Cross-sectional analyses of metabolites across biological samples mediating dietary acid load and chronic kidney disease

Summary: Chronic kidney disease (CKD) is a major public health burden, with dietary acid load (DAL) and gut microbiota playing crucial roles. As DAL can affect the host metabolome, potentially via the gut microbiota, we cross-sectionally investigated the interplay between DAL, host metabolome, gut m...

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Main Authors: Ilias Attaye, Beverley Beynon-Cobb, Panayiotis Louca, Ana Nogal, Alessia Visconti, Francesca Tettamanzi, Kari Wong, Gregory Michellotti, Tim D. Spector, Mario Falchi, Jordana T. Bell, Cristina Menni
Format: Article
Language:English
Published: Elsevier 2024-03-01
Series:iScience
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2589004224003535
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author Ilias Attaye
Beverley Beynon-Cobb
Panayiotis Louca
Ana Nogal
Alessia Visconti
Francesca Tettamanzi
Kari Wong
Gregory Michellotti
Tim D. Spector
Mario Falchi
Jordana T. Bell
Cristina Menni
author_facet Ilias Attaye
Beverley Beynon-Cobb
Panayiotis Louca
Ana Nogal
Alessia Visconti
Francesca Tettamanzi
Kari Wong
Gregory Michellotti
Tim D. Spector
Mario Falchi
Jordana T. Bell
Cristina Menni
author_sort Ilias Attaye
collection DOAJ
description Summary: Chronic kidney disease (CKD) is a major public health burden, with dietary acid load (DAL) and gut microbiota playing crucial roles. As DAL can affect the host metabolome, potentially via the gut microbiota, we cross-sectionally investigated the interplay between DAL, host metabolome, gut microbiota, and early-stage CKD (TwinsUK, n = 1,453). DAL was positively associated with CKD stage G1-G2 (Beta (95% confidence interval) = 0.34 (0.007; 0.7), p = 0.046). After adjusting for covariates and multiple testing, we identified 15 serum, 14 urine, 8 stool, and 7 saliva metabolites, primarily lipids and amino acids, associated with both DAL and CKD progression. Of these, 8 serum, 2 urine, and one stool metabolites were found to mediate the DAL-CKD association. Furthermore, the stool metabolite 5-methylhexanoate (i7:0) correlated with 26 gut microbial species. Our findings emphasize the gut microbiota’s therapeutic potential in countering DAL’s impact on CKD through the host metabolome. Interventional and longitudinal studies are needed to establish causality.
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spelling doaj.art-b18bc96c8c394ce9880b42bf971f8fd42024-02-27T04:20:07ZengElsevieriScience2589-00422024-03-01273109132Cross-sectional analyses of metabolites across biological samples mediating dietary acid load and chronic kidney diseaseIlias Attaye0Beverley Beynon-Cobb1Panayiotis Louca2Ana Nogal3Alessia Visconti4Francesca Tettamanzi5Kari Wong6Gregory Michellotti7Tim D. Spector8Mario Falchi9Jordana T. Bell10Cristina Menni11Department of Twin Research, King’s College London, St Thomas' Hospital Campus, London SE1 7EH, UK; Amsterdam Cardiovascular Sciences, Diabetes & Metabolism, Amsterdam, the Netherlands; Corresponding authorDepartment of Twin Research, King’s College London, St Thomas' Hospital Campus, London SE1 7EH, UK; Department of Nutrition & Dietetics, University Hospitals Coventry & Warwickshire NHS Trust, Coventry CV2 2DX, UKDepartment of Twin Research, King’s College London, St Thomas' Hospital Campus, London SE1 7EH, UKDepartment of Twin Research, King’s College London, St Thomas' Hospital Campus, London SE1 7EH, UKDepartment of Twin Research, King’s College London, St Thomas' Hospital Campus, London SE1 7EH, UKDepartment of Twin Research, King’s College London, St Thomas' Hospital Campus, London SE1 7EH, UKMetabolon, Research Triangle Park, Morrisville, NC 27560, USAMetabolon, Research Triangle Park, Morrisville, NC 27560, USADepartment of Twin Research, King’s College London, St Thomas' Hospital Campus, London SE1 7EH, UKDepartment of Twin Research, King’s College London, St Thomas' Hospital Campus, London SE1 7EH, UKDepartment of Twin Research, King’s College London, St Thomas' Hospital Campus, London SE1 7EH, UKDepartment of Twin Research, King’s College London, St Thomas' Hospital Campus, London SE1 7EH, UK; Corresponding authorSummary: Chronic kidney disease (CKD) is a major public health burden, with dietary acid load (DAL) and gut microbiota playing crucial roles. As DAL can affect the host metabolome, potentially via the gut microbiota, we cross-sectionally investigated the interplay between DAL, host metabolome, gut microbiota, and early-stage CKD (TwinsUK, n = 1,453). DAL was positively associated with CKD stage G1-G2 (Beta (95% confidence interval) = 0.34 (0.007; 0.7), p = 0.046). After adjusting for covariates and multiple testing, we identified 15 serum, 14 urine, 8 stool, and 7 saliva metabolites, primarily lipids and amino acids, associated with both DAL and CKD progression. Of these, 8 serum, 2 urine, and one stool metabolites were found to mediate the DAL-CKD association. Furthermore, the stool metabolite 5-methylhexanoate (i7:0) correlated with 26 gut microbial species. Our findings emphasize the gut microbiota’s therapeutic potential in countering DAL’s impact on CKD through the host metabolome. Interventional and longitudinal studies are needed to establish causality.http://www.sciencedirect.com/science/article/pii/S2589004224003535Health sciencesMedicineMedical specialtyInternal medicineNephrologyNatural sciences
spellingShingle Ilias Attaye
Beverley Beynon-Cobb
Panayiotis Louca
Ana Nogal
Alessia Visconti
Francesca Tettamanzi
Kari Wong
Gregory Michellotti
Tim D. Spector
Mario Falchi
Jordana T. Bell
Cristina Menni
Cross-sectional analyses of metabolites across biological samples mediating dietary acid load and chronic kidney disease
iScience
Health sciences
Medicine
Medical specialty
Internal medicine
Nephrology
Natural sciences
title Cross-sectional analyses of metabolites across biological samples mediating dietary acid load and chronic kidney disease
title_full Cross-sectional analyses of metabolites across biological samples mediating dietary acid load and chronic kidney disease
title_fullStr Cross-sectional analyses of metabolites across biological samples mediating dietary acid load and chronic kidney disease
title_full_unstemmed Cross-sectional analyses of metabolites across biological samples mediating dietary acid load and chronic kidney disease
title_short Cross-sectional analyses of metabolites across biological samples mediating dietary acid load and chronic kidney disease
title_sort cross sectional analyses of metabolites across biological samples mediating dietary acid load and chronic kidney disease
topic Health sciences
Medicine
Medical specialty
Internal medicine
Nephrology
Natural sciences
url http://www.sciencedirect.com/science/article/pii/S2589004224003535
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