Nat Rev Nephrol:代谢产物学在慢性肾病的临床应用和探索

2017-03-12 MedSci MedSci原创

慢性肾病(CKD)在人群中呈高流行性,并伴有高致死率。为此,需要有效的生物标记物来诊断、监测疾病进程和分级诊疗。不仅如此,还需要在药物研发和临床探索中发现更为敏感的生物标记物来增强已存在和潜在的疗法对疾病的效力和安全性的理解。

慢性肾病(CKD)在人群中呈高流行性,并伴有高致死率。为此,需要有效的生物标记物来诊断、监测疾病进程和分级诊疗。不仅如此,还需要在药物研发和临床探索中发现更为敏感的生物标记物来增强已存在和潜在的疗法对疾病的效力和安全性的理解。

代谢产物学分析可以识别和定量一个特定样品的所有代谢产物,覆盖成千上万的代谢产物。对样品进行代谢产物分析的生化过程准备需要非常迅速。现有代谢产物学分析的核心技术是质量光谱法和质子核磁共振光谱法,它要求对生物统计和信息数据进行精准的分析。应用这种技术对代谢产物进行分析,可以识别新的CKD生物标记物,如:酰基肉毒碱、甘油脂、二甲基精氨酸和色氨酸代谢产物,以及柠檬酸循环和尿素循环。生物标记物c-甘露糖基色氨酸和假尿苷对CKD分级较肌氨酸酐有更好的表现。

未来代谢产物学研究的挑战在于对CKD与其他疾病相重叠的生物标记物识别,如:代谢综合征糖尿病、炎症、压力和癌症,以及前瞻性研究。

原始出处:

Hocher B1, Adamski J2. Metabolomics for clinical use and research in chronic kidney disease. Nat Rev Nephrol. 2017 Mar 6. doi: 10.1038/nrneph.2017.30.

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    2017-05-23 liye789132251
  3. 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    2017-03-17 方舒

    有用

    0

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topicName=代谢产物)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=2e1510553828, createdName=124987c6m39暂无昵称, createdTime=Tue Mar 14 00:36:00 CST 2017, time=2017-03-14, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=179503, encodeId=d2081e9503d7, content=受益不浅,好好学习了, beContent=null, objectType=article, channel=null, level=null, likeNumber=69, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/NUyjXTCJjo6KcicAVC1MwuOWcPEsEP4FrvDcicue5V6rMkmXmY73KjYP59vQrEdjU89iaN4ZkOhsItlHkmGTjhV3b5S3zOQA4E0/0, createdBy=cc261682151, createdName=卡圣, createdTime=Mon Mar 13 08:10:50 CST 2017, time=2017-03-13, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=179345, encodeId=053f1e93455a, content=好好学习,涨知识, beContent=null, objectType=article, channel=null, level=null, likeNumber=53, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/mONcle9pic3zSn0GqHrsfLANEL7Sww3HicKsN9aribicAmGGWXOIMEiaZ1iadgZg9RibjqSwIKUS8gSPib2NwTVg2zVvVJhdP3BkuDIl/0, createdBy=944d1605392, createdName=shaosai, createdTime=Sun Mar 12 13:18:20 CST 2017, time=2017-03-12, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=179323, encodeId=26f11e93235e, content=很好, beContent=null, objectType=article, channel=null, level=null, likeNumber=54, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=482a2034739, createdName=1321e85b2cm, createdTime=Sun Mar 12 11:04:03 CST 2017, time=2017-03-12, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=179321, encodeId=54a11e93219a, content=新颖, beContent=null, objectType=article, channel=null, level=null, likeNumber=73, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, 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  5. 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attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/mONcle9pic3zSn0GqHrsfLANEL7Sww3HicKsN9aribicAmGGWXOIMEiaZ1iadgZg9RibjqSwIKUS8gSPib2NwTVg2zVvVJhdP3BkuDIl/0, createdBy=944d1605392, createdName=shaosai, createdTime=Sun Mar 12 13:18:20 CST 2017, time=2017-03-12, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=179323, encodeId=26f11e93235e, content=很好, beContent=null, objectType=article, channel=null, level=null, likeNumber=54, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=482a2034739, createdName=1321e85b2cm, createdTime=Sun Mar 12 11:04:03 CST 2017, time=2017-03-12, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=179321, encodeId=54a11e93219a, content=新颖, beContent=null, objectType=article, channel=null, level=null, likeNumber=73, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=482a2034739, createdName=1321e85b2cm, createdTime=Sun Mar 12 11:00:33 CST 2017, time=2017-03-12, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=179315, encodeId=72c41e93158a, content=好, beContent=null, objectType=article, channel=null, level=null, likeNumber=21, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://cdnapi.center.medsci.cn/medsci/head/2017/10/03/a3f077b5bdb6b80e6c9ec9f57748d33c.jpg, createdBy=a7e7110476, createdName=xinghai, createdTime=Sun Mar 12 10:02:17 CST 2017, time=2017-03-12, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=179314, encodeId=cde51e93140a, content=学习新知识了, beContent=null, objectType=article, channel=null, level=null, likeNumber=31, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160718/IMG578C993D395567540.jpg, createdBy=59b81918946, createdName=flysky120, createdTime=Sun Mar 12 09:57:10 CST 2017, time=2017-03-12, status=1, ipAttribution=)]
    2017-03-13 卡圣

    受益不浅,好好学习了

    0

  6. 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topicName=代谢产物)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=2e1510553828, createdName=124987c6m39暂无昵称, createdTime=Tue Mar 14 00:36:00 CST 2017, time=2017-03-14, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=179503, encodeId=d2081e9503d7, content=受益不浅,好好学习了, beContent=null, objectType=article, channel=null, level=null, likeNumber=69, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/NUyjXTCJjo6KcicAVC1MwuOWcPEsEP4FrvDcicue5V6rMkmXmY73KjYP59vQrEdjU89iaN4ZkOhsItlHkmGTjhV3b5S3zOQA4E0/0, createdBy=cc261682151, createdName=卡圣, createdTime=Mon Mar 13 08:10:50 CST 2017, time=2017-03-13, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=179345, encodeId=053f1e93455a, content=好好学习,涨知识, beContent=null, objectType=article, channel=null, level=null, likeNumber=53, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/mONcle9pic3zSn0GqHrsfLANEL7Sww3HicKsN9aribicAmGGWXOIMEiaZ1iadgZg9RibjqSwIKUS8gSPib2NwTVg2zVvVJhdP3BkuDIl/0, createdBy=944d1605392, createdName=shaosai, createdTime=Sun Mar 12 13:18:20 CST 2017, time=2017-03-12, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=179323, encodeId=26f11e93235e, content=很好, beContent=null, objectType=article, channel=null, level=null, likeNumber=54, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=482a2034739, createdName=1321e85b2cm, createdTime=Sun Mar 12 11:04:03 CST 2017, time=2017-03-12, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=179321, encodeId=54a11e93219a, content=新颖, beContent=null, objectType=article, channel=null, level=null, likeNumber=73, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=482a2034739, createdName=1321e85b2cm, createdTime=Sun Mar 12 11:00:33 CST 2017, time=2017-03-12, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=179315, encodeId=72c41e93158a, content=好, beContent=null, objectType=article, channel=null, level=null, likeNumber=21, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://cdnapi.center.medsci.cn/medsci/head/2017/10/03/a3f077b5bdb6b80e6c9ec9f57748d33c.jpg, createdBy=a7e7110476, createdName=xinghai, createdTime=Sun Mar 12 10:02:17 CST 2017, time=2017-03-12, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=179314, encodeId=cde51e93140a, content=学习新知识了, beContent=null, objectType=article, channel=null, level=null, likeNumber=31, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160718/IMG578C993D395567540.jpg, createdBy=59b81918946, createdName=flysky120, createdTime=Sun Mar 12 09:57:10 CST 2017, time=2017-03-12, status=1, ipAttribution=)]
    2017-03-12 shaosai

    好好学习,涨知识

    0

  7. 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topicName=代谢产物)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=2e1510553828, createdName=124987c6m39暂无昵称, createdTime=Tue Mar 14 00:36:00 CST 2017, time=2017-03-14, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=179503, encodeId=d2081e9503d7, content=受益不浅,好好学习了, beContent=null, objectType=article, channel=null, level=null, likeNumber=69, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/NUyjXTCJjo6KcicAVC1MwuOWcPEsEP4FrvDcicue5V6rMkmXmY73KjYP59vQrEdjU89iaN4ZkOhsItlHkmGTjhV3b5S3zOQA4E0/0, createdBy=cc261682151, createdName=卡圣, createdTime=Mon Mar 13 08:10:50 CST 2017, time=2017-03-13, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=179345, encodeId=053f1e93455a, content=好好学习,涨知识, beContent=null, objectType=article, channel=null, level=null, likeNumber=53, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/mONcle9pic3zSn0GqHrsfLANEL7Sww3HicKsN9aribicAmGGWXOIMEiaZ1iadgZg9RibjqSwIKUS8gSPib2NwTVg2zVvVJhdP3BkuDIl/0, createdBy=944d1605392, createdName=shaosai, createdTime=Sun Mar 12 13:18:20 CST 2017, time=2017-03-12, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=179323, encodeId=26f11e93235e, content=很好, beContent=null, objectType=article, channel=null, level=null, likeNumber=54, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=482a2034739, createdName=1321e85b2cm, createdTime=Sun Mar 12 11:04:03 CST 2017, time=2017-03-12, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=179321, encodeId=54a11e93219a, content=新颖, beContent=null, objectType=article, channel=null, level=null, likeNumber=73, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=482a2034739, createdName=1321e85b2cm, createdTime=Sun Mar 12 11:00:33 CST 2017, time=2017-03-12, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=179315, encodeId=72c41e93158a, content=好, beContent=null, objectType=article, channel=null, level=null, likeNumber=21, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://cdnapi.center.medsci.cn/medsci/head/2017/10/03/a3f077b5bdb6b80e6c9ec9f57748d33c.jpg, createdBy=a7e7110476, createdName=xinghai, createdTime=Sun Mar 12 10:02:17 CST 2017, time=2017-03-12, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=179314, encodeId=cde51e93140a, content=学习新知识了, beContent=null, objectType=article, channel=null, level=null, likeNumber=31, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160718/IMG578C993D395567540.jpg, createdBy=59b81918946, createdName=flysky120, createdTime=Sun Mar 12 09:57:10 CST 2017, time=2017-03-12, status=1, ipAttribution=)]
    2017-03-12 1321e85b2cm

    很好

    0

  8. 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topicName=代谢产物)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=2e1510553828, createdName=124987c6m39暂无昵称, createdTime=Tue Mar 14 00:36:00 CST 2017, time=2017-03-14, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=179503, encodeId=d2081e9503d7, content=受益不浅,好好学习了, beContent=null, objectType=article, channel=null, level=null, likeNumber=69, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/NUyjXTCJjo6KcicAVC1MwuOWcPEsEP4FrvDcicue5V6rMkmXmY73KjYP59vQrEdjU89iaN4ZkOhsItlHkmGTjhV3b5S3zOQA4E0/0, createdBy=cc261682151, createdName=卡圣, createdTime=Mon Mar 13 08:10:50 CST 2017, time=2017-03-13, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=179345, encodeId=053f1e93455a, content=好好学习,涨知识, beContent=null, objectType=article, channel=null, level=null, likeNumber=53, replyNumber=0, topicName=null, topicId=null, topicList=[], 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createdAvatar=, createdBy=482a2034739, createdName=1321e85b2cm, createdTime=Sun Mar 12 11:00:33 CST 2017, time=2017-03-12, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=179315, encodeId=72c41e93158a, content=好, beContent=null, objectType=article, channel=null, level=null, likeNumber=21, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://cdnapi.center.medsci.cn/medsci/head/2017/10/03/a3f077b5bdb6b80e6c9ec9f57748d33c.jpg, createdBy=a7e7110476, createdName=xinghai, createdTime=Sun Mar 12 10:02:17 CST 2017, time=2017-03-12, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=179314, encodeId=cde51e93140a, content=学习新知识了, beContent=null, objectType=article, channel=null, level=null, likeNumber=31, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160718/IMG578C993D395567540.jpg, createdBy=59b81918946, createdName=flysky120, createdTime=Sun Mar 12 09:57:10 CST 2017, time=2017-03-12, status=1, ipAttribution=)]
    2017-03-12 1321e85b2cm

    新颖

    0

  9. [GetPortalCommentsPageByObjectIdResponse(id=1835679, encodeId=feb918356e9e0, content=<a href='/topic/show?id=cfdc22e893f' target=_blank style='color:#2F92EE;'>#临床应用#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=26, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=22789, encryptionId=cfdc22e893f, topicName=临床应用)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=fc8528, createdName=clmlylxy, createdTime=Thu Feb 15 02:36:00 CST 2018, time=2018-02-15, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1881732, encodeId=ced31881e3286, content=<a href='/topic/show?id=3b2112532d8' target=_blank style='color:#2F92EE;'>#Nat#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=28, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=12532, encryptionId=3b2112532d8, topicName=Nat)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=2e6f107, 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createdAvatar=, createdBy=482a2034739, createdName=1321e85b2cm, createdTime=Sun Mar 12 11:00:33 CST 2017, time=2017-03-12, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=179315, encodeId=72c41e93158a, content=好, beContent=null, objectType=article, channel=null, level=null, likeNumber=21, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://cdnapi.center.medsci.cn/medsci/head/2017/10/03/a3f077b5bdb6b80e6c9ec9f57748d33c.jpg, createdBy=a7e7110476, createdName=xinghai, createdTime=Sun Mar 12 10:02:17 CST 2017, time=2017-03-12, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=179314, encodeId=cde51e93140a, content=学习新知识了, beContent=null, objectType=article, channel=null, level=null, likeNumber=31, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, 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    2017-03-12 xinghai

    0

  10. 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createdAvatar=, createdBy=482a2034739, createdName=1321e85b2cm, createdTime=Sun Mar 12 11:00:33 CST 2017, time=2017-03-12, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=179315, encodeId=72c41e93158a, content=好, beContent=null, objectType=article, channel=null, level=null, likeNumber=21, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://cdnapi.center.medsci.cn/medsci/head/2017/10/03/a3f077b5bdb6b80e6c9ec9f57748d33c.jpg, createdBy=a7e7110476, createdName=xinghai, createdTime=Sun Mar 12 10:02:17 CST 2017, time=2017-03-12, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=179314, encodeId=cde51e93140a, content=学习新知识了, beContent=null, objectType=article, channel=null, level=null, likeNumber=31, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160718/IMG578C993D395567540.jpg, createdBy=59b81918946, createdName=flysky120, createdTime=Sun Mar 12 09:57:10 CST 2017, time=2017-03-12, status=1, ipAttribution=)]
    2017-03-12 flysky120

    学习新知识了

    0