Nephrology Dialysis Transplantation,
Journal Year:
2017,
Volume and Issue:
32(11), P. 1809 - 1817
Published: Feb. 15, 2017
Observational
studies
have
suggested
a
relationship
between
the
plasma
concentration
of
indoxyl
sulfate
(IS)
and
p-cresyl
(PCS),
small
gut-derived
'uremic
solutes',
high
incidence
uremic
cardiomyopathy
in
patients
with
end-stage
renal
disease
(ESRD).
IS
PCS
are
derived
from
metabolism
dietary
components
(tryptophan
tyrosine)
by
gut
bacteria.
This
pilot
study
was
designed
to
examine
effects
poorly
absorbable
antibiotic
(vancomycin)
on
two
PCS,
composition
microbiome.Plasma
concentrations
were
measured
MS-HPLC.
The
microbiome
assessed
stool
specimens
sequenced
for
16S
rRNA
gene
targeting
V4
region.The
pre-dialysis
mean
both
markedly
elevated.
Following
administration
vancomycin
(Day
0),
decreased
at
Day
2
or
5
returned
baseline
28.
administration,
several
changes
observed.
Most
striking
decrease
diversity,
finding
that
evident
7
still
There
little
change
phylum
level
but
genus
level,
broad
population
noted.
Changes
abundance
genera
appeared
parallel
PCS.These
findings
suggest
alteration
microbiome,
an
antibiotic,
might
provide
important
strategy
reducing
levels
ESRD.
European Heart Journal,
Journal Year:
2018,
Volume and Issue:
40(7), P. 583 - 594
Published: Nov. 19, 2018
Carnitine
and
choline
are
major
nutrient
precursors
for
gut
microbiota-dependent
generation
of
the
atherogenic
metabolite,
trimethylamine
N-oxide
(TMAO).
We
performed
randomized-controlled
dietary
intervention
studies
to
explore
impact
chronic
patterns
on
TMAO
levels,
metabolism
renal
excretion.
Mass Spectrometry Reviews,
Journal Year:
2017,
Volume and Issue:
38(3), P. 221 - 238
Published: Oct. 26, 2017
Metabolomics,
which
is
the
metabolites
profiling
in
biological
matrices,
a
key
tool
for
biomarker
discovery
and
personalized
medicine
has
great
potential
to
elucidate
ultimate
product
of
genomic
processes.
Over
last
decade,
metabolomics
studies
have
identified
several
relevant
biomarkers
involved
complex
clinical
phenotypes
using
diverse
systems.
Most
diseases
result
signature
metabolic
profiles
that
reflect
sums
external
internal
cellular
activities.
Metabolomics
major
role
practice
as
it
represents
>95%
workload
laboratories
worldwide.
Many
these
require
different
analytical
platforms,
such
Nuclear
Magnetic
Resonance
(NMR),
Mass
Spectrometry
(MS),
Ultra
Performance
Liquid
Chromatography
(UPLC),
while
many
clinically
are
still
not
routinely
amenable
detection
currently
available
assays.
Combining
with
genomics,
transcriptomics,
proteomics
will
significantly
improved
understanding
disease
mechanisms
pathophysiology
target
phenotype.
This
comprehensive
approach
represent
step
forward
toward
providing
precision
medical
care,
individual
accounted
variability
genes,
environment,
personal
lifestyle.
In
this
review,
we
compare
evaluate
strategies
focus
on
“personalized”
diagnostic,
prognostic,
therapeutic
value,
validated
monitoring
progression
responses
various
management
regimens.
Nature Communications,
Journal Year:
2019,
Volume and Issue:
10(1)
Published: April 1, 2019
Abstract
Early
detection
and
accurate
monitoring
of
chronic
kidney
disease
(CKD)
could
improve
care
retard
progression
to
end-stage
renal
disease.
Here,
using
untargeted
metabolomics
in
2155
participants
including
patients
with
stage
1–5
CKD
healthy
controls,
we
identify
five
metabolites,
5-methoxytryptophan
(5-MTP),
whose
levels
strongly
correlate
clinical
markers
5-MTP
decrease
CKD,
mouse
kidneys
after
unilateral
ureteral
obstruction
(UUO).
Treatment
ameliorates
interstitial
fibrosis,
inhibits
IκB/NF-κB
signaling,
enhances
Keap1/Nrf2
signaling
mice
UUO
or
ischemia/reperfusion
injury,
as
well
cultured
human
cells.
Overexpression
tryptophan
hydroxylase-1
(TPH-1),
an
enzyme
involved
synthesis,
reduces
injury
by
attenuating
inflammation
whereas
TPH-1
deficiency
exacerbates
fibrosis
activating
NF-κB
inhibiting
Nrf2
pathways.
Together,
our
results
suggest
that
may
serve
a
target
the
treatment
CKD.
Nature Communications,
Journal Year:
2020,
Volume and Issue:
11(1)
Published: March 2, 2020
Late-onset
Alzheimer's
disease
(AD)
can,
in
part,
be
considered
a
metabolic
disease.
Besides
age,
female
sex
and
APOE
ε4
genotype
represent
strong
risk
factors
for
AD
that
also
give
rise
to
large
differences.
We
systematically
investigated
group-specific
alterations
by
conducting
stratified
association
analyses
of
139
serum
metabolites
1,517
individuals
from
the
Neuroimaging
Initiative
with
biomarkers.
observed
substantial
differences
effects
15
partially
overlapping
status
groups.
Several
were
not
unstratified
using
as
covariates.
Combined
stratification
revealed
further
subgroup-specific
limited
ε4+
females.
The
suggest
females
experience
greater
impairment
mitochondrial
energy
production
than
males.
Dissecting
heterogeneity
pathogenesis
can
therefore
enable
grading
biomedical
relevance
specific
pathways
within
subgroups,
guiding
way
personalized
medicine.
Clinical Journal of the American Society of Nephrology,
Journal Year:
2019,
Volume and Issue:
15(3), P. 404 - 411
Published: Oct. 21, 2019
In
this
review
of
the
application
proteomics
and
metabolomics
to
kidney
disease
research,
we
key
concepts,
highlight
illustrative
examples,
outline
future
directions.
The
proteome
metabolome
reflect
influence
environmental
exposures
in
addition
genetic
coding.
Circulating
levels
proteins
metabolites
are
dynamic
modifiable,
thus
amenable
therapeutic
targeting.
Design
analytic
considerations
studies
should
be
tailored
investigator’s
goals.
For
identification
clinical
biomarkers,
adjustment
for
all
potential
confounding
variables,
particularly
GFR,
strict
significance
thresholds
warranted.
However,
approach
has
obscure
biologic
signals
can
overly
conservative
given
high
degree
intercorrelation
within
metabolome.
Mass
spectrometry,
often
coupled
up-front
chromatographic
separation
techniques,
is
a
major
workhorse
both
metabolomics.
High-throughput
antibody-
aptamer-based
proteomic
platforms
have
emerged
as
additional,
powerful
approaches
assay
proteome.
As
breadth
coverage
these
methodologies
continues
expand,
machine
learning
tools
pathway
analyses
help
select
molecules
greatest
interest
categorize
them
distinct
themes.
Studies
date
already
made
substantial
effect,
example
elucidating
target
antigens
membranous
nephropathy,
identifying
signature
urinary
peptides
that
adds
prognostic
information
albumin
CKD,
implicating
circulating
inflammatory
mediators
diabetic
demonstrating
role
microbiome
uremic
milieu,
highlighting
bioenergetics
modifiable
factor
AKI.
Additional
required
replicate
expand
on
findings
independent
cohorts.
Further,
more
work
needed
understand
longitudinal
trajectory
protein
metabolite
markers,
perform
transomics
merged
datasets,
incorporate
tissue–based
investigation.
Analytical Chemistry,
Journal Year:
2016,
Volume and Issue:
88(18), P. 9004 - 9013
Published: Aug. 1, 2016
To
better
understand
the
molecular
mechanisms
underpinning
physiological
variation
in
human
populations,
metabolic
phenotyping
approaches
are
increasingly
being
applied
to
studies
involving
hundreds
and
thousands
of
biofluid
samples.
Hyphenated
ultra-performance
liquid
chromatography–mass
spectrometry
(UPLC-MS)
has
become
a
fundamental
tool
for
this
purpose.
However,
seemingly
inevitable
need
analyze
large
multiple
analytical
batches
UPLC-MS
analysis
poses
challenge
data
quality
which
been
recognized
field.
Herein,
we
describe
detail
fit-for-purpose
platform,
method
set,
sample
workflow,
capable
sustained
on
an
industrial
scale
allowing
batch-free
operation
studies.
Using
complementary
reversed-phase
chromatography
(RPC)
hydrophilic
interaction
(HILIC)
together
with
high
resolution
orthogonal
acceleration
time-of-flight
mass
(oaTOF-MS),
exceptional
measurement
precision
is
exemplified
independent
epidemiological
sets
approximately
650
1000
participant
Evaluation
reference
targets
repeated
injections
pooled
control
(QC)
samples
distributed
throughout
each
experiment
demonstrates
mean
retention
time
relative
standard
deviation
(RSD)
<0.3%
across
all
assays
both
peak
area
RSD
<15%
raw
data.
more
globally
assess
profiling
data,
untargeted
feature
extraction
was
performed
followed
by
filtration
according
intensity
response
QC
dilution.
Analysis
remaining
features
within
measurements
demonstrated
median
values
<20%
RPC
<25%
HILIC
assays.
These
represent
as
no
normalization
or
feature-specific
correction
applied.
While
acquired
single
continuous
batch,
instances
minor
time-dependent
drift
were
observed,
highlighting
utility
techniques
despite
reducing
dependency
them
generating
results
demonstrate
that
platform
methodology
presented
herein
fit-for-use
studies,
challenging
assertion
such
screening
inherently
limited
batch
effects.
Details
pipeline
used
generate
mitigate
provided.
iScience,
Journal Year:
2020,
Volume and Issue:
23(8), P. 101414 - 101414
Published: July 25, 2020
From
ontogenesis
to
homeostasis,
the
phenotypes
of
complex
organisms
are
shaped
by
bidirectional
interactions
between
host
and
their
associated
microbiota.
Current
technology
can
reveal
many
such
combining
multi-omic
data
from
both
hosts
microbes.
However,
exploring
full
extent
these
requires
careful
consideration
study
design
for
efficient
generation
optimal
integration
derived
(meta)genomics,
(meta)transcriptomics,
(meta)proteomics,
(meta)metabolomics.
In
this
perspective,
we
introduce
holo-omic
approach
that
incorporates
microbiota
domains
untangle
interplay
two.
We
revisit
recent
literature
on
biomolecular
host-microbe
discuss
implementation
current
limitations
approach.
anticipate
application
contribute
opening
new
research
avenues
discoveries
in
biomedicine,
biotechnology,
agricultural
aquacultural
sciences,
nature
conservation,
as
well
basic
ecological
evolutionary
research.
Diabetes Care,
Journal Year:
2017,
Volume and Issue:
40(3), P. 383 - 390
Published: Jan. 13, 2017
Patients
with
type
1
diabetes
(T1D)
impaired
renal
function
are
at
increased
risk
for
end-stage
disease
(ESRD).
Although
the
rate
of
progression
varies,
determinants
and
mechanisms
this
variation
unknown.We
examined
serum
metabolomic
profiles
associated
in
decline
participants
T1D
(the
Joslin
Kidney
Study
prospective
cohort).
One
hundred
fifty-eight
patients
proteinuria
chronic
kidney
stage
3
were
followed
a
median
11
years
to
determine
estimated
glomerular
filtration
slopes
from
serial
measurements
creatinine
ascertain
time
onset
ESRD.
Baseline
samples
subjected
global
profiling.One
ten
amino
acids
purine
pyrimidine
metabolites
detected
least
80%
participants.
Serum
levels
seven
modified
(C-glycosyltryptophan,
pseudouridine,
O-sulfotyrosine,
N-acetylthreonine,
N-acetylserine,
N6-carbamoylthreonyladenosine,
N6-acetyllysine)
ESRD
(P
<
0.001)
independent
relevant
clinical
covariates.
The
significant
correlated
one
another
indices
tubular
injury.This
cohort
study
T1D,
proteinuria,
baseline
demonstrated
that
circulating
certain
experience
faster
decline,
leading
Whether
some
these
candidate
factors
or
just
prognostic
biomarkers
needs
be
determined.