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Metabolic small molecule disease biomarkers are low molecular weight metabolites whose abnormal levels indicate metabolic disturbances or diseases. These biomarkers are critical in metabolic profiling (metabolomics) and offer insights into disease mechanisms, diagnostics, and treatment monitoring.

Key Features

  • Typically include amino acids, organic acids, lipids, sugars, and nucleotides
  • Found in blood, urine, CSF, saliva, etc.
  • Identified via LC-MS/MS, GC-MS, NMR, or biosensors
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List of Metabolic Small Molecule Biomarkers by Disease
Disease/Disorder Biomarker(s) Role/Indication
Diabetes Mellitus Glucose, ketone bodies (β-hydroxybutyrate, acetoacetate), lactate Glucose metabolism dysfunction; ketoacidosis marker
Inborn Errors of Metabolism Phenylalanine (PKU), methylmalonic acid (MMA), isovaleryl­glycine Diagnostic markers in newborn screening
Cardiovascular Disease Trimethylamine-N-oxide (TMAO), homocysteine, arginine Atherosclerosis, endothelial dysfunction
Cancer 2-Hydroxyglutarate (2-HG), sarcosine, choline derivatives Oncometabolites; linked to IDH mutations, prostate cancer
Liver Disease Ammonia, bile acids, bilirubin Indicators of hepatic dysfunction and urea cycle defects
Kidney Disease Creatinine, urea, uric acid Glomerular filtration rate and nitrogenous waste levels
Neurodegenerative Disease 3-Hydroxykynurenine, GABA, glutamate Altered in Alzheimer’s, Parkinson’s, Huntington’s diseases
Mitochondrial Disorders Lactate, pyruvate, succinate Indicators of mitochondrial dysfunction
Obesity/Metabolic Syndrome Leptin, adiponectin, branched-chain amino acids (BCAAs: valine, leucine, isoleucine) Insulin resistance, metabolic imbalance
Sepsis/Acidosis Lactate Marker of hypoperfusion and metabolic acidosis

Applications

Common Biomarker Classes in Metabolic Diseases

Amino acids

Phenylalanine, tyrosine, glutamine, BCAAs

Organic acids

Lactic acid, pyruvate, methylmalonic acid

Sugars

Glucose, galactose, fructose

Lipids

Free fatty acids, TMAO, phosphatidylcholine

Nucleotides

Hypoxanthine, uric acid