Research Article

Serum Metabolites as Potential Biomarkers for Diagnosis of Knee Osteoarthritis

Table 2

Significantly altered metabolites in serum of patients with mild or severe OA compared to that of healthy controls.

Metabolite(/min)(/)IonComparisonRelated pathway
OA versus HCm-OA versus s-OA

14-Oxoproline0.73130.051[M + H]+ *↓NSAmino acid metabolism
2L-Glycine0.78120.030[M + FA − H]**↓*↓Amino acid metabolism
3L-Histidine0.88156.077[M + H]+ **↓*↓Amino acid metabolism
4Hypoxanthine0.91135.031[M − H]**↑NSPurine metabolism
5Pyridoxine0.96170.082[M + H]+ *↓NSEnergy metabolism
6Pyruvate1.02133.014[M + FA−H]*↑NSGlycolysis
7Homocysteine1.09136.043[M + H]+ **↑NSEnergy metabolism
8Urate1.16169.035[M + H]+ **↑NSPurine metabolism
9 3-Carboxy-4-methyl-2-oxopentanoate2.85173.045[M − H]*↑NSAmino acid metabolism
10Methyl-hippuric acid3.11194.082[M + H]+ *↑NSAmino acid metabolism
11L-Tryptophan3.59205.097[M + H]+ **↑NSAmino acid metabolism
12Sphingomyelin (d18:1/16:0)6.09703.575[M + H]+ *↓NSSphingolipid metabolism
13Propionyl-L-carnitine6.98218.137[M + H]+ *↓NSFatty acid metabolism
14LPC (18:0)13.11524.372[M + H]+ **↓NSLipid metabolism

↑: increased; ↓: decreased; ; ; NS, not significant; m-OA, mild OA; s-OA, severe OA.