Metabolomic profiles and pathogenesis of nephrolithiasis.


Journal

Current opinion in nephrology and hypertension
ISSN: 1473-6543
Titre abrégé: Curr Opin Nephrol Hypertens
Pays: England
ID NLM: 9303753

Informations de publication

Date de publication:
01 09 2023
Historique:
pmc-release: 01 09 2024
medline: 3 8 2023
pubmed: 2 8 2023
entrez: 2 8 2023
Statut: ppublish

Résumé

Kidney stone disease is caused by supersaturation of urine with certain metabolites and minerals. The urine composition of stone formers has been measured to prevent stone recurrence, specifically calcium, uric acid, oxalate, ammonia, citrate. However, these minerals and metabolites have proven to be unreliable in predicting stone recurrence. Metabolomics using high throughput technologies in well defined patient cohorts can identify metabolites that may provide insight into the pathogenesis of stones as well as offer possibilities in therapeutics. Techniques including 1H-NMR, and liquid chromatography paired with tandem mass spectroscopy have identified multiple possible metabolites involved in stone formation. Compared to formers of calcium oxalate stones, healthy controls had higher levels of hippuric acid as well as metabolites involved in caffeine metabolism. Both the gut and urine microbiome may contribute to the altered metabolome of stone formers. Although metabolomics has offered several potential metabolites that may be protective against or promote stone formation, the mechanisms behind these metabolomic profiles and their clinical significance requires further investigation.

Identifiants

pubmed: 37530089
doi: 10.1097/MNH.0000000000000903
pii: 00041552-202309000-00015
pmc: PMC10403267
mid: NIHMS1902240
doi:

Substances chimiques

Calcium Oxalate 2612HC57YE
Calcium SY7Q814VUP
Oxalates 0

Types de publication

Review Journal Article Research Support, N.I.H., Extramural

Langues

eng

Sous-ensembles de citation

IM

Pagination

490-495

Subventions

Organisme : NIDDK NIH HHS
ID : P01 DK056788
Pays : United States

Informations de copyright

Copyright © 2023 Wolters Kluwer Health, Inc. All rights reserved.

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Auteurs

Nicholas S Kowalczyk (NS)

Department of Medicine, University of Chicago Medicine, Chicago, Illinois, USA.

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Classifications MeSH