Research Article

Metabolomics in COPD Acute Respiratory Failure Requiring Noninvasive Positive Pressure Ventilation

Table 3

Concentration (millimoles of metabolite per millimoles of total solute) of the top 10 VIP metabolites in urine of subjects with stable COPD, AECOPD, CHF, and PNA.

Stable COPD (n = 15)AECOPD (n = 12)CHF (n = 8)PNA (n = 9)

Creatinine1.4 × 10−2 ± 8.6 × 10−31 × 10−2 ± 4 × 10−37.3 × 10−3 ± 5.6 × 10−39.1 × 10−3 ± 3.5 × 10−3
Citrate2.9 × 10−3 ± 1.9 × 10−3†‡1.7 × 10−3 ± 3 × 10−34.8 × 10−4 ± 8.8 × 10−46.1 × 10−4 ± 5.2 × 10−4
Mannitol2.6 × 10−3 ± 2.3 × 10−3†1.2 × 10−3 ± 1.1 × 10−34.2 × 10−4 ± 3.1 × 10−48.5 × 10−4 ± 7.6 × 10−4
Cis-aconitate5.6 × 10−4 ± 2.5 × 10−4†4 × 10−4 ± 2.6 × 10−42.6 × 10−4 ± 3.3 × 10−42.8 × 10−4 ± 1.1 × 10−4
Furoylglycine3.7 × 10−4 ± 5.3 × 10−47 × 10−5 ± 8.7 × 10−56.6 × 10−5 ± 8.4 × 10−54.7 × 10−5 ± 3.5 × 10−5
3-Hydroxymandelate3 × 10−4 ± 2.710−48.5 × 10−5 ± 7.2 × 10−51.3 × 10−4 ± 1.7 × 10−41.1 × 10−4 ± 1.1 × 10−4
Oxoglutarate3 × 10−4 ± 1.910−4†2 × 10−4 ± 1.2 × 10−41.4 × 10−4 ± 1.5 × 10−41.3 × 10−4 ± 5.6 × 10−5
Methyl-2-oxovalerate1.1 × 10−4 ± 8.2 × 10−5†5.9 × 10−5 ± 3.2 × 10−54.1 × 10−5 ± 4.210−56.5 × 10−5 ± 5.5 × 10−5
Nicotinamide N-oxide2.5 × 10−5 ± 4 × 10−52.9 × 10−6 ± 6.2 × 10−67 × 10−6 ± 1.1 × 10−56.2 × 10−6 ± 1.3 × 10−5
Niacinamide1.7 × 10−5 ± 1.1 × 10−5‡†2.2 × 10−6 ± 3.5 × 10−65.2 × 10−6 ± 6.9 × 10−61.8 × 10−6 ± 3.1 × 10−6

We selected the top-10 metabolites with the highest VIP score. versus AECOPD, versus CHF, versus PNA. AECOPD = acute exacerbation of COPD, CHF = congestive heart failure, PNA = pneumonia.