NMR and MS urinary metabolic phenotyping in kidney diseases is fit-for-purpose in the presence of a protease inhibitor

Nephrotic syndrome with idiopathic membranous nephropathy as a major contributor, is characterized by proteinuria, hypoalbuminemia and oedema. Diagnosis is based on renal biopsy and the condition is treated using immunosuppressive drugs; however nephrotic syndrome treatment efficacy varies among patients. Multi-omic urine analyses can discover new markers of nephrotic syndrome that can be used to develop personalized treatments. For proteomics, a protease inhibitor (PI) is sometimes added at sample collection to conserve proteins but its impact on urine metabolic phenotyping needs to be evaluated. Urine from controls (n = 4) and idiopathic membranous nephropathy (iMN) patients (n = 6) were collected with and without PI addition and analysed using 1H NMR spectroscopy and UPLC-MS. PI-related data features were observed in the 1H NMR spectra but their removal followed by a median fold change normalisation, eliminated the PI contribution. PI-related metabolites in UPLC-MS data had limited effect on metabolic patterns specific to iMN. When using an appropriate data processing pipeline, PI-containing urine samples are appropriate for 1H NMR and MS metabolic profiling of patients with nephrotic syndrome.

Medienart:

E-Artikel

Erscheinungsjahr:

2019

Erschienen:

2019

Enthalten in:

Zur Gesamtaufnahme - volume:15

Enthalten in:

Molecular omics - 15(2019), 1 vom: 11. Feb., Seite 39-49

Sprache:

Englisch

Beteiligte Personen:

Boulangé, Claire L [VerfasserIn]
Rood, Ilse M [VerfasserIn]
Posma, Joram M [VerfasserIn]
Lindon, John C [VerfasserIn]
Holmes, Elaine [VerfasserIn]
Wetzels, Jack F M [VerfasserIn]
Deegens, Jeroen K J [VerfasserIn]
Kaluarachchi, Manuja R [VerfasserIn]

Links:

Volltext

Themen:

Biomarkers
Journal Article
Protease Inhibitors
Research Support, Non-U.S. Gov't

Anmerkungen:

Date Completed 07.06.2019

Date Revised 07.06.2019

published: Print

Citation Status MEDLINE

doi:

10.1039/c8mo00190a

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM293001014