Related Experiment Video
Updated: May 24, 2025

Identification and Quantification of Deranged Metabolites in Critically Ill Patients Using NMR-Based Metabolomics
Published on: November 29, 2024
Integrating bioinformatics and metabolomics to identify potential biomarkers of hypertensive nephropathy
Kezhen Yang1, Pingna Zhang2, Xiaofeng Ding3
1Department of Rehabilitation Medicine, Sir Run Run Shaw Hospital, Zhejiang University School of Medicine, 3 East Qingchun Road, Hangzhou, 310016, Zhejiang, China. 767299632@qq.com.
Insights
Hypertensive nephropathy (HN) involves unclear pathways. This study identified key genes (APOE, ALB, SERPINA1) and bile acids (CA, DCA, TDCA) linked to early HN progression and elevated blood pressure.
Area of Science:
- Nephrology
- Biochemistry
- Genomics
Background:
- Hypertensive nephropathy (HN) is a major cause of end-stage renal disease, but its pathogenesis remains unclear.
- Understanding the biological pathways and biomarkers involved in HN progression is crucial for early diagnosis and treatment.
Purpose of the Study:
- To identify biological pathways implicated in hypertensive nephropathy (HN) progression.
- To discover bile acid (BA)-related biomarkers for HN.
- To elucidate the role of bile acids in the development of HN.
Main Methods:
- Downloaded and analyzed gene microarray data to identify differentially expressed genes (DEGs) in HN.
- Performed Gene Ontology and Kyoto Encyclopedia of Genes and Genomes enrichment analysis on DEGs.
- Constructed a protein-protein interaction (PPI) network and integrated BA targets to identify hub genes.
- Established an early hypertensive nephropathy animal model (SHR) and quantified 39 bile acids in renal cortex.
Main Results:
- Identified 398 DEGs and multiple biological pathways associated with hypertension and nephropathy.
- Discovered three BA-related hub genes: APOE, ALB, and SERPINA1.
- Found significant concentration differences in seven bile acids (DCA, CDCA, UDCA, UCA, CA, TDCA, TCDCA) in early HN.
- Observed a positive correlation between specific bile acids (CA, DCA, TDCA) and blood pressure in the SHR model, indicating diagnostic potential.
Conclusions:
- The identified hub genes (APOE, ALB, SERPINA1) and elevated bile acids, particularly CA, DCA, and TDCA, are likely involved in the early stages of hypertensive nephropathy (HN).
- These BA-related biomarkers show significant correlation and specificity with blood pressure, suggesting high diagnostic value for early HN detection.
Abstract:
Hypertensive nephropathy (HN), caused by long-term poorly controlled hypertension, is the second common cause of end-stage renal disease after diabetes mellitus, but the pathogenesis of HN is unclear. The purpose of this study was to identify the biological pathways involved in the progression of HN and bile acid (BA)-related biomarkers, and to analyze the role of bile acids in HN. Download gene microarray data from Gene Expression Omnibus. Differentially expressed genes (DEGs) associated with HN were identified, and then DEGs were subjected to Gene Ontology and Kyoto Encyclopedia of Genes and Genomes enrichment analysis. A protein-protein interaction (PPI) network was established using DEGs to identify BA-related hub genes in combination with bile acid identical targets. An animal model of early hypertensive nephropathy was established using SHR and the concentrations of 39 bile acids were measured quantitatively in the renal cortex to screen for significantly different concentrations and to analyze the correlation between bile acid concentrations and blood pressure. A total of 398 DEGs were screened. The results of enrichment analysis identified multiple biological pathways associated with hypertension, nephropathy and bile acids. Combining PPI network and bile acid-related targets, three BA-related hub genes (APOE, ALB, SERPINA1) were identified. Quantitative analysis of bile acids revealed significant differences in the concentrations of seven bile acids (DCA, CDCA, UDCA, UCA, CA, TDCA, TCDCA). The concentrations of these bile acids showed a positive correlation with blood pressure values in SHR, with CA, DCA and TDCA showing a stronger correlation and specificity with blood pressure in SHR. Three BA-related hub genes (APOE, ALB, SERPINA1) may be involved in the early stages of HN. The concentrations of multiple bile acids were significantly elevated in the early stages of HN, with CA, DCA and TDCA being more correlated and specific with blood pressure and having higher diagnostic value. These BA-related hub genes and BAs may be involved in disease progression in the early stages of HN.
More Related Videos
Related Concept Videos
Blood Studies for Cardiovascular System II: CRP, Hcy, and Cardiac Natriuretic Peptide Markers
These markers indicate stress or strain on the heart muscle:
Natriuretic Peptides (BNP)
Cardiac myocytes produce these hormones in response to ventricular stretching...
Hypertension and Regulation of Blood Pressure
Hormonal Regulation

