Li Hai-Hong, Pan Jian-Liang, Hui Su, Ma Xiao-Wei, Wang Zhi-Long, Yao Hui-Xin, Wang Jun-Feng, Li Hong
Department of Critical-Care Medicine, Mudanjiang Medical University Affiliated HongQi Hospital Mudanjiang 157000 China.
Department of Critical-Care Medicine, The Second People's Hospital of Weifang Weifang 261041 China.
RSC Adv. 2018 Apr 18;8(27):14838-14847. doi: 10.1039/c8ra01749b.
Metabolomics, as a promising and powerful approach, refers to comprehensive assessment and identification of small molecule endogenous metabolites in a biological system which is capable of further understanding the mechanisms of diseases for early diagnosis, effective treatment and prognosis. Acute kidney injury (AKI) induced by contrast is a serious complication in patients undergoing administration of iodinated contrast media. It is becoming a major health concern in clinic, however, the molecular mechanisms of contrast-induced acute kidney injury (CI-AKI) have not been well characterized. In this study, we used serum metabolomics based on liquid chromatography-mass spectrometry (LC-MS) combined with pattern recognition to explore and characterize potential metabolites and metabolic pathway in an experimental model for CI-AKI. Seventeen differentiating metabolites in the serum were identified involving the pivotal metabolic pathways related to tryptophan metabolism, glycerophospholipid metabolism, steroid hormone biosynthesis, pyrimidine metabolism, sphingolipid metabolism, aminoacyl-tRNA biosynthesis. Our study provides novel insight into pathophysiologic mechanisms of AKI by changing biomarkers and pathways.
代谢组学作为一种有前景且强大的方法,是指对生物系统中的小分子内源性代谢物进行全面评估和鉴定,这有助于进一步了解疾病机制以实现早期诊断、有效治疗和预后判断。造影剂诱导的急性肾损伤(AKI)是接受碘化造影剂给药患者的一种严重并发症。它正成为临床上的一个主要健康问题,然而,造影剂诱导的急性肾损伤(CI-AKI)的分子机制尚未得到充分阐明。在本研究中,我们使用基于液相色谱-质谱联用(LC-MS)的血清代谢组学结合模式识别技术,在CI-AKI实验模型中探索并鉴定潜在代谢物和代谢途径。血清中鉴定出17种差异代谢物,涉及与色氨酸代谢、甘油磷脂代谢、类固醇激素生物合成、嘧啶代谢、鞘脂代谢、氨酰-tRNA生物合成相关的关键代谢途径。我们的研究通过改变生物标志物和代谢途径,为AKI的病理生理机制提供了新的见解。