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<front>
<journal-meta>
<journal-id journal-id-type="publisher-id">Front. Nutr.</journal-id>
<journal-title>Frontiers in Nutrition</journal-title>
<abbrev-journal-title abbrev-type="pubmed">Front. Nutr.</abbrev-journal-title>
<issn pub-type="epub">2296-861X</issn>
<publisher>
<publisher-name>Frontiers Media S.A.</publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="doi">10.3389/fnut.2023.1117460</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Nutrition</subject>
<subj-group>
<subject>Original Research</subject>
</subj-group>
</subj-group>
</article-categories>
<title-group>
<article-title>Identifying the intervention mechanisms of polydatin in hyperuricemia model rats by using UHPLC-Q-Exactive Orbitrap mass spectroscopy metabonomic approach</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author" equal-contrib="yes">
<name><surname>Ge</surname> <given-names>Xueli</given-names></name>
<xref ref-type="aff" rid="aff1"><sup>1</sup></xref>
<xref ref-type="author-notes" rid="fn002"><sup>&#x2020;</sup></xref>
</contrib>
<contrib contrib-type="author" equal-contrib="yes">
<name><surname>Su</surname> <given-names>Zhenguo</given-names></name>
<xref ref-type="aff" rid="aff2"><sup>2</sup></xref>
<xref ref-type="author-notes" rid="fn002"><sup>&#x2020;</sup></xref>
</contrib>
<contrib contrib-type="author">
<name><surname>Wang</surname> <given-names>Yuhao</given-names></name>
<xref ref-type="aff" rid="aff1"><sup>1</sup></xref>
</contrib>
<contrib contrib-type="author">
<name><surname>Zhao</surname> <given-names>Xue</given-names></name>
<xref ref-type="aff" rid="aff1"><sup>1</sup></xref>
</contrib>
<contrib contrib-type="author">
<name><surname>Hou</surname> <given-names>Kaifei</given-names></name>
<xref ref-type="aff" rid="aff1"><sup>1</sup></xref>
</contrib>
<contrib contrib-type="author">
<name><surname>Zheng</surname> <given-names>Shuna</given-names></name>
<xref ref-type="aff" rid="aff1"><sup>1</sup></xref>
</contrib>
<contrib contrib-type="author">
<name><surname>Zeng</surname> <given-names>Pengjiao</given-names></name>
<xref ref-type="aff" rid="aff3"><sup>3</sup></xref>
</contrib>
<contrib contrib-type="author">
<name><surname>Shi</surname> <given-names>Zhongqi</given-names></name>
<xref ref-type="aff" rid="aff1"><sup>1</sup></xref>
</contrib>
<contrib contrib-type="author">
<name><surname>Hu</surname> <given-names>Senhao</given-names></name>
<xref ref-type="aff" rid="aff1"><sup>1</sup></xref>
</contrib>
<contrib contrib-type="author">
<name><surname>Wang</surname> <given-names>Yuqing</given-names></name>
<xref ref-type="aff" rid="aff1"><sup>1</sup></xref>
</contrib>
<contrib contrib-type="author">
<name><surname>Zhou</surname> <given-names>Mengchen</given-names></name>
<xref ref-type="aff" rid="aff1"><sup>1</sup></xref>
</contrib>
<contrib contrib-type="author" corresp="yes">
<name><surname>Zhang</surname> <given-names>Jiayu</given-names></name>
<xref ref-type="aff" rid="aff1"><sup>1</sup></xref>
<xref ref-type="corresp" rid="c002"><sup>&#x002A;</sup></xref>
</contrib>
<contrib contrib-type="author" corresp="yes">
<name><surname>Li</surname> <given-names>Xiulian</given-names></name>
<xref ref-type="aff" rid="aff1"><sup>1</sup></xref>
<xref ref-type="corresp" rid="c001"><sup>&#x002A;</sup></xref>
<uri xlink:href="http://loop.frontiersin.org/people/2127657/overview"/>
</contrib>
</contrib-group>
<aff id="aff1"><sup>1</sup><institution>School of Pharmacy, Binzhou Medical University</institution>, <addr-line>Yantai</addr-line>, <country>China</country></aff>
<aff id="aff2"><sup>2</sup><institution>Affiliated Hospital of Binzhou Medical College</institution>, <addr-line>Yantai</addr-line>, <country>China</country></aff>
<aff id="aff3"><sup>3</sup><institution>Medical Research Center, Affiliated Hospital of Qingdao University</institution>, <addr-line>Qingdao, Shandong</addr-line>, <country>China</country></aff>
<author-notes>
<fn fn-type="edited-by"><p>Edited by: Debao Niu, Guangxi University, China</p></fn>
<fn fn-type="edited-by"><p>Reviewed by: Dai Cheng, Tianjin University of Science and Technology, China; Xiangui Mei, Shandong Agricultural University, China; Mallikarjuna Rao Pichika, International Medical University, Malaysia; Fang Wang, Ludong University, China</p></fn>
<corresp id="c001">&#x002A;Correspondence: Xiulian Li, <email>ouclixiulian@163.com</email></corresp>
<corresp id="c002">Jiayu Zhang, <email>zhangjiayu0615@163.com</email></corresp>
<fn fn-type="equal" id="fn002"><p><sup>&#x2020;</sup>These authors have contributed equally to this work and share first authorship</p></fn>
</author-notes>
<pub-date pub-type="epub">
<day>28</day>
<month>04</month>
<year>2023</year>
</pub-date>
<pub-date pub-type="collection">
<year>2023</year>
</pub-date>
<volume>10</volume>
<elocation-id>1117460</elocation-id>
<history>
<date date-type="received">
<day>06</day>
<month>12</month>
<year>2022</year>
</date>
<date date-type="accepted">
<day>30</day>
<month>03</month>
<year>2023</year>
</date>
</history>
<permissions>
<copyright-statement>Copyright &#x00A9; 2023 Ge, Su, Wang, Zhao, Hou, Zheng, Zeng, Shi, Hu, Wang, Zhou, Zhang and Li.</copyright-statement>
<copyright-year>2023</copyright-year>
<copyright-holder>Ge, Su, Wang, Zhao, Hou, Zheng, Zeng, Shi, Hu, Wang, Zhou, Zhang and Li</copyright-holder>
<license xlink:href="http://creativecommons.org/licenses/by/4.0/"><p>This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.</p></license>
</permissions>
<abstract>
<sec>
<title>Introduction</title>
<p>Polydatin is a biologically active compound found in mulberries, grapes, and <italic>Polygonum cuspidatum</italic>, and it has uric acid-lowering effects. However, its urate-lowering effects and the molecular mechanisms underlying its function require further study.</p>
</sec>
<sec>
<title>Methods</title>
<p>In this study, a hyperuricemic rat model was established to assess the effects of polydatin on uric acid levels. The body weight, serum biochemical indicators, and histopathological parameters of the rats were evaluated. A UHPLC-Q-Exactive Orbitrap mass spectrometry-based metabolomics approach was applied to explore the potential mechanisms of action after polydatin treatment.</p>
</sec>
<sec>
<title>Results</title>
<p>The results showed a trend of recovery in biochemical indicators after polydatin administration. In addition, polydatin could alleviate damage to the liver and kidneys. Untargeted metabolomics analysis revealed clear differences between hyperuricemic rats and the control group. Fourteen potential biomarkers were identified in the model group using principal component analysis and orthogonal partial least squares discriminant analysis. These differential metabolites are involved in amino acid, lipid, and energy metabolism. Of all the metabolites, the levels of <sc>L</sc>-phenylalanine, <sc>L</sc>-leucine, <italic>O</italic>-butanoylcarnitine, and dihydroxyacetone phosphate decreased, and the levels of <sc>L</sc>-tyrosine, sphinganine, and phytosphingosine significantly increased in hyperuricemic rats. After the administration of polydatin, the 14 differential metabolites could be inverted to varying degrees by regulating the perturbed metabolic pathway.</p>
</sec>
<sec>
<title>Conclusion</title>
<p>This study has the potential to enhance our understanding of the mechanisms of hyperuricemia and demonstrate that polydatin is a promising potential adjuvant for lowering uric acid levels and alleviating hyperuricemia-related diseases.</p>
</sec>
</abstract>
<kwd-group>
<kwd>polydatin</kwd>
<kwd>urate-lowing effects</kwd>
<kwd>metabolomics</kwd>
<kwd>mechanism</kwd>
<kwd>UHPLC-Q-Exactive Orbitrap</kwd>
</kwd-group>
<counts>
<fig-count count="7"/>
<table-count count="1"/>
<equation-count count="0"/>
<ref-count count="49"/>
<page-count count="12"/>
<word-count count="6612"/>
</counts>
<custom-meta-wrap>
<custom-meta>
<meta-name>section-at-acceptance</meta-name>
<meta-value>Nutrition and Food Science Technology</meta-value>
</custom-meta>
</custom-meta-wrap>
</article-meta>
</front>
<body>
 <sec id="S1" sec-type="intro">
<title>1. Introduction</title>
<p>Hyperuricemia (HUA) is a metabolic disease caused by the accumulation of excess uric acid (UA) in the serum due to abnormalities in purine metabolism or UA excretion (<xref ref-type="bibr" rid="B1">1</xref>). Along with the changes in diet and lifestyle, the prevalence of HUA has been increasing and mostly affects young people (<xref ref-type="bibr" rid="B2">2</xref>, <xref ref-type="bibr" rid="B3">3</xref>). Overproduction of UA in the body can cause a series of complications, such as gout (<xref ref-type="bibr" rid="B4">4</xref>), diabetes, cardiovascular disease, and chronic kidney disease (<xref ref-type="bibr" rid="B5">5</xref>). Currently, the main therapy for HUA is urate reduction <italic>via</italic> the inhibition of UA production or acceleration of UA excretion. Effective drugs commonly exert rapid effects. However, the alleviation of symptoms is usually short-lived and recurs without continued drug treatment, which causes unwanted side effects (<xref ref-type="bibr" rid="B6">6</xref>&#x2013;<xref ref-type="bibr" rid="B8">8</xref>). Therefore, it is necessary to develop alternative compounds that are more effective and less toxic for managing HUA.</p>
<p>In recent years, plant-derived natural compounds have been recognized as efficacious and largely benign and have found wide acceptance as medicines or lead compounds globally (<xref ref-type="bibr" rid="B9">9</xref>). Polydatin is a polyphenolic monomer compound abundant in mulberries, grapes, and <italic>Polygonum cuspidatum</italic> and has been shown to have a wide variety of bioactivities, such as liver and kidney protection, anti-inflammatory, antioxidant, and antitumor effects (<xref ref-type="bibr" rid="B10">10</xref>, <xref ref-type="bibr" rid="B11">11</xref>). Many studies have demonstrated that polydatin has urate-lowering effects by inhibiting xanthine oxidase activity, reducing the UA synthesis rate, and downregulating mURAT1, mGLUT9, and mABCG2 expression to promote UA excretion in renal tissues (<xref ref-type="bibr" rid="B12">12</xref>, <xref ref-type="bibr" rid="B13">13</xref>). In addition, polydatin mitigates kidney injury by inhibiting inflammasome activation (<xref ref-type="bibr" rid="B14">14</xref>). However, the underlying intervention mechanism of polydatin in lowering urate is complex and requires further investigation.</p>
<p>Small-molecule metabolites directly reflect pathological processes following external stimuli or disturbances. Alterations in endogenous metabolites have recently been used to study disease pathophysiology and evaluate the toxic and therapeutic effects of drugs (<xref ref-type="bibr" rid="B15">15</xref>, <xref ref-type="bibr" rid="B16">16</xref>). Metabolomics provides a method for detecting and analyzing the types, quantities, and varying patterns of endogenous small-molecule metabolites (amino acids, lipids, sugars, etc.) from biological samples in a timely and comprehensive manner (<xref ref-type="bibr" rid="B17">17</xref>). Metabolomics has been successfully employed to screen potential biomarkers, characterize physiological or pathological conditions in various diseases, and evaluate metabolic pathway disorders (<xref ref-type="bibr" rid="B18">18</xref>&#x2013;<xref ref-type="bibr" rid="B20">20</xref>). However, few studies have described the urate-lowering mechanisms of polydatin, focusing on endogenous small-molecule substances in animal experiments.</p>
<p>In the present study, we employed a metabolomics approach using UHPLC-Q-Exactive Orbitrap mass spectrometry (MS) to explore the mechanism underlying the urate-lowering effects of polydatin in rats. A rat model of potassium oxonate-induced HUA was established to analyze multiple targets, including a low concentration of UA, protection of kidney and renal function, and regulation of blood lipid levels to evaluate the amelioration of HUA by polydatin. Moreover, we screened potential biomarkers in serum samples to assess the therapeutic efficacy of polydatin. The regulation of the metabolic network by polydatin was illustrated using metabolic pathway analysis. This study elucidated the potential mechanisms of polydatin in moderating HUA and provided alternative prevention and treatment options for HUA.</p>
</sec>
<sec id="S2" sec-type="materials|methods">
<title>2. Materials and methods</title>
<sec id="S2.SS1">
<title>2.1. Chemical and reagents</title>
<p>Potassium oxonate was purchased from Sigma&#x2013;Aldrich (St. Louis, MO, USA). Benzbromarone and polydatin (&#x2265;95% purity) were purchased from Yuan-Ye Biotechnology Technology (Shanghai, China). Carboxymethyl cellulose sodium was purchased from Aladdin (Shanghai, China). <sc>D</sc>-Fructose was obtained from Solarbio Technology (Beijing, China). HPLC-grade formic acid and acetonitrile were supplied by Fisher (Waltham, MA, USA). Deionized water was obtained using a Milli-Q system (Merck, USA).</p>
</sec>
<sec id="S2.SS2">
<title>2.2. Animals</title>
<p>A total of 32 male Sprague Dawley (SD) rats (200 &#x00B1; 20 g) were purchased from Jinan Pengyue Laboratory Animal Breeding (License No: scxk (Ru) 20190003). All experimental protocols were approved by the Animal Ethics Committee of Binzhou Medical University (No. 2022-353).</p>
</sec>
<sec id="S2.SS3">
<title>2.3. Establishment and treatments in a rat model</title>
<p>The SD rats were acclimated for 3 days prior to the experiments (24 &#x00B1; 2&#x00B0;C and a 12/12 h light/dark cycle). The rats were randomly divided into four groups: (1) a control group, a model group, a positive group, and a polydatin group, with eight rats in each group. Potassium oxonate (300 mg/kg) and 10% fructose water were used to establish a hyperuricemic rat model (<xref ref-type="bibr" rid="B21">21</xref>). Potassium oxonate was resuspended in a 0.5% sodium carboxymethylcellulose (CMC-Na) solution and administered by gavage to rats in the model, positive, and polydatin groups at 8:00 every morning. After 1 h, the rats in the positive group were intragastrically administered 20 mg/kg benzbromarone, and the rats in the polydatin group were orally administered 50 mg/kg benzbromarone for 28 consecutive days. The doses of polydatin were determined based on previous reports (<xref ref-type="bibr" rid="B14">14</xref>, <xref ref-type="bibr" rid="B22">22</xref>, <xref ref-type="bibr" rid="B23">23</xref>). Rats in the control group were administered the same volume of 0.5% CMC-Na water by gavage. Benzbromarone and polydatin were dissolved in 0.5% CMC-Na. During the experiment, the rats in the positive and polydatin groups were fed 10% fructose water.</p>
</sec>
<sec id="S2.SS4">
<title>2.4. Sample collection and preparation</title>
<p>All rats were anesthetized by intraperitoneal injection of chloral hydrate (30 mg/kg) after fasting for 24 h. Abdominal aortic blood samples were collected and centrifuged at 3,500 rpm for 15 min at 4&#x00B0;C, and the supernatants were collected. Serum (200 &#x03BC;l) was used to determine biochemical parameters using an automatic biochemical analyzer, and the remaining serum samples were stored at &#x2212;80&#x00B0;C for metabolomics analysis.</p>
<p>Intact liver and kidney tissues were removed and washed with pre-cooled saline, followed by drying with filter paper. Fresh tissues were fixed in 4% paraformaldehyde for more than 24 h, trimmed, embedded in paraffin, routinely sectioned, dewaxed in xylene, dehydrated in gradient ethanol, stained with hematoxylin for 3&#x2013;5 min, washed, stained with eosin for 5 min, washed, dehydrated in gradient ethanol, made transparent in xylene, and sealed with neutral glue (<xref ref-type="bibr" rid="B24">24</xref>). Finally, the pathological states of the liver and kidneys were observed under a light microscope.</p>
</sec>
<sec id="S2.SS5">
<title>2.5. Sample preparation for a metabolomic study</title>
<p>The serum sample was thawed at 4&#x00B0;C. Acetonitrile (400 &#x03BC;l) was added to 100 &#x03BC;l of a serum sample for protein precipitation. After vortexing for 1 min, the samples were centrifuged at 14,000 rpm for 10 min at 4&#x00B0;C. Subsequently, 150 &#x03BC;l of the supernatant was separated and evaporated to dryness with nitrogen at 27&#x00B0;C. The residue was dissolved in 100 &#x03BC;l of an 80% (v/v) acetonitrile aqueous solution and then injected for UHPLC-Q-Exactive Orbitrap MS analysis. Quality control (QC) samples were prepared in the same manner as described above and were mixed with all samples in equal volumes (10 &#x03BC;l).</p>
</sec>
<sec id="S2.SS6">
<title>2.6. UHPLC-Q-Exactive Orbitrap MS analysis</title>
<p>Liquid chromatography was performed using a Q-Exactive Focus Orbitrap MS (Thermo Electron, Bremen, Germany) connected to a Thermo Scientific Dionex Ultimate 3000 RS (Thermo Fisher Scientific, CA, USA) equipped with an ACQUITY UPLC BEH C18 column (2.1 mm &#x00D7; 100 mm, 1.7 &#x03BC;m, Waters Corp., USA). The flow rate was 0.28 mL/min, and the column temperature was maintained at 45<sup>&#x00B0;</sup>C. The mobile phases were 0.1% formic acid in water (solvent C) and acetonitrile (solvent D). The gradient elution program was as follows: 0&#x2013;1 min, 95% C; 1&#x2013;5 min, 95&#x2013;55% C; 5&#x2013;10 min, 55&#x2013;35% C; 10&#x2013;15 min, 35&#x2013;20% C; 15&#x2013;15.1 min, 20&#x2013;5% C; 15.1&#x2013;17 min, 5% C; 17&#x2013;17.1 min, 5&#x2013;95% C; 17.1&#x2013;20 min, 95% C. The injection volume was 2 &#x03BC;l.</p>
<p>The electrospray ionization (ESI) source was operated in both positive and negative ion models for MS analysis. The following operating parameters were used: capillary voltage of 35 V; capillary temperature of 320&#x00B0;C; the tube lens voltage of 110 V; auxiliary gas flow rate of 10 arb. The m/z range was set at 100&#x2013;1,000 Da.</p>
</sec>
<sec id="S2.SS7">
<title>2.7. Data analysis and identification of potential biomarkers</title>
<p>All data acquired from UHPLC-Q-Exactive Orbitrap MS were normalized using Compound Discover 3.0 (Thermo Fisher) software for pre-processing (peak identification, peak matching, data alignment, and experimental grouping design). Retention times and MS fragments were generated by analysis. Subsequently, the obtained data matrices were analyzed by principal component analysis (PCA) and orthogonal partial least squares discrimination analysis (OPLS-DA) using SIMCA-P 13.0 (Umetrics, Ume&#x00E5;, Sweden) (<xref ref-type="bibr" rid="B25">25</xref>&#x2013;<xref ref-type="bibr" rid="B27">27</xref>). Metabolites with significant differences between different groups were screened based on variable importance in the projection (VIP) values (VIP&#x003E;1.0) and Student&#x2019;s <italic>t</italic>-test (<italic>p</italic> &#x003C; 0.05). The structural identification of differential metabolites was conducted using the HMDB<sup><xref ref-type="fn" rid="footnote1">1</xref></sup> (and PubChem databases (<xref ref-type="bibr" rid="B28">28</xref>&#x2013;<xref ref-type="bibr" rid="B31">31</xref>).<sup><xref ref-type="fn" rid="footnote2">2</xref></sup></p>
</sec>
<sec id="S2.SS8">
<title>2.8. Pathway analysis</title>
<p>Metabolic pathway analysis was performed using MetaboAnalyst.<sup><xref ref-type="fn" rid="footnote3">3</xref></sup> Biochemical interpretation of the metabolic pathways was performed using the KEGG database<sup><xref ref-type="fn" rid="footnote4">4</xref></sup> and relevant references.</p>
</sec>
</sec>
<sec id="S3" sec-type="results">
<title>3. Results</title>
<sec id="S3.SS1">
<title>3.1. Effects of polydatin on weight and serum biochemical indicators in hyperuricemic rats</title>
<p>An increased serum uric acid (SUA) level is considered a typical indicator of HUA. Blood urea nitrogen (BUN) and serum creatinine (Scr) are the final nitrogenous products of protein metabolism, and their levels indicate impaired or normal renal function. Alanine transaminase (ALT) and aspartate aminotransferase (AST) are valuable markers of liver function. As shown in <xref ref-type="fig" rid="F1">Figure 1A</xref>, the changes in rats&#x2019; body weight were insignificant, implying that the dose of polydatin used in the study was safe for HUA rats. Compared to the control group, at 28 days, the levels of SUA, Scr, AST, TG, and blood glucose were significantly higher, and the levels of BUN and ALT were significantly lower in the model group at 28 days (<italic>p</italic> &#x003C; 0.05). After administering polydatin and benzbromarone as positive controls, there was a recovery trend in SUA, BUN, AST, TG, blood glucose, Scr, and ALT levels. This indicated that polydatin could have a urate-lowering effect in a rat model.</p>
<fig id="F1" position="float">
<label>FIGURE 1</label>
<caption><p>Effects of polydatin on biochemical indicators in serum from HUA rats. <bold>(A)</bold> Weight change of rats in 28 days. <bold>(B)</bold> Serum uric acid (SUA). <bold>(C)</bold> Serum creatinine (Scr). <bold>(D)</bold> Blood urea nitrogen (BUN). <bold>(E)</bold> Serum triglyceride (TG). <bold>(F)</bold> Alanine transaminase (ALT). <bold>(G)</bold> Aspartate aminotransferase (AST). <bold>(H)</bold> Blood glucose. Values are given as the mean &#x00B1; SEM (<italic>n</italic> = 8) (&#x002A;<italic>p</italic> &#x003C; 0.05, <sup>&#x002A;&#x002A;</sup><italic>p</italic> &#x003C; 0.01, <sup>&#x002A;&#x002A;&#x002A;</sup><italic>p</italic> &#x003C; 0.001, vs. model group; <sup>#</sup><italic>p</italic> &#x003C; 0.05, <sup>##</sup><italic>p</italic> &#x003C; 0.01, <sup>###</sup><italic>p</italic> &#x003C; 0.001, <sup>####</sup><italic>p</italic> &#x003C; 0.0001, vs. control group).</p></caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fnut-10-1117460-g001.tif"/>
</fig>
</sec>
<sec id="S3.SS2">
<title>3.2. Effects of polydatin on liver and renal injury in hyperuricemic rats</title>
<p>Histopathological hallmarks of liver cells were vacuolar degeneration, local hepatocyte necrosis, and hepatic cords arranged less neatly in the liver of hyperuricemic rats compared with those in normal rats. These pathological states were attenuated when treated with polydatin (<xref ref-type="fig" rid="F2">Figure 2A</xref>). In addition, the histological analysis showed significant pathological changes in the kidneys of model rats. Noticeable pathological changes in renal tubular epithelial cells included atrophy of the glomerulus and vacuolar degeneration compared with the control group. As was observed for the pathological states in the liver, those in the kidneys were also ameliorated by treatment with polydatin (<xref ref-type="fig" rid="F2">Figure 2B</xref>). The results indicated that the injuries induced by high UA levels were improved to varying degrees by polydatin. The histological results were in accordance with the levels of UA observed above in hyperuricemic rats.</p>
<fig id="F2" position="float">
<label>FIGURE 2</label>
<caption><p>Histopathological evaluation of rat liver <bold>(A)</bold> and kidney <bold>(B)</bold> in different treatment groups. Scale bar = 100 &#x03BC;m.</p></caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fnut-10-1117460-g002.tif"/>
</fig>
</sec>
<sec id="S3.SS3">
<title>3.3. Serum metabolic analysis</title>
<p>To systematically describe the underlying mechanisms of polydatin-ameliorating HUA, UHPLC-Q-Exactive Orbitrap MS was used to analyze serum samples from rats in positive and negative ion modes. Representative serum base peak ions (BPI) of serum samples from the control, model, positive, and polydatin groups were obtained (<xref ref-type="supplementary-material" rid="DS1">Supplementary Figure 1</xref>). All peaks in the serum samples from each group of rats were well separated at 20 min in both ESI<sup>+</sup> and ESI<sup>&#x2013;</sup> modes. The metabolic profiles of each group were different, indicating changes in the endogenous metabolic profiles between different groups.</p>
<p>Principal component analysis score plots were used to understand the differences in the serum metabolic profiles of rats in each group. We noticed a clear separation trend in the different groups in both ESI<sup>+</sup> and ESI<sup>&#x2013;</sup> mode experiments, suggesting that endogenous metabolites differed significantly among the control, model, positive, and polydatin groups, and the group difference was more evident than the individual difference (<xref ref-type="fig" rid="F3">Figure 3</xref>). In addition, the QC samples aggregated significantly, indicating good repeatability and stability (<xref ref-type="fig" rid="F3">Figures 3A, B</xref>).</p>
<fig id="F3" position="float">
<label>FIGURE 3</label>
<caption><p>PCA score plots of QC and four groups based on serum metabolic profiles <bold>(A)</bold> ESI<sup>+</sup> mode; <bold>(B)</bold> ESI<sup>&#x2013;</sup> mode.</p></caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fnut-10-1117460-g003.tif"/>
</fig>
</sec>
<sec id="S3.SS4">
<title>3.4. Identification of potential biomarkers</title>
<p>To maximize class differentiation, supervised OPLS-DA was applied to differentiate among the control, model, positive, and polydatin groups to obtain potential biomarkers to evaluate the therapeutic effects of polydatin. As shown in <xref ref-type="fig" rid="F4">Figures 4A, B</xref>, the control and model groups were clearly separated into different areas in both positive and negative ion modes, indicating significant metabolic changes in the HUA rat model. The R<sup>2</sup>Y and Q<sup>2</sup> parameters were used to evaluate the OPLS-DA model. R<sup>2</sup>Y and Q<sup>2</sup> were 0.986 and 0.982, respectively, in ESI<sup>+</sup> mode, and 0.998 and 0.987, respectively, in ESI<sup>&#x2013;</sup> mode (<xref ref-type="supplementary-material" rid="DS1">Supplementary Table 1</xref>). These values were close to 1, suggesting that the model was in good agreement with the experiment data. The model was validated by 200 rounds of permutation tests (<xref ref-type="supplementary-material" rid="DS1">Supplementary Figure 2A</xref>, B), and all R<sup>2</sup> or Q<sup>2</sup> values on the left were reliable and not over-fitted. To assess the urate-lowering effects of polydatin, the serum metabolic profiles of the positive and polydatin groups were compared with those of the model based on the OPLS-DA model (<xref ref-type="fig" rid="F4">Figures 4C&#x2013;F</xref>), and the scatter plots were significantly separated. Meanwhile, R<sup>2</sup>Y and Q<sup>2</sup> (<xref ref-type="supplementary-material" rid="DS1">Supplementary Table 1</xref>) and permutation tests (<xref ref-type="supplementary-material" rid="DS1">Supplementary Figures 2C&#x2013;F</xref>) confirmed that the models were successful. These results demonstrated that polydatin exhibits urate-lowering properties.</p>
<fig id="F4" position="float">
<label>FIGURE 4</label>
<caption><p>OPLS-DA score plots of serum samples in different groups. Control and model groups in ESI<sup>+</sup> mode <bold>(A)</bold> and ESI- mode <bold>(B)</bold>; positive and model groups in ESI<sup>+</sup> mode <bold>(C)</bold> and ESI<sup>&#x2013;</sup> mode <bold>(D)</bold>; polydatin and model groups in ESI<sup>+</sup> mode <bold>(E)</bold> and ESI<sup>&#x2013;</sup> mode <bold>(F)</bold>.</p></caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fnut-10-1117460-g004.tif"/>
</fig>
<p>The S-plot (<xref ref-type="supplementary-material" rid="DS1">Supplementary Figure 3</xref>) was derived from the OPLS-DA, and each spot represented a substance that was used to screen endogenous biomarkers by detecting high contributions and correlations. Of all the metabolites, only those with VIP&#x003E;1 and <italic>p</italic> &#x003C; 0.05 by <italic>t</italic>-test were identified as potential biomarkers between the control and model groups. The structural information of the metabolites, such as molecular weight and MS/MS fragmentation, was confirmed using freely accessible public databases (HMDB and KEGG). According to the criteria above, potential biomarkers were chosen and identified between the control and model groups (<xref ref-type="table" rid="T1">Table 1</xref>). A total of 14 endogenous altered metabolites were identified in the serum of the model rats compared to that of the control group, related to lipid and amino acid metabolism and other metabolic pathways. The identified biomarkers are summarized in <xref ref-type="table" rid="T1">Table 1</xref>.</p>
<table-wrap position="float" id="T1">
<label>TABLE 1</label>
<caption><p>Identification of different metabolites and the change trends of metabolites in different groups.</p></caption>
<table cellspacing="5" cellpadding="5" frame="box" rules="all">
<thead>
<tr>
<td valign="top" align="left" style="color:#ffffff;background-color: #7f8080;">No.</td>
<td valign="top" align="left" style="color:#ffffff;background-color: #7f8080;">Metabolites</td>
<td valign="top" align="center" style="color:#ffffff;background-color: #7f8080;">Formula</td>
<td valign="top" align="center" style="color:#ffffff;background-color: #7f8080;">Rt (min)</td>
<td valign="top" align="center" style="color:#ffffff;background-color: #7f8080;">ESI mode</td>
<td valign="top" align="center" style="color:#ffffff;background-color: #7f8080;">Theoretical mass m/z</td>
<td valign="top" align="center" style="color:#ffffff;background-color: #7f8080;">Experimental mass m/z</td>
<td valign="top" align="center" style="color:#ffffff;background-color: #7f8080;">Error (ppm)</td>
<td valign="top" align="center" style="color:#ffffff;background-color: #7f8080;">VIP score</td>
<td valign="top" align="center" style="color:#ffffff;background-color: #7f8080;">MS<sup>n</sup></td>
<td valign="top" align="center" colspan="3" style="color:#ffffff;background-color: #7f8080;">Trend</td>
</tr>
</thead>
<tbody>
<tr>
<td valign="top" align="left" style="color:#ffffff;background-color: #7f8080;"></td>
<td valign="top" align="left" style="color:#ffffff;background-color: #7f8080;"></td>
<td valign="top" align="center" style="color:#ffffff;background-color: #7f8080;"></td>
<td valign="top" align="center" style="color:#ffffff;background-color: #7f8080;"></td>
<td valign="top" align="center" style="color:#ffffff;background-color: #7f8080;"></td>
<td valign="top" align="center" style="color:#ffffff;background-color: #7f8080;"></td>
<td valign="top" align="center" style="color:#ffffff;background-color: #7f8080;"></td>
<td valign="top" align="center" style="color:#ffffff;background-color: #7f8080;"></td>
<td valign="top" align="center" style="color:#ffffff;background-color: #7f8080;"></td>
<td valign="top" align="center" style="color:#ffffff;background-color: #7f8080;"></td>
<td valign="top" align="center" style="color:#ffffff;background-color: #7f8080;"><bold>Model</bold></td>
<td valign="top" align="center" style="color:#ffffff;background-color: #7f8080;"><bold>Positive</bold></td>
<td valign="top" align="center" style="color:#ffffff;background-color: #7f8080;"><bold>Polydatin</bold></td>
</tr>
<tr>
<td valign="top" align="left">1</td>
<td valign="top" align="left">Alpha-methylstyrene</td>
<td valign="top" align="center">C<sub>9</sub>H<sub>10</sub></td>
<td valign="top" align="center">9.69</td>
<td valign="top" align="center">[M+H]<sup>+</sup></td>
<td valign="top" align="center">119.0853</td>
<td valign="top" align="center">119.0851</td>
<td valign="top" align="center">&#x2212;3.58</td>
<td valign="top" align="center">2.29</td>
<td valign="top" align="center">103,92,78</td>
<td valign="top" align="center">&#x2193;<sup>####</sup></td>
<td valign="top" align="center">&#x2191;<xref ref-type="table-fn" rid="t1fns4">&#x002A;&#x002A;&#x002A;&#x002A;</xref></td>
<td valign="top" align="center">&#x2191;<xref ref-type="table-fn" rid="t1fns4">&#x002A;&#x002A;&#x002A;&#x002A;</xref></td>
</tr>
<tr>
<td valign="top" align="left">2</td>
<td valign="top" align="left"><sc>L</sc>-Leucine</td>
<td valign="top" align="center">C<sub>6</sub>H<sub>13</sub>NO<sub>2</sub></td>
<td valign="top" align="center">1.45</td>
<td valign="top" align="center">[M+H]<sup>+</sup></td>
<td valign="top" align="center">132.1017</td>
<td valign="top" align="center">132.1015</td>
<td valign="top" align="center">&#x2212;2.91</td>
<td valign="top" align="center">3.51</td>
<td valign="top" align="center">87,86,56</td>
<td valign="top" align="center">&#x2193;<sup>###</sup></td>
<td valign="top" align="center">&#x2191;<xref ref-type="table-fn" rid="t1fns4">&#x002A;&#x002A;&#x002A;&#x002A;</xref></td>
<td valign="top" align="center">&#x2191;<xref ref-type="table-fn" rid="t1fns4">&#x002A;&#x002A;&#x002A;&#x002A;</xref></td>
</tr>
<tr>
<td valign="top" align="left">3</td>
<td valign="top" align="left">3-Phenyl-2-propen-1-ol</td>
<td valign="top" align="center">C<sub>9</sub>H<sub>10</sub>O</td>
<td valign="top" align="center">9.69</td>
<td valign="top" align="center">[M+H]<sup>+</sup></td>
<td valign="top" align="center">135.0800</td>
<td valign="top" align="center">135.0798</td>
<td valign="top" align="center">&#x2212;4.60</td>
<td valign="top" align="center">1.30</td>
<td valign="top" align="center">108,54</td>
<td valign="top" align="center">&#x2193;<sup>####</sup></td>
<td valign="top" align="center">&#x2191;<xref ref-type="table-fn" rid="t1fns4">&#x002A;&#x002A;&#x002A;&#x002A;</xref></td>
<td valign="top" align="center">&#x2191;<xref ref-type="table-fn" rid="t1fns4">&#x002A;&#x002A;&#x002A;&#x002A;</xref></td>
</tr>
<tr>
<td valign="top" align="left">4</td>
<td valign="top" align="left">Nona-2,6-dienal</td>
<td valign="top" align="center">C<sub>9</sub>H<sub>14</sub>O</td>
<td valign="top" align="center">19.99</td>
<td valign="top" align="center">[M+H]<sup>+</sup></td>
<td valign="top" align="center">139.1114</td>
<td valign="top" align="center">139.1112</td>
<td valign="top" align="center">&#x2212;3.39</td>
<td valign="top" align="center">1.35</td>
<td valign="top" align="center">83,69,56</td>
<td valign="top" align="center">&#x2193;<sup>####</sup></td>
<td valign="top" align="center">&#x2014;</td>
<td valign="top" align="center">&#x2191;<xref ref-type="table-fn" rid="t1fns4">&#x002A;&#x002A;&#x002A;&#x002A;</xref></td>
</tr>
<tr>
<td valign="top" align="left">5</td>
<td valign="top" align="left"><sc>L</sc>-Phenylalanine</td>
<td valign="top" align="center">C<sub>9</sub>H<sub>11</sub>NO<sub>2</sub></td>
<td valign="top" align="center">2.07</td>
<td valign="top" align="center">[M+H]<sup>+</sup></td>
<td valign="top" align="center">166.0858</td>
<td valign="top" align="center">166.0856</td>
<td valign="top" align="center">&#x2212;3.82</td>
<td valign="top" align="center">2.33</td>
<td valign="top" align="center">149,120,91</td>
<td valign="top" align="center">&#x2193;<sup>###</sup></td>
<td valign="top" align="center">&#x2191;<xref ref-type="table-fn" rid="t1fns4">&#x002A;&#x002A;&#x002A;&#x002A;</xref></td>
<td valign="top" align="center">&#x2191;<xref ref-type="table-fn" rid="t1fns4">&#x002A;&#x002A;&#x002A;&#x002A;</xref></td>
</tr>
<tr>
<td valign="top" align="left">6</td>
<td valign="top" align="left">Dihydroxyacetone phosphate</td>
<td valign="top" align="center">C<sub>3</sub>H<sub>7</sub>O<sub>6</sub>P</td>
<td valign="top" align="center">19.12</td>
<td valign="top" align="center">[M+H]<sup>+</sup></td>
<td valign="top" align="center">171.0052</td>
<td valign="top" align="center">171.0050</td>
<td valign="top" align="center">&#x2212;1.64</td>
<td valign="top" align="center">1.40</td>
<td valign="top" align="center">97,89,72</td>
<td valign="top" align="center">&#x2193;<sup>####</sup></td>
<td valign="top" align="center">&#x2191;<xref ref-type="table-fn" rid="t1fns4">&#x002A;&#x002A;&#x002A;&#x002A;</xref></td>
<td valign="top" align="center">&#x2191;<xref ref-type="table-fn" rid="t1fns4">&#x002A;&#x002A;&#x002A;&#x002A;</xref></td>
</tr>
<tr>
<td valign="top" align="left">7</td>
<td valign="top" align="left"><sc>L</sc>-Tyrosine</td>
<td valign="top" align="center">C<sub>9</sub>H<sub>11</sub>NO<sub>3</sub></td>
<td valign="top" align="center">1.16</td>
<td valign="top" align="center">[M+H]<sup>+</sup></td>
<td valign="top" align="center">182.0807</td>
<td valign="top" align="center">182.0805</td>
<td valign="top" align="center">&#x2212;3.40</td>
<td valign="top" align="center">1.81</td>
<td valign="top" align="center">165,154,136</td>
<td valign="top" align="center">&#x2191;<sup>###</sup></td>
<td valign="top" align="center">&#x2014;</td>
<td valign="top" align="center">&#x2014;</td>
</tr>
<tr>
<td valign="top" align="left">8</td>
<td valign="top" align="left">O-Butanoylcarnitine</td>
<td valign="top" align="center">C<sub>11</sub>H<sub>21</sub>NO<sub>4</sub></td>
<td valign="top" align="center">3.28</td>
<td valign="top" align="center">[M+H]<sup>+</sup></td>
<td valign="top" align="center">232.1537</td>
<td valign="top" align="center">232.1534</td>
<td valign="top" align="center">&#x2212;3.63</td>
<td valign="top" align="center">1.35</td>
<td valign="top" align="center">173,144,86,57</td>
<td valign="top" align="center">&#x2193;<sup>###</sup></td>
<td valign="top" align="center">&#x2191;<xref ref-type="table-fn" rid="t1fns4">&#x002A;&#x002A;</xref></td>
<td valign="top" align="center">&#x2191;<xref ref-type="table-fn" rid="t1fns4">&#x002A;&#x002A;&#x002A;&#x002A;</xref></td>
</tr>
<tr>
<td valign="top" align="left">9</td>
<td valign="top" align="left">Mono-(2-ethylhexyl)phthalate</td>
<td valign="top" align="center">C<sub>16</sub>H<sub>22</sub>O<sub>4</sub></td>
<td valign="top" align="center">19.99</td>
<td valign="top" align="center">[M+H]<sup>+</sup></td>
<td valign="top" align="center">279.1584</td>
<td valign="top" align="center">279.1580</td>
<td valign="top" align="center">&#x2212;3.71</td>
<td valign="top" align="center">1.30</td>
<td valign="top" align="center">164,112,99,57</td>
<td valign="top" align="center">&#x2193;<sup>####</sup></td>
<td valign="top" align="center">&#x2191;<xref ref-type="table-fn" rid="t1fns4">&#x002A;&#x002A;&#x002A;&#x002A;</xref></td>
<td valign="top" align="center">&#x2191;<xref ref-type="table-fn" rid="t1fns4">&#x002A;&#x002A;&#x002A;&#x002A;</xref></td>
</tr>
<tr>
<td valign="top" align="left">10</td>
<td valign="top" align="left">Sphinganine</td>
<td valign="top" align="center">C<sub>18</sub>H<sub>39</sub>NO<sub>2</sub></td>
<td valign="top" align="center">10.09</td>
<td valign="top" align="center">[M+H]<sup>+</sup></td>
<td valign="top" align="center">302.3045</td>
<td valign="top" align="center">302.3041</td>
<td valign="top" align="center">&#x2212;4.02</td>
<td valign="top" align="center">11.91</td>
<td valign="top" align="center">284,85,71,57</td>
<td valign="top" align="center">&#x2191;<sup>####</sup></td>
<td valign="top" align="center">&#x2193;<xref ref-type="table-fn" rid="t1fns4">&#x002A;&#x002A;&#x002A;&#x002A;</xref></td>
<td valign="top" align="center">&#x2193;<xref ref-type="table-fn" rid="t1fns4">&#x002A;&#x002A;&#x002A;&#x002A;</xref></td>
</tr>
<tr>
<td valign="top" align="left">11</td>
<td valign="top" align="left">Phytosphingosine</td>
<td valign="top" align="center">C<sub>18</sub>H<sub>39</sub>NO<sub>3</sub></td>
<td valign="top" align="center">8.53</td>
<td valign="top" align="center">[M+H]<sup>+</sup></td>
<td valign="top" align="center">318.2994</td>
<td valign="top" align="center">318.2990</td>
<td valign="top" align="center">&#x2212;3.77</td>
<td valign="top" align="center">15.82</td>
<td valign="top" align="center">155,85,71,57</td>
<td valign="top" align="center">&#x2191;<sup>####</sup></td>
<td valign="top" align="center">&#x2193;<xref ref-type="table-fn" rid="t1fns4">&#x002A;&#x002A;&#x002A;&#x002A;</xref></td>
<td valign="top" align="center">&#x2193;<xref ref-type="table-fn" rid="t1fns4">&#x002A;&#x002A;&#x002A;&#x002A;</xref></td>
</tr>
<tr>
<td valign="top" align="left">12</td>
<td valign="top" align="left">Valerenic acid</td>
<td valign="top" align="center">C<sub>15</sub>H<sub>21</sub>O<sub>2</sub></td>
<td valign="top" align="center">11.61</td>
<td valign="top" align="center">[M-H]<sup>&#x2013;</sup></td>
<td valign="top" align="center">233.1545</td>
<td valign="top" align="center">233.1545</td>
<td valign="top" align="center">1.48</td>
<td valign="top" align="center">1.18</td>
<td valign="top" align="center">193,165,121,110</td>
<td valign="top" align="center">&#x2191;<sup>###</sup></td>
<td valign="top" align="center">&#x2193;<xref ref-type="table-fn" rid="t1fns4">&#x002A;&#x002A;&#x002A;&#x002A;</xref></td>
<td valign="top" align="center">&#x2014;</td>
</tr>
<tr>
<td valign="top" align="left">13</td>
<td valign="top" align="left">6-Gingerol</td>
<td valign="top" align="center">C<sub>17</sub>H<sub>26</sub>O<sub>4</sub></td>
<td valign="top" align="center">8.74</td>
<td valign="top" align="center">[M-H]<sup>&#x2013;</sup></td>
<td valign="top" align="center">293.1762</td>
<td valign="top" align="center">293.1788</td>
<td valign="top" align="center">1.08</td>
<td valign="top" align="center">2.69</td>
<td valign="top" align="center">237,222,210,142</td>
<td valign="top" align="center">&#x2193;<sup>####</sup></td>
<td valign="top" align="center">&#x2191;<xref ref-type="table-fn" rid="t1fns4">&#x002A;&#x002A;&#x002A;&#x002A;</xref></td>
<td valign="top" align="center">&#x2191;<xref ref-type="table-fn" rid="t1fns4">&#x002A;&#x002A;&#x002A;&#x002A;</xref></td>
</tr>
<tr>
<td valign="top" align="left">14</td>
<td valign="top" align="left">1,4-Bis (2-ethylhexyl) sulfosuccinate</td>
<td valign="top" align="center">C<sub>20</sub>H<sub>37</sub>O<sub>7</sub>S</td>
<td valign="top" align="center">13.73</td>
<td valign="top" align="center">[M-H]<sup>&#x2013;</sup></td>
<td valign="top" align="center">421.2271</td>
<td valign="top" align="center">421.2272</td>
<td valign="top" align="center">1.54</td>
<td valign="top" align="center">1.95</td>
<td valign="top" align="center">283,227,80</td>
<td valign="top" align="center">&#x2193;<sup>####</sup></td>
<td valign="top" align="center">&#x2191;<xref ref-type="table-fn" rid="t1fns4">&#x002A;&#x002A;&#x002A;&#x002A;</xref></td>
<td valign="top" align="center">&#x2191;<xref ref-type="table-fn" rid="t1fns4">&#x002A;&#x002A;&#x002A;&#x002A;</xref></td>
</tr>
</tbody>
</table>
<table-wrap-foot>
<fn id="t1fns4"><p>&#x002A;&#x002A;<italic>p</italic> &#x003C; 0.01, &#x002A;&#x002A;&#x002A;&#x002A;<italic>p</italic> &#x003C; 0.0001, compared with model group; <sup>###</sup>p &#x003C; 0.001, <sup>####</sup><italic>p</italic> &#x003C; 0.0001, compared with control group. <sup>&#x2013;</sup>Denotes no statistically significant difference.</p></fn>
</table-wrap-foot>
</table-wrap>
</sec>
<sec id="S3.SS5">
<title>3.5. Metabolic pathway analysis of identified biomarkers</title>
<sec id="S3.SS5.SSS1">
<title>3.5.1. Alteration in metabolic pathways in hyperuricemic rats</title>
<p>As shown in <xref ref-type="fig" rid="F5">Figures 5A&#x2013;C</xref>, comparing the signal intensity of differential metabolites, 14 metabolites changed significantly in the model group compared to that in the control group. The levels of L-tyrosine, sphinganine, phytosphingosine, and valerenic acid increased in the model group, whereas the levels of alpha-methylstyrene, <sc>L</sc>-leucine, <sc>L</sc>-phenylalanine, 3-phenyl-2-propen-1-ol, nona-2,6-dienal, dihydroxyacetone phosphate, <italic>O</italic>-butanoylcarnitine, mono-(2-ethylhexyl) phthalate, 6-gingerol and 1,4-bis (2-ethylhexyl) sulfosuccinate were decreased in the model rats. To investigate the metabolic pathways in hyperuricemic rats, metabolites with apparent alterations were imported into MetaboAnalyst 5.0. The metabolic networks were mainly involved in phenylalanine, tyrosine, and tryptophan biosynthesis, phenylalanine metabolism, sphingolipid metabolism, aminoacyl-tRNA biosynthesis, and tyrosine metabolism in rats treated with potassium oxonate (<xref ref-type="fig" rid="F6">Figure 6A</xref>).</p>
<fig id="F5" position="float">
<label>FIGURE 5</label>
<caption><p>The relative levels of differential metabolites in serum from control group, model group, positive group and polydatin group. Comparison of signal intensity of significant metabolites related with lipid metabolism <bold>(A)</bold>, amino acid metabolism <bold>(B)</bold> and other metabolism <bold>(C)</bold> in different groups <bold>(D)</bold>. The hierarchical clustering heatmap of differential metabolites in serum from different groups. Deeper red represents up-regulation and deeper blue represents down-regulation, and each cell stands for one metabolite (&#x002A;&#x002A;<italic>p</italic> &#x003C; 0.01, &#x002A;&#x2063;&#x002A;&#x2063;&#x002A;&#x002A;<italic>p</italic> &#x003C; 0.0001, vs. model group; <sup>###</sup><italic>p</italic> &#x003C; 0.001, <sup>####</sup><italic>p</italic> &#x003C; 0.0001, vs. control group).</p></caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fnut-10-1117460-g005.tif"/>
</fig>
<fig id="F6" position="float">
<label>FIGURE 6</label>
<caption><p>Summary of metabolic pathway analysis. <bold>(A)</bold> Control group vs. model group; <bold>(B)</bold> model group vs. polydatin group.</p></caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fnut-10-1117460-g006.tif"/>
</fig>
</sec>
<sec id="S3.SS5.SSS2">
<title>3.5.2. Alteration in metabolic pathways in hyperuricemic rats treated with benzbromarone and polydatin</title>
<p>The heatmap (<xref ref-type="fig" rid="F5">Figure 5D</xref>) represents the changes in 14 altered metabolites in the four groups. <xref ref-type="fig" rid="F5">Figure 5D</xref> shows the information of metabolites as the ordinate and the information of groups as the abscissa. Each cell represents one metabolite, and deep red and deep blue represent upregulation and downregulation, respectively. The results showed that 14 metabolites varied significantly in the model group, and the levels of the endogenous differential metabolites were reversed in hyperuricemic rats after the administration of benzbromarone and polydatin. Of all the differential metabolites, 12 metabolites associated with HUA were reversed significantly by polydatin and had a tendency to return to the levels of the normal group (<xref ref-type="fig" rid="F5">Figures 5A&#x2013;C</xref>). Furthermore, metabolic network analysis comprehensively demonstrated that polydatin interfered with pathways in the hyperuricemia group (<xref ref-type="fig" rid="F6">Figure 6B</xref>). Taken together, the above results demonstrate that polydatin is an effective urate-lowering therapy.</p>
</sec>
</sec>
</sec>
<sec id="S4" sec-type="discussion">
<title>4. Discussion</title>
<p>Sustaining high serum and UA levels can contribute to serious diseases. However, UA concentration is the only diagnostic indicator for HUA, and there are no satisfactory ways to reduce UA levels without harmful side effects. Polydatin (3,4,5-trihydroxystilbene-3-&#x03B2;-<sc>D</sc>-glucoside) is a natural resveratrol glucoside derived from plants. Containing three phenolic hydroxyl groups, it acts as an oxygen radical scavenger.</p>
<p>Polydatin is found in <italic>Polygonum cuspidatum</italic>, grapes, red wine, peanuts, and many other commonly consumed foods. Several studies have suggested that polydatin has many pharmacological activities, including effectively decreasing UA levels (<xref ref-type="bibr" rid="B10">10</xref>). In this study, we explored the interventional effects of polydatin in an HUA rat model using the UHPLC-Q-Exactive Orbitrap MS metabonomic approach, which provided a deep understanding of the urate-lowering effects of polydatin. We screened 14 metabolites related to HUA (<xref ref-type="table" rid="T1">Table 1</xref>). Analysis of the metabolites showed that they were mainly involved in amino acid, lipid, and energy metabolism.</p>
<p>Moreover, these changes in hyperuricemic rats were reversed after oral administration of polydatin. Some possible mechanisms are summarized in <xref ref-type="fig" rid="F7">Figure 7</xref>. The results indicated relevant metabolic pathways that were directly associated with HUA and proved that polydatin could ameliorate the related indicators, as discussed below.</p>
<fig id="F7" position="float">
<label>FIGURE 7</label>
<caption><p>The intervention metabolisms of polydatin on HUA rats. The red arrow represents the changes of metabolites in hyperuricemic rats, and the blue arrow represents the changes of metabolites after oral administration of polydatin.</p></caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fnut-10-1117460-g007.tif"/>
</fig>
<p>(1) Hyperuricemia-induced changes in amino acid metabolism were reversed by polydatin.</p>
<p>Amino acids play important roles in vital activities, and amino acid metabolism regulates both protein and energy metabolism. The levels of <sc>L</sc>-leucine and <sc>L</sc>-phenylalanine decreased, whereas those of <sc>L</sc>-tyrosine significantly increased in HUA model rats (<xref ref-type="fig" rid="F5">Figure 5B</xref>), indicating imbalances between protein and amino acid synthesis. These include phenylalanine, tyrosine, and tryptophan biosynthesis, phenylalanine metabolism, and aminoacyl-tRNA biosynthesis.</p>
<p>Leucine is a ketogenic amino acid that can be degraded to acetyl-CoA and acetoacetic acid in the body, entering glycolysis or other metabolic pathways through the tricarboxylic acid cycle, and participating in the regulation of the body&#x2019;s normal metabolic processes. It has been shown that leucine is associated with the PIK3 and protein kinase C signaling pathways, which regulate glucose uptake and utilization in the cell and are related to insulin resistance and the development of type 2 diabetes (<xref ref-type="bibr" rid="B32">32</xref>). Leucine, valine, and isoleucine are branched-chain amino acids (BCAAs). BCAAs and their catabolic products participate in the regulation of numerous physiological processes in the body. Zhang et al. showed that leucine and isoleucine could be potential biomarkers for patients with HUA and gout (<xref ref-type="bibr" rid="B33">33</xref>). BCAAs are key factors in the development of metabolic diseases, and altered BCAAs may be indicators of type 2 diabetes mellitus (<xref ref-type="bibr" rid="B34">34</xref>, <xref ref-type="bibr" rid="B35">35</xref>). However, since high UA levels are closely associated with the development of type 2 diabetes mellitus and other metabolic diseases, leucine may be a key indicator of HUA and other related diseases. In our study, after the administration of polydatin, the level of leucine reversed significantly compared with that of the untreated HUA group, implying that lowering UA by polydatin was related to the adjustment of background leucine levels.</p>
<p>The essential amino acids <sc>L</sc>-tyrosine and <sc>L</sc>-phenylalanine participate in phenylalanine, tyrosine, and tryptophan biosynthesis and phenylalanine metabolism. Phenylalanine can be hydroxylated to produce tyrosine by phenylalanine hydroxylase, which is involved in synthesizing essential neurotransmitters and hormones related to glucose and lipid metabolism (<xref ref-type="bibr" rid="B36">36</xref>). Increased tyrosine stimulated by monosodium urate (MSU) is correlated with the activation of neutrophils and tyrosine kinase Tec, leading to the release of inflammatory factors such as IL-1&#x03B2;, IL-8, IL-1, and tyrosine. It is thought to be a potential biomarker for MSU-induced gout (<xref ref-type="bibr" rid="B37">37</xref>). A study also showed that the level of tyrosine increased in acute gout in hyperuricemic rats (<xref ref-type="bibr" rid="B38">38</xref>).</p>
<p>Moreover, high UA levels cause the accumulation of MSU in the body, leading to the development of gouty arthritis, indicating that high tyrosine levels may be associated with the development of gout. Elevated tyrosine levels in the body can affect the functions of enzymes, such as citrate synthase, malate dehydrogenase, and succinate dehydrogenase, in the tricarboxylic acid cycle, leading to disturbances in energy metabolism and oxidative stress in the mitochondria (<xref ref-type="bibr" rid="B39">39</xref>). In our experiments, the level of tyrosine was elevated, whereas that of phenylalanine decreased in the model group, suggesting that overproduction of UA disturbed phenylalanine, tyrosine, and tryptophan biosynthesis and phenylalanine metabolism by accelerating the conversion of phenylalanine to tyrosine. However, polydatin decreased and increased the levels of tyrosine and phenylalanine, respectively. Phenylalanine, tyrosine, and tryptophan biosynthesis and phenylalanine metabolism were also altered by polydatin treatment compared with those in the untreated HUA group (<xref ref-type="fig" rid="F6">Figure 6B</xref>), indicating that the restoration of a low UA level by polydatin involved regulation of phenylalanine and tyrosine metabolic pathways.</p>
<p>Aminoacyl-tRNA biosynthesis plays a vital role in the synthesis of proteins by recognizing the correct amino acids with tRNAs, including the corresponding anticodon for mRNA in the ribosome (<xref ref-type="bibr" rid="B40">40</xref>). Zhang et al. found that aminoacyl-tRNA biosynthesis was abnormal in patients with HUA and gout (<xref ref-type="bibr" rid="B33">33</xref>). Furthermore, aminoacyl-tRNA synthetases (AARSs) play an important role in aminoacyl-tRNA biosynthesis and have been verified in various human diseases (<xref ref-type="bibr" rid="B41">41</xref>). High UA levels may disturb aminoacyl-tRNA biosynthesis by acting on AARSs. In our experiment, aminoacyl-tRNA biosynthesis was restored after the oral administration of polydatin, suggesting that the mechanisms of polydatin may be associated with inhibiting AARSs&#x2019; activities. However, further studies are required to verify this hypothesis.</p>
<p>(2) Hyperuricemia-induced changes in lipid metabolism were reversed by polydatin.</p>
<p>Many researchers have reported that serum UA is associated with serum lipids in many diseases, such as HUA, gout, and cardiovascular and cerebrovascular diseases (<xref ref-type="bibr" rid="B33">33</xref>, <xref ref-type="bibr" rid="B42">42</xref>). High serum TG levels were observed in a model of HUA (<xref ref-type="fig" rid="F1">Figure 1</xref>). Moreover, a previous study showed that altered lipid metabolism is closely linked to HUA and gout (<xref ref-type="bibr" rid="B33">33</xref>). Our findings showed that lipid metabolism was disordered in hyperuricemic rats, which is consistent with the findings of previous studies, as discussed below.</p>
<p>Sphingolipids are amphiphilic lipids that include a sphingosine backbone and phospholipids, such as sphingol (Sph), ceramide (Cer), sphingomyelin (SM), gangliosides, and others. Intracellular sphingolipid metabolism plays a vital role in various metabolic diseases (<xref ref-type="bibr" rid="B43">43</xref>, <xref ref-type="bibr" rid="B44">44</xref>). Sphinganine and phytosphingosine are involved in sphingolipid metabolism. Sphinganine can be converted into phytosphingosine by sphinganine C4-monooxygenase. Sphinganine and fatty acids of different chain lengths can form ceramides, which are central to sphingolipid synthesis and degradation. Studies have shown that ceramides mediate the conversion of NO to H<sub>2</sub>O<sub>2</sub> in coronary microcirculation, thereby causing proinflammatory, prothrombotic, and atherogenic effects (<xref ref-type="bibr" rid="B45">45</xref>, <xref ref-type="bibr" rid="B46">46</xref>). In this study, serum UA levels were elevated in HUA-model rats. The levels of sphinganine and phytosphingosine in the serum samples were elevated, which greatly promoted ceramide synthesis and caused abnormal sphingolipid metabolism <italic>in vivo</italic>. Therefore, abnormal sphingolipid metabolism may be the causative factor of cardiovascular disease caused by HUA. These trends were reversed compared to those found in normal rats after polydatin administration, indicating that polydatin might regulate sphingolipid metabolism to exert a UA-lowering effect.</p>
<p>(3) Hyperuricemia-induced changes in energy metabolism were reversed by polydatin.</p>
<p>Carnitine is essential for transporting long-chain fatty acids across the mitochondrial membrane. It also modulates the proportion of acyl-CoA/CoA and transfers some toxic acyl-CoA compounds. Derangement in the ability to transport long-chain fatty acids leads to the accumulation of harmful fatty acyl metabolites, which hinder gluconeogenesis and the citric acid cycle (<xref ref-type="bibr" rid="B47">47</xref>, <xref ref-type="bibr" rid="B48">48</xref>). Therefore, carnitine is a powerful tool to identify whether energy metabolism is perturbed. Furthermore, carnitine transporters participate in the uptake and excretion of organic cations in the kidneys, and abnormal carnitine metabolism affects UA excretion in the kidneys (<xref ref-type="bibr" rid="B49">49</xref>). In this study, the level of <italic>O</italic>-butanoylcarnitine significantly decreased in the HUA model group. Treatment with polydatin resulted in a significant elevation in the levels of <italic>O</italic>-butanoylcarnitine, indicating that polydatin reversed the UA-induced disturbance of carnitine metabolism.</p>
<p>Dihydroxyacetone phosphate is an important component in gluconeogenesis and lipid metabolism. Dihydroxyacetone phosphate can be converted into glucose 6-phosphate and enter the gluconeogenic pathway. Moreover, dihydroxyacetone phosphate can be aerobically oxidized to produce acetyl CoA and enter the lipid metabolism pathway. The results showed that the level of dihydroxyacetone phosphate was decreased in hyperuricemic rats, indicating possible abnormalities in glucose and lipid metabolism. Aberrant dihydroxyacetone phosphate might be another important factor leading to changes in hyperuricemic rats&#x2019; blood glucose and triglyceride levels. However, polydatin caused dihydroxyacetone phosphate to return to normal levels, demonstrating good regulation of energy metabolism.</p>
</sec>
<sec id="S5" sec-type="conclusion">
<title>5. Conclusion</title>
<p>Polydatin is a functional compound derived from mulberries and grapes, with multiple bioactivities, including lowering the level of UA in serum and tissues. In this study, a UHPLC-Q-Exactive Orbitrap MS-based metabolomics approach was applied to explore the potential molecular mechanisms underlying the urate-lowering of polydatin in hyperuricemic rats. A total of 14 differential metabolites were identified in response to the therapeutic effects of polydatin, which were associated with amino acid metabolism, lipid metabolism, and energy metabolism. After polydatin intervention, the results showed that differential metabolites and the metabolic network were restored, approaching the levels observed in normal rats. This study has the potential to enhance our understanding of the mechanisms of HUA and demonstrate that polydatin is a promising adjuvant for lowering UA levels and alleviating HUA-related diseases.</p>
</sec>
<sec id="S6" sec-type="data-availability">
<title>Data availability statement</title>
<p>The datasets presented in this study can be found in online repositories. The names of the repository/repositories and accession number(s) can be found in the article/<xref ref-type="supplementary-material" rid="DS1">Supplementary material</xref>.</p>
</sec>
<sec id="S7" sec-type="ethics-statement">
<title>Ethics statement</title>
<p>All experimental protocols were approved by the Animal Ethics Committee of Binzhou Medical University (No. 2022-353).</p>
</sec>
<sec id="S8" sec-type="author-contributions">
<title>Author contributions</title>
<p>XG, XZ, and ZSh performed the experiments. PZ, KH, SZ, SH, YhW, YqW, and MZ analyzed the data. XL and ZSu wrote the manuscript. JZ conceived the project, designed the experiments, and revised the manuscript. All authors edited and approved the final version of the manuscript.</p>
</sec>
</body>
<back>
<sec id="S9" sec-type="funding-information">
<title>Funding</title>
<p>This study was financially supported by the General Program of the National Natural Science Foundation of China (82174039), the General Project of Shandong Natural Science Foundation (ZR2020MH371, ZR2021QH167, and ZR2021QH207), the Shandong Taishan Scholars Young Expert Project (tsqn202103110), the Shandong Province Youth Talents Introducing and Cultivating Program (10073004), the Binzhou Medical University Scientific Research Fund for High-Level Talents (50012304312), and Shandong College Students&#x2019; Innovation and Entrepreneurship Training Program (S202110440054).</p>
</sec>
<sec id="S10" sec-type="COI-statement">
<title>Conflict of interest</title>
<p>The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.</p>
</sec>
<sec id="S11" sec-type="disclaimer">
<title>Publisher&#x2019;s note</title>
<p>All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article, or claim that may be made by its manufacturer, is not guaranteed or endorsed by the publisher.</p>
</sec>
<sec id="S12" sec-type="supplementary-material">
<title>Supplementary material</title>
<p>The Supplementary Material for this article can be found online at: <ext-link ext-link-type="uri" xlink:href="https://www.frontiersin.org/articles/10.3389/fnut.2023.1117460/full#supplementary-material">https://www.frontiersin.org/articles/10.3389/fnut.2023.1117460/full#supplementary-material</ext-link></p>
<supplementary-material xlink:href="Data_Sheet_1.PDF" id="DS1" mimetype="application/pdf" xmlns:xlink="http://www.w3.org/1999/xlink"/>
</sec>
<fn-group>
<fn id="footnote1">
<label>1</label>
<p><ext-link ext-link-type="uri" xlink:href="https://hmdb.ca/">https://hmdb.ca/</ext-link></p></fn>
<fn id="footnote2">
<label>2</label>
<p><ext-link ext-link-type="uri" xlink:href="https://pubchem.ncbi.nlm.nih.gov/">https://pubchem.ncbi.nlm.nih.gov/</ext-link></p></fn>
<fn id="footnote3">
<label>3</label>
<p><ext-link ext-link-type="uri" xlink:href="http://www.metaboanalyst.ca">http://www.metaboanalyst.ca</ext-link></p></fn>
<fn id="footnote4">
<label>4</label>
<p><ext-link ext-link-type="uri" xlink:href="http://www.kegg.com/">http://www.kegg.com/</ext-link></p></fn>
</fn-group>
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