iScience",
issn = "2589-0042",
publisher = "Elsevier Inc.",
number = "6",
}