1. Serum metabolomics of end-stage renal disease patients with depression: potential biomarkers for diagnosis
- Author
-
Jianhua Ran, Qiuye Zhao, Jinfang Li, Tian Kuan, Hongkai Wang, Hu Ling, Dezhi Yuan, and Liping Feng
- Subjects
Adult ,Male ,medicine.medical_specialty ,Disease ,Critical Care and Intensive Care Medicine ,urologic and male genital diseases ,End stage renal disease ,Tandem Mass Spectrometry ,Internal medicine ,Humans ,Medicine ,In patient ,Stage (cooking) ,Chromatography, High Pressure Liquid ,Depression (differential diagnoses) ,Aged ,uplc-qtof/ms ,Inflammation ,end-stage renal disease ,business.industry ,biomarkers ,General Medicine ,Middle Aged ,Lipid Metabolism ,metabolomics ,female genital diseases and pregnancy complications ,Diseases of the genitourinary system. Urology ,Oxidative Stress ,ROC Curve ,Nephrology ,Uplc qtof ms ,Case-Control Studies ,Potential biomarkers ,depression ,Clinical Study ,Kidney Failure, Chronic ,Female ,RC870-923 ,Energy Metabolism ,business ,Metabolic Networks and Pathways ,Research Article - Abstract
Background End-stage renal disease (ESRD) is the final stage during the development of renal failure. Depression is the most common psychiatric disorder in patients with ESRD, which in turn aggravates the progression of renal failure, however, its underlying mechanism remains unclear. This study aimed to reveal the pathogenesis and to discover novel peripheral biomarkers for ESRD patients with depression through metabolomic analysis. Methods Ultra-high-performance liquid chromatography coupled with mass spectrometry (UPLC-MS) was used to explore changes of serum metabolites among healthy controls, ESRD patients with or without depression. The differential metabolites between groups were subjected to clustering analysis, pathway analysis, receiver operating characteristic (ROC) curve analysis. Results A total of 57 significant serum differential metabolites were identified between ESRD patients with or without depression, which were involved in 19 metabolic pathways, such as energy metabolism, glycerolipid metabolism, and glutamate-centered metabolism. Moreover, the area under the ROC curve of gentisic acid, uric acid, 5-hydroxytryptamine, 2-phosphoglyceric acid, leucyl-phenylalanine, propenyl carnitine, naloxone, pregnenolone, 6-thioxanthene 5'-monophosphate, hydroxyl ansoprazole, zileuton O-glucuronide, cabergoline, PA(34:2), PG(36:1), probucol and their combination was greater than 0.90. Conclusions Inflammation, oxidative stress and energy metabolism abnormalities, glycerolipid metabolism, and glutamate-centered metabolism are associated with the pathogenesis of ESRD with depression, which may be promising targets for therapy. Furthermore, the identified differential metabolites may serve as biomarkers for the diagnosis of ESRD patients with depression.
- Published
- 2021