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PCA showed no separation between patients in the lowest CRP tertile and the highest CRP tertile groups (Figure 1A). However, a supervised analysis using OPLS-DA showed a strong separation with 1 + 1+0 LV (Figure 1B; p=0.033). Using all 590 bins, a PLS-R analysis of metabolite data (Figure 1C) showed a statistically sites web hindous significant relationship between the serum metabolite profile and CRP (r 2 = 0.29, 7 LV, p<0.001). Forward selection was carried out to produce a model containing the top 36 NMR bins (Figure 1D). This enhanced the relationship between metabolite profile and CRP (r 2 = 0.551, 6 LV, p=0.001) compared to the original PLS-R. Spectral fitting to identify metabolites was performed using Chenomx (see Figure 2) and a published list of metabolites (25, 32). Potential metabolites identified by this model are shown in Table 2. Univariate analysis did not reveal a relationship between the concentrations of the metabolites identified in the bins with the three greatest regression coefficients (see Table 2) and CRP, except for citrate (Rs=-0.302, p<0.001).
Figure 1 Multivariate analysis of RA patients’ serum metabolite profile. For the PCA OPLSDA, patients were split into tertiles according to CRP values, with data shown for the highest and lowest tertile: (A) PCA plot of metabolic data derived from RA patients’ (n = 84) sera (green = CRP <5 and blue = CRP>13; 19 PC, r 2 = 0.673) showing no separation between the two groups. (B) OPLS-DA plot of metabolic data derived from RA patients’ (n = 84) sera (green = CRP <5 and blue = CRP>13; 1 + 1+0 LV, p value= 0.033) showing a strong separation between the two groups.