Evidence map›Paper›PMID 40102424›Full record

ArticleNature communications2025

Metabolomics strategy for diagnosing urinary tract infections.

Carly C Y Chan, Daniel B Gregson, Spencer D Wildman, Dominique G Bihan, Ryan A Groves, Raied Aburashed, Thomas Rydzak, Keir Pittman, Nicolas Van Bavel, Ian A Lewis

Abstract read
In one paragraph

Article in Nature communications, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

19 citing papers in PubMed.

  1. Article
  2. Review
  3. Review
  4. Article
  5. Article
  6. Article
  7. ExploringFrontiers in cell and developmental biology · 2026
    Article
  8. Article
  9. Article
  10. Metabolomic profiling ofmSystems · 2025
    Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Review
  16. The Role of Metabolomics and Microbiology in Urinary Tract Infection.International journal of molecular sciences · 2024
    Review
  17. Article
  18. Review
  19. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Carly C Y Chan *Alberta Centre for Advanced Diagnostics, Department of Biological Science, University of Calgary, Calgary, AB, Canada.
Daniel B Gregson *Department of Pathology and Laboratory Medicine, Cumming School of Medicine, University of Calgary, Calgary, AB, Canada.
Spencer D Wildman *Alberta Centre for Advanced Diagnostics, Department of Biological Science, University of Calgary, Calgary, AB, Canada.
Dominique G BihanAlberta Centre for Advanced Diagnostics, Department of Biological Science, University of Calgary, Calgary, AB, Canada.
Ryan A GrovesAlberta Centre for Advanced Diagnostics, Department of Biological Science, University of Calgary, Calgary, AB, Canada.
Raied AburashedAlberta Centre for Advanced Diagnostics, Department of Biological Science, University of Calgary, Calgary, AB, Canada.
Thomas RydzakAlberta Centre for Advanced Diagnostics, Department of Biological Science, University of Calgary, Calgary, AB, Canada.
Keir PittmanAlberta Centre for Advanced Diagnostics, Department of Biological Science, University of Calgary, Calgary, AB, Canada.
Nicolas Van BavelAlberta Centre for Advanced Diagnostics, Department of Biological Science, University of Calgary, Calgary, AB, Canada.
Ian A LewisAlberta Centre for Advanced Diagnostics, Department of Biological Science, University of Calgary, Calgary, AB, Canada. ian.lewis2@ucalgary.ca.ORCID http://orcid.org/0000-0002-5753-499X

Funding

Genome Alberta 10021232Genome Canada (Génome Canada) 10019200Gouvernement du Canada | Canadian Institutes of Health Research (Instituts de Recherche en Santé du Canada) 10020019
6 · The paper itself

Abstract

Metabolomics has emerged as a mainstream approach for investigating complex metabolic phenotypes but has yet to be integrated into routine clinical diagnostics. Metabolomics-based diagnosis of urinary tract infections (UTIs) is a logical application of this technology since microbial waste products are concentrated in the bladder and thus could be suitable markers of infection. We conducted an untargeted metabolomics screen of clinical specimens from patients with suspected UTIs and identified two metabolites, agmatine, and N6-methyladenine, that are predictive of culture-positive samples. We developed a 3.2-min LC-MS assay to quantify these metabolites and showed that agmatine and N6-methyladenine correctly identify UTIs caused by 13 Enterobacterales species and 3 non-Enterobacterales species, accounting for over 90% of infections (agmatine AUC > 0.95; N6-methyladenine AUC > 0.89). These markers were robust predictors across two blinded cohorts totaling 1629 patient samples. These findings demonstrate the potential utility of metabolomics in clinical diagnostics for rapidly detecting UTIs.

Indexed as

MetabolomicsUrinary Tract InfectionsAdultBiomarkersChromatography, LiquidFemaleHumansMaleMass SpectrometryMiddle AgedBiomarkers

Identifiers

PMID40102424
PMCPMC11920235

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.