Human urine

人尿
  • 文章类型: Journal Article
    C反应蛋白(CRP)是人体炎症的快速而敏感的指标。CRP水平的测定在医学诊断中很重要,根据这个因素,它可能表明,例如,各种起源的炎症的发生,肿瘤学,心血管,细菌或病毒事件。在这项研究中,我们描述了一种能够检测CRP水平的干涉传感器,用于区分无炎症状态和炎症状态.测量头由具有在尖端处产生的微球结构的单模光纤制成。其表面已被生物官能化用于特异性CRP结合。标准化的CRP溶液在1.9µg/L至333mg/L的范围内进行测量,并在研究的初始阶段进行分类。然后调查从诊断为尿路感染或尿脓毒血症的住院患者获得的真实样品。测试27个机器学习分类器以将体模样品标记为正常或高CRP水平。通过使用ExtraTreesClassifier,我们获得了验证数据集的95%的准确性。真实样品分类的结果显示使用XGB分类器的验证数据集的准确度高达100%。
    The rapid and sensitive indicator of inflammation in the human body is C-Reactive Protein (CRP). Determination of CRP level is important in medical diagnostics because, depending on that factor, it may indicate, e.g., the occurrence of inflammation of various origins, oncological, cardiovascular, bacterial or viral events. In this study, we describe an interferometric sensor able to detect the CRP level for distinguishing between no-inflammation and inflammation states. The measurement head was made of a single mode optical fiber with a microsphere structure created at the tip. Its surface has been biofunctionalized for specific CRP bonding. Standardized CRP solutions were measured in the range of 1.9 µg/L to 333 mg/L and classified in the initial phase of the study. The real samples obtained from hospitalized patients with diagnosed Urinary Tract Infection or Urosepsis were then investigated. 27 machine learning classifiers were tested for labeling the phantom samples as normal or high CRP levels. With the use of the ExtraTreesClassifier we obtained an accuracy of 95% for the validation dataset. The results of real samples classification showed up to 100% accuracy for the validation dataset using XGB classifier.
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  • 文章类型: Journal Article
    结直肠癌是一种常见的胃肠道恶性肿瘤。氨基酸代谢物的变化与肿瘤发生和疾病进展有关。基于手性氨基酸的生物标志物,尤其是D-氨基酸,尚未确定CRC的早期诊断。手性氨基酸的定量,特别是很低浓度的内源性D-氨基酸,在技术上具有挑战性。我们在这里报告了从115名CRC患者和155名健康志愿者收集的尿液样本中L-和D-氨基酸的定量。使用改进的方法。手性标记方法,液相色谱法,和串联质谱能够分离和检测28个氨基酸(14个L-氨基酸,13个D-氨基酸和Gly)。正交偏最小二乘判别分析鉴定了这些手性氨基酸中的14个目标变量,其将CRC与健康对照区分开。二元logistic回归分析显示D-α-氨基丁酸(D-AABA)、L-丙氨酸(L-Ala),D-丙氨酸(D-Ala),D-谷氨酰胺(D-Gln)和D-丝氨酸(D-Ser)可能是CRC的潜在生物标志物。组合多变量的受试者工作特征曲线分析导致曲线下面积(AUC)为0.995,灵敏度为98.3%,特异性为96.8%。用D-AABA构建的模型,D-Ala,D-Gln,和D-Ser达到0.988的AUC,表明D-氨基酸对与CRC关联的重要贡献。进一步分析还表明,代谢异常与年龄和CRC的发展有关。在50岁以上的CRC患者中,D-蛋氨酸(D-Met)降低,IV期患者的D/L-Gln高于I期患者。这项研究提供了尿样中D-氨基酸的特征,并为开发CRC的非侵入性诊断提供了有希望的策略。
    Colorectal cancer (CRC) is a common malignant tumor in the gastrointestinal tract. Changes in amino acid metabolites have been implicated in tumorigenesis and disease progression. Biomarkers on the basis of chiral amino acids, especially D-amino acids, have not been established for early diagnosis of CRC. Quantification of chiral amino acids, especially very low concentrations of endogenous D-amino acids, is technically challenging. We report here the quantification of L- and D-amino acids in urine samples collected from 115 CRC patients and 155 healthy volunteers, using an improved method. The method of chiral labeling, liquid chromatography, and tandem mass spectrometry enabled separation and detection of 28 amino acids (14 L-amino acids, 13 D-amino acids and Gly). Orthogonal partial least squares discriminant analysis identified 14 targeted variables among these chiral amino acids that distinguished the CRC from the healthy controls. Binary logistic regression analysis revealed that D-α-aminobutyric acid (D-AABA), L-alanine (L-Ala), D-alanine (D-Ala), D-glutamine (D-Gln) and D-serine (D-Ser) could be potential biomarkers for CRC. A receiver operating characteristic curve analysis of combined multi-variables contributed to an area under the curve (AUC) of 0.995 with 98.3 % sensitivity and 96.8 % specificity. A model constructed with D-AABA, D-Ala, D-Gln, and D-Ser achieved an AUC of 0.988, indicating important contributions of D-amino acids to the association with CRC. Further analysis also demonstrated that the metabolic aberration was associated with age and the development of CRC, D-methionine (D-Met) was decreased in CRC patients with age over 50, and D/L-Gln in patients at stage IV was higher than patients at stage I. This study provides the signature of D-amino acids in urine samples and offers a promising strategy for developing non-invasive diagnosis of CRC.
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  • 文章类型: Journal Article
    大米消费是人类镉(Cd)暴露的主要途径。了解土壤-水稻系统中的Cd行为,特别是在野外条件下,是控制Cd积累的关键。这项研究分析了不同时间采样的水稻植物和表层土壤中的Cd浓度和同位素组成(δ114/110Cd),游县典型镉污染稻田居民的尿镉,湖南,中国。土壤水溶性Cd浓度随采样时间而变化,δ114/110Cdwater在排水条件下比洪水条件下轻,表明同位素较轻的Cd库补充水溶性Cd,增加Cd植物的可利用性。水溶性Cd和大气沉降均参与了水稻Cd的积累。由于土壤Cd植物利用率的增加,水溶性Cd的贡献从淹没条件下的28-52%增加到排水条件下的58-87%。大气沉积的贡献(12-72%)随着采样区之间潜在的大气沉积通量而增加。从根-茎-粒中富集重Cd同位素以防止水稻Cd积累。尿液中重同位素的富集程度不同表明Cd暴露源不同。这些发现为土壤-水稻系统中Cd的形态和植物有效性变化提供了有价值的见解,并强调了Cd同位素指纹在理解Cd的环境命运中的潜在应用。
    Rice consumption is a major pathway for human cadmium (Cd) exposure. Understanding Cd behavior in the soil-rice system, especially under field conditions, is pivotal for controlling Cd accumulation. This study analyzed Cd concentrations and isotope compositions (δ114/110Cd) in rice plants and surface soil sampled at different times, along with urinary Cd of residents from typical Cd-contaminated paddy fields in Youxian, Hunan, China. Soil water-soluble Cd concentrations varied across sampling times, with δ114/110Cdwater lighter under drained than flooded conditions, suggesting supplementation of water-soluble Cd by isotopically lighter Cd pools, increasing Cd phytoavailability. Both water-soluble Cd and atmospheric deposition contributed to rice Cd accumulation. Water-soluble Cd\'s contribution increased from 28-52% under flooded to 58-87% under drained conditions due to increased soil Cd phytoavailability. Atmospheric deposition\'s contribution (12-72%) increased with potential atmospheric deposition flux among sampling areas. The enrichment of heavy Cd isotopes occurred from root-stem-grain to prevent rice Cd accumulation. The different extent of enrichment of heavy isotopes in urine indicated different Cd exposure sources. These findings provide valuable insights into the speciation and phytoavailability changes of Cd in the soil-rice system and highlight the potential application of Cd isotopic fingerprinting in understanding the environmental fate of Cd.
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  • 文章类型: Journal Article
    在这里,以氧化石墨烯作为高效的非那唑吡啶吸附剂,合成,和人类尿液。通过不同的仪器技术对纳米吸附剂进行了表征。在298K下使用0.125gL-1的吸附剂剂量,在pH5.0时达到吸附容量(1253.17mgg-1)。Sips和Langmuir很好地描述了平衡数据。同时,伪二阶更适合于动力学数据的拟合。热力学参数揭示了吸附的放热性质,固液界面的随机性增加。焓变化值的大小表明该过程涉及物理吸附现象。同时,从头算分子动力学数据证实了热力学结果,表明吸附剂和被吸附物通过胺基(被吸附物)和吸附剂表面上的羟基(弱相互作用)建立氢键。还涉及静电相互作用。此外,在模拟培养基和人体尿液中进行的吸附实验表明,吸附材料具有优异的性能,可以去除肾脏排泄的实际浓度的药物(去除值高于60%)。
    Herein, graphene oxide was used as the highly efficient phenazopyridine adsorbent from aqueous medium, synthetic, and human urine. The nanoadsorbent was characterized by different instrumental techniques. The adsorption capacity (1253.17 mg g-1) was reached at pH 5.0, using an adsorbent dosage of 0.125 g L-1 at 298 K. The Sips and Langmuir described the equilibrium data well. At the same time, the pseudo-second order was more suitable for fitting the kinetic data. Thermodynamic parameters revealed the exothermic nature of adsorption with an increase in randomness at the solid-liquid interface. The magnitude of the enthalpy variation value indicates that the process involves the physisorption phenomenon. At the same time, ab initio molecular dynamics data corroborated with the thermodynamic results, indicating that adsorbent and adsorbate establish hydrogen bonds through the amine groups (adsorbate) and hydroxyl groups on the adsorbent surface (weak interactions). Electrostatic interactions are also involved. Additionally, the adsorption assays conducted in simulated medium and human urine showed the excellent performance of adsorbent material to remove the drug in real concentrations excreted by the kidneys (removal values higher than 60%).
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  • 文章类型: Journal Article
    健康暴露于苯并三唑紫外线稳定剂(BUVS)可能会对健康造成多种毒性影响。目前,人体尿液中BUVSs的发生仍未被充分了解。这项研究分析了来自一般中国成年人参与者的人尿液中的13种BUVSs(n=182)。完全正确,在这些人尿液样本中可测量9种BUVSs。在检测到的BUVSs中,2-(2H-苯并三唑-2-基)-对甲酚(UV-P)是人尿中最主要的BUVS,平均浓度为1.6μg/g肌酐( Health exposure to benzotriazole ultraviolet stabilizers (BUVSs) may pose diverse toxic impacts on health. Presently, the occurrence of BUVSs in human urine remains inadequately understood. This study analyzed 13 kinds of BUVSs in human urine (n = 182) from the general Chinese adult participants. Totally, nine BUVSs were measurable in these human urine samples. Among the detected BUVSs, 2-(2H-benzotriazol-2-yl)-p-cresol (UV-P) was the most predominant BUVS in the human urine, with the mean concentration of 1.6 μg/g creatinine (
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  • 文章类型: Journal Article
    内分泌干扰化学物质由于可能对人类健康造成影响而令人担忧,因此,它们经常被包括在生物监测研究中。目前的分析方法集中在已知的化学物质上,无法识别或定量其他未知的化学物质及其代谢物。非目标分析(NTA)方法是有利的,因为它们允许广泛的化学筛选,这提供了更全面的人体化学暴露的特征,并且可以阐明未知化学物质的代谢途径。还有许多与NTA相关的挑战,这可能会影响获得的结果。化学空间,即,方法范围内的一组已知和可能的化合物,必须根据样品制备清楚地定义,因为这对于自信地识别化学品至关重要。数据采集模式和液相色谱与高分辨率质谱联用的流动相添加剂会影响基于光谱质量的化学物质电离和结构识别。在这项研究中,使用一种新型的CarbonS墨盒清理方法开发了一种样品制备方法,尿液中的内分泌干扰化学物质,包括新的双酚A类似物和二苯甲酮紫外线过滤剂,如双(4-羟基苯基乙酸甲酯)。研究表明,在低尖峰水平下,数据相关采集(DDA)的识别率较低(40%),即,1ng/mL,与数据独立采集(DIA)(57%)相比,当使用复合发现者时。在DDA,使用CompoundDiscoverer鉴定出更多化合物,当将乙酸铵与乙酸(82%)作为流动相添加剂进行比较时,识别率为95%。使用DDA数据,TraceFinder软件在1ng/mL加标水平下的识别率为53%,与使用DIA数据的40%相比。使用开发的方法,首次在尿液样品中鉴定出2,4双酚F。结果表明,NTA如何为风险评估和监管行动提供人体暴露信息,但需要标准化程序报告,以确保研究结果的可重复性和准确性。
    Endocrine disrupting chemicals are of concern because of possible human health effects, thus they are frequently included in biomonitoring studies. Current analytical methods are focused on known chemicals and are incapable of identifying or quantifying other unknown chemicals and their metabolites. Non-targeted analysis (NTA) methods are advantageous since they allow for broad chemical screening, which provides a more comprehensive characterization of human chemical exposure, and can allow elucidation of metabolic pathways for unknown chemicals. There are still many challenges associated with NTA, which can impact the results obtained. The chemical space, i.e., the group of known and possible compounds within the scope of the method, must clearly be defined based on the sample preparation, as this is critical in identifying chemicals with confidence. Data acquisition modes and mobile phase additives used with liquid chromatography coupled to high-resolution mass-spectrometry can affect the chemicals ionized and structural identification based on the spectral quality. In this study, a sample preparation method was developed using a novel clean-up approach with CarbonS cartridges, for endocrine-disrupting chemicals in urine, including new bisphenol A analogues and benzophenone-based UV filters, like methyl bis (4-hydroxyphenyl acetate). The study showed that data dependent acquisition (DDA) had a lower identification rate (40%) at low spiking levels, i.e., 1 ng/mL, compared to data independent acquisition (DIA) (57%), when Compound Discoverer was used. In DDA, more compounds were identified using Compound Discoverer, with an identification rate of 95% when ammonium acetate was compared to acetic acid (82%) as a mobile phase additive. TraceFinder software had an identification rate of 53% at 1 ng/mL spiking level using the DDA data, compared to 40% using the DIA data. Using the developed method, 2,4 bisphenol F was identified for the first time in urine samples. The results show how NTA can provide human exposure information for risk assessment and regulatory action but standardized reporting of procedures is needed to ensure study results are reproducible and accurate. His Majesty the King in Right of Canada, as represented by the Minister of Health, 2024.
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  • 文章类型: Journal Article
    氨氯地平(AM)是一种长期的活性钙通道阻滞剂,用于通过防止钙离子转运到血管壁来松弛血管,其支持分子对乙酰氨基酚(AP)和抗坏血酸(AA)被推荐用于高血压的控制和预防。考虑到他们的治疗重要性和潜在的副作用,由于过度剂量,我们制造了一个传感器,用于单独和同时测定AA,AP,使用新型Zn掺杂的Ca2CuO3纳米粒子修饰的玻碳电极(GCE)在药物和人体尿液中的AM。最佳掺杂的Ca2CuO3(Cu位点处的Zn为2.5wt%)增强了AA在50至3130µM的更宽浓度范围内对目标分子的检测,AP为0.25至417µM,AM为0.8至354µM,相应的最低检测限为14µM,0.05µM,和0.07µM,分别。此外,即使存在几种潜在的干扰剂,Zn-Ca2CuO3/GCE仍具有出色的选择性和高灵敏度。使用氨氯地平苯磺酸盐片剂和7名接受药物治疗的高血压患者的尿液样本测试了开发的电极的有用性。结果证实了6名患者的尿液样本中存在大量的AP和AM,这表明个性化药物治疗是必不可少的,并且需要通过了解通过尿液排出的多余药物来确定药物的数量。因此,Zn-Ca2CuO3/GCE具有较高的回收率和良好的灵敏度,可用于制药和生物医学领域。
    Amlodipine (AM) is a long active calcium channel blocker used to relax blood vessels by preventing calcium ion transport into the vascular walls and its supporting molecules acetaminophen (AP) and ascorbic acid (AA) are recommended for hypertension control and prevention. Considering their therapeutic importance and potential side effects due to over dosage, we have fabricated a sensor for individual and simultaneous determination of AA, AP, and AM in pharmaceuticals and human urine using novel Zn-doped Ca2CuO3 nanoparticles modified glassy carbon electrode (GCE). Optimally doped Ca2CuO3 (2.5 wt% Zn at Cu site) enhanced the detection of target molecules over much wider concentration ranges of 50 to 3130 µM for AA, 0.25 to 417 µM for AP, and 0.8 to 354 µM for AM with the corresponding lowest detection limits of 14 µM, 0.05 µM, and 0.07 µM, respectively. Furthermore, the Zn-Ca2CuO3/GCE exhibited excellent selectivity and high sensitivity even in the presence of several potential interfering agents. The usefulness of the developed electrode was tested using an amlodipine besylate tablet and urine samples of seven hypertension patients under medication. The results confirmed the presence of a significant amount of AP and AM in six patients\' urine samples indicating that the personalized medication is essential and the quantum of medication need to be fixed by knowing the excess medicines excreted through urine. Thus, the Zn-Ca2CuO3/GCE with a high recovery percentage and good sensitivity shall be useful in the pharmaceutical and biomedical sectors.
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  • 文章类型: Journal Article
    双酚A(BPA)和双酚S(BPS)在全球环境中广泛存在。然而,对于结合的BPA和BPS代谢物,有限的研究已经调查了它们在环境矩阵中的发生。我们收集了配对的室内和室外灰尘(n=97),以及人类尿液(n=153)样本,来自衢州的民居,中国,并测量这些样品的8种缀合的BPA和BPS代谢物。在收集的室内和室外灰尘中发现了三种BPA代谢物,BPA硫酸盐(平均0.75和1.3ng/g,分别)和BPA葡糖苷酸(0.13和0.26ng/g)更丰富。BPA缀合物平均占室内和室外灰尘中总BPA(缀合BPA和BPA代谢物的总和)的42%和56%,分别。BPS硫酸盐(平均0.29和0.82ng/g,分别)在室内和室外样品中的浓度始终高于BPS葡糖苷酸(0.13和0.27ng/g)。BPS结合物在室内和室外灰尘中平均贡献了总BPS(BPS和BPS代谢物的总和)的32%和45%,分别。此外,室内或室外灰尘中的BPA和BPS代谢物与居民尿液中的BPA和BPS代谢物没有显着相关。总的来说,这项研究首先证明了共轭BPA和BPS代谢物的广泛存在,除了BPA和BPS,在室内和室外灰尘。这些数据对于阐明人体内缀合的BPA和BPS代谢物的来源是重要的。
    Bisphenol A (BPA) and bisphenol S (BPS) have been widely spread in the global environment. However, for conjugated BPA and BPS metabolites, limited studies have investigated their occurrence in environmental matrices. We collected paired indoor and outdoor dust (n = 97), as well as human urine (n = 153) samples, from residential houses in Quzhou, China, and measured these samples for 8 conjugated BPA and BPS metabolites. Three BPA metabolites were found in collected indoor and outdoor dust, with BPA sulfate (mean 0.75 and 1.3 ng/g, respectively) and BPA glucuronide (0.13 and 0.26 ng/g) being more abundant. BPA conjugates accounted for a mean of 42 and 56% of total BPA (sum of conjugated BPA and BPA metabolites) in indoor and outdoor dust, respectively. BPS sulfate (mean 0.29 and 0.82 ng/g, respectively) had consistently higher concentrations than BPS glucuronide (0.13 and 0.27 ng/g) in indoor and outdoor samples. BPS conjugates contributed a mean 32% and 45% of total BPS (sum of BPS and BPS metabolites) in indoor and outdoor dust, respectively. Moreover, conjugated BPA and BPS metabolites in indoor or outdoor dust were not significantly correlated with those in urine from residents. Overall, this study first demonstrates the wide presence of conjugated BPA and BPS metabolites, besides BPA and BPS, in indoor and outdoor dust. These data are important for elucidating the sources of conjugated BPA and BPS metabolites in the human body.
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  • 文章类型: Journal Article
    耐碳青霉烯类鲍曼不动杆菌(CRAB)是一种主要的人类病原体,是开发新抗菌药物的研究重点。CRAB是不同身体部位的多种感染的病原体。表现之一是导尿管相关尿路感染,使细菌暴露在宿主的尿液中,创造一个特定的环境。两种CRAB临床分离株的暴露,AB5075和AMA40对人尿(HU)导致264和455个基因的差异表达水平,分别,其中112个是两种菌株共有的。该组中的基因在代谢途径中发挥作用,例如苯乙酸(PAA)分解代谢,小屋系统,三羧酸(TCA)循环,和其他过程,如群体感应和生物膜形成。这些结果表明HU的存在诱导感染细菌的基因表达的许多适应性变化。这些修饰可能有助于细菌在泌尿道的敌对条件下建立和繁殖。这些分析促进了我们对CRAB对人体液体的代谢适应的理解,以及扩大有关细菌对含有不同浓度人血清白蛋白(HSA)的不同人体液体的反应的知识。
    Carbapenem-resistant Acinetobacter baumannii (CRAB) is a major human pathogen and a research priority for developing new antimicrobial agents. CRAB is a causative agent of a variety of infections in different body sites. One of the manifestations is catheter-associated urinary tract infection, which exposes the bacteria to the host\'s urine, creating a particular environment. Exposure of two CRAB clinical isolates, AB5075 and AMA40, to human urine (HU) resulted in the differential expression levels of 264 and 455 genes, respectively, of which 112 were common to both strains. Genes within this group play roles in metabolic pathways such as phenylacetic acid (PAA) catabolism, the Hut system, the tricarboxylic acid (TCA) cycle, and other processes like quorum sensing and biofilm formation. These results indicate that the presence of HU induces numerous adaptive changes in gene expression of the infecting bacteria. These modifications presumably help bacteria establish and thrive in the hostile conditions in the urinary tract. These analyses advance our understanding of CRAB\'s metabolic adaptations to human fluids, as well as expanding knowledge on bacterial responses to distinct human fluids containing different concentrations of human serum albumin (HSA).
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  • 文章类型: Journal Article
    使用离子迁移谱(IMS)结合质谱(MS)的碰撞横截面(CCS)测量为提高代谢物鉴定的置信度提供了很好的机会。然而,由于缺乏敏感性和分辨率,IMS在研究极低分子量代谢物(VLM≤250Da)的CCS值方面面临分析挑战。这里,我们描述了一种使用超高效液相色谱(UPLC)与行波离子迁移率-四极杆飞行时间质谱仪耦合的分析方法,该方法优化了用于测量人体尿液样品中的VLM。实验CCS值,以及质谱性质,报告了174种代谢物。实验数据包括质荷比(m/z),保留时间(RT),串联MS(MS/MS)光谱,和CCS值。在研究的代谢物中,首次报道了263行波离子迁移谱(TWIMS)衍生的CCS值(TWCCSN2),其中70%以上是VLM的CCS值。TWCCSN2值具有高度可重复性,日内变化<1%的相对标准偏差(RSD)。开发的方法显示出出色的TWCCSN2精度,CCS差(ΔCCS)在报告的漂移管IMS(DTIMS)和TWIMSCCS值的±2%之内。尿液基质的复杂性并不影响该方法的精度,由ΔCCS在±1.92%内证明。根据代谢组学标准倡议,鉴定了55种尿液代谢物,置信水平为1。在这55种代谢物中,53(96%)是VLM。本研究中发现的大量确认化合物是添加TWCCSN2值的结果,这明显增加了代谢物识别的信心。
    The collision cross-sections (CCS) measurement using ion mobility spectrometry (IMS) in combination with mass spectrometry (MS) offers a great opportunity to increase confidence in metabolite identification. However, owing to the lack of sensitivity and resolution, IMS has an analytical challenge in studying the CCS values of very low-molecular-weight metabolites (VLMs ≤ 250 Da). Here, we describe an analytical method using ultrahigh-performance liquid chromatography (UPLC) coupled to a traveling wave ion mobility-quadrupole-time-of-flight mass spectrometer optimized for the measurement of VLMs in human urine samples. The experimental CCS values, along with mass spectral properties, were reported for the 174 metabolites. The experimental data included the mass-to-charge ratio (m/z), retention time (RT), tandem MS (MS/MS) spectra, and CCS values. Among the studied metabolites, 263 traveling wave ion mobility spectrometry (TWIMS)-derived CCS values (TWCCSN2) were reported for the first time, and more than 70% of these were CCS values of VLMs. The TWCCSN2 values were highly repeatable, with inter-day variations of <1% relative standard deviation (RSD). The developed method revealed excellent TWCCSN2 accuracy with a CCS difference (ΔCCS) within ±2% of the reported drift tube IMS (DTIMS) and TWIMS CCS values. The complexity of the urine matrix did not affect the precision of the method, as evidenced by ΔCCS within ±1.92%. According to the Metabolomics Standards Initiative, 55 urinary metabolites were identified with a confidence level of 1. Among these 55 metabolites, 53 (96%) were VLMs. The larger number of confirmed compounds found in this study was a result of the addition of TWCCSN2 values, which clearly increased metabolite identification confidence.
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