Metabolomics insights into activated redox signaling and lipid metabolism dysfunction in chronic kidney disease progression

被引:148
作者
Chen, Hua [1 ]
Cao, Gang [3 ]
Chen, Dan-Qian [1 ]
Wang, Ming [1 ]
Vaziri, Nosratola D. [2 ]
Zhang, Zhi-Hao [4 ]
Mao, Jia-Rong [5 ]
Bai, Xu [6 ]
Zhao, Ying-Yong [1 ]
机构
[1] Northwest Univ, Key Lab Resource Biol & Biotechnol Western China, Minist Educ, Coll Life Sci, 229 Taibai North Rd, Xian 710069, Shaanxi, Peoples R China
[2] Univ Calif Irvine, Sch Med, Div Nephrol & Hypertens, MedSci 1, C352,UCI Campus, Irvine, CA 92897 USA
[3] Zhejiang Chinese Med Univ, Res Ctr TCM Proc Technol, 548 Binwen Rd, Hangzhou 310053, Zhejiang, Peoples R China
[4] Univ Mississippi, Sch Pharm, Natl Ctr Nat Prod Res, Dept Biomol Sci, Oxford, MS 38677 USA
[5] Shaanxi Inst Tradit Chinese Med, Affiliated Hosp, Dept Nephrol, 2 Xihuamen, Xian 710003, Shaanxi, Peoples R China
[6] Waters Technol Shanghai Ltd, Solut Ctr, 1000 Jinhai Rd, Shanghai 201203, Peoples R China
基金
中国国家自然科学基金;
关键词
Chronic kidney disease; Metabolomics; Inflammation; Renal fibrosis; Lipid metabolism; Biomarker; SENSITIVITY MASS-SPECTROMETRY; CHRONIC-RENAL-FAILURE; ARISTOLOCHIC ACID; EXPERIMENTAL-MODEL; OXIDATIVE STRESS; GENE-EXPRESSION; NEPHROTOXICITY; METABONOMICS; BIOMARKERS; FIBROSIS;
D O I
10.1016/j.redox.2016.09.014
中图分类号
Q5 [生物化学]; Q7 [分子生物学];
学科分类号
070307 [化学生物学]; 071010 [生物化学与分子生物学];
摘要
Early detection is critical in prevention and treatment of kidney disease. However currently clinical laboratory and histopathological tests do not provide region-specific and accurate biomarkers for early detection of kidney disease. The present study was conducted to identify sensitive biomarkers for early detection and progression of tubulo-interstitial nephropathy in aristolochic acid I-induced rats at weeks 4, 8 and 12. Biomarkers were validated using aristolochic acid nephropathy (AAN) rats at week 24, adenine-induced chronic kidney disease (CKD) rats and CKD patients. Compared with control rats, AAN rats showed anemia, increased serum urea and creatinine, progressive renal interstitial fibrosis, activation of nuclear factor-kappa B, and up-regulation of proinflammatory, pro-oxidant, and pro-fibrotic proteins at weeks 8 and 12. However, no significant difference was found at week 4. Metabolomics identified 12-ketodeoxycholic acid, taurochenodesoxycholic acid, LPC(15:0) and docosahexaenoic acid as biomarkers for early detection of tubulo-interstitial nephropathy. With prolonging aristolochic acid I exposure, LPE(20:2), cholic acid, chenodeoxycholic acid and LPC(17:0) were identified as biomarkers for progression from early to advanced AAN and lysoPE(22:5), indoxyl sulfate, uric acid and creatinine as biomarkers of advanced AAN. These biomarkers were reversed by treatment of irbesartan and ergone in AAN rats at week 24 and adenine-induced CKD rats. In addition, these biomarkers were also reversed by irbesartan treatment in CKD patients.
引用
收藏
页码:168 / 178
页数:11
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