Urine metabolomic profiles of autism and autistic traits – a twin study

SND-ID: 2024-444. Version: 1. DOI: https://doi.org/10.48723/6821-pn89

Citation

Creator/Principal investigator(s)

Abishek Arora - Karolinska Institutet, Department of Women's and Children's Health orcid

Francesca Mastropasqua - Karolinska Institutet, Department of Women's and Children's Health

Sven Bölte - Karolinska Institutet, Department of Women's and Children's Health orcid

Kristiina Tammimies - Karolinska Institutet, Department of Women's and Children's Health orcid

Research principal

Karolinska Institutet - Department of Women's and Children's Health rorId

Description

The dataset consists of two excel files. One (Full_Data_Arora...) contains data for all 105 individuals in the study described below. The other (Data_Arora...) is a subset of the data containing the data for the 48 complete twins that were part of the study.

In this study, individuals (N=105) and 48 complete twin pairs were selected from the RATSS cohort , which is a neurodevelopmental condition (NDC) enriched twin sample recruited from the general Swedish population between June 2011 and December 2015, for untargeted mass spectrometry-based urine metabolomics. Detailed inclusion and exclusion criteria for RATSS have been previously published. Among the recruited twins, we selected participants for this study based on the autism diagnosis status, whether the twin pair was concordant (both with autism diagnosis) or discordant (only one with autism diagnosis) and if they had available urine samples. Furthermore, we age- and sex-matched the non-autistic twin pairs. The study was approved by the Swedish Ethical Review Authority (2016/1452-31). Written informed consent was obtained from all pa

... Show more..
The dataset consists of two excel files. One (Full_Data_Arora...) contains data for all 105 individuals in the study described below. The other (Data_Arora...) is a subset of the data containing the data for the 48 complete twins that were part of the study.

In this study, individuals (N=105) and 48 complete twin pairs were selected from the RATSS cohort , which is a neurodevelopmental condition (NDC) enriched twin sample recruited from the general Swedish population between June 2011 and December 2015, for untargeted mass spectrometry-based urine metabolomics. Detailed inclusion and exclusion criteria for RATSS have been previously published. Among the recruited twins, we selected participants for this study based on the autism diagnosis status, whether the twin pair was concordant (both with autism diagnosis) or discordant (only one with autism diagnosis) and if they had available urine samples. Furthermore, we age- and sex-matched the non-autistic twin pairs. The study was approved by the Swedish Ethical Review Authority (2016/1452-31). Written informed consent was obtained from all participants or their caregivers, based on their age.
During a 2.5-day study visit, a team of clinical professionals conducted a diagnostic evaluation of the participants in line with the Diagnostic and Statistical Manual of Mental Disorders, 5th Edition (DSM-5) guidelines. The evaluation utilised a combination of diagnostic interviews, a review of medical history documents, and the use of established diagnostic measures [19]. This included behavioural assessment tools such as the Autism Diagnostic Interview-Revised (ADI-R), the Autism Diagnostic Observation Schedule 2nd Edition (ADOS-2). Furthermore, additional tools were used to establish the diagnosis of other NDCs, if any, such the Diagnostic Interview for ADHD in Adults (DIVA-2), the Structured Clinical Interview for DSM-IV (SCID-IV), and the Adaptive Behavior Assessment System (ABAS) – more detailed information about the same is available in the publication by Bölte and colleagues (PMID: 24735654). Autistic traits were evaluated with the parent-report version of the Social Responsiveness Scale 2nd Edition (SRS-2), consisting of 65 items. Intelligence quotient (IQ) was measured by using the Wechsler Intelligence Scale for Children or Adults - IV General Ability Index (GAI). Additionally, the participants were asked for a list of their current, regularly used medications during the study visit. As there was a collection of different medications including antidepressants and ADHD medication, all were grouped together and adjusted for in our analyses. No subgrouping was possible for the drugs due to lack of power to detect metabolomic effects of specific drugs.

Urine collection and metabolite extraction
The urine samples were collected at the last day of the visit from the study participants. First, the participants were informed about the urine sample collection into a special urine cup. The urine cup was then given to a research nurse who transferred 10 mL of the collected urine to a sterile vacutainer tube with no additives. The sample was then directly transported, aliquoted and stored in the Karolinska Institutet Biobank at -80 °C. The collected samples were further transported for analysis to the Proteomics and Metabolomics Facility, University of Tuscia, Italy. All samples were handled as per the same stated protocol. Before the metabolomic analysis, the urinary specific gravity was measured following centrifugation at 13,000 g for 10 minutes. Urine aliquots (200 μl) were mixed with 200 μl of methanol:acetonitrile:water (50:30:20), vortexed for 30 minutes, maximum speed at 4 °C and then centrifuged at 16,000 g for 15 minutes at 4 °C. Supernatants were collected for metabolomic analysis.

Ultra-High Performance Liquid Chromatography (UHPLC)
For the experiments, 20 µL of samples were injected into a UPLC system (Ultimate 3000, Thermo Scientific) and were analysed on positive mode: samples were loaded onto a Reprosil C18 column (2.0 mm × 150 mm, 2.5 μm - Dr Maisch, Germany) for metabolite separation. Chromatographic separations were achieved at a column temperature of 30 °C and flow rate of 0.2 mL/min. A linear gradient (0–100%) of solvent A (ddH2O, 0.1% formic acid) to B (acetonitrile, 0.1% formic acid) was employed over 20 minutes, returning to 100% solvent A in 2 minutes and a 6-minute post-time solvent A hold. Acetonitrile, formic acid, and HPLC-grade water were purchased from Sigma Aldrich.

High Resolution Mass Spectrometry (HRMS)
The UPLC system was coupled online with a mass spectrometer, Q Exactive (Thermo Scientific), scanning in full MS mode (2 μ scans) at a resolution of 70,000 in the 67 to 1000 m/z range, target of 1 × 106 ions and a maximum ion injection time (IT) of 35 ms, 3.8 kV spray voltage, 40 sheath gas, and 25 auxiliary gas, operated in negative and then positive ion mode. Source ionization parameters were: spray voltage, 3.8 kV; capillary temperature, 300 °C; and S-Lens level, 45. Calibration was performed before each analysis against positive or negative ion mode calibration mixes (Piercenet, Thermo Fisher, Rockford, IL) to ensure sub-ppm error of the intact mass.

Metabolite quantification
Data were normalized by urinary specific gravity because creatinine excretion may be abnormally reduced in autistic children [31]. Replicates were exported as mzXML files and processed through MAVEN [32]. Mass spectrometry chromatograms were elaborated for peak alignment, matching and comparison of parent and fragment ions, and tentative metabolite identification (within a 10-ppm mass deviation range between observed and expected results against the imported Kyoto Encyclopaedia of Genes and Genomes (KEGG) database . Show less..

Data contains personal data

Yes

Sensitive personal data

Yes

Type of personal data

pseudonymized data, health data

Code key exists

Yes

Language

Method and outcome

Unit of analysis

Population

The study includes individuals (N=105) from the RATSS cohort, including 48 complete twin pairs. The RATSS cohort is a twin study focusing on neuropsychiatric conditions, recruited from the general Swedish population between June 2011 and December 2023.

Time Method

Study design

Preclinical study

Sampling procedure

Mixed probability and non-probability
The sample includes individuals from the RATSS cohort, recruited between June 2011 and December 2015. It includes twins who are concordant or discordant for autism and had available urine samples. Participants were selected based on their autism diagnosis status and the availability of urine samples. Participants underwent diagnostic evaluations according to DSM-5 guidelines.

Biobank is connected to the study

The study has collected samples/material which are stored in a scientific collection or biobank

Scientific collection or biobank name: KI biobank

Type(s) of sample: urine

Variables

208

Number of individuals/objects

105

Response rate/participation rate

100%

Data format / data structure

Data collection
  • Mode of collection: Measurements and tests
  • Description of the mode of collection:
    1) Phenotypic Data
    Collection Method:
    Phenotypic data were collected during a 2.5-day study visit where a team of clinical professionals conducted diagnostic evaluations of participants according to the guidelines in the Diagnostic and Statistical Manual of Mental Disorders, 5th Edition (DSM-5). Evaluations included diagnostic interviews, review of medical records, and the use of established diagnostic tools.
    Diagnostic Tools:
    Autism Diagnostic Interview-Revised (ADI-R)
    Autism Diagnostic Observation Schedule 2nd Edition (ADOS-2)
    Diagnostic Interview for ADHD in Adults (DIVA-2)
    Structured Clinical Interview for DSM-IV (SCID-IV)
    Adaptive Behavior Assessment System (ABAS)
    Additional Assessments:
    Social Responsiveness Scale 2nd Edition (SRS-2) to evaluate autistic traits
    Wechsler Intelligence Scale for Children or Adults - IV General Ability Index (GAI) to measure intelligence quotient (IQ)
    2) Urine Samples
    Collection Method:
    Urine samples were collected from participants on the last day of the study visit. Participants were instructed on how to collect urine in a special urine cup. The urine was then transferred by a research nurse to a sterile vacutainer tube without additives and directly transported to be stored at -80 °C in the Karolinska Institutet Biobank.
    Processing and Analysis:
    Urine samples were transported to the Proteomics and Metabolomics Facility at the University of Tuscia, Italy for analysis. Prior to metabolomics analysis, urinary specific gravity was measured, and samples were centrifuged. Urine aliquots were mixed with methanol:acetonitrile
    , vortexed, and centrifuged before the supernatant was collected for metabolomics analysis.

    3) Metabolomics Data
    Collection Method:
    Metabolomics data were collected using Ultra-High Performance Liquid Chromatography (UHPLC) coupled with High Resolution Mass Spectrometry (HRMS). Urine samples were analyzed to identify metabolites with high reliability.
    Processing and Analysis:
    Data were normalized by urinary specific gravity. Replicates were exported as mzXML files and processed through MAVEN for peak alignment, matching, and comparison of parent and fragment ions. Metabolite identification was performed using the Kyoto Encyclopaedia of Genes and Genomes (KEGG) database.
    Reference: "UHPLC was coupled with HRMS for the untargeted analysis of metabolites... Data were normalized by urinary specific gravity... processed through MAVEN" (Urine Collection and Metabolite Extraction).
    Analysis Methods
    1. Ultra-High Performance Liquid Chromatography (UHPLC)
    Description: UHPLC was used to separate the metabolites present in the urine samples. A Reprosil C18 column was employed for the separation. The chromatographic separations were achieved at a column temperature of 30 °C and a flow rate of 0.2 mL/min with a linear gradient of solvent A (water with 0.1% formic acid) to solvent B (acetonitrile with 0.1% formic acid).
    Reference: "For the experiments 20 µL of samples were injected into a UPLC system (Ultimate 3000 Thermo .
    2. High Resolution Mass Spectrometry (HRMS)
    Description: The UHPLC system was coupled online with a mass spectrometer (Q Exactive, Thermo Scientific) to detect and quantify metabolites. The mass spectrometer operated in both positive and negative ion modes, with source ionization parameters set to ensure optimal detection.
    3. Metabolite Quantification and Identification
    Description: Data from the mass spectrometry were normalized by urinary specific gravity. The chromatograms were processed using MAVEN software for peak alignment and metabolite identification, matched against the KEGG database within a 10-ppm mass deviation range.
Geographic coverage

Geographic spread

Geographic location: Sweden

Highest geographic unit

National area (NUTS2)

Administrative information

Responsible department/unit

Department of Women's and Children's Health

Contributor(s)

Abishek Arora - Karolinska Institutet

Francesca Mastropasqua - Karolinska Institutet, Department of Women's and Children's Health

Funding 1

  • Funding agency: The Swedish Research Council
  • Funding agency's reference number: 2019-01303_VR
  • Project name on the application: Nästa generationens forskning på orsaker till neuropsykiatriska funktionsnedsättningar: RATSS projektet

Funding 2

  • Funding agency: The Swedish Brain Foundation

Funding 3

  • Funding agency: the Harald and Greta Jeanssons Foundations

Funding 4

  • Funding agency: Swedish Foundation for Strategic Research

Ethics Review

Stockholm - Ref. 2016/1452-31

Topic and keywords

Research area

Medical and health sciences (Standard för svensk indelning av forskningsämnen 2011)

Psychiatry (Standard för svensk indelning av forskningsämnen 2011)

Specific diseases, disorders and medical conditions (CESSDA Topic Classification)

Publications

Bolte, S., Willfors, C., Berggren, S., Norberg, J., Poltrago, L., Mevel, K., Coco, C., Fransson, P., Borg, J., Sitnikov, R., Toro, R., Tammimies, K., Anderlid, B. M., Nordgren, A., Falk, A., Meyer, U., Kere, J., Landén, M., Dalman, C., … Lichtenstein, P. (n.d.). The Roots of Autism and ADHD Twin Study in Sweden (RATSS). In Twin Research and Human Genetics (Vol. 17, Issue 3, pp. 164–176). https://doi.org/10.1017/thg.2014.12
DOI: https://doi.org/10.1017/thg.2014.12
SwePub: oai:gup.ub.gu.se/200442

If you have published anything based on these data, please notify us with a reference to your publication(s). If you are responsible for the catalogue entry, you can update the metadata/data description in DORIS.

Published: 2024-08-02