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Metabolic profiling reveals new serum biomarkers for differentiating diabetic nephropathy

Capillary electrophoresis coupled with time-of-flight mass spectrometry was used to explore new serum biomarkers with high sensitivity and specificity for diabetic nephropathy (DN) diagnosis, through comprehensive analysis of serum metabolites with 78 diabetic patients. Multivariate analyses were us...

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Published in:Analytical and bioanalytical chemistry 2012-12, Vol.404 (10), p.3101-3109
Main Authors: Hirayama, Akiyoshi, Nakashima, Eitaro, Sugimoto, Masahiro, Akiyama, Shin-ichi, Sato, Waichi, Maruyama, Shoichi, Matsuo, Seiichi, Tomita, Masaru, Yuzawa, Yukio, Soga, Tomoyoshi
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Language:English
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Summary:Capillary electrophoresis coupled with time-of-flight mass spectrometry was used to explore new serum biomarkers with high sensitivity and specificity for diabetic nephropathy (DN) diagnosis, through comprehensive analysis of serum metabolites with 78 diabetic patients. Multivariate analyses were used for identification of marker candidates and development of discriminative models. Of the 289 profiled metabolites, orthogonal partial least-squares discriminant analysis identified 19 metabolites that could distinguish between DN with macroalbuminuria and diabetic patients without albuminuria. These identified metabolites included creatinine, aspartic acid, γ-butyrobetaine, citrulline, symmetric dimethylarginine (SDMA), kynurenine, azelaic acid, and galactaric acid. Significant correlations between all these metabolites and urinary albumin-to-creatinine ratios ( p  
ISSN:1618-2642
1618-2650
DOI:10.1007/s00216-012-6412-x