Urinary metabolic phenotyping for Alzheimer’s disease
Open accessAbstract
Finding early disease markers using non-invasive and widely available methods is essential to develop a successful therapy for Alzheimer's Disease. Few studies to date have examined urine, the most readily available biofluid. Here we report the largest study to date using comprehensive metabolic phenotyping platforms (NMR spectroscopy and UHPLC-MS) to probe the urinary metabolome in-depth in people with Alzheimer's Disease and Mild Cognitive Impairment. Feature reduction was performed using metabolomic Quantitative Trait Loci, resulting in the list of metabolites associated with the genetic variants. This approach helps accuracy in identification of disease states and provides a route to a plausible mechanistic link to pathological processes. Using these mQTLs we built a Random Forests model, which not only correctly discriminates between people with Alzheimer's Disease and age-matched controls, but also between individuals with Mild Cognitive Impairment who were later diagnosed with Alzheimer's Disease and those who were not. Further annotation of top-ranking metabolic features nominated by the trained model revealed the involvement of cholesterol-derived metabolites and small-molecules that were linked to Alzheimer's pathology in previous studies.
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The largest metabolic analysis on urine of AD and MCI patients has permitted to shape a urinary metabolic phenotyping.
“The largest metabolic analysis performed on urine of AD and MCI patients have permitted to shape a urinary metabolic phenotyping.”
From Role of Oxidative Damage in Alzheimer’s Disease and Neurodegeneration: From Pathogenic Mechanisms to Biomarker Discovery (2021) · cites this paper as [138]
Urine contains metabolites that reflect a response to injury, including OS, or carry information originated from the gut microbiome.
“Urine contains metabolites that reflect a response to injury, including OS, occurring at high distance or carry information originated from the gut microbiome, a novel area of research in neurodegeneration and AD [138].”
From Role of Oxidative Damage in Alzheimer’s Disease and Neurodegeneration: From Pathogenic Mechanisms to Biomarker Discovery (2021) · cites this paper as [138]
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Voyle, N., Kim, M., Proitsi, P., Ashton, N. J., Baird, A. L., Bazenet, C. E., Hye, A., Westwood, S., Chung, R., Ward, M. A., et al. (2016) · Translational Psychiatry · doi:10.1038/tp.2015.205 · Cited by 26 · see citing works
Self-citationElucidating the Structure of N 1-Acetylisoputreanine: A Novel Polyamine Catabolite in Human Urine
Fitzgerald, B. L., Mahapatra, S., Farmer, D. K., McNeil, M., Casero, R. A., & Belisle, J. T. (2017) · ACS Omega · doi:10.1021/acsomega.7b00872 · Cited by 21 · see citing works
Rajagopal, L., Soni, D., & Meltzer, H. Y. (2018) · Behavioural Brain Research · doi:10.1016/j.bbr.2018.05.005 · Cited by 21 · see citing works
Whiley, L., Chekmeneva, E., Berry, D. J., et al. (2019) · Analytical Chemistry · doi:10.1021/acs.analchem.9b00241 · Cited by 20 · see citing works
Self-citationDastgheib, M., Dehpour, A. R., Heidari, M., & Moezi, L. (2015) · Neuroscience · doi:10.1016/j.neuroscience.2015.08.018 · Cited by 19 · see citing works
Oxidative DNA Damage - the possible use of biomarkers as additional prognostic factors in oncology
Roszkowski, K. (2014) · Frontiers in bioscience · doi:10.2741/4248 · Cited by 19 · see citing works
The Role of Intracellular Trafficking and the Vps10D Receptors In Alzheimer‘s Disease
Reitz, C. (2012) · Future Neurology · doi:10.2217/fnl.12.31 · Cited by 15 · see citing works
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The RacGAP β-Chimaerin is essential for cerebellar granule cell migration
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Effect of Age on Pregnanediol Excretion by Men
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Flagged first, then by citations
Cited by
Sorted by citations
Microbial-derived metabolites as a risk factor of age-related cognitive decline and dementia
Connell, E., Le Gall, G., Pontifex, M. G., Sami, S., Cryan, J. F., Clarke, G., Müller, M., & Vauzour, D. (2022) · Molecular Neurodegeneration · doi:10.1186/s13024-022-00548-6 · Cited by 208 · see citing works
Buccellato, F. R., D’Anca, M., Fenoglio, C., Scarpini, E., & Galimberti, D. (2021) · Antioxidants · doi:10.3390/antiox10091353 · Cited by 179 · see citing works
Yulug, B., Altay, O., Li, X., Hanoglu, L., Cankaya, S., Lam, S., Velioglu, H. A., Yang, H., Coskun, E., Idil, E., et al. (2023) · Translational Neurodegeneration · doi:10.1186/s40035-023-00336-2 · Cited by 79 · see citing works
- Authors
- Kurbatova, N., Garg, M., Whiley, L., Chekmeneva, E., Jiménez, B., Gómez-Romero, M., Pearce, J., Kimhofer, T., D’Hondt, E., Soininen, H., Kłoszewska, I., Mecocci, P., Tsolaki, M., Vellas, B., Aarsland, D., Nevado-Holgado, A., Liu, B., Snowden, S., Proitsi, P., Ashton, N. J., Hye, A., Legido-Quigley, C., Lewis, M. R., Nicholson, J. K., Holmes, E., Brazma, A., & Lovestone, S.
- Affiliations
- European Bioinformatics Institute (GB)
- Hammersmith Hospital (GB)
- Imperial College London (GB)
- IMEC (BE)
- University of Eastern Finland (FI)
- Medical University of Lodz (PL)
- University of Perugia (IT)
- Aristotle University of Thessaloniki (GR)
- Inserm (FR)
- King's College London (GB)
- Warneford Hospital (GB)
- Steno Diabetes Centers (DK)
- Murdoch University (AU)
- Corresponding author
- Kurbatova, Natalja
- ORCID
- Kurbatova, Natalja
- Garg, Manik
- Whiley, Luke
- Chekmeneva, Elena
- Jiménez, Beatriz
- Pearce, Jake
- Kimhofer, Torben
- D’Hondt, Ellie
- Soininen, Hilkka
- Mecocci, Patrizia
- Tsolaki, Magda
- Vellas, Bruno
- Aarsland, Dag
- Proitsi, Petroula
- Ashton, Nicholas J.
- Hye, Abdul
- Lewis, Matthew R.
- Nicholson, Jeremy K.
- Holmes, Elaine
- Lovestone, Simon
- Venue
- Scientific Reports
- Published
- 2020-12-10
- Volume
- 10
- Issue
- 1
- Pages
- 21745-21745
- ISSN
- 2045-2322 (ISSN-L)
- PMC
- PMC7730184
- OpenAlex
- W3111765626
- Cited by
- 44
- References
- 95
- Citations by year
- 2026: 3 · 2025: 9 · 2024: 5 · 2023: 10 · 2022: 9 · 2021: 8
- FWCI
- 2.19
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Locations
- Scientific Reports (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Murdoch University Research Portal (submittedVersion)
- HAL (submittedVersion, cc-by)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Research Portal (King's College London) (submittedVersion, other-oa)
- Spiral (Imperial College London) (submittedVersion, cc-by)
- Funders
- Innovative Medicines Initiative (115372)
- Medical Research Council, UK, and National Institute for Health Research, England (MC_PC_12025)
- Projekt DEAL
- Topics
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Metabolomics and Mass Spectrometry Studies
- Health Sciences › Medicine › Psychiatry and Mental health › Dementia and Cognitive Impairment Research
- Health Sciences › Medicine › Physiology › Alzheimer's disease research and treatments
- Keywords
- Alzheimer's disease, mild cognitive impairment, urinary metabolome, metabolic phenotyping, disease biomarkers, early diagnosis, random forest classification, NMR spectroscopy, UHPLC-MS
- MeSH terms
- Aged, Aged, 80 and over, Alzheimer Disease, Female, Humans, Male, Phenotype, Biomarkers, Quantitative Trait Loci, Metabolomics, Cognitive Dysfunction
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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