Alonso-Moreno Pilar, Rodriguez Ignacio, Izquierdo-Garcia Jose Luis
NMR and Imaging in Biomedicine Group, Instituto Pluridisciplinar, Universidad Complutense de Madrid, 28040 Madrid, Spain.
Department of Chemistry in Pharmaceutical Sciences, Pharmacy School, Universidad Complutense de Madrid, 28040 Madrid, Spain.
Metabolites. 2023 Apr 29;13(5):614. doi: 10.3390/metabo13050614.
Nuclear magnetic resonance (NMR)-based metabolomics is a valuable tool for identifying biomarkers and understanding the underlying metabolic changes associated with various diseases. However, the translation of metabolomics analysis to clinical practice has been limited by the high cost and large size of traditional high-resolution NMR spectrometers. Benchtop NMR, a compact and low-cost alternative, offers the potential to overcome these limitations and facilitate the wider use of NMR-based metabolomics in clinical settings. This review summarizes the current state of benchtop NMR for clinical applications where benchtop NMR has demonstrated the ability to reproducibly detect changes in metabolite levels associated with diseases such as type 2 diabetes and tuberculosis. Benchtop NMR has been used to identify metabolic biomarkers in a range of biofluids, including urine, blood plasma and saliva. However, further research is needed to optimize the use of benchtop NMR for clinical applications and to identify additional biomarkers that can be used to monitor and manage a range of diseases. Overall, benchtop NMR has the potential to revolutionize the way metabolomics is used in clinical practice, providing a more accessible and cost-effective way to study metabolism and identify biomarkers for disease diagnosis, prognosis, and treatment.
基于核磁共振(NMR)的代谢组学是识别生物标志物以及理解与各种疾病相关的潜在代谢变化的宝贵工具。然而,代谢组学分析向临床实践的转化受到传统高分辨率NMR光谱仪的高成本和大型尺寸的限制。台式NMR作为一种紧凑且低成本的替代方案,具有克服这些限制并促进基于NMR的代谢组学在临床环境中更广泛应用的潜力。本综述总结了台式NMR在临床应用中的当前状态,其中台式NMR已证明能够可重复地检测与2型糖尿病和结核病等疾病相关的代谢物水平变化。台式NMR已用于在包括尿液、血浆和唾液在内的一系列生物流体中识别代谢生物标志物。然而,需要进一步研究以优化台式NMR在临床应用中的使用,并识别可用于监测和管理一系列疾病的其他生物标志物。总体而言,台式NMR有潜力彻底改变代谢组学在临床实践中的使用方式,提供一种更易获得且更具成本效益的方式来研究代谢并识别用于疾病诊断、预后和治疗的生物标志物。