Nutritional-Metabolic Lipid Profiling with LipidOne for plasma lipidomics interpretation in metabolic health

Abstract Background/Objectives Human plasma lipidomics provides valuable information on dietary and metabolic phenotypes, but the interpretation of high-dimensional lipid datasets remains challenging. We developed the Nutritional-Metabolic Lipid Profile (NMLP) module within LipidOne to translate plasma lipidomics data into interpretable nutritional-metabolic indices, functional categories, visual outputs, and biological statements. Subjects/Methods NMLP calculates lipid indices reflecting cardiometabolic lipid status, fatty acid remodelling, overall lipid quality, oxidative protection, and omega-3/essential fatty acid status. The module was applied to three human plasma lipidomics public datasets: a randomized crossover glycemic-load feeding study, a eucaloric high-fat diet intervention in normal-weight women, and a large public dataset stratified by insulin sensitivity. Results Across datasets, NMLP converted complex lipidomic matrices into coherent nutritional-metabolic profiles. In the glycemic-load study, the module highlighted metabolic lipid shifts not captured by standard clinical lipid panels, mainly involving cardiometabolic lipid status, oxidative protection, and fatty acid remodelling. In the high-fat diet intervention, NMLP tracked temporal lipid remodelling across pre-diet, on-diet, and post-diet states, consistent with metabolic adaptation to increased dietary fat exposure. In the insulin-sensitivity dataset, insulin-resistant subjects showed a storage-oriented lipid phenotype characterized by increased neutral lipid storage indices and altered lipid quality and oxidative-protection features. Category-level clustering further revealed heterogeneous nutritional-metabolic states within insulin-resistant subjects. Conclusions NMLP provides a deeper and clearer interpretative framework for human plasma lipidomics in nutrition and metabolic health research. By translating lipid species into functional indices and category-level readouts, the module may facilitate the use of lipidomics in clinical nutrition, metabolic phenotyping, and precision nutrition studies. NMLP is freely accessible as part of the online LipidOne platform.