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. 2022 Feb;33(2):375–386. doi: 10.1681/ASN.2021040538

Table 3.

Implicated metabolites on the basis of multiple modeling approaches

Metabolite Pathway Subpathway Approaches Implicated Versus CKD Cause
Odds Ratio P
FSGS (n=63, 56 metabolites)
 Palmitoyl-arachidonoyl- glycerol (16:0/20:4) Lipid Diacylglycerol LR, XGB 11.74 0.00089
 Sphingomyelin (d18:1/18:1, d18:2/18:0) Lipid Sphingomyelins LR, SVM, RF, XGB 46.87 0.0019
 1-(1-Enyl-palmitoyl)-2- arachidonoyl-GPC (P-16:0/ 20:4) Lipid Plasmalogen LR, SVM, RF, XGB 34.94 0.0036
 1-(1-Enyl-palmitoyl)-2- palmitoyl-GPC (P-16:0/16:0) Lipid Plasmalogen LR, SVM, RF 50.76 0.0039
 Glycosyl ceramide (d18:2/ 24:1, d18:1/24:2) Lipid Hexosylceramides LR, SVM 29.24 0.0054
 1-Arachidonoyl-GPI (20:4) Lipid Lysophospholipid LR, RF, XGB 93.58 0.0057
 6-Bromotryptophan Amino acid Tryptophan LR, RF 0.10 0.017
OU (n=122, 43 metabolites)
 Transurocanate Amino acid Histidine LR, SVM, RF, XGB 27.41 5.30×10−05
 Imidazole propionate Amino acid Histidine LR, SVM, RF, XGB 26.52 8.00×10−05
 N-acetylkynurenine Amino acid Tryptophan LR, SVM, XGB 0.037 0.00024
A/D/H (n=109, 69 metabolites)
 Ceramide (d18:1/20:0, d16:1/ 22:0, d20:1/18:0) Lipid Ceramides LR, SVM, RF, XGB 95.17 3.46×10−05
 N-δ-acetylornithine Amino acid Urea cycle; arginine and proline LR, SVM, RF, XGB 8.40 0.0082
 Sphingomyelin (d18:2/24:2) Lipid Sphingomyelins LR, SVM, RF, XGB 0.11 0.0090
 Citramalate Amino acid Glutamate metabolism 4.84 0.0091
 Cysteine sulfinic acid Amino acid Methionine, cysteine, SAM, and taurine RF, XGB 0.16 0.061
RN (n=86, 78 metabolites)
 Dimethylglycine Amino acid Glycine, serine, and threonine LR, SVM 62.66 5.29×10−05
 Indolepropionate Amino acid Tryptophan LR, SVM, RF, XGB 179.75 0.00017
 Heptanoate (7:0) Lipid Medium chain fatty acid LR, SVM 24.08 0.00091
 4-Vinylphenol sulfate Xenobiotics Benzoate LR, SVM, RF, XGB 12.05 0.0024

Significant metabolites are reported for each CKD cause. Fully adjusted odds ratios are reported to indicated association direction. Notably, FSGS is associated with multiple lipid metabolites, involving the sphingomyelin and plasmalogen subpathways. OU is uniquely associated with histidine metabolites. A/D/H is associated with both amino acid and lipid metabolites, notably sharing a sphingomyelin metabolite signal with FSGS.