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Updated: Aug 1, 2025

Large Scale Non-targeted Metabolomic Profiling of Serum by Ultra Performance Liquid Chromatography-Mass Spectrometry UPLC-MS
Published on: March 14, 2013
Analysis of non-targeted serum metabolomics in patients with chronic kidney disease and hyperuricemia
Wen-Yu Yang1, Jun Wang1, Xiao-Han Li2
1College of Medical Technology, Chengdu University of Traditional Chinese Medicine, Chengdu, China.
Insights
Hyperuricemia (HUA) worsens chronic kidney disease (CKD) progression through unclear molecular mechanisms. This study reveals significant metabolic disruptions in HUA-CKD patients, indicating a more severe condition and providing a basis for understanding HUA
Area of Science:
- Metabolomics
- Nephrology
- Biochemistry
Background:
- Hyperuricemia (HUA) is a common complication of chronic kidney disease (CKD).
- HUA is known to promote CKD progression, but the underlying molecular mechanisms are not fully understood.
- Understanding these mechanisms is crucial for developing targeted therapies.
Purpose of the Study:
- To investigate the molecular mechanisms of HUA in CKD development.
- To compare serum metabolite profiles in patients with HUA-CKD, non-hyperuricemic CKD (NUA-CKD), and HUA.
- To identify key metabolic pathways and biomarkers associated with HUA-induced CKD progression.
Main Methods:
- Serum samples were collected from 47 HUA patients, 41 NUA-CKD patients, and 51 HUA-CKD patients.
- Ultra-performance liquid chromatography-tandem mass spectrometry (UPLC-MS/MS) was used for serum metabolite profiling.
- Multivariate statistical analysis, metabolic pathway analysis, and diagnostic performance evaluation were performed.
Main Results:
- 40 differential metabolites were identified between HUA-CKD and HUA patients (FC > 1.5, VIP > 1, p < 0.05).
- 24 differential metabolites were identified between HUA-CKD and NUA-CKD patients (FC > 1.2, VIP > 1, p < 0.05).
- Glycerophospholipid metabolism was identified as a significantly altered pathway in HUA-CKD patients, indicating more severe metabolic disorders compared to NUA-CKD or HUA alone.
Conclusions:
- Metabolic disorders in HUA-CKD patients are more severe than in NUA-CKD or HUA patients.
- Significant alterations in metabolic pathways, particularly glycerophospholipid metabolism, are associated with HUA-CKD.
- This study provides a theoretical basis for understanding how HUA accelerates CKD progression.
Abstract:
Hyperuricemia (HUA) is a common complication of chronic kidney disease (CKD). Conversely, HUA can promote the disease progression of CKD. However, the molecular mechanism of HUA in CKD development remains unclear. In the present study, we applied ultra-performance liquid chromatography-tandem mass spectrometry (UPLC-MS/MS) to analyze the serum metabolite profiling of 47 HUA patients, 41 non-hyperuricemic CKD (NUA-CKD) patients, and 51 CKD and HUA (HUA-CKD) patients, and then subjected to multivariate statistical analysis, metabolic pathway analysis and diagnostic performance evaluation. Metabolic profiling of serums showed that 40 differential metabolites (fold-change threshold (FC) > 1.5 or<2/3, variable importance in projection (VIP) > 1, and p < 0.05) were screened in HUA-CKD and HUA patients, and 24 differential metabolites (FC > 1.2 or<0.83, VIP>1, and p < 0.05) were screened in HUA-CKD and NUA-CKD patients. According to the analysis of metabolic pathways, significant changes existed in three metabolic pathways (compared with the HUA group) and two metabolic pathways (compared with the HUA-CKD group) in HUA-CKD patients. Glycerophospholipid metabolism was a significant pathway in HUA-CKD. Our findings show that the metabolic disorder in HUA-CKD patients was more serious than that in NUA-CKD or HUA patients. A theoretical basis is provided for HUA to accelerate CKD progress.
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