OMX Organic Metabolomics / Diagnostic Solutions

162 biomarkers Sample: Urine, Plasma Peer-reviewed

Biomarkers in this category

162 biomarkers · optimal ranges shown

Alanine transaminase + B6

From the breakdown of kynurenine via kynureninase (KYNU) +B6, a side pathway

a marker for invasive candidiasis or infection by Candida fungal species

Arginase & Nitric oxide synthase

It is not normally detectable in healthy adults. Adult argininosuccinate lyase insufficiencies are typically treated with a lower protein/higher carbohydrate diet, arginine supplementation, and avoidance of fasting.

Combines with histidine to form carnosine.

Carnosine is generally very low and increases proportionally after meat intake. Urine levels peak after ~5 hours and are completely excreted within 20–25 hours. Urine carnosine increased with albuminuria in patients with diabetes. People with eGFR < 30 ml/mi had higher urine-carnosine excretion rates compared to eGFR (> 90 ml).

Involved in both energy production and removal of toxic ammonia.

11beta-hydroxysteroid dehydrogenase + B3

D-Lactate is produced by bacteria residing in the colon.

a bacterial-derived metabolite with estrogenic and antioxidant activity

Emerging research seems to show a relationship between the rise in metabolic diseases and the increased consumption of fructose—particularly consumption of non-natural sources of fructose found in sugar-sweetened beverages and other processed foods. Elevated fructose levels should be further investigated. Dietary fructose intake should be determined, modified if excessive, and monitored for metabolic changes.

Used in the body’s metabolic pathway that generates cellular energy.

Glutamic acid (glutamate) supports energy, brain, and detox pathways. Abnormal levels may signal stress, poor protein intake, or metabolic imbalance.

- Glutamic acid has been associated with higher BMI, blood pressure, and insulin resistance, while glutamine levels were inversely associated. - A high plasma glutamine-to-glutamic acid ratio was associated with lower risk of diabetes in the Framingham Heart Study (n=1015). - Higher glutamine-to-glutamic acid ratio was associated with a better cardiometabolic-risk profile over 10 years in the PRIMED study (n=1879).

Glycine/Serine Metabolites

a specific marker for the diagnosis of Medium-chain acyl-CoA dehydrogenase (MCAD) deficiency.

Histidine decarboxylase + B6

Homocitrulline is a marker that may indicate how much protein carbamoylation is happening in the body. Protein carbamoylation is a process where isocyanate reacts with the amino acid lysine, resulting in the formation of homocitrulline. This modification is thought to contribute to molecular aging and is linked to various health issues, including atherosclerosis (a condition where arteries become narrowed) and problems with the immune system. Research has shown that patients with chronic kidney disease tend to have higher levels of homocitrulline, and these levels are positively related to urea concentration, which is a waste product that builds up when the kidneys are not functioning properly. Additionally, individuals with coronary artery disease also exhibit significantly elevated serum homocitrulline levels. This suggests that measuring homocitrulline can provide valuable insights into certain health conditions and the overall metabolic state of a person.

→ Plasma homocystine is higher in those with cystathionine-beta-synthase deficiency. → Plasma homocystine, as well as taurine, were significantly lower in insufficient methotrexate therapy responders. → Homocystine is an oxidized disulfide form of homocysteine, which gets readily converted to cystathionine.

Hydroxyproline is the key factor in stabilizing collagens

Learn what Indoleacetic Acid (IAA) means on your lab test. This gut-derived metabolite reflects bacterial tryptophan fermentation. Discover how high or low IAA levels relate to gut health, digestion, liver function, and microbial balance.

Citric acid, cis-aconitic acid, and isocitric acid are the first three metabolites in the Krebs cycle.

Other names: Kynurenate A breakdown product from kynurenine via kynurenine aminotransferases (KAT) Kynurenic Acid is product of the metabolism of L-Tryptophan and appears in urine in Vitamin B6 deficiencies. Your body needs vitamin B6 (pyridoxine) to utilize amino acids derived from dietary protein. Inadequate vitamin B6 is one factor that leads to increased concentrations of kynurenate and xanthurenate in urine. These products of amino acid breakdown cannot be further metabolized in the absence of vitamin B6. - Elevated kynurenine, kynurenic acid, xanthurenic acid, quinolinic acid, and a high KYN/TRP ratio seen in metabolic syndrome. - In animal studies exercise-induced conversion to kynurenic acid was seen. - Alcoholic B3-deficient patients had increased kynurenic acid, and decreased xanthurenic acid and quinolinic acid. - Urine levels of citric acid, hippuric acid, p-cresol, 2-aminobutyrate, putrescine, and kynurenic acid, were able to discriminate colorectal cancer patients from healthy controls. Kynurenic acid was lower in patients. - In a mathematical model without a tryptophan load, a moderate B6 deficiency resulted in slight decreases in kynurenic.

The primary breakdown product of tryptophan

→ Mandelic acid and benzoylformate are major metabolites of styrene and ethylbenzene exposure. → Styrene is a key component in consumer products. Occupational exposure has been associated with increased rates of pulmonary, neurological, genetic, ocular, and reproductive complications, plus leukemia. → Styrene can be found in polystyrene packaging and can migrate into packaged food. → Benzoylformate has been associated with metabolism of adrenaline and noradrenaline, and phenylketonuria. → In a review of 2005–2006 and 2011–2012 NHANES data (N=4690), smokers had 2-fold and 1.6-fold higher levels of both markers. → Eating more vegetables and fruit was associated with decreased levels.

Associated nutrients: Arginine, Magnesium

the most acidic organic acid in body fluids

pH

Learn what your pH level means on the OMX Organic Metabolomics Panel by Diagnostic Solutions Laboratory. Understand how urinary pH reflects acid-base balance, metabolism, gut health, and kidney function.

a bona fide precursor of biotin in B. subtilis.

Prolyl hydroxylase + Vitamin C

An important metabolite that is involved in several chemical processes in the body.

Sulfocysteine is the product of sulfite-dependent cleavage of cystine. In the pathway, cysteine becomes sulfite, which converts to sulfate via sulfite oxidase + Mo. If the pathway is blocked, sulfocysteine builds up.

Tryptophan-2,3-dioxygenase/Indoleamine-2,3-dioxygenase

Produced from phenylalanine via phenylalanine hydroxylase + BH4