Predicting lupus membranous nephritis using reduced picolinic acid to tryptophan ratio as a urinary biomarker

Summary: The current gold standard for classifying lupus nephritis (LN) progression is a renal biopsy, which is an invasive procedure. Undergoing a series of biopsies for monitoring disease progression and treatments is unlikely suitable for patients with LN. Thus, there is an urgent need for non-in...

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Autores principales: Krittima Anekthanakul, Siriphan Manocheewa, Kittiphan Chienwichai, Patcha Poungsombat, Suphitcha Limjiasahapong, Kwanjeera Wanichthanarak, Narumol Jariyasopit, Vivek Bhakta Mathema, Chutima Kuhakarn, Vichai Reutrakul, Jutarop Phetcharaburanin, Atikorn Panya, Natthaporn Phonsatta, Wonnop Visessanguan, Yotsawat Pomyen, Yongyut Sirivatanauksorn, Suchin Worawichawong, Nuankanya Sathirapongsasuti, Chagriya Kitiyakara, Sakda Khoomrung
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Publicado: Elsevier 2021
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spelling oai:doaj.org-article:b6ff70646f9e450cb64fa3de0377b6fc2021-11-20T05:10:34ZPredicting lupus membranous nephritis using reduced picolinic acid to tryptophan ratio as a urinary biomarker2589-004210.1016/j.isci.2021.103355https://doaj.org/article/b6ff70646f9e450cb64fa3de0377b6fc2021-11-01T00:00:00Zhttp://www.sciencedirect.com/science/article/pii/S2589004221013249https://doaj.org/toc/2589-0042Summary: The current gold standard for classifying lupus nephritis (LN) progression is a renal biopsy, which is an invasive procedure. Undergoing a series of biopsies for monitoring disease progression and treatments is unlikely suitable for patients with LN. Thus, there is an urgent need for non-invasive alternative biomarkers that can facilitate LN class diagnosis. Such biomarkers will be very useful in guiding intervention strategies to mitigate or treat patients with LN. Urine samples were collected from two independent cohorts. Patients with LN were classified into proliferative (class III/IV) and membranous (class V) by kidney histopathology. Metabolomics was performed to identify potential metabolites, which could be specific for the classification of membranous LN. The ratio of picolinic acid (Pic) to tryptophan (Trp) ([Pic/Trp] ratio) was found to be a promising candidate for LN diagnostic and membranous classification. It has high potential as an alternative biomarker for the non-invasive diagnosis of LN.Krittima AnekthanakulSiriphan ManocheewaKittiphan ChienwichaiPatcha PoungsombatSuphitcha LimjiasahapongKwanjeera WanichthanarakNarumol JariyasopitVivek Bhakta MathemaChutima KuhakarnVichai ReutrakulJutarop PhetcharaburaninAtikorn PanyaNatthaporn PhonsattaWonnop VisessanguanYotsawat PomyenYongyut SirivatanauksornSuchin WorawichawongNuankanya SathirapongsasutiChagriya KitiyakaraSakda KhoomrungElsevierarticleBiopsy sampleBody substance sampleMetabolomicsScienceQENiScience, Vol 24, Iss 11, Pp 103355- (2021)
institution DOAJ
collection DOAJ
language EN
topic Biopsy sample
Body substance sample
Metabolomics
Science
Q
spellingShingle Biopsy sample
Body substance sample
Metabolomics
Science
Q
Krittima Anekthanakul
Siriphan Manocheewa
Kittiphan Chienwichai
Patcha Poungsombat
Suphitcha Limjiasahapong
Kwanjeera Wanichthanarak
Narumol Jariyasopit
Vivek Bhakta Mathema
Chutima Kuhakarn
Vichai Reutrakul
Jutarop Phetcharaburanin
Atikorn Panya
Natthaporn Phonsatta
Wonnop Visessanguan
Yotsawat Pomyen
Yongyut Sirivatanauksorn
Suchin Worawichawong
Nuankanya Sathirapongsasuti
Chagriya Kitiyakara
Sakda Khoomrung
Predicting lupus membranous nephritis using reduced picolinic acid to tryptophan ratio as a urinary biomarker
description Summary: The current gold standard for classifying lupus nephritis (LN) progression is a renal biopsy, which is an invasive procedure. Undergoing a series of biopsies for monitoring disease progression and treatments is unlikely suitable for patients with LN. Thus, there is an urgent need for non-invasive alternative biomarkers that can facilitate LN class diagnosis. Such biomarkers will be very useful in guiding intervention strategies to mitigate or treat patients with LN. Urine samples were collected from two independent cohorts. Patients with LN were classified into proliferative (class III/IV) and membranous (class V) by kidney histopathology. Metabolomics was performed to identify potential metabolites, which could be specific for the classification of membranous LN. The ratio of picolinic acid (Pic) to tryptophan (Trp) ([Pic/Trp] ratio) was found to be a promising candidate for LN diagnostic and membranous classification. It has high potential as an alternative biomarker for the non-invasive diagnosis of LN.
format article
author Krittima Anekthanakul
Siriphan Manocheewa
Kittiphan Chienwichai
Patcha Poungsombat
Suphitcha Limjiasahapong
Kwanjeera Wanichthanarak
Narumol Jariyasopit
Vivek Bhakta Mathema
Chutima Kuhakarn
Vichai Reutrakul
Jutarop Phetcharaburanin
Atikorn Panya
Natthaporn Phonsatta
Wonnop Visessanguan
Yotsawat Pomyen
Yongyut Sirivatanauksorn
Suchin Worawichawong
Nuankanya Sathirapongsasuti
Chagriya Kitiyakara
Sakda Khoomrung
author_facet Krittima Anekthanakul
Siriphan Manocheewa
Kittiphan Chienwichai
Patcha Poungsombat
Suphitcha Limjiasahapong
Kwanjeera Wanichthanarak
Narumol Jariyasopit
Vivek Bhakta Mathema
Chutima Kuhakarn
Vichai Reutrakul
Jutarop Phetcharaburanin
Atikorn Panya
Natthaporn Phonsatta
Wonnop Visessanguan
Yotsawat Pomyen
Yongyut Sirivatanauksorn
Suchin Worawichawong
Nuankanya Sathirapongsasuti
Chagriya Kitiyakara
Sakda Khoomrung
author_sort Krittima Anekthanakul
title Predicting lupus membranous nephritis using reduced picolinic acid to tryptophan ratio as a urinary biomarker
title_short Predicting lupus membranous nephritis using reduced picolinic acid to tryptophan ratio as a urinary biomarker
title_full Predicting lupus membranous nephritis using reduced picolinic acid to tryptophan ratio as a urinary biomarker
title_fullStr Predicting lupus membranous nephritis using reduced picolinic acid to tryptophan ratio as a urinary biomarker
title_full_unstemmed Predicting lupus membranous nephritis using reduced picolinic acid to tryptophan ratio as a urinary biomarker
title_sort predicting lupus membranous nephritis using reduced picolinic acid to tryptophan ratio as a urinary biomarker
publisher Elsevier
publishDate 2021
url https://doaj.org/article/b6ff70646f9e450cb64fa3de0377b6fc
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