Dysregulated lipid metabolites GML and GMO were associated with cytotoxic T cell function and serve as biomarkers for acute pulmonary embolism - Report - MDSpire

Dysregulated lipid metabolites GML and GMO were associated with cytotoxic T cell function and serve as biomarkers for acute pulmonary embolism

  • By

  • Tongyao Guo

  • Weibo Gao

  • Aimin Zhang

  • Dong Wang

  • Yushang Zhao

  • Yining Li

  • Zhihong Yue

  • Lin Pei

  • Mei Jia

  • Chen Liu

  • Lin-Lin Cao

  • July 8, 2026

  • 0 min

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Clinical Report: Altered lipid metabolites GML and GMO correlate with cytotoxic T cell activity

Overview

This study identifies glycerol monolaurate (GML) and glycerol monooleate (GMO) as serum metabolites associated with acute pulmonary embolism (APE). Elevated levels of these metabolites correlate with cytotoxic T cell dysfunction and disease severity in APE patients.

Background

Acute pulmonary embolism (APE) is a significant cause of cardiovascular mortality, often misdiagnosed due to nonspecific symptoms. The identification of reliable biomarkers is crucial for early diagnosis and risk stratification.

Data Highlights

ParameterFindings
Upregulated Serum Lipids203
Downregulated Serum Lipids57
GML and GMO LevelsSignificantly elevated in APE
Correlation with Cytotoxic T Cell MarkersDecreased granzyme B, perforin, granulysin

Key Findings

  • 203 serum lipids were upregulated and 57 downregulated in APE patients compared to controls.
  • Serum GML and GMO levels were significantly higher in APE patients than in healthy controls and other diseases.
  • GML and GMO correlated with clinical risk stratification in APE.
  • ROC analyses indicated high sensitivity and specificity for GML and GMO as diagnostic biomarkers.
  • Cytotoxic T cells from APE patients showed decreased expression of granzyme B, perforin, and granulysin.
  • In vitro studies demonstrated that GML and GMO reduced Notch1 signaling and cytotoxic protein expression in T cells.

Clinical Implications

The findings indicate that GML and GMO may serve as biomarkers for diagnosing APE and assessing disease severity.

Conclusion

Elevated serum levels of GML and GMO may be valuable for the diagnosis of APE.

Related Resources & Content

  1. American College of Cardiology, First AHA/ACC acute pulmonary embolism guideline: prompt diagnosis and treatment are key, 2026 -- First AHA/ACC acute pulmonary embolism guideline: prompt diagnosis and treatment are key
  2. JAMA, Age-Adjusted D-Dimer Cutoff Levels to Rule Out Pulmonary Embolism, 2014 -- Age-Adjusted D-Dimer Cutoff Levels to Rule Out Pulmonary Embolism
  3. European Journal of Preventive Cardiology — Defective biological activities of high-density lipoprotein identify patients at highest risk of recurrent cardiovascular event
  4. Bone Marrow Transplantation — Endothelial Cell Dysfunction: A Crucial Factor Influencing Outcomes in Allogeneic Stem Cell Transplantation
  5. Clinical Research in Cardiology — Association of Plasma Interleukin 6 Concentrations with Cardiac Function Following ST-Elevation Myocardial Infarction
  6. Frontiers in Oncology — Identification of MTMR2 as an AML-associated candidate biomarker derived from lipid metabolism–related transcriptomic analysis
  7. Identification of oxylipins and lipid mediators in pulmonary embolism
  8. First AHA/ACC acute pulmonary embolism guideline: prompt diagnosis and treatment are key - American College of Cardiology
  9. Age-Adjusted D-Dimer Cutoff Levels to Rule Out Pulmonary Embolism
  10. HI-PEITHO: Ultrasound-Facilitated, Catheter-Directed Fibrinolysis For Acute PE - American College of Cardiology

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