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Metabolomics and Stages of Chronic Kidney Disease

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Abstract

The kidneys are critical for the secretion of cytokines and hormones, the excretion of waste metabolites, and the homeostasis of electrolytes. Chronic kidney disease (CKD) is a major epidemiologic problem and a risk factor for cardiovascular events and cerebrovascular accidents. At present, renal function is generally evaluated by measuring estimated glomerular filtration rate (eGFR). However, this method has low sensitivity during the early stages of CKD. A new biomarker that can detect CKD during its early stages is eagerly awaited: mass spectrometry (MS), an effective technology for the discovery of biomarkers due to its high sensitivity to detect many compounds, seems to fit these conditions.

Metabolomics using mass spectrometry is a powerful strategy for profiling metabolites and can be used to effectively explore unknown compounds that change in abundance with respect to disease condition. Recently, many researchers have endeavored to apply metabolomics techniques to diagnose various diseases, including CKD. Some metabolites that can serve as biomarkers for CKD severity have been discovered, thanks to their efforts.

This chapter reviews metabolomics techniques and their potential to be applied to CKD diagnosis.

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Abbreviations

CE-MS:

Capillary electrophoresis-mass spectrometry

CKD:

Chronic kidney disease

CysC:

Cystatin C

DMSO:

Dimethyl sulfoxide

ESRD:

End-stage renal disease

FT-ICR-MS:

Fourier transform-ion cyclotron resonance-mass spectrometry

GC-MS:

Gas chromatography-mass spectrometry

GFR:

Glomerular filtration rate

HMDB:

Human metabolome database

KEGG:

Kyoto encyclopedia of genes and genomes

LC-MS:

Liquid chromatography-mass spectrometry

MS/MS:

Tandem mass spectrometry

PLS:

Partial least squares

SFC-MS:

Supercritical fluid chromatography-mass spectrometry

TOC:

Total organic carbon

TOF-MS:

Time-of-flight-mass spectrometry

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Correspondence to Toshihiro Kobayashi .

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Kobayashi, T. (2016). Metabolomics and Stages of Chronic Kidney Disease. In: Patel, V., Preedy, V. (eds) Biomarkers in Kidney Disease. Biomarkers in Disease: Methods, Discoveries and Applications. Springer, Dordrecht. https://doi.org/10.1007/978-94-007-7699-9_41

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