Using this isotope tracing-based method, the researchers were able to discover a novel human metabolite, trimethylglycyl-lysine (TMGL), that appears to play a role in muscle physiology. This is the first report of the existence of TMGL in any organism, and an analysis of the metabolite in skeletal muscle from people with obesity and type 2 diabetes randomized to receive an 8-month intensive lifestyle therapy (ILT) found muscle TMGL content was markedly increased in the ILT group, concurrent with marked weight loss and muscle remodeling.
These results demonstrate that isotope-based metabolite identification can be leveraged to systematically annotate unknown mass spectrometry signals from endogenous metabolites and identify novel compounds that inform drug development strategies. The approach is fully complementary to existing metabolite identification techniques based on ion fragmentation, and can help extend the reach of mass spectrometry in biomedicine.
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