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ArticleMetabolomics : Official journal of the Metabolomic Society2018

Non-invasive urinary metabolomic profiles discriminate biliary atresia from infantile hepatitis syndrome.

Wei-Wei Li, Yan Yang, Qi-Gang Dai, Li-Li Lin, Tong Xie, Li-Li He, Jia-Lei Tao, Jin-Jun Shan, Shou-Chuan Wang

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Article in Metabolomics : Official journal of the Metabolomic Society, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

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5citing papers in PubMed
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1 · What the graph read from it

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3 · Its place in the literature

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5 citing papers in PubMed.

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5 · Who and what money

Authors and funding

9 authors.

Wei-Wei LiDepartment of Pediatrics, Affiliated Hospital of Nanjing University of Chinese Medicine, Nanjing, China.
Yan YangTCM Department, Beijing Children's Hospital Affiliated to Capital Medical University, Beijing, China.
Qi-Gang DaiDepartment of Pediatrics, Affiliated Hospital of Nanjing University of Chinese Medicine, Nanjing, China.
Li-Li LinDepartment of Pediatrics, Affiliated Hospital of Nanjing University of Chinese Medicine, Nanjing, China.
Tong XieDepartment of Pediatrics, Affiliated Hospital of Nanjing University of Chinese Medicine, Nanjing, China.
Li-Li HeAffiliated Hospital of Integrated Traditional Chinese and Western Medicine, Nanjing University of Chinese Medicine, Nanjing, China.
Jia-Lei TaoDepartment of Pediatrics, Affiliated Hospital of Nanjing University of Chinese Medicine, Nanjing, China.
Jin-Jun ShanDepartment of Pediatrics, Affiliated Hospital of Nanjing University of Chinese Medicine, Nanjing, China. jshan@njucm.edu.cn.
Shou-Chuan WangDepartment of Pediatrics, Affiliated Hospital of Nanjing University of Chinese Medicine, Nanjing, China. wscnj@126.com.

Funding

National Natural Science Foundation of China 81373688National Natural Science Foundation of China 81473725
6 · The paper itself

Abstract

introductionNeonatal cholestatic disorders are a group of hepatobiliary diseases occurring in the first 3 months of life. The most common causes of neonatal cholestasis are infantile hepatitis syndrome (IHS) and biliary atresia (BA). The clinical manifestations of the two diseases are too similar to distinguish them. However, early detection is very important in improving the clinical outcome of BA. Currently, a liver biopsy is the only proven and effective method used to differentially diagnose these two similar diseases in the clinic. However, this method is invasive. Therefore, sensitive and non-invasive biomarkers are needed to effectively differentiate between BA and IHS. We hypothesized that urinary metabolomics can produce unique metabolite profiles for BA and IHS.

objectivesThe aim of this study was to characterize urinary metabolomic profiles in infants with BA and IHS, and to identify differences among infants with BA, IHS, and normal controls (NC).

methodsUrine samples along with patient characteristics were obtained from 25 BA, 38 IHS, and 38 NC infants. A non-targeted gas chromatography-mass spectrometry (GC-MS) metabolomics method was used in conjunction with orthogonal partial least squares discriminant analysis (OPLS-DA) to explore the metabolomic profiles of BA, IHS, and NC infants.

resultsIn total, 41 differentially expressed metabolites between BA vs. NC, IHS vs. NC, and BA vs. IHS were identified. N-acetyl-D-mannosamine and alpha-aminoadipic acid were found to be highly accurate at distinguishing between BA and IHS.

conclusionsBA and IHS infants have specific urinary metabolomic profiles. The results of our study underscore the clinical potential of metabolomic profiling to uncover metabolic changes that could be used to discriminate BA from IHS.

Indexed as

MetabolomicsBiliary AtresiaFemaleHepatitisHumansInfantMaleBiliary atresiaBiomarkersInfantile hepatitis syndromeMetabolomicsUrine

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