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Identification of Serum Metabolites for Predicting Chronic Kidney Disease Progression according to Chronic Kidney Disease Cause
- Title
- Identification of Serum Metabolites for Predicting Chronic Kidney Disease Progression according to Chronic Kidney Disease Cause
- Authors
- Kang, Eunjeong; Li, Yufei; Kim, Bora; Huh, Ki Young; Han, Miyeun; Ahn, Jung-Hyuck; Sung, Hye Youn; Park, Yong Seek; Lee, Seung Eun; Lee, Sangjun; Park, Sue K.; Cho, Joo-Youn; Oh, Kook-Hwan
- Ewha Authors
- 안정혁; 성혜윤; 강은정
- SCOPUS Author ID
- 안정혁; 성혜윤; 강은정
- Issue Date
- 2022
- Journal Title
- METABOLITES
- ISSN
- 2218-1989
- Citation
- METABOLITES vol. 12, no. 11
- Keywords
- chronic kidney disease; disease progression; metabolomics; serum biomarkers
- Publisher
- MDPI
- Indexed
- SCIE; SCOPUS
- Document Type
- Article
- Abstract
- Early detection and proper management of chronic kidney disease (CKD) can delay progression to end-stage kidney disease. We applied metabolomics to discover novel biomarkers to predict the risk of deterioration in patients with different causes of CKD. We enrolled non-dialytic diabetic nephropathy (DMN, n = 124), hypertensive nephropathy (HTN, n = 118), and polycystic kidney disease (PKD, n = 124) patients from the KNOW-CKD cohort. Within each disease subgroup, subjects were categorized as progressors (P) or non-progressors (NP) based on the median eGFR slope. P and NP pairs were randomly selected after matching for age, sex, and baseline eGFR. Targeted metabolomics was performed to quantify 188 metabolites in the baseline serum samples. We selected ten progression-related biomarkers for DMN and nine biomarkers each for HTN and PKD. Clinical parameters showed good ability to predict DMN (AUC 0.734); however, this tendency was not evident for HTN (AUC 0.659) or PKD (AUC 0.560). Models constructed with selected metabolites and clinical parameters had better ability to predict CKD progression than clinical parameters only. When selected metabolites were used in combination with clinical indicators, random forest prediction models for CKD progression were constructed with AUCs of 0.826, 0.872, and 0.834 for DMN, HTN, and PKD, respectively. Select novel metabolites identified in this study can help identify high-risk CKD patients who may benefit from more aggressive medical treatment.
- DOI
- 10.3390/metabo12111125
- Appears in Collections:
- 의과대학 > 의학과 > Journal papers
- Files in This Item:
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metabolites-12-01125.pdf(2.52 MB)
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