在腹腔透析患者中,LC-MS/MS 检测出高水平的伊米达 propionate 和来自肠道的代谢物变化
Weerawan Manokasemsan1,2,3,4, Narumol Jariyasopit2,3,4, Kwanjeera Wanichthanarak2,3
1Department of Biochemistry, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand.
Computational and structural biotechnology journal
|December 9, 2025
概括
一种新的LC-MS/MS方法量化了16种尿素毒素 (UT) 和14种胆酸 (BA). 血分析显示,腹腔透析 (PD) 患者的尿道位升高,突出显示了肠道代谢物对功能衰竭的影响.
科学领域:
- 代谢学 代谢学 代谢学
- 分析化学 分析化学
- 临床化学 临床化学
背景情况:
- 尿素毒素 (UTs) 和胆汁酸 (BAs) 是慢性病 (CKD) 的关键生物标志物.
- 准确量化这些代谢物对于了解疾病进展和患者的结果至关重要.
研究的目的:
- 开发和验证一种单一的LC-MS/MS方法,用于同时量化血和便中的16个UT和14个BA.
- 与健康对照组 (HC) 相比,研究腹透析 (PD) 患者的代谢物概况.
主要方法:
- 开发一种强大的液体色谱-并联质谱法 (LC-MS/MS) 方法.
- 在血和便样本中同时定量16个UT和14个BA.
- 对PD患者 (n=31) 和HC患者 (n=60) 的样本进行分析.
主要成果:
- 该方法表现出高灵敏度,准确度,精度和吞吐量.
- 在便中检测到20种代谢物,12种在血中检测到.
- 血分析显示,PD患者的九种代谢物显著升高,包括硫酸,硫酸和胺 propionate (ImP).
- 血ImP升高独立于糖尿病或心血管疾病,表明脏清除受损.
结论:
- 开发的LC-MS/MS平台能够进行全面的UT和BA分析.
- 在PD患者中血尿路的升高强调了肠道衍生代谢物在功能衰竭中的全身影响.
- 有针对性的UT-BA分析是CKD和PD临床代谢学的一个有价值的工具.
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