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2016 ; 6
(ä): 26138
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Identification of biomarkers for development of end-stage kidney disease in
chronic kidney disease by metabolomic profiling
#MMPMID27188985
Kimura T
; Yasuda K
; Yamamoto R
; Soga T
; Rakugi H
; Hayashi T
; Isaka Y
Sci Rep
2016[May]; 6
(ä): 26138
PMID27188985
show ga
A critical issue in the management of chronic kidney disease (CKD) is to prevent
patients from the progression to end-stage kidney disease (ESKD), however, there
is only limited number of biomarkers for the discrimination of the high-risk CKD
patients. We aimed to identify the metabolites which possess the ability to
predict the earlier kidney deterioration. We performed capillary electrophoresis
and liquid chromatography mass spectrometry (CE-MS)-based metabolic profiling in
a prospective cohort, which consisted of referred 112 CKD patients with median
follow-up period of 4.4 years. The association between the levels of candidate
metabolites and the outcomes (progression to ESKD alone or in combination with
death before ESKD) were assessed by multivariate Cox proportional hazard models
after adjusting for the baseline covariates. A total of 218 metabolites were
detected in the plasma of CKD patients. We identified 16 metabolites which have
predictive values for the composite outcome: The risk for composite outcome was
elevated from 2.0- to 8.0-fold in those with higher levels of 16 plasma
metabolites. Our results suggest that the measurement of these metabolites may
facilitate CKD management by predicting the risk of progression to ESKD.