Urinary Metabolomics Study of Patients with Gout Using Gas Chromatography-Mass Spectrometry.

Objectives. Gout is a common type of inflammatory arthritis. The aim of this study was to detect urinary metabolic changes in gout patients which may contribute to understanding the pathological mechanism of gout and discovering potential metabolite markers. Methods. Urine samples from 35 gout patie...

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Publicado en:BioMed Research International pp. 1 - 10
Autores principales: Li, Qianqian, Wei, Shuangshuang, Wu, Dehong, Wen, Chengping, Zhou, Jia
Formato: research tables/charts Journal Article
Publicado: Wiley-Blackwell 10/16/2018
Acceso en línea:Ver este registro en EBSCOhost
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      dt: 10/16/2018
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      pub: Wiley-Blackwell
      place: Malden, Massachusetts
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        10.1155/2018/3461572
        132420791
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        atl: Urinary Metabolomics Study of Patients with Gout Using Gas Chromatography-Mass Spectrometry.
      aug:
        au:
          Li, Qianqian
          Wei, Shuangshuang
          Wu, Dehong
          Wen, Chengping
          Zhou, Jia
        affil: College of Basic Medical Science, Zhejiang Chinese Medical University, 548 Binwen Road, Hangzhou 310053, China
      sug:
        subj:
          Gout Diagnosis
          Urinalysis
          Metabolomics
          Gas Chromatography-Mass Spectrometry
          Biological Markers
          Human
          Regression
          Discriminant Analysis
          T-Tests
          Logistic Regression
          ROC Curve
          Amino Acids Metabolism
          Carbohydrate Metabolism
          Lipids Metabolism
          Tricarboxylic Acids Metabolism
          Purines Metabolism
          Heterocyclic Compounds
      ab: Objectives. Gout is a common type of inflammatory arthritis. The aim of this study was to detect urinary metabolic changes in gout patients which may contribute to understanding the pathological mechanism of gout and discovering potential metabolite markers. Methods. Urine samples from 35 gout patients and 29 healthy volunteers were analyzed by gas chromatography–mass spectrometry (GC–MS). Orthogonal partial least-squares discriminant analysis (OPLS-DA) was performed to screen differential metabolites between two groups, and the variable importance for projection (VIP) values and Student’s t-test results were combined to define the significant metabolic changes caused by gout. Further, binary logistic regression analysis was performed to establish a model to distinguish gout patients from healthy people, and receiver operating characteristic (ROC) curve was made to evaluate the potential for diagnosis of gout. Result. A total of 30 characteristic metabolites were significantly different between gout patients and controls, mainly including amino acids, carbohydrates, organic acids, and their derivatives, associated with perturbations in purine nucleotide synthesis, amino acid metabolism, purine metabolism, lipid metabolism, carbohydrate metabolism, and tricarboxylic acid cycle. Binary logistic regression and ROC curve analysis showed the combination of urate and isoxanthopterin can effectively discriminate the gout patients from controls with the area under the curve (AUC) of 0.879. Conclusion. Thus, the urinary metabolomics study is an efficient tool for a better understanding of the metabolic changes of gout, which may support the clinical diagnosis and pathological mechanism study of gout.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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