Ontology highlight
ABSTRACT: Background. Hyperuricemia is the second most prevalent metabolic disorder globally and exhibits pronounced heterogeneity in clinical practice. Only about 10% of individuals with asymptomatic hyperuricemia (HUA) progress to gout, yet the lack of specific biomarkers and precise therapeutic targets hinders accurate prediction of disease progression. The heterogeneity of hyperuricemia aims to elucidate potential mechanisms underlying its transition from asymptomatic to symptomatic stages. Methods. A total of 107 serum samples were first analyzed, including 36 healthy controls (Con), and 30, 32 and 9 patients with HUA, gouty arthritis (gout), and gout complicated by uric acid nephrolithiasis (UAN), respectively. Untargeted metabolomics was conducted across the following four groups, namely, Con and HUA, HUA and gout, gout and UAN, and HUA and UAN, which helped to discover differential metabolites and key metabolic pathways involved in disease progression. Results. Using advanced SCIEX ZenoTOF 7600-based untargeted metabolomics platform, 920 metabolites were identified in both positive and negative ionization modes. The assessment of quality control (QC) samples showed high precision in instrumental measurement with RSD values of the ion features less than 30% achieving to 91.76% and 89.73% respectively in the two ionization modes. Significant alterations of metabolites among the groups were observed, including 145, 82, 74 and 121 differential metabolites among the four groups. With high sensitivity and specificity, six of them were demonstrated to distinguish HUA, gout and UAN for the study of heterogeneity of hyperuricemia. Disruptions in phenylalanine, tyrosine, and tryptophan biosynthesis were prominent in symptomatic patients. Furthermore, four metabolic pathways remained consistently dysregulated throughout disease progression, which indicates their potentials as mechanistic drivers. Conclusion.These findings provide promising biomarkers for early diagnosis and precision treatment of gout and its complications, while offering novel insights into the metabolic basis of heterogeneity of hyperuricemia.
INSTRUMENT(S): Liquid Chromatography MS - negative - reverse phase, Liquid Chromatography MS - positive - reverse phase
PROVIDER: MTBLS13094 | MetaboLights | 2025-10-05
REPOSITORIES: MetaboLights
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