Metabolomics- and proteomics-based multi-omics integration reveals early metabolite alterations in sepsis-associated acute kidney injury
BMC Medicine,
Journal Year:
2025,
Volume and Issue:
23(1)
Published: Feb. 11, 2025
Abstract
Background
Sepsis-associated
acute
kidney
injury
(SA-AKI)
is
a
frequent
complication
in
patients
with
sepsis
and
associated
high
mortality.
Therefore,
early
recognition
of
SA-AKI
essential
for
administering
supportive
treatment
preventing
further
damage.
This
study
aimed
to
identify
validate
metabolite
biomarkers
assist
clinical
diagnosis.
Methods
Untargeted
renal
proteomic
metabolomic
analyses
were
performed
on
the
tissues
LPS-induced
mice.
Glomerular
filtration
rate
(GFR)
monitoring
technology
was
used
evaluate
real-time
function
To
elucidate
distinctive
characteristics
SA-AKI,
multi-omics
Spearman
correlation
network
constructed
integrating
core
metabolites,
proteins,
function.
Subsequently,
metabolomics
analysis
explore
dynamic
changes
metabolites
serum
mice
at
0,
8,
24
h.
Finally,
cohort
(28
vs.
28
sepsis)
quantitative
carried
out
build
diagnostic
model
via
logistic
regression
(LR).
Results
Thirteen
differential
112
proteins
identified
through
highlight
five
i.e.,
3-hydroxybutyric
acid,
3-hydroxymethylglutaric
creatine,
myristic
inosine,
which
then
observed
time
series
experiments
The
levels
creatine
increased
significantly
h,
acid
8
while
inosine
decreased
Ultimately,
based
we
recruited
56
named
IC3,
using
(AUC
=
0.90).
Conclusions
We
proposed
blood
consisting
screening
SA-AKI.
Future
studies
will
observe
performance
these
other
populations
their
role.
Language: Английский
Significance of FXR agonists in MASLD treatment: a deep dive into lipid alteration by analytical techniques
Published: March 25, 2025
Metabolic
dysfunction-associated
steatotic
liver
disease
(MASLD)
is
rapidly
emerging
as
a
global
health
crisis,
affecting
over
30%
of
the
population
and
demanding
urgent
attention.
This
redefined
condition,
previously
known
non-alcoholic
fatty
(NAFLD),
reflects
deeper
understanding
intricate
interplay
between
metabolic
dysfunction
health.
At
heart
MASLD
lies
troubling
accumulation
triglycerides
(TGs)
in
hepatocytes,
which
precipitates
insulin
resistance
oxidative
stress,
ultimately
leading
to
more
severe
forms
like
steatohepatitis
(MASH).
Excitingly,
recent
research
has
spotlighted
farnesoid
X
receptor
(FXR)
groundbreaking
therapeutic
target.
FXR
not
only
regulates
lipid
metabolism
but
also
combats
inflammation
resistance,
making
it
potential
game-changer
fight
against
MASLD.
With
one
FDA-approved
drug,
resmetirom,
currently
available,
exploration
agonists
opens
new
avenues
for
innovative
treatments
that
could
revolutionize
patient
care.
By
harnessing
power
restore
balance
integrating
advanced
strategies
lipidomics
acid
profiling,
we
stand
on
brink
transforming
how
approach
its
associated
complications,
paving
way
healthier
future.
review
delves
into
promising
role
combating
implications
related
disorders,
emphasizing
urgency
detect
manage
this
burgeoning
epidemic.
Language: Английский
Association between triglyceride glucose body mass index and 1 year all cause mortality in stage 4 CKM syndrome patients
Wen Pan,
No information about this author
Tengfei Ji,
No information about this author
Bing Hu
No information about this author
et al.
Scientific Reports,
Journal Year:
2025,
Volume and Issue:
15(1)
Published: May 16, 2025
The
triglyceride-glucose
body
mass
index
(TyG-BMI)
is
acknowledged
as
a
dependable
surrogate
biomarker
for
the
evaluation
of
insulin
resistance
(IR).
Current
research
indicates
significant
correlation
between
TyG-BMI
and
risk
subsequent
cardiovascular
events
in
individuals
diagnosed
with
cardiovascular-kidney-metabolic
syndrome
(CKM)
at
stages
0-3.
Nevertheless,
prognostic
significance
patients
CKM
stage
4
has
not
been
extensively
investigated,
there
paucity
evidence
available
on
this
topic.
study
utilized
patient
data
from
Medical
Information
Mart
Intensive
Care
(MIMIC-IV)
database,
categorizing
into
quartiles
based
index.
primary
outcomes
interest
were
all-cause
mortality
180
days
one
year.
To
assess
relationship
these
CKM,
Cox
proportional
hazards
model
was
employed.
Additionally,
restricted
cubic
splines(RCS)
applied
to
further
investigate
associations
specified
outcomes.
A
total
1,885
participated
study,
62.49%
cohort
being
male.
rates
recorded
30.50%
35.12%
Analysis
using
multivariate
revealed
that
an
increase
significantly
correlated
reduction
both
180-day
one-year
marks.
Specifically,
each
standard
deviation
index,
decreased
by
17%
within
(HR
=
0.83,
95%
CI:
0.76-0.91)
21%
year
0.79,
0.71-0.87).
Furthermore,
regression
analysis
utilizing
RCS
indicated
linear
decrease
associated
increasing
values
over
periods
(P
nonlinearity
0.171
P
0.141,
respectively).
In
syndrome,
reduced
found
be
heightened
Consequently,
may
effective
instrument
stratification
assessment
population.
Language: Английский
March6 Protects Against Acute Kidney Injury by Suppressing Renal Tubular Epithelial Cell Ferroptosis Through the Destabilization of P53 and ACSL4 Proteins
Inflammation,
Journal Year:
2025,
Volume and Issue:
unknown
Published: May 30, 2025
Acute
kidney
injury
(AKI)
progression
involves
significant
contributions
from
renal
tubular
epithelial
cell
ferroptosis.
Membrane
associated
RING
finger
protein
6
(March6)
is
implicated
in
modulating
ferroptosis
by
regulating
the
stability
of
related
proteins,
yet
its
specific
role
and
AKI
remains
unknown.
This
work
seeks
to
clarify
regulatory
March6
cells
involvement
using
ischemia-reperfusion
(IRI)-induced
animal
models
hypoxia/reoxygenation
(H/R)-induced
cellular
models.
Our
results
demonstrated
a
reduction
expression
tissues
IRI
mice
H/R
cells,
accompanied
elevated
PTGS2
reduced
GPX4
levels,
two
marker
proteins.
Overexpression
HK-2
significantly
counteracted
Erastin-induced
ferroptosis,
whereas
silencing
increased
susceptibility.
In
models,
overexpression
enhanced
viability
lowered
death,
reversing
ferroptosis-related
changes,
exhibited
opposite
effects.
Tubular-specific
with
IRI-induced
notably
mitigated
damage
suppressed
ferroptotic
changes.
Mechanistically,
inhibited
accelerating
degradation
key
pro-ferroptotic
proteins
ACSL4
p53.
Co-immunoprecipitation
(Co-IP)
experiments
validated
direct
interaction
between
p53
or
ACSL4.
Overexpressing
March6-overexpressing
markedly
reversed
March6's
protective
effects
against
H/R-induced
Collectively,
mitigates
promoting
p53,
thereby
alleviating
progression.
study
not
only
uncovers
novel
mechanism
but
also
provides
potential
therapeutic
target
for
treatment.
Language: Английский