title: Biofluid metabonomics using (1)H NMR spectroscopy: the road to biomarker discovery in gastroenterology and hepatology.
abstract: Metabolic profiling or 'metabonomics' is an investigatory method that allows metabolic changes associated with the presence of an underlying pathological process to be investigated. Various biofluids can be utilized in the process but urine, serum and fecal extract are most pertinent to the investigation of gastrointestinal and hepatological disease. Nuclear magnetic resonance spectroscopy-based metabonomic research has the potential to generate novel noninvasive diagnostic tests, based on biomarkers of disease, which are simple and cost effective yet retain high sensitivity and specificity characteristics. The process involves a number of key steps, including sample collection, data acquisition, chemometric techniques and, finally, validation. This technique-driven review aims to demystify the metabonomics pathway, while also illustrating the potential of this technique with recent examples of its application in hepato-gastroenterological disease.
authors.affiliation: Liver Unit, Division of Diabetes, Endocrinology and Metabolism, Department of Medicine, 10th Floor, QEQM Wing, St Mary's Hospital Campus, Imperial College London, South Wharf Street, London, W2 1NY, UK.
authors.forename: Neeral R
authors.initials: NR
authors.lastname: Patel
authors.forename: Mark J W
authors.initials: MJ
authors.lastname: McPhail
authors.forename: Mohamed I F
authors.initials: MI
authors.lastname: Shariff
authors.forename: Hector C
authors.initials: HC
authors.lastname: Keun
authors.forename: Simon D
authors.initials: SD
authors.lastname: Taylor-Robinson
mesh_terms: D000818:Animals; D015415:Biomarkers / Q000097:blood / Q000652:urine; D004066:Digestive System Diseases / Q000097:blood / Q000175:diagnosis* / Q000652:urine; D005243:Feces / Q000737:chemistry; D005762:Gastroenterology / Q000379:methods*; D006801:Humans; D009682:Magnetic Resonance Spectroscopy; D055432:Metabolomics; D011237:Predictive Value of Tests; D011379:Prognosis; D015203:Reproducibility of Results
chemical_list: D015415:Biomarkers