#METABOLOMICS WORKBENCH ngrayson_20240112_105546 DATATRACK_ID:4568 STUDY_ID:ST003178 ANALYSIS_ID:AN005218 PROJECT_ID:PR001977
VERSION             	1
CREATED_ON             	April 23, 2024, 11:25 am
#PROJECT
PR:PROJECT_TITLE                 	Deep phenotyping of Post-infectious Myalgic Encephalomyelitis/Chronic Fatigue
PR:PROJECT_TITLE                 	Syndrome
PR:PROJECT_SUMMARY               	Myalgic encephalomyelitis/chronic fatigue syndrome (ME/CFS) is a disabling
PR:PROJECT_SUMMARY               	disorder that may occur following an infection, yet the clinical phenotype is
PR:PROJECT_SUMMARY               	poorly defined, the pathophysiology is unknown, and no disease-modifying
PR:PROJECT_SUMMARY               	treatments are available. We used rigorous criteria to recruit a cohort of
PR:PROJECT_SUMMARY               	post-infectious ME/CFS (PI-ME/CFS) volunteers (n=17) with matched healthy
PR:PROJECT_SUMMARY               	controls (n=21) to conduct deep clinical and biological phenotyping using an
PR:PROJECT_SUMMARY               	extensive battery of tests. Among the many physical and cognitive complaints,
PR:PROJECT_SUMMARY               	one defining feature of PI-ME/CFS was an alteration of effort preference, rather
PR:PROJECT_SUMMARY               	than physical or central fatigue, due to dysfunction of integrative brain
PR:PROJECT_SUMMARY               	regions potentially associated with central catechol pathway dysregulation, with
PR:PROJECT_SUMMARY               	consequences on autonomic functioning and physical deconditioning. Immune
PR:PROJECT_SUMMARY               	profiling suggested chronic antigenic stimulation with increase in naïve and
PR:PROJECT_SUMMARY               	decrease in switched memory B-cells. Alterations in gene expression profiles of
PR:PROJECT_SUMMARY               	peripheral blood mononuclear cells and metabolic pathways were consistent with
PR:PROJECT_SUMMARY               	cellular phenotypic studies and demonstrated differences according to sex.
PR:PROJECT_SUMMARY               	Together these clinical abnormalities and biomarker differences provide unique
PR:PROJECT_SUMMARY               	insight into the underlying pathophysiology of PI-ME/CFS, which may guide future
PR:PROJECT_SUMMARY               	intervention.
PR:INSTITUTE                     	National Institutes of Health
PR:DEPARTMENT                    	NINDS
PR:LABORATORY                    	National Institute of Neurological Disorders and Stroke
PR:LAST_NAME                     	Nath
PR:FIRST_NAME                    	Avindra
PR:ADDRESS                       	10 Center Drive, Bethesda, MD 20892
PR:EMAIL                         	Avindra.nath@nih.gov
PR:PHONE                         	301.496.1561
#STUDY
ST:STUDY_TITLE                   	Post-Infectious MECFS at the NIH
ST:STUDY_SUMMARY                 	In 2016, the National Institutes of Health (NIH) launched an initiative to study
ST:STUDY_SUMMARY                 	ME/CFS. The NIH Division of Intramural Research developed an exploratory
ST:STUDY_SUMMARY                 	clinical research program to perform deep phenotyping on a cohort of PI-ME/CFS
ST:STUDY_SUMMARY                 	volunteers and healthy volunteers (HV) as controls. Prior to the SARS-CoV-2
ST:STUDY_SUMMARY                 	pandemic, this study recruited a cohort of well-characterized PI-ME/CFS patients
ST:STUDY_SUMMARY                 	and applied modern broad and deep scientific measures to describe their
ST:STUDY_SUMMARY                 	biophenotype compared to HVs. The aim was to identify relevant group differences
ST:STUDY_SUMMARY                 	that could generate new hypotheses about the pathogenesis of PI-ME/CFS and
ST:STUDY_SUMMARY                 	provide direction for future research. Over 75 scientists and clinicians across
ST:STUDY_SUMMARY                 	15 of the 27 institutes that comprise the NIH contributed to this
ST:STUDY_SUMMARY                 	multi-disciplinary work. Importantly, we developed rigorous inclusion criteria
ST:STUDY_SUMMARY                 	which comprised detailed medical and psychological evaluations to minimize
ST:STUDY_SUMMARY                 	diagnostic misattribution. A relatively homogenous population was recruited in
ST:STUDY_SUMMARY                 	whom symptoms were initiated after infection. This study aimed to investigate
ST:STUDY_SUMMARY                 	the underlying pathophysiological mechanisms. The volunteers underwent a
ST:STUDY_SUMMARY                 	multi-dimensional evaluation that included a wide range of physiological
ST:STUDY_SUMMARY                 	measures, physical and cognitive performance testing, and biochemical,
ST:STUDY_SUMMARY                 	microbiological, and immunological assays of blood, cerebrospinal fluid, muscle,
ST:STUDY_SUMMARY                 	and stool. Novel measurement techniques were developed to query issues such as
ST:STUDY_SUMMARY                 	physical capacity, effort preference, and deconditioning that may confound the
ST:STUDY_SUMMARY                 	results. Multi-omic measurements of gene expression, proteins, metabolites, and
ST:STUDY_SUMMARY                 	lipids were performed in parallel on collected samples.
ST:INSTITUTE                     	National Institutes of Health
ST:LAST_NAME                     	Nath
ST:FIRST_NAME                    	Avindra
ST:ADDRESS                       	10 Center Drive, Bethesda, MD 20892
ST:EMAIL                         	Avindra.nath@nih.gov
ST:PHONE                         	3014961561
#SUBJECT
SU:SUBJECT_TYPE                  	Human
SU:SUBJECT_SPECIES               	Homo sapiens
SU:TAXONOMY_ID                   	9606
#SUBJECT_SAMPLE_FACTORS:         	SUBJECT(optional)[tab]SAMPLE[tab]FACTORS(NAME:VALUE pairs separated by |)[tab]Raw file names and additional sample data
SUBJECT_SAMPLE_FACTORS           	-	NINR-00417	Sample source:CSF | MECFS_STATUS:Healthy volunteer | SEX:M	SAMPLE_AMOUNT=1.0; AGE=41; BMI=24; ETHNICITY=Non-hispanic; RACE=White
SUBJECT_SAMPLE_FACTORS           	-	NINR-00418	Sample source:CSF | MECFS_STATUS:Healthy volunteer | SEX:F	SAMPLE_AMOUNT=1.0; AGE=34; BMI=23.6; ETHNICITY=Non-hispanic; RACE=White
SUBJECT_SAMPLE_FACTORS           	-	NINR-00419	Sample source:CSF | MECFS_STATUS:Healthy volunteer | SEX:M	SAMPLE_AMOUNT=1.0; AGE=55; BMI=24.2; ETHNICITY=Non-hispanic; RACE=Multi_racial
SUBJECT_SAMPLE_FACTORS           	-	NINR-00420	Sample source:CSF | MECFS_STATUS:Healthy volunteer | SEX:F	SAMPLE_AMOUNT=1.0; AGE=54; BMI=26.3; ETHNICITY=Non-hispanic; RACE=White
SUBJECT_SAMPLE_FACTORS           	-	NINR-00421	Sample source:CSF | MECFS_STATUS:Healthy volunteer | SEX:F	SAMPLE_AMOUNT=1.0; AGE=53; BMI=30.6; ETHNICITY=Non-hispanic; RACE=White
SUBJECT_SAMPLE_FACTORS           	-	NINR-00422	Sample source:CSF | MECFS_STATUS:Healthy volunteer | SEX:M	SAMPLE_AMOUNT=1.0; AGE=24; BMI=22.3; ETHNICITY=Non-hispanic; RACE=White
SUBJECT_SAMPLE_FACTORS           	-	NINR-00423	Sample source:CSF | MECFS_STATUS:Healthy volunteer | SEX:F	SAMPLE_AMOUNT=1.0; AGE=19; BMI=27.9; ETHNICITY=Non-hispanic; RACE=Multi_racial
SUBJECT_SAMPLE_FACTORS           	-	NINR-00424	Sample source:CSF | MECFS_STATUS:Healthy volunteer | SEX:F	SAMPLE_AMOUNT=1.0; AGE=54; BMI=22.4; ETHNICITY=Non-hispanic; RACE=White
SUBJECT_SAMPLE_FACTORS           	-	NINR-00425	Sample source:CSF | MECFS_STATUS:Healthy volunteer | SEX:M	SAMPLE_AMOUNT=1.0; AGE=21; BMI=22.9; ETHNICITY=Non-hispanic; RACE=White
SUBJECT_SAMPLE_FACTORS           	-	NINR-00426	Sample source:CSF | MECFS_STATUS:Healthy volunteer | SEX:M	SAMPLE_AMOUNT=1.0; AGE=56; BMI=22.8; ETHNICITY=Non-hispanic; RACE=White
SUBJECT_SAMPLE_FACTORS           	-	NINR-00427	Sample source:CSF | MECFS_STATUS:Healthy volunteer | SEX:M	SAMPLE_AMOUNT=1.0; AGE=35; BMI=24.4; ETHNICITY=Non-hispanic; RACE=White
SUBJECT_SAMPLE_FACTORS           	-	NINR-00428	Sample source:CSF | MECFS_STATUS:Healthy volunteer | SEX:F	SAMPLE_AMOUNT=0.5; AGE=47; BMI=24.7; ETHNICITY=Non-hispanic; RACE=White
SUBJECT_SAMPLE_FACTORS           	-	NINR-00429	Sample source:CSF | MECFS_STATUS:Healthy volunteer | SEX:F	SAMPLE_AMOUNT=0.85; AGE=56; BMI=26; ETHNICITY=Non-hispanic; RACE=White
SUBJECT_SAMPLE_FACTORS           	-	NINR-00430	Sample source:CSF | MECFS_STATUS:Healthy volunteer | SEX:M	SAMPLE_AMOUNT=0.8; AGE=46; BMI=32.5; ETHNICITY=Hispanic; RACE=Multi_racial
SUBJECT_SAMPLE_FACTORS           	-	NINR-00431	Sample source:CSF | MECFS_STATUS:Healthy volunteer | SEX:F	SAMPLE_AMOUNT=1.0; AGE=55; BMI=34.9; ETHNICITY=Non-hispanic; RACE=White
SUBJECT_SAMPLE_FACTORS           	-	NINR-00432	Sample source:CSF | MECFS_STATUS:Healthy volunteer | SEX:F	SAMPLE_AMOUNT=1.0; AGE=53; BMI=26.2; ETHNICITY=Non-hispanic; RACE=White
SUBJECT_SAMPLE_FACTORS           	-	NINR-00433	Sample source:CSF | MECFS_STATUS:Healthy volunteer | SEX:F	SAMPLE_AMOUNT=0.5; AGE=24; BMI=22.5; ETHNICITY=Non-hispanic; RACE=White
SUBJECT_SAMPLE_FACTORS           	-	NINR-00434	Sample source:CSF | MECFS_STATUS:Healthy volunteer | SEX:M	SAMPLE_AMOUNT=1.0; AGE=39; BMI=28.7; ETHNICITY=Non-hispanic; RACE=White
SUBJECT_SAMPLE_FACTORS           	-	NINR-00435	Sample source:CSF | MECFS_STATUS:Healthy volunteer | SEX:M	SAMPLE_AMOUNT=0.7; AGE=36; BMI=24.1; ETHNICITY=Non-hispanic; RACE=White
SUBJECT_SAMPLE_FACTORS           	-	NINR-00436	Sample source:CSF | MECFS_STATUS:Healthy volunteer | SEX:M	SAMPLE_AMOUNT=0.5; AGE=26; BMI=25; ETHNICITY=Non-hispanic; RACE=White
SUBJECT_SAMPLE_FACTORS           	-	NINR-00437	Sample source:CSF | MECFS_STATUS:Healthy volunteer | SEX:F	SAMPLE_AMOUNT=1.0; AGE=59; BMI=25.9; ETHNICITY=Non-hispanic; RACE=White
SUBJECT_SAMPLE_FACTORS           	-	NINR-00438	Sample source:CSF | MECFS_STATUS:MECFS | SEX:F	SAMPLE_AMOUNT=1.0; AGE=22; BMI=19.4; ETHNICITY=Non-hispanic; RACE=White
SUBJECT_SAMPLE_FACTORS           	-	NINR-00439	Sample source:CSF | MECFS_STATUS:MECFS | SEX:M	SAMPLE_AMOUNT=1.0; AGE=48; BMI=25.7; ETHNICITY=Non-hispanic; RACE=Asian
SUBJECT_SAMPLE_FACTORS           	-	NINR-00440	Sample source:CSF | MECFS_STATUS:MECFS | SEX:F	SAMPLE_AMOUNT=1.0; AGE=36; BMI=37.5; ETHNICITY=Non-hispanic; RACE=White
SUBJECT_SAMPLE_FACTORS           	-	NINR-00441	Sample source:CSF | MECFS_STATUS:MECFS | SEX:M	SAMPLE_AMOUNT=1.0; AGE=45; BMI=28.4; ETHNICITY=Hispanic; RACE=White
SUBJECT_SAMPLE_FACTORS           	-	NINR-00442	Sample source:CSF | MECFS_STATUS:MECFS | SEX:F	SAMPLE_AMOUNT=1.0; AGE=22; BMI=19.4; ETHNICITY=Non-hispanic; RACE=White
SUBJECT_SAMPLE_FACTORS           	-	NINR-00443	Sample source:CSF | MECFS_STATUS:MECFS | SEX:M	SAMPLE_AMOUNT=1.0; AGE=52; BMI=33.4; ETHNICITY=Non-hispanic; RACE=White
SUBJECT_SAMPLE_FACTORS           	-	NINR-00444	Sample source:CSF | MECFS_STATUS:MECFS | SEX:F	SAMPLE_AMOUNT=1.0; AGE=60; BMI=28.7; ETHNICITY=Non-hispanic; RACE=White
SUBJECT_SAMPLE_FACTORS           	-	NINR-00445	Sample source:CSF | MECFS_STATUS:MECFS | SEX:M	SAMPLE_AMOUNT=0.75; AGE=59; BMI=24.9; ETHNICITY=Non-hispanic; RACE=White
SUBJECT_SAMPLE_FACTORS           	-	NINR-00446	Sample source:CSF | MECFS_STATUS:MECFS | SEX:F	SAMPLE_AMOUNT=1.0; AGE=24; BMI=26.8; ETHNICITY=Non-hispanic; RACE=White
SUBJECT_SAMPLE_FACTORS           	-	NINR-00447	Sample source:CSF | MECFS_STATUS:MECFS | SEX:F	SAMPLE_AMOUNT=1.0; AGE=43; BMI=20.2; ETHNICITY=Non-hispanic; RACE=Asian
SUBJECT_SAMPLE_FACTORS           	-	NINR-00448	Sample source:CSF | MECFS_STATUS:MECFS | SEX:F	SAMPLE_AMOUNT=0.7; AGE=19; BMI=22; ETHNICITY=Non-hispanic; RACE=White
SUBJECT_SAMPLE_FACTORS           	-	NINR-00449	Sample source:CSF | MECFS_STATUS:MECFS | SEX:M	SAMPLE_AMOUNT=1.0; AGE=36; BMI=31.8; ETHNICITY=Non-hispanic; RACE=White
SUBJECT_SAMPLE_FACTORS           	-	NINR-00450	Sample source:CSF | MECFS_STATUS:MECFS | SEX:F	SAMPLE_AMOUNT=1.0; AGE=26; BMI=19.6; ETHNICITY=Non-hispanic; RACE=White
SUBJECT_SAMPLE_FACTORS           	-	NINR-00451	Sample source:CSF | MECFS_STATUS:MECFS | SEX:M	SAMPLE_AMOUNT=0.5; AGE=43; BMI=30.5; ETHNICITY=Non-hispanic; RACE=White
SUBJECT_SAMPLE_FACTORS           	-	NINR-00452	Sample source:CSF | MECFS_STATUS:MECFS | SEX:F	SAMPLE_AMOUNT=0.3; AGE=60; BMI=26; ETHNICITY=Hispanic; RACE=White
SUBJECT_SAMPLE_FACTORS           	-	NINR-00453	Sample source:CSF | MECFS_STATUS:MECFS | SEX:F	SAMPLE_AMOUNT=1.0; AGE=19; BMI=22.1; ETHNICITY=Non-hispanic; RACE=White
SUBJECT_SAMPLE_FACTORS           	-	NINR-00454	Sample source:CSF | MECFS_STATUS:MECFS | SEX:M	SAMPLE_AMOUNT=1.0; AGE=29; BMI=24.6; ETHNICITY=Non-hispanic; RACE=White
#COLLECTION
CO:COLLECTION_SUMMARY            	Metabolomics on cerebrospinal fluid samples was performed using Metabolon’s
CO:COLLECTION_SUMMARY            	Ultrahigh Performance Liquid Chromatography-Tandem Mass Spectroscopy
CO:COLLECTION_SUMMARY            	(UPLC-MS/MS). Samples were prepared using the automated MicroLab STAR® system
CO:COLLECTION_SUMMARY            	from Hamilton Company. Several recovery standards were added prior to the first
CO:COLLECTION_SUMMARY            	step in the extraction process for QC purposes. To remove protein, dissociate
CO:COLLECTION_SUMMARY            	small molecules were bound to protein or trapped in the precipitated protein
CO:COLLECTION_SUMMARY            	matrix, and to recover chemically diverse metabolites, proteins were
CO:COLLECTION_SUMMARY            	precipitated with methanol under vigorous shaking for two minutes (Glen Mills
CO:COLLECTION_SUMMARY            	GenoGrinder 2000) followed by centrifugation. The resulting extract was divided
CO:COLLECTION_SUMMARY            	into five fractions: two for analysis by two separate reverse phase
CO:COLLECTION_SUMMARY            	(RP)/UPLC-MS/MS methods with positive ion mode electrospray ionization (ESI),
CO:COLLECTION_SUMMARY            	one for analysis by RP/UPLC-MS/MS with negative ion mode ESI, one for analysis
CO:COLLECTION_SUMMARY            	by HILIC/UPLC-MS/MS with negative ion mode ESI, and one sample was reserved for
CO:COLLECTION_SUMMARY            	backup. Samples were placed briefly on a TurboVap® (Zymark) to remove the
CO:COLLECTION_SUMMARY            	organic solvent. The sample extracts were stored overnight under nitrogen before
CO:COLLECTION_SUMMARY            	preparation for analysis.
CO:SAMPLE_TYPE                   	Cerebrospinal fluid
#TREATMENT
TR:TREATMENT_SUMMARY             	No treatment
#SAMPLEPREP
SP:SAMPLEPREP_SUMMARY            	All methods utilized a Waters ACQUITY ultra-performance liquid chromatography
SP:SAMPLEPREP_SUMMARY            	(UPLC) and a Thermo Scientific Q-Exactive high resolution/accurate mass
SP:SAMPLEPREP_SUMMARY            	spectrometer interfaced with a heated electrospray ionization (HESI-II) source
SP:SAMPLEPREP_SUMMARY            	and Orbitrap mass analyzer operated at 35,000 mass resolution. The sample
SP:SAMPLEPREP_SUMMARY            	extract was dried then reconstituted in solvents compatible to each of the four
SP:SAMPLEPREP_SUMMARY            	methods. Each reconstitution solvent contained a series of standards at fixed
SP:SAMPLEPREP_SUMMARY            	concentrations to ensure injection and chromatographic consistency. One aliquot
SP:SAMPLEPREP_SUMMARY            	was analyzed using acidic positive ion conditions, chromatographically optimized
SP:SAMPLEPREP_SUMMARY            	for more hydrophilic compounds. In this method, the extract was gradient eluted
SP:SAMPLEPREP_SUMMARY            	from a C18 column (Waters UPLC BEH C18-2.1x100 mm, 1.7 µm) using water and
SP:SAMPLEPREP_SUMMARY            	methanol, containing 0.05% perfluoropentanoic acid (PFPA) and 0.1% formic acid
SP:SAMPLEPREP_SUMMARY            	(FA). Another aliquot was also analyzed using acidic positive ion conditions;
SP:SAMPLEPREP_SUMMARY            	however, it was chromatographically optimized for more hydrophobic compounds. In
SP:SAMPLEPREP_SUMMARY            	this method, the extract was gradient eluted from the same afore-mentioned C18
SP:SAMPLEPREP_SUMMARY            	column using methanol, acetonitrile, water, 0.05% PFPA and 0.1% FA and was
SP:SAMPLEPREP_SUMMARY            	operated at an overall higher organic content. Another aliquot was analyzed
SP:SAMPLEPREP_SUMMARY            	using basic negative ion optimized conditions using a separate dedicated C18
SP:SAMPLEPREP_SUMMARY            	column. The basic extracts were gradient eluted from the column using methanol
SP:SAMPLEPREP_SUMMARY            	and water, however, with 6.5mM Ammonium Bicarbonate at pH 8. The fourth aliquot
SP:SAMPLEPREP_SUMMARY            	was analyzed via negative ionization following elution from a HILIC column
SP:SAMPLEPREP_SUMMARY            	(Waters UPLC BEH Amide 2.1x150 mm, 1.7 µm) using a gradient consisting of water
SP:SAMPLEPREP_SUMMARY            	and acetonitrile with 10mM Ammonium Formate, pH 10.8. The MS analysis alternated
SP:SAMPLEPREP_SUMMARY            	between MS and data-dependent MSn scans using dynamic exclusion. The scan range
SP:SAMPLEPREP_SUMMARY            	varied slightly between methods but covered 70-1000 m/z.
#CHROMATOGRAPHY
CH:CHROMATOGRAPHY_SUMMARY        	Low pH Lipophilic (LC/MS Pos late)
CH:CHROMATOGRAPHY_TYPE           	Reversed phase
CH:INSTRUMENT_NAME               	Waters Acquity
CH:COLUMN_NAME                   	Waters ACQUITY UPLC BEH Amide (100 x 2.1mm,1.7um)
CH:SOLVENT_A                     	100% water; 0.1% formic acid; 0.05% PFPA, pH ~2.5
CH:SOLVENT_B                     	50% methanol/50% acetonitrile; 0.1% formic acid; 0.05% PFPA, pH ~2.5
CH:FLOW_GRADIENT                 	Linear gradient from 40% B to 99.5% B over 1.0 minute, hold 99.5% B for 2.4
CH:FLOW_GRADIENT                 	minutes.
CH:FLOW_RATE                     	0.60 mL/min
CH:COLUMN_TEMPERATURE            	40-50
#ANALYSIS
AN:ANALYSIS_TYPE                 	MS
#MS
MS:INSTRUMENT_NAME               	Thermo Q Exactive Orbitrap
MS:INSTRUMENT_TYPE               	Orbitrap
MS:MS_TYPE                       	Other
MS:ION_MODE                      	POSITIVE
MS:MS_COMMENTS                   	Metabolon (LC/MS Pos late)
#MS_METABOLITE_DATA
MS_METABOLITE_DATA:UNITS	Peak area
MS_METABOLITE_DATA_START
Samples	NINR-00417	NINR-00418	NINR-00419	NINR-00420	NINR-00421	NINR-00422	NINR-00423	NINR-00424	NINR-00425	NINR-00426	NINR-00427	NINR-00428	NINR-00429	NINR-00430	NINR-00431	NINR-00432	NINR-00433	NINR-00434	NINR-00435	NINR-00436	NINR-00437	NINR-00438	NINR-00439	NINR-00440	NINR-00441	NINR-00442	NINR-00443	NINR-00444	NINR-00445	NINR-00446	NINR-00447	NINR-00448	NINR-00449	NINR-00450	NINR-00451	NINR-00452	NINR-00453	NINR-00454
Factors	Sample source:CSF | MECFS_STATUS:Healthy volunteer | SEX:M	Sample source:CSF | MECFS_STATUS:Healthy volunteer | SEX:F	Sample source:CSF | MECFS_STATUS:Healthy volunteer | SEX:M	Sample source:CSF | MECFS_STATUS:Healthy volunteer | SEX:F	Sample source:CSF | MECFS_STATUS:Healthy volunteer | SEX:F	Sample source:CSF | MECFS_STATUS:Healthy volunteer | SEX:M	Sample source:CSF | MECFS_STATUS:Healthy volunteer | SEX:F	Sample source:CSF | MECFS_STATUS:Healthy volunteer | SEX:F	Sample source:CSF | MECFS_STATUS:Healthy volunteer | SEX:M	Sample source:CSF | MECFS_STATUS:Healthy volunteer | SEX:M	Sample source:CSF | MECFS_STATUS:Healthy volunteer | SEX:M	Sample source:CSF | MECFS_STATUS:Healthy volunteer | SEX:F	Sample source:CSF | MECFS_STATUS:Healthy volunteer | SEX:F	Sample source:CSF | MECFS_STATUS:Healthy volunteer | SEX:M	Sample source:CSF | MECFS_STATUS:Healthy volunteer | SEX:F	Sample source:CSF | MECFS_STATUS:Healthy volunteer | SEX:F	Sample source:CSF | MECFS_STATUS:Healthy volunteer | SEX:F	Sample source:CSF | MECFS_STATUS:Healthy volunteer | SEX:M	Sample source:CSF | MECFS_STATUS:Healthy volunteer | SEX:M	Sample source:CSF | MECFS_STATUS:Healthy volunteer | SEX:M	Sample source:CSF | MECFS_STATUS:Healthy volunteer | SEX:F	Sample source:CSF | MECFS_STATUS:MECFS | SEX:F	Sample source:CSF | MECFS_STATUS:MECFS | SEX:M	Sample source:CSF | MECFS_STATUS:MECFS | SEX:F	Sample source:CSF | MECFS_STATUS:MECFS | SEX:M	Sample source:CSF | MECFS_STATUS:MECFS | SEX:F	Sample source:CSF | MECFS_STATUS:MECFS | SEX:M	Sample source:CSF | MECFS_STATUS:MECFS | SEX:F	Sample source:CSF | MECFS_STATUS:MECFS | SEX:M	Sample source:CSF | MECFS_STATUS:MECFS | SEX:F	Sample source:CSF | MECFS_STATUS:MECFS | SEX:F	Sample source:CSF | MECFS_STATUS:MECFS | SEX:F	Sample source:CSF | MECFS_STATUS:MECFS | SEX:M	Sample source:CSF | MECFS_STATUS:MECFS | SEX:F	Sample source:CSF | MECFS_STATUS:MECFS | SEX:M	Sample source:CSF | MECFS_STATUS:MECFS | SEX:F	Sample source:CSF | MECFS_STATUS:MECFS | SEX:F	Sample source:CSF | MECFS_STATUS:MECFS | SEX:M
cholesterol	3241042	4070982	3094713	1848860	1554692	2914766	2976082	2044926	5450944	2678533	2406080	1840865	2465547	2893354	2139407	3013979	1174120	2985317	2686115	3582541	2323167	2200845	3971202	1469563	2389188	2891864	4201274	2631877	3485049	2758467	1457270	1788210	2791573	2289257	2066140	2498708	1509165	1915731
bilirubin (Z,Z)	353135	450572	432359	193852	315645	303723	184717	266985	299869	298987	284002	221282	477100	366661	274130	205333	79055	426379	2110622	363747	313752		1064218	128422	525538	244708	260599	256468	710187		164770	537995	398541		245395	325221		476077
alpha-tocopherol	2042543	2629792	2446808	1583666	3159280	2364263	1679674	1416738	2449862	1638613	1881835	2441189	2545534	1412023	1334543	1532396	1115239	1454153	2008524	1810437	1727977	1412445	3070235	1419709	1624094	1895798	1762336	1825031	2365173	1881014	1241710	1312876	2311127	1349208	1455634	1677123	993127	1205911
1-palmitoyl-2-linoleoyl-GPC (16:0/18:2)	2921948	11544728	4217560	2135482	2767127	3346667	2574450	2712691	4055330	3108140	3194915	2563828	3346449	2027755	2265788	2763515	1125739	2147634	3368278	4165399	2226109	2731383	4805120	1865520	3038130	3808078	3723110	2181175	2980727	2354430	1243061	1899318	3169966	1565002	1630829	2330607	1451014	2271578
stearoyl sphingomyelin (d18:1/18:0)	5826398	5973235	6148105	3627383	4225384	4727294	4136902	4238201	10054994	7551753	4545188	3392358	4834707	5165083	4775341	6493310	1896603	5411414	4414481	7899139	4675672	5697984	7108432	3261400	4386202	6367569	7127956	5454150	6394834	5238409	2810082	3949187	4819860	3825038	3640489	4313588	2629948	3601013
1-palmitoyl-2-oleoyl-GPC (16:0/18:1)	30771494	35287281	35927005	21439835	24339845	29354164	25965421	24621960	60058617	42375696	27620543	20731137	30000844	32838618	26881322	35473900	12687898	33603103	28199359	39965318	29175226	31205548	35887533	19423106	23224247	34033041	45084405	29856029	35984277	31060513	15874091	21596717	25460351	21937000	21020257	24223979	16808668	19363570
1,2-dipalmitoyl-GPC (16:0/16:0)	5810913	5923932	6213887	4301233	3830026	5214787	4503219	4670515	11271707	6623909	5188157	3762499	5421232	6215268	4860234	6400449	2416070	7088465	4977071	7177129	5365726	5395796	6476367	3918196	4178477	5374681	8154182	5422713	6890732	6122658	2615916	4024003	4904525	4496259	3526325	4495325	2762839	3444785
1-myristoyl-2-palmitoyl-GPC (14:0/16:0)	600176	806829	640297	360087	388663	443301	497884	371048	1185666	634510	539191	361921	439427	575533	522926	571914		642164	560375	604727	515716	492257	715553	444666	432738	581096	831452	508368	560390	623967	205995	431121	455026	340956	376075	406698	276094	413211
octanoylcarnitine (C8)	198718	94411	194728	99047	163361				75906	146449	40908	57726		39821		94042			96597	82175	58761		85396		65301	43523		60577	246888			48154	56240		37501			
1-palmitoyl-GPC (16:0)	666258	930133	674471	318470	344489	568231	349965	333951	1157034	627249	510320	336893	462060	411300	397206	519031	260917	623518	494683	1114809	418494	424344	647551	256577	356379	521892	716079	407320	504382	447864	204797	243537	480955	428819	271906	407491	184433	292345
piperine	249988	144293	744206		298070	397418			786114		355378	306847	580732		107845			756573	667226		422030		995809	247192	314097			57897		313268	53143	430663	459673					
1-oleoyl-GPC (18:1)	567877	588419	485458	234898	324682	403956	316977	258359	936368	527513	397624	259858	325371	337139	333313	448059	211143	501587	409090	969458	341617	307572	465450	157252	328323	421439	534837	384327	477457	397344	182118	180863	322771	359264	245038	377467	108909	234572
heme		391709	210444			66137				381434	2194993	176250		241302	88065	2427622									78335								321753	1642039	264927	215313		475154
1-stearoyl-2-arachidonoyl-GPC (18:0/20:4)	3295726	5056585	4368788	1959565	2257633	3493749	2776739	1943926	5718638	2724382	2788165	1885441	3008992	2512178	2290586	3376272	1215921	3452305	2805332	3532030	2874251	3011987	4018515	1925451	2817598	3708450	4302855	2520008	3641957	2738299	1294758	2454784	3708322	2339530	1801999	2091370	1345388	2010952
sphingomyelin (d18:1/18:1, d18:2/18:0)	1109148	928434	1175579	588106	724753	687103	621495	558916	1455102	1072533	811424	559425	717887	756304	757605	793391	255198	794305	849420	1173841	650634	736419	1322481	459201	680262	895480	1052022	932915	1034937	859634	363871	418923	956619	627325	614939	820227	278819	571370
palmitoyl sphingomyelin (d18:1/16:0)	4551470	7306837	5412653	2775975	3593459	3620140	2958143	2501181	6082285	4520207	4189874	2839224	3868748	3425689	3429720	3759837	1493544	4473097	4408798	5077777	3103381	3140987	6067546	2459076	3869729	4428526	4844337	3345867	5174216	3119447	1955246	2809090	4086414	2482284	2626474	3358368	1663665	3035527
sphingomyelin (d18:1/14:0, d16:1/16:0)*	245406	444664	162629	77737		78138			343967	216879	167604	124924	101768	168844	175191	96968		233912		229331	100903	102948	147408		188096	147952	263792	166188	195003	124715		118932				146531	74650	130512
sphingomyelin (d18:2/16:0, d18:1/16:1)*	398864	559433	409677	114728	170666	245698	205449	161530	482681	359765	307054		291923	193651	234660	170224		330438	327930	433783	217523	209176	529765	115157	306843	319242	342581	68937	384987	109714		145965	260271	144112	113672	204719		193438
sphingomyelin (d18:1/24:1, d18:2/24:0)*	3171059	5510080	3768939	1721425	1964485	2616858	2153713	1567230	3388357	2646775	3207948	2154784	2652925	2306757	1898631	1954613	762683	2536553	3062587	3052358	2236588	1894417	4898816	1412833	2383181	3889766	1949571	1765778	3329200	1986152	866464	1316199	2334819	1313332	1464476	2448541	1398881	2078140
sphingomyelin (d18:1/20:0, d16:1/22:0)*	1068499	1561506	1116397	611389	602140	741754	650280	535749	1645049	798611	866742	505726	688572	622772	668621	780959	166868	732271	813620	1199614	728175	749065	1229679	467174	775020	1018995	889791	756427	1002817		285267	520148	878231	239968	229888	740413	304144	518190
sphingomyelin (d18:1/20:1, d18:2/20:0)*		432742	376270	118556		146378		119327	342582	266574	199938		157031	131869	103954			120213		446385	184613	169243	480556		196717	290566	218763		103798				216717			159218	110290	139107
sphingomyelin (d18:1/22:1, d18:2/22:0, d16:1/24:1)*	810206	1659370	976998	461119	377695	635065	385152	236008	1086885	769682	766986	461622	470971	493262	511432	273268		686990	792161	894068	675897	453479	1325031	100722	695829	847010	592645	392247	779291	319870			777514		314414	527163	224895	501479
1-stearoyl-2-oleoyl-GPC (18:0/18:1)	4620254	5472932	4768920	3088560	3386154	4116367	3571992	3352489	8920644	4415260	3905749	2953394	3741809	4588261	3780342	5007293	2070977	5051607	3967530	5613291	4171770	4708410	5032589	2821426	3522164	4570950	6329640	4096830	5335147	4463077	2148614	3477619	3586870	3477999	2666465	3691457	2172484	2684882
1-palmitoyl-2-arachidonoyl-GPC (16:0/20:4n6)	2829855	5316489	3742794	1548541	2215625	2842805	2243757	1638231	4688495	2731291	2537075	1622963	2473097	2018719	1992980	3000268	946433	2543912	2354955	2840261	2476794	2418513	3344695	1648306	2472765	3286264	3467295	2270221	2972233	2342230	1158456	1816968	3235499	1886374	1768433	1929945	1255397	1531752
1-palmitoyl-2-docosahexaenoyl-GPC (16:0/22:6)	757709	1646774	795694	323371	701597	562914	384575	652391	998921	878494	660647	351373	689716	459719	524253	573756		556868	531139	764346	596440	649625	1232264	390898	494575	1087146	828107	615368	716904	557087	244026	469305	630000	333438	306383	504163	280217	517359
1-stearoyl-2-docosahexaenoyl-GPC (18:0/22:6)	552401	915848	504782	314341	571180	455482	353136	541588	969469	597588	468961	249530	581819	430473	384856	526499		528627	322795	635053	444827	555579	980931	264056	359354	886669	715288	383873	610885			401461	381561	272036	130200	334001	150290	473549
1-palmitoyl-2-stearoyl-GPC (16:0/18:0)	925348	941038	873814	545775	431776	710049	546298	602374	2023478	778812	761727	349374	659728	778645	580604	1101824		896270	586780	1043883	757573	932563	792227	409700	609036	739213	1187359	762488	1054433	904107		724167	702820	639390	374573	559668	297091	522998
palmitoyl dihydrosphingomyelin (d18:0/16:0)*	118971	381992	271057					74938	417186	180380	193737		160904	118600	103435			179844	204490	233447	153217	125601	340724		138913	220832	179810		205094							135585		93052
sphingomyelin (d18:2/24:1, d18:1/24:2)*	1187683	2602752	1589043	776412	783880	1130460	732515	743204	1626444	1201262	1606363	858845	1327120	846725	837552	581841		982357	1331739	1307621	935808	753436	2417293	441659	1035746	1498187	759845	710355	1269453	679797	182286	522419	928810	416388	523261	1078026	506811	850400
1-stearoyl-2-arachidonoyl-GPE (18:0/20:4)	149256	621403	284141	197797		473460	690652	394919	804314	431960	258297		321929	351970	289469	797800		429581		760406	247792	710633	255672		153703	218318	541330		316629	292300		237743	121238	301049		197175	97777	227373
1-palmitoyl-2-palmitoleoyl-GPC (16:0/16:1)*	1411603	1881135	1864167	980185	1061348	1341859	1376762	1471295	3020128	1565857	1465317	969297	1395666	1437392	1307319	1477510	650951	1779281	1524611	1679318	1271659	1494766	1668361	1105078	984824	1636833	1787472	1591859	1562979	1530384	604277	886779	1197947	988942	911454	1315219	842678	1041064
1-stearoyl-2-docosahexaenoyl-GPE (18:0/22:6)*	771256	729603	873760	628657	603343	809637	683715	617698	2128131	794085	455633	287857	733164	957123	565119	890810	232692	1092159	569802	1196024	785101	965569	648639	507623	445240	703519	1401133	772994	1114458	749565	229472	795116	538394	673975	283120	648460	229392	506323
1-(1-enyl-stearoyl)-2-arachidonoyl-GPE (P-18:0/20:4)*	716157	846798	745216	322555	220639	731889	602284	227277	1240979	588402	631899		301984	563528	289966	494356		524479	351441	748993	406756	685681	878816		685372	603064	721116	526236	576265	406153		275665	436719		204037	307695	151401	192812
1-(1-enyl-palmitoyl)-2-oleoyl-GPC (P-16:0/18:1)*	1146593	1587628	1478983	702744	708245	921666	642180	445922	1634426	1009578	1207837	496462	798911	558812	695604	305254	122741	730769	1523310	1126478	637911	654754	1427735	414971	1067235	1010457	619498	476016	1001370	651689	246155	311194	720861	192118	188896	658211	445189	568110
X-13431			42869							97930															65620													
X-24027		619028	626340	125449	268873	131450	211605	137656	107320	201302	121677		215236		110332					45435	206288	209287	315603		224156	78446	99493	251805	125157	115946	113736	127361	150421					
MS_METABOLITE_DATA_END
#METABOLITES
METABOLITES_START
metabolite_name	CHEM_ID	LIB_ID	COMP_ID	CHRO_LIB_ENTRY_ID	SUPER_PATHWAY	SUB_PATHWAY	PATHWAY_SORTORDER	INCHIKEY	SMILES	PLOT_NAME	CAS	CHEMSPIDER	HMDB	KEGG	PUBCHEM
cholesterol	266	402	63	164177	Lipid	Sterol	3193	HVYWMOMLDIMFJA-LBHVWCRMBB	CC1(C2C(C)CCCC(C)C)C(CC2)C(CC=C3C4(CC[C@H](O)C3)C)C4CC1	cholesterol	57-88-5	4937803	HMDB0000067	C00187	5997,6432564,11025495
bilirubin (Z,Z)	1090	402	43807	159596	Cofactors and Vitamins	Hemoglobin and Porphyrin Metabolism	4409	BPYKTIZUTYGOLE-IFADSCNNBS	CC(C(N)=O)=C(C=C)C1=C/C2=C(C)C(CCC(O)=O)=C(CC3=C(CCC(O)=O)C(C)=C(/C=C4NC(C(C=C)=C/4C)=O)N3)N2	bilirubin	635-65-4	4444055	HMDB0000054	C00486	5280352
alpha-tocopherol	1105	402	1561	164189	Cofactors and Vitamins	Tocopherol Metabolism	4361	GVJHHUAWPYXKBD-IEOSBIPEBS	CC1=C2C(O[C@@](CCC[C@H](C)CCC[C@H](C)CCC[C@H](C)C)(C)CC2)=C(C)C(C)=C1O	alpha-tocopherol	10191-41-0,59-02-9	14265	HMDB0001893	C02477	86472
1-palmitoyl-2-linoleoyl-GPC (16:0/18:2)	1537	402	42446	165129	Lipid	Phosphatidylcholine (PC)	2287	JLPULHDHAOZNQI-ZTIMHPMXBU	O=P([O-])(OC[C@@H](COC(CCCCCCCCCCCCCCC)=O)OC(CCCCCCC/C=CC/C=CCCCCC)=O)OCC[N+](C)(C)C	1-palmitoyl-2-linoleoyl-GPC (16:0/18:2)	40811-94-7	4450224	HMDB0007973		5287971
stearoyl sphingomyelin (d18:1/18:0)	1538	402	19503	164530	Lipid	Sphingomyelins	3106	LKQLRGMMMAHREN-YJFXYUILBI	CCCCCCCCCCCCCCCCCC(N[C@@](COP([O-])(OCC[N+](C)(C)C)=O)([C@](O)(/C=C/CCCCCCCCCCCCC)[H])[H])=O	stearoyl sphingomyelin (d18:1/18:0)	85187-10-6,85187-10-6	4956085	HMDB0001348	C00550	6453725
1-palmitoyl-2-oleoyl-GPC (16:0/18:1)	1539	402	52461	165127	Lipid	Phosphatidylcholine (PC)	2284	WTJKGGKOPKCXLL-MRCUWXFGBH	O=C(CCCCCCC/C=CCCCCCCCC)O[C@@H](COC(CCCCCCCCCCCCCCC)=O)COP(OCC[N+](C)(C)C)([O-])=O	1-palmitoyl-2-oleoyl-GPC (16:0/18:1)	26853-31-6,26853-31-6	4940699	HMDB0007972	C13875	6436017
1,2-dipalmitoyl-GPC (16:0/16:0)	100000657	402	19130	164201	Lipid	Phosphatidylcholine (PC)	2279	KILNVBDSWZSGLL-KXQOOQHDBV	CCCCCCCCCCCCCCCC(OC[C@]([H])(COP([O-])(OCC[N+](C)(C)C)=O)OC(CCCCCCCCCCCCCCC)=O)=O	1,2-dipalmitoyl-GPC (16:0/16:0)	63-89-8	398235	HMDB0000564	D03585	452110
1-myristoyl-2-palmitoyl-GPC (14:0/16:0)	100000672	402	19258	164196	Lipid	Phosphatidylcholine (PC)	2263	RFVFQQWKPSOBED-PSXMRANNBM	CCCCCCCCCCCCCCCC(O[C@](COC(CCCCCCCCCCCCC)=O)(COP([O-])(OCC[N+](C)(C)C)=O)[H])=O	1-myristoyl-2-palmitoyl-GPC (14:0/16:0)	69525-80-0	114798	HMDB0007869		129657
octanoylcarnitine (C8)	100001247	402	33936	158581	Lipid	Fatty Acid Metabolism (Acyl Carnitine, Medium Chain)	1853	CXTATJFJDMJMIY-UHFFFAOYAP	[O-]C(CC(C[N+](C)(C)C)OC(CCCCCCC)=O)=O	octanoylcarnitine (C8)	3671-77-0	110274	HMDB0000791	C02838	123701,11953814
1-palmitoyl-GPC (16:0)	100001263	402	33955	158599	Lipid	Lysophospholipid	2601	ASWBNKHCZGQVJV-UHFFFAOYAM	O=P(OCC[N+](C)(C)C)([O-])OCC(O)COC(CCCCCCCCCCCCCCC)=O	1-palmitoyl-GPC (16:0)	17364-16-8	78064	HMDB0010382	C04102	86554
piperine	100001267	402	33935	158580	Xenobiotics	Food Component/Plant	5006	MXXWOMGUGJBKIW-YPCIICBEBY	O=C(N1CCCCC1)/C=C/C=C/C2=CC(OCO3)=C3C=C2	piperine	94-62-2	553590	HMDB0029377	C03882	638024
1-oleoyl-GPC (18:1)	100001272	402	48258	160285	Lipid	Lysophospholipid	2614	YAMUFBLWGFFICM-PTGWMXDIBX	O[C@H](COC(CCCCCCC/C=CCCCCCCCC)=O)COP(OCC[N+](C)(C)C)([O-])=O	1-oleoyl-GPC (18:1)	19420-56-5	17240641	HMDB0002815	C03916	16081932
heme	100001386	402	41754	159409	Cofactors and Vitamins	Hemoglobin and Porphyrin Metabolism	4408		CC1=C(CCC(O)=O)C(/C=C(C(CCC([O-])=O)=C/2C)[N-]C2=C/C3=N/C(C(C=C)=C3C)=C)=N/C1=CC(N([Fe+2])C4=C5C)=C5C=C	heme	14875-96-8		HMDB0003178	C00032	26945
1-stearoyl-2-arachidonoyl-GPC (18:0/20:4)	100001869	402	42450	164205	Lipid	Phosphatidylcholine (PC)	2334	PSVRFUPOQYJOOZ-QNPWAGBNBV	C[N+](C)(CCOP([O-])(OC[C@@]([H])(COC(CCCCCCCCCCCCCCCCC)=O)OC(CCC/C=CC/C=CC/C=CC/C=CCCCCC)=O)=O)C	1-stearoyl-2-arachidonoyl-GPC (18:0/20:4)	35418-59-8	17347139	HMDB0008048		16219824
sphingomyelin (d18:1/18:1, d18:2/18:0)	100002106	402	37529	164200	Lipid	Sphingomyelins	3120	NBEADXWAAWCCDG-QDDWGVBQBP	O=C(CCCCCCC/C=CCCCCCCCC)N[C@@](COP([O-])(OCC[N+](C)(C)C)=O)([C@](O)(/C=C/CCCCCCCCCCCCC)[H])[H]	sphingomyelin (d18:1/18:1, d18:2/18:0)	108392-10-5	4947837	HMDB0012101		6443882
palmitoyl sphingomyelin (d18:1/16:0)	100002107	402	37506	164195	Lipid	Sphingomyelins	3104	RWKUXQNLWDTSLO-GWQJGLRPBP	CCCCCCCCCCCCCCCC(N[C@@](COP([O-])(OCC[N+](C)(C)C)=O)([C@](O)(/C=C/CCCCCCCCCCCCC)[H])[H])=O	palmitoyl sphingomyelin (d18:1/16:0)	6254-89-3	8115562	HMDB0010169		9939941
sphingomyelin (d18:1/14:0, d16:1/16:0)*	100004328	402	42463	164531	Lipid	Sphingomyelins	3114	KYICBZWZQPCUMO-PSALXKTOBW	CCCCCCCCCCCCCC(N[C@@](COP([O-])(OCC[N+](C)(C)C)=O)([C@](O)(/C=C/CCCCCCCCCCCCC)[H])[H])=O	sphingomyelin (d18:1/14:0, d16:1/16:0)*		9608732	HMDB0012097		11433862
sphingomyelin (d18:2/16:0, d18:1/16:1)*	100004329	402	42459	161023	Lipid	Sphingomyelins	3118		CCCCC/C=C/CCCCCCCCC(N[C@@](COP([O-])(OCC[N+](C)(C)C)=O)([C@](O)(/C=C/CCCCCCCCCCCCC)[H])[H])=O	sphingomyelin (d18:2/16:0, d18:1/16:1)*			HMDB0240638,HMDB0240613
sphingomyelin (d18:1/24:1, d18:2/24:0)*	100005986	402	47153	164529	Lipid	Sphingomyelins	3130	WKZHECFHXLTOLJ-QYKFWSDSBN	O[C@H](/C=C/CCCCCCCCCCCCC)[C@H](CO[P](OCC[N+](C)(C)C)([O-])=O)NC(CCCCCCCCCCCCC/C=CCCCCCCCC)=O	sphingomyelin (d18:1/24:1, d18:2/24:0)*	94359-13-4	24846874	HMDB0012107		44260126
sphingomyelin (d18:1/20:0, d16:1/22:0)*	100006290	402	48490	164042	Lipid	Sphingomyelins	3122	AADLTHQNYQJHQV-SVLGDMRNBJ	CCCCCCCCCCCCC/C=C/[C@@H](O)[C@@H](NC(CCCCCCCCCCCCCCCCCCC)=O)COP([O-])(OCC[N+](C)(C)C)=O	sphingomyelin (d18:1/20:0, d16:1/22:0)*		23113477	HMDB0012102		44260124
sphingomyelin (d18:1/20:1, d18:2/20:0)*	100006292	402	48491	164534	Lipid	Sphingomyelins	3123		CCCCCCCCCCCCC/C=C/[C@@H](O)[C@@H](NC(CCCCCCCCC/C=C/CCCCCCCC)=O)COP([O-])(OCC[N+](C)(C)C)=O	sphingomyelin (d18:1/20:1, d18:2/20:0)*	222403-67-0		HMDB0240610,HMDB0240632
sphingomyelin (d18:1/22:1, d18:2/22:0, d16:1/24:1)*	100006295	402	48493	164535	Lipid	Sphingomyelins	3127	VBFKEZGCUWHGSK-ADSSWVSQBB	CCCCCCCCCCCCC/C=C/[C@@H](O)[C@@H](NC(CCCCCCCCCCC/C=CCCCCCCCC)=O)COP([O-])(OCC[N+](C)(C)C)=O	sphingomyelin (d18:1/22:1, d18:2/22:0, d16:1/24:1)*		29368329	HMDB0012104
1-stearoyl-2-oleoyl-GPC (18:0/18:1)	100008904	402	52438	164562	Lipid	Phosphatidylcholine (PC)	2323	ATHVAWFAEPLPPQ-VRDBWYNSBX	O=C(CCCCCCCCCCCCCCCCC)OC[C@]([H])(COP(OCC[N+](C)(C)C)([O-])=O)OC(CCCCCCC/C=CCCCCCCCC)=O	1-stearoyl-2-oleoyl-GPC (18:0/18:1)	56421-10-4	24766704	HMDB0008038		24778825
1-palmitoyl-2-arachidonoyl-GPC (16:0/20:4n6)	100008914	402	52462	165128	Lipid	Phosphatidylcholine (PC)	2298	IIZPXYDJLKNOIY-JXPKJXOSBS	CCCCCCCCCCCCCCCC(OC[C@@]([H])(OC(CCC/C=CC/C=CC/C=CC/C=CCCCCC)=O)COP([O-])(OCC[N+](C)(C)C)=O)=O	1-palmitoyl-2-arachidonoyl-GPC (16:0/20:4n6)	35418-58-7	8923140	HMDB0007982	C05208	10747814
1-palmitoyl-2-docosahexaenoyl-GPC (16:0/22:6)	100008915	402	52610	165342	Lipid	Phosphatidylcholine (PC)	2304	IESVDEZGAHUQJU-ZLBXKVHBBA	CCCCCCCCCCCCCCCC(OC[C@](OC(CC/C=CC/C=CC/C=CC/C=CC/C=CC/C=CCC)=O)([H])COP([O-])(OCC[N+](C)(C)C)=O)=O	1-palmitoyl-2-docosahexaenoyl-GPC (16:0/22:6)	59403-54-2	4946007	HMDB0007991		6441886
1-stearoyl-2-docosahexaenoyl-GPC (18:0/22:6)	100008916	402	52611	165343	Lipid	Phosphatidylcholine (PC)	2340		O=C(CC/C=CC/C=CC/C=CC/C=CC/C=CC/C=CCC)O[C@H](COC(CCCCCCCCCCCCCCCCC)=O)CO[P](OCC[N+](C)(C)C)([O-])=O	1-stearoyl-2-docosahexaenoyl-GPC (18:0/22:6)	59403-52-0		HMDB0008057		24778876
1-palmitoyl-2-stearoyl-GPC (16:0/18:0)	100008921	402	52616	165348	Lipid	Phosphatidylcholine (PC)	2282	PZNPLUBHRSSFHT-RRHRGVEJBV	O=C(CCCCCCCCCCCCCCC)OC[C@]([H])(COP(OCC[N+](C)(C)C)([O-])=O)OC(CCCCCCCCCCCCCCCCC)=O	1-palmitoyl-2-stearoyl-GPC (16:0/18:0)	59403-51-9	24766643	HMDB0007970	C03889	24778686
palmitoyl dihydrosphingomyelin (d18:0/16:0)*	100008954	402	52434	164558	Lipid	Dihydrosphingomyelins	3100	QHZIGNLCLJPLCU-QPPIDDCLBH	[H][C@](NC(CCCCCCCCCCCCCCC)=O)(COP(OCC[N+](C)(C)C)([O-])=O)[C@@](O)([H])CCCCCCCCCCCCCCC	palmitoyl dihydrosphingomyelin (d18:0/16:0)*		8115586	HMDB0010168		9939965
sphingomyelin (d18:2/24:1, d18:1/24:2)*	100008957	402	52437	164561	Lipid	Sphingomyelins	3131		[H][C@](NC(CCCCCCCCCCCCC/C=CCCCCCCCC)=O)(COP(OCC[N+](C)(C)C)([O-])=O)[C@@](O)([H])/C=C/CCCCCCCC/C=CCCC	sphingomyelin (d18:2/24:1, d18:1/24:2)*			HMDB0240636,HMDB0240615		85336023
1-stearoyl-2-arachidonoyl-GPE (18:0/20:4)	100008977	402	52447	165110	Lipid	Phosphatidylethanolamine (PE)	2439	ANRKEHNWXKCXDB-BHFWLYLHBY	O=C(CCCCCCCCCCCCCCCCC)OC[C@]([H])(COP(OCCN)(O)=O)OC(CCC/C=CC/C=CC/C=CC/C=CCCCCC)=O	1-stearoyl-2-arachidonoyl-GPE (18:0/20:4)		4451158	HMDB0009003	C05210	5289133
1-palmitoyl-2-palmitoleoyl-GPC (16:0/16:1)*	100008984	402	52470	165143	Lipid	Phosphatidylcholine (PC)	2280		CCCCCCCCCCCCCCCC(OCC(OC(CCCCCCC/C=C/CCCCCC)=O)COP([O-])(OCC[N+](C)(C)C)=O)=O	1-palmitoyl-2-palmitoleoyl-GPC (16:0/16:1)*			HMDB0007969		6443788
1-stearoyl-2-docosahexaenoyl-GPE (18:0/22:6)*	100008992	402	52466	165134	Lipid	Phosphatidylethanolamine (PE)	2443	XYYHNDVKALDFHQ-OXHZBIAZBI	O=C(CCCCCCCCCCCCCCCCC)OC[C@]([H])(COP(OCCN)(O)=O)OC(CC/C=CC/C=CC/C=CC/C=CC/C=CC/C=CCC)=O	1-stearoyl-2-docosahexaenoyl-GPE (18:0/22:6)*		7825748	HMDB0009012		9546798
1-(1-enyl-stearoyl)-2-arachidonoyl-GPE (P-18:0/20:4)*	100008999	402	52475	165154	Lipid	Plasmalogen	2819	URPXXNCTXCOATD-FXMFQVEGBH	[H][C@](OC(CCC/C=CC/C=CC/C=CC/C=CCCCCC)=O)(COP(OCCN)(O)=O)CO/C=CCCCCCCCCCCCCCCCC	1-(1-enyl-stearoyl)-2-arachidonoyl-GPE (P-18:0/20:4)*		7826008	HMDB0005779		9547058
1-(1-enyl-palmitoyl)-2-oleoyl-GPC (P-16:0/18:1)*	100009007	402	52478	165160	Lipid	Plasmalogen	2807		[H][C@](OC(CCCCCCC/C=CCCCCCCCC)=O)(CO[P-](OCC[N+](C)(C)C)([O])=O)CO/C=CCCCCCCCCCCCCCC	1-(1-enyl-palmitoyl)-2-oleoyl-GPC (P-16:0/18:1)*			HMDB0007996		34779384
X-13431	999913431	402	47788	160155						X-13431
X-24027	999924027	402	52056	164000						X-24027
METABOLITES_END
#END