4.6 Review

Blood, urine and faecal metabolite profiles in the study of adult renal disease

Journal

ARCHIVES OF BIOCHEMISTRY AND BIOPHYSICS
Volume 589, Issue -, Pages 81-92

Publisher

ELSEVIER SCIENCE INC
DOI: 10.1016/j.abb.2015.10.006

Keywords

Metabolomics; Biomarkers; Renal disorders; Chronic kidney disease

Funding

  1. Wellcome Trust
  2. European Community
  3. National Institute for Health Research Clinical Research Facility at Guy's & St Thomas' NHS Foundation Trust
  4. NIHR Biomedical Research Centre at Guy's and St Thomas' NHS Foundation Trust
  5. King's College London
  6. Cornell Centre for Comparative Population Genomics
  7. Spanish Society of Nephrology
  8. National Institute for Health Research [NF-SI-0514-10027] Funding Source: researchfish

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Chronic kidney disease (CKD) is a major public health burden and to date traditional biomarkers of renal function (such as serum creatinine and cystatin C) are unable to identify at-risk individuals before the disease process is well under way. To help preventive strategies and maximize the potential for effective interventions, it is important to characterise the molecular changes that take place in the development of renal damage. Metabolomics is a promising tool to identify markers of renal disease since the kidneys are involved in the handling of major biochemical classes of metabolites. These metabolite levels capture a snap-shot of the metabolic profile of the individual, allowing for the potential identification of early biomarkers, and the monitoring of real-time kidney function. In this review, we describe the current status of the identification of blood/urine/faecal metabolic biomarkers in different entities of kidney diseases including: acute kidney injury, chronic kidney disease, renal transplant, diabetic nephropathy and other disorders. (C) 2015 Published by Elsevier Inc.

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