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Table 3 Urinary concentrations of Tryptophan and respective metabolites

From: Increased urinary excretion of kynurenic acid is associated with non-recovery from acute kidney injury in critically ill patients

 

DAY 1

DAY 2

DAY 3

ER

LNR

p

ER

LNR

p

ER

LNR

p

Trp/cr

umol/mmol

5.51 ± 4.95

6.10 ± 6.75

NS

9.50 ± 14.91

7.28 ± 7.84

NS

12.08 ± 10.49

6.0 ± 5.6

< 0.005

Kyn/cr

umol/mmol

2.90 ± 4.87

2.94 ± 7.65

NS

3.88 ± 5.69

4.30 ± 8.80

NS

5.60 ± 8.17

2.2 ± 4.8

< 0.0001

KynA/cr

umol/mmol

3.19 ± 3.44

7.59 ± 6.81

< 0.005

1.87 ± 1.10

9.17 ± 9.67

< 0.0001

2.00 ± 1.28

6.51 ± 9.49

< 0.001

3 OH AA/cr

umol/mmol

1.36 ± 2.86

1.04 ± 1.82

NS

1.14 ± 1.62

0.72 ± 1.04

NS

2.02 ± 3.11

0.75 ± 0.99

< 0.05

Serotonine/cr

umol/mmol

0.045 ± 0.075

0.053 ± 0.11

NS

0.038 ± 0.026

0.036 ± 0.041

NS

0.045 ± 0.035

0.027 ± 0.037

< 0.005

Phenylalanine/cr

umol/mmol

5.50 ± 5.02

9.41 ± 12.84

NS

7.56 ± 11.80

9.77 ± 12.03

NS

8.49 ± 7.55

6.73 ± 6.81

NS

OH-Trp/cr

umol/mmol

0.12 ± 0.18

0.23 ± 0.72

NS

0.11 ± 0.077

0.13 ± 0.106

NS

0.11 ± 0.068

0.11 ± 0.078

NS

KynA/Trp

 

1.37 ± 2.86

2.30 ± 2.73

< 0.01

0.47 ± 0.66

1.8 ± 1.8

< 0.0001

0.26 ± 0.20

1.33 ± 1.25

< 0.0001

Kyn/Trp

 

0.66 ± 1.24

0.34 ± 0.33

NS

0.64 ± 1.08

0.58 ± 0.93

NS

0.73 ± 1.58

0.30 ± 0.41

< 0.05

  1. 3OH AA 3-hydroxy anthranilic acid, cr creatinine, d day, ER early recovery, Kyn kynurenine, KynA kynurenic acid, LNR late−/non-recovery, OH-Trp 5-hydroxy tryptophan, Trp tryptophan. Urinary concentrations of Trp and respective metabolites were normalized to urinary creatinine concentrations (except KynA/Trp ratio). Results are given as mean ± standard deviations for the first 3 days of AKI (d1, d2, and d3)