1 Introduction

Nutrition research in the 20th century led to the discovery of the functions of essential nutrients. Nutritional recommendations have been made for populations to cover the needs of these essential nutrients, and to ensure the good functioning of the organism. Beyond these essential effects, it is also clear today that many of these nutrients, together with non-essential bioactive compounds also present in foods and the diet, interact with a number of metabolic pathways and influence health, reducing or increasing the risk of diseases such as cancers or cardiovascular diseases. Deciphering these complex interactions between nutrients and the human organism constitutes a considerable challenge for the 21st century (Doets et al. 2008).

The classical approaches in nutrition research are hypothesis-driven. Methods used to prove or disprove a hypothesis were largely derived from those used in pharmacology. However nutrients do not specifically interact with a defined target like some drugs but they most likely interact with a number of targets, metabolic pathways and functions. Furthermore the magnitude of their effects is often much lower than that commonly observed for drugs. Recent research on vitamin E illustrates the limits of these approaches: tocopherols do not only have a vitamin function but they are also powerful free radical scavengers. Added to fats, they limit their peroxidation and increase their shelf life. It is known from animal studies and short-term clinical trials that they can also limit LDL peroxidation in the artery wall and improve some surrogate markers of cardiovascular disease risk (Huang et al. 2002; Meydani 2004). However, despite such evidence, the results of large intervention studies were largely disappointing and did not show a reduction of disease and mortality outcome (Bjelakovic et al. 2007; Miller et al. 2004). Therefore, short-term intervention studies and the use of current surrogate markers failed to predict the effects of vitamin E supplementation on diseases and mortality.

Omics approaches and metabolomics in particular should allow to characterize the effects of a nutrient, a food or a diet with much more precision. Metabolomics allows to analyse hundreds of metabolites in a given biological sample (biofluid, tissue, cells, etc.). When applied to urine or plasma samples, it allows to differentiate individual phenotypes better than with conventional clinical endpoints or with small sets of metabolites (Assfalg et al. 2008; Brindle et al. 2002; Yang et al. 2004). It also allows to explore the metabolic effects of a nutrient in a more global way. In the field of nutrition, metabolomics has been used to characterize the effects of both a deficiency or a supplementation of different nutrients, and to compare the metabolic effects of closely related foods such as whole-grain or refined wheat flours (Fardet et al. 2007; Rezzi et al. 2007). It may also allow to better separate the effects of the diet from those of confounding factors such as age, gender, physiological states and lifestyle once the effects of these factors on the metabolome will have been characterized in sufficient details. Metabolomics and the food metabolome made of all the products of food digestion may also be used to estimate the food or nutrient intake from a urine, sera or plasma sample (Fardet et al. 2008b; Wishart 2008). Metabolomics may help solving problems associated to the methods currently used for measuring food intake (Manach et al. 2009). A literature search retrieved 128 papers dealing with metabolomics in human nutrition and published since 2001 (Web of Science, December 22, 2008). They included 45 original papers, 60 reviews and 23 papers focused on method development or the characterization of metabolome variability. Nearly two-third of these papers were published in the last 2 years.

In the majority of original papers (62%), proton NMR was used for data acquisition. However, due to its more limited sensitivity, not more than 60 different metabolites are commonly estimated in biological samples (Martin et al. 2007). HPLC-separations coupled with coulometric electrode array detectors are extremely sensitive (detection of subnanomolar electrochemically active species in sera), and can detect >1000 compounds in sera (Milbury 1997; Vigneau-Callahan et al. 2001), but their use remains limited by low throughput, inability to observe non-electrochemically active species and difficulties associated with metabolite identification. Mass spectrometry (MS) techniques are also highly sensitive and provide spectral information (exact mass of molecular ion, fragmentation patterns) which contribute to the identification of the metabolites (Dettmer et al. 2007). For these reasons, the number of MS-based metabolomics studies grows quickly and now exceeds that of NMR-based studies (Dettmer et al. 2007). Both targeted profiling (in which metabolites are known a priori) and fingerprinting (the identity of the metabolites of interest is established a posteriori) have been carried out in MS-based metabolomics. Targeted profiling is usually developed for quantification of a given class of metabolites (lipids, fatty acids, acylcarnitines, bile acids, organic acids, nucleosides, etc.). It has been used for many years in nutrition research. However the increasing power of MS techniques which allows today the simultaneous analysis of several hundred metabolites explains why it has been called metabolomics (Altmaier et al. 2008; Watkins et al. 2002). MS-based fingerprinting was only applied recently to nutrition with about 10 papers published in 2008 (Clish et al. 2004; Fardet et al. 2008a; Kuhl et al. 2008; Shen et al. 2008). This approach offers a considerable potential but progress is still hampered by many unsolved problems (Table 1) and most notably the lack of well established and standardized methods or procedures, and the difficulties still met in the identification of the discriminating metabolites (Jiye et al. 2005; Lawton et al. 2008; Wishart et al. Full size table

This paper is based on the discussions held during the workshop “Tools and Methods for Mass Spectrometry Metabolomics in Nutrition” organized by NuGO, the European Nutrigenomics Organization (www.nugo.org) on December 12–14, 2007 in Clermont-Ferrand (France). Each section of the manuscript summarizes the problems identified and proposes recommendations to solve them.