Cited by 144Metabolomics and Mass Spectrometry StudiesChronic Kidney Disease and DiabetesAcute Kidney Injury Research

Metabolites associate with kidney function decline and incident chronic kidney disease in the general population

Goek, Oemer-Necmi, Prehn, Cornelia, Sekula, Peggy, Römisch-Margl, Werner, Döring, Angela, Gieger, Christian, Heier, Margit, Koenig, Wolfgang +6 more·2013·Nephrology Dialysis Transplantation

Abstract

BACKGROUND: Serum metabolites are associated cross-sectionally with kidney function in population-based studies. METHODS: Using flow injection and liquid chromatography tandem mass spectrometry methods, we examined longitudinal associations of baseline concentrations of 140 metabolites and their 19 460 ratios with kidney function decline and chronic kidney disease (CKD) incidence over 7 years in 1104 participants of the Cooperative Health Research in the Region of Augsburg S4/F4 study. RESULTS: Corrected for multiple testing, a significant association with annual change in the estimated glomerular filtration rate was observed for spermidine (P = 5.8 × 10(-7)) and two metabolite ratios, the phosphatidylcholine diacyl C42:5-to-phosphatidylcholine acyl-alkyl C36:0 ratio (P = 1.5 × 10(-6)) and the kynurenine-to-tryptophan ratio (P = 1.9 × 10(-6)). The kynurenine-to-tryptophan ratio was also associated with significantly higher incidence of CKD at the follow-up visit with an odds ratio of 1.36 per standard deviation increase; 95% confidence interval 1.11-1.66, P = 2.7 × 10(-3)). In separate analyses, the predictive ability of the metabolites was assessed: both the three significantly associated metabolite (ratios) as well as a panel of 35 metabolites selected from all metabolites in an unbiased fashion provided as much but not significantly more prognostic information than selected clinical predictors as judged by the area under the curve. CONCLUSIONS: Baseline serum concentrations of spermidine and two metabolite ratios were associated with kidney function change over subsequent years in the general population. In separate analyses, baseline serum metabolites were able to predict incident CKD to a similar but not better extent than selected clinical parameters. Our longitudinal findings provide a basis for targeted studies of certain metabolic pathways, e.g. tryptophan metabolism, and their relation to kidney function decline.

The claims and statistics of this paper haven’t been checked yet.

Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.

A few free checks a day · papers already verified open instantly · results are public

Integrity signals

Registry

Crossref · 10.1093/ndt/gft217

Cites

28 of 28 references verified0 citation errors · 0 not checkable

Statistics

Claims the paper makes

The claims and statistics of this paper haven’t been checked yet.

Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.

A few free checks a day · papers already verified open instantly · results are public

Claims other papers make about this one

Each is checked against this paper’s own text: does it say what the citing paper says it does?

Self-check

Percentages, sums and reported differences re-computed from the paper’s own numbers.

The self-check needs the paper’s full text.

Cites

Flagged first, then by citations

Research works printed but not linked: 1

  1. Zahedi K, Soleimani M. Spermidine/spermine-N(1)-acetyltrans- ferase in kidney ischemia reperfusion injury. Methods Mol Biol 2011; 720: 379-394

Cited by

Sorted by citations

Authors
Goek, O.-N., Prehn, C., Sekula, P., Römisch-Margl, W., Döring, A., Gieger, C., Heier, M., Koenig, W., Wang-Sattler, R., Illig, T., Suhre, K., Adamski, J., Köttgen, A., & Meisinger, C.
Affiliations
  • University Medical Center Freiburg (DE)
  • Helmholtz Munich (DE)
  • Johns Hopkins University (US)
Corresponding author
Goek, Oemer-Necmi
Venue
Nephrology Dialysis Transplantation
Published
2013-06-05
Volume
28
Issue
8
Pages
2131-2138
ISSN
  • 0931-0509 (ISSN-L)
  • 1460-2385
OpenAlex
W2147888063
Cited by
143
References
28
Citations by year
2026: 8 · 2025: 10 · 2024: 9 · 2023: 13 · 2022: 8 · 2021: 17 · 2020: 7 · 2019: 18 · 2018: 11 · 2017: 15 · 2016: 8 · 2015: 9 · 2014: 9 · 2013: 1
FWCI
4.03
Type
journal article
Language
en
Open access
closed
Locations
  • Nephrology Dialysis Transplantation (publishedVersion)
  • PubMed (publishedVersion)
  • Site cant be reached (submittedVersion)
  • OPUS (Augsburg University) (submittedVersion)
Topics
  • Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Metabolomics and Mass Spectrometry Studies
  • Health Sciences › Medicine › Nephrology › Chronic Kidney Disease and Diabetes
  • Health Sciences › Medicine › Nephrology › Acute Kidney Injury Research
Keywords
serum metabolites, renal function decline, estimated glomerular filtration rate, spermidine, kynurenine/tryptophan ratio, tryptophan metabolism, metabolite ratios, prognostic factors, metabolic pathways
MeSH terms
Aged, Female, Follow-Up Studies, Germany, Glomerular Filtration Rate, Humans, Kidney Function Tests, Longitudinal Studies, Male, Middle Aged, Prognosis, Risk Factors, ROC Curve, Spectrometry, Mass, Electrospray Ionization, Renal Insufficiency, Chronic, Tandem Mass Spectrometry, Metabolomics, Metabolome

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 ›

Are you an author, or do you see a problem with this page? Request a review