Urinary Metabolomic Markers of Protein Glycation, Oxidation, and Nitration in Early-Stage Decline in Metabolic, Vascular, and Renal Health

<p>Glycation, oxidation, nitration, and crosslinking of proteins are implicated in the pathogenic mechanisms of type 2 diabetes, cardiovascular disease, and chronic kidney disease. Related modified amino acids formed by proteolysis are excreted in urine. We quantified urinary levels of these m...

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التفاصيل البيبلوغرافية
المؤلف الرئيسي: Jinit Masania (7164239) (author)
مؤلفون آخرون: Gernot Faustmann (5497745) (author), Attia Anwar (3484340) (author), Hildegard Hafner-Giessauf (14590917) (author), Nasir Rajpoot (781022) (author), Johanna Grabher (14590920) (author), Kashif Rajpoot (781020) (author), Beate Tiran (239387) (author), Barbara Obermayer-Pietsch (61534) (author), Brigitte M. Winklhofer-Roob (239389) (author), Johannes M. Roob (239381) (author), Naila Rabbani (291722) (author), Paul J. Thornalley (14590926) (author)
منشور في: 2019
الموضوعات:
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author Jinit Masania (7164239)
author2 Gernot Faustmann (5497745)
Attia Anwar (3484340)
Hildegard Hafner-Giessauf (14590917)
Nasir Rajpoot (781022)
Johanna Grabher (14590920)
Kashif Rajpoot (781020)
Beate Tiran (239387)
Barbara Obermayer-Pietsch (61534)
Brigitte M. Winklhofer-Roob (239389)
Johannes M. Roob (239381)
Naila Rabbani (291722)
Paul J. Thornalley (14590926)
author2_role author
author
author
author
author
author
author
author
author
author
author
author
author_facet Jinit Masania (7164239)
Gernot Faustmann (5497745)
Attia Anwar (3484340)
Hildegard Hafner-Giessauf (14590917)
Nasir Rajpoot (781022)
Johanna Grabher (14590920)
Kashif Rajpoot (781020)
Beate Tiran (239387)
Barbara Obermayer-Pietsch (61534)
Brigitte M. Winklhofer-Roob (239389)
Johannes M. Roob (239381)
Naila Rabbani (291722)
Paul J. Thornalley (14590926)
author_role author
dc.creator.none.fl_str_mv Jinit Masania (7164239)
Gernot Faustmann (5497745)
Attia Anwar (3484340)
Hildegard Hafner-Giessauf (14590917)
Nasir Rajpoot (781022)
Johanna Grabher (14590920)
Kashif Rajpoot (781020)
Beate Tiran (239387)
Barbara Obermayer-Pietsch (61534)
Brigitte M. Winklhofer-Roob (239389)
Johannes M. Roob (239381)
Naila Rabbani (291722)
Paul J. Thornalley (14590926)
dc.date.none.fl_str_mv 2019-11-19T03:00:00Z
dc.identifier.none.fl_str_mv 10.1155/2019/4851323
dc.relation.none.fl_str_mv https://figshare.com/articles/journal_contribution/Urinary_Metabolomic_Markers_of_Protein_Glycation_Oxidation_and_Nitration_in_Early-Stage_Decline_in_Metabolic_Vascular_and_Renal_Health/22082720
dc.rights.none.fl_str_mv CC BY 4.0
info:eu-repo/semantics/openAccess
dc.subject.none.fl_str_mv Biological sciences
Biochemistry and cell biology
Bioinformatics and computational biology
Biomedical and clinical sciences
Clinical sciences
Medical biochemistry and metabolomics
Cell Biology
Aging
General Medicine
Biochemistry
dc.title.none.fl_str_mv Urinary Metabolomic Markers of Protein Glycation, Oxidation, and Nitration in Early-Stage Decline in Metabolic, Vascular, and Renal Health
dc.type.none.fl_str_mv Text
Journal contribution
info:eu-repo/semantics/publishedVersion
text
contribution to journal
description <p>Glycation, oxidation, nitration, and crosslinking of proteins are implicated in the pathogenic mechanisms of type 2 diabetes, cardiovascular disease, and chronic kidney disease. Related modified amino acids formed by proteolysis are excreted in urine. We quantified urinary levels of these metabolites and branched-chain amino acids (BCAAs) in healthy subjects and assessed changes in early-stage decline in metabolic, vascular, and renal health and explored their diagnostic utility for a noninvasive health screen. We recruited 200 human subjects with early-stage health decline and healthy controls. Urinary amino acid metabolites were determined by stable isotopic dilution analysis liquid chromatography-tandem mass spectrometry. Machine learning was applied to optimise and validate algorithms to discriminate between study groups for potential diagnostic utility. Urinary analyte changes were as follows: impaired metabolic health—increased N<em>ε</em>-carboxymethyl-lysine, glucosepane, glutamic semialdehyde, and pyrraline; impaired vascular health—increased glucosepane; and impaired renal health—increased BCAAs and decreased N<em>ε</em>-(<em>γ</em>-glutamyl)lysine. Algorithms combining subject age, BMI, and BCAAs discriminated between healthy controls and impaired metabolic, vascular, and renal health study groups with accuracy of 84%, 72%, and 90%, respectively. In 2-step analysis, algorithms combining subject age, BMI, and urinary N<em>ε</em>-fructosyl-lysine and valine discriminated between healthy controls and impaired health (any type), accuracy of 78%, and then between types of health impairment with accuracy of 69%-78% (<em>cf.</em> random selection 33%). From likelihood ratios, this provided small, moderate, and conclusive evidence of early-stage cardiovascular, metabolic, and renal disease with diagnostic odds ratios of 6 – 7, 26 – 28, and 34 – 79, respectively. We conclude that measurement of urinary glycated, oxidized, crosslinked, and branched-chain amino acids provides the basis for a noninvasive health screen for early-stage health decline in metabolic, vascular, and renal health. </p> <h2>Other information</h2> <p>Published in: Oxidative Medicine and Cellular Longevity<br> License: <a href="http://creativecommons.org/licenses/by/4.0" target="_blank">http://creativecommons.org/licenses/by/4.0</a><br> See article on publisher's website: <a href="http://dx.doi.org/10.1155/2019/4851323" target="_blank">http://dx.doi.org/10.1155/2019/4851323</a></p>
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spelling Urinary Metabolomic Markers of Protein Glycation, Oxidation, and Nitration in Early-Stage Decline in Metabolic, Vascular, and Renal HealthJinit Masania (7164239)Gernot Faustmann (5497745)Attia Anwar (3484340)Hildegard Hafner-Giessauf (14590917)Nasir Rajpoot (781022)Johanna Grabher (14590920)Kashif Rajpoot (781020)Beate Tiran (239387)Barbara Obermayer-Pietsch (61534)Brigitte M. Winklhofer-Roob (239389)Johannes M. Roob (239381)Naila Rabbani (291722)Paul J. Thornalley (14590926)Biological sciencesBiochemistry and cell biologyBioinformatics and computational biologyBiomedical and clinical sciencesClinical sciencesMedical biochemistry and metabolomicsCell BiologyAgingGeneral MedicineBiochemistry<p>Glycation, oxidation, nitration, and crosslinking of proteins are implicated in the pathogenic mechanisms of type 2 diabetes, cardiovascular disease, and chronic kidney disease. Related modified amino acids formed by proteolysis are excreted in urine. We quantified urinary levels of these metabolites and branched-chain amino acids (BCAAs) in healthy subjects and assessed changes in early-stage decline in metabolic, vascular, and renal health and explored their diagnostic utility for a noninvasive health screen. We recruited 200 human subjects with early-stage health decline and healthy controls. Urinary amino acid metabolites were determined by stable isotopic dilution analysis liquid chromatography-tandem mass spectrometry. Machine learning was applied to optimise and validate algorithms to discriminate between study groups for potential diagnostic utility. Urinary analyte changes were as follows: impaired metabolic health—increased N<em>ε</em>-carboxymethyl-lysine, glucosepane, glutamic semialdehyde, and pyrraline; impaired vascular health—increased glucosepane; and impaired renal health—increased BCAAs and decreased N<em>ε</em>-(<em>γ</em>-glutamyl)lysine. Algorithms combining subject age, BMI, and BCAAs discriminated between healthy controls and impaired metabolic, vascular, and renal health study groups with accuracy of 84%, 72%, and 90%, respectively. In 2-step analysis, algorithms combining subject age, BMI, and urinary N<em>ε</em>-fructosyl-lysine and valine discriminated between healthy controls and impaired health (any type), accuracy of 78%, and then between types of health impairment with accuracy of 69%-78% (<em>cf.</em> random selection 33%). From likelihood ratios, this provided small, moderate, and conclusive evidence of early-stage cardiovascular, metabolic, and renal disease with diagnostic odds ratios of 6 – 7, 26 – 28, and 34 – 79, respectively. We conclude that measurement of urinary glycated, oxidized, crosslinked, and branched-chain amino acids provides the basis for a noninvasive health screen for early-stage health decline in metabolic, vascular, and renal health. </p> <h2>Other information</h2> <p>Published in: Oxidative Medicine and Cellular Longevity<br> License: <a href="http://creativecommons.org/licenses/by/4.0" target="_blank">http://creativecommons.org/licenses/by/4.0</a><br> See article on publisher's website: <a href="http://dx.doi.org/10.1155/2019/4851323" target="_blank">http://dx.doi.org/10.1155/2019/4851323</a></p>2019-11-19T03:00:00ZTextJournal contributioninfo:eu-repo/semantics/publishedVersiontextcontribution to journal10.1155/2019/4851323https://figshare.com/articles/journal_contribution/Urinary_Metabolomic_Markers_of_Protein_Glycation_Oxidation_and_Nitration_in_Early-Stage_Decline_in_Metabolic_Vascular_and_Renal_Health/22082720CC BY 4.0info:eu-repo/semantics/openAccessoai:figshare.com:article/220827202019-11-19T03:00:00Z
spellingShingle Urinary Metabolomic Markers of Protein Glycation, Oxidation, and Nitration in Early-Stage Decline in Metabolic, Vascular, and Renal Health
Jinit Masania (7164239)
Biological sciences
Biochemistry and cell biology
Bioinformatics and computational biology
Biomedical and clinical sciences
Clinical sciences
Medical biochemistry and metabolomics
Cell Biology
Aging
General Medicine
Biochemistry
status_str publishedVersion
title Urinary Metabolomic Markers of Protein Glycation, Oxidation, and Nitration in Early-Stage Decline in Metabolic, Vascular, and Renal Health
title_full Urinary Metabolomic Markers of Protein Glycation, Oxidation, and Nitration in Early-Stage Decline in Metabolic, Vascular, and Renal Health
title_fullStr Urinary Metabolomic Markers of Protein Glycation, Oxidation, and Nitration in Early-Stage Decline in Metabolic, Vascular, and Renal Health
title_full_unstemmed Urinary Metabolomic Markers of Protein Glycation, Oxidation, and Nitration in Early-Stage Decline in Metabolic, Vascular, and Renal Health
title_short Urinary Metabolomic Markers of Protein Glycation, Oxidation, and Nitration in Early-Stage Decline in Metabolic, Vascular, and Renal Health
title_sort Urinary Metabolomic Markers of Protein Glycation, Oxidation, and Nitration in Early-Stage Decline in Metabolic, Vascular, and Renal Health
topic Biological sciences
Biochemistry and cell biology
Bioinformatics and computational biology
Biomedical and clinical sciences
Clinical sciences
Medical biochemistry and metabolomics
Cell Biology
Aging
General Medicine
Biochemistry