BEVITAL AS

Inflammation & Immune Response

17 biomarkers of 3 different classes from 100μl sample volume on LC-MS/MS and MALDI-TOF MS platforms. 25 protein isoforms included. Contact our experts for any questions or inquiries.

Why did we design this panel?

Kynurenines

12 markers on LC-MS/MS

Kynurenine (Kyn) is formed from the essential amino acid tryptophan (Trp). One enzyme involved in this reaction is indolamine 2,3-dioxygenase (IDO), which is upregulated by various cytokines, in particular INF-gamma. This explains why immune activation leads to formation of kynurenine and depletion of tryptophan. Thus, the kynurenine/tryptophan ratio (KTR) is a marker of cellular (Th-1 type) immune response.

Proteins

3 markers on MALDI-MS including 25 proteoforms

CRP is produced in hepatocytes, mainly under the transcriptional control of cytokines, IL-6 and IL-1. CRP is a major acute-phase reactant and the most important marker for the diagnosis of systemic inflammation in clinical practice. During an acute immune response, levels can increase more than 1000-fold and peak after about 48 h. Low levels of the so-called high-sensitivity (hs- ) CRP below 10 μg/mL are typically found in the general population.
Serum amyloid A (SAA) is another key acute-phase protein and is coded by four different genes. SAA production occurs in the liver and is driven by IL- 6, IL-1, and TNF-α. During acute inflammation, SAA is secreted into the circulation where concentrations could increase more than 1000-fold compared to normal values of <5 μg/mL. 
Calprotectin is a heterocomplex of S100A8 and S100A9, and belongs to endogenous danger-associated molecular patterns (DAMPs) which are intracellular molecules that amplify an immune response and promote inflammation by interaction with Toll-like receptors (TLRs) and receptors for advanced glycation end products (RAGE). Elevated blood levels have been associated with various inflammatory diseases, such as rheumatoid arthritis, atherosclerosis, CVD, metabolic syndrome, and different types of cancer.

Ratio-derived metabolites

3 markers on LC-MS/MS

Studies on metabolomics involving Krebs cycle intermediates in relation to human 

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Cardiometabolic
Inflammation
Microbiome
Nutrition
Categories

Amino acids, amino acid catabolites, acylcarnitines, TCA metabolites, ketone bodies, AGEs



Kynurenines, ratio-derived metabolites, proteins





SCFAs, indoles, choline metabolites, amino acid derived





B-vitamins, functional markers, and methyl donors, fat-soluble vitamins, essential amino acids, meat & fish intake, tobacco use & coffee intake
Biomarkers
65
18
20
41
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Amino acids: Alanine, Arginine, Asparagine, Aspartic acid, Glutamic acid, Glutamine, Glycine, Histidine, Isoleucine, Kynurenine, Leucine, Lysine, Methionine, Ornithine, Phenylalanine, Proline, Sarcosine, Serine, Threonine, Total cysteine, Tryptophan, Tyrosine, Valine

Amino acids and catabolites: 2-Aminoadipic acid, 2-Hydroxybutyrate, 3-Hydroxysiobutyrate, α-Hydroxyglutaric acid, β-Alanine, β-Aminoisobutyrate, β-Hydroxy B-methylbutyric acid, Phenylacetylglutamine

Acylcarnities: BB, C0, C2, C3, C3, DC, C4, C4-OH , C4-DC , iC5 , C5-DC, C5:1 , C6 , C8, C10, C12, C14 , C14-OH, C16, C16-OH, C18 , C18-OH, C18:1, C18:2

TCA metabolites: α-Ketoglutarate, Citrate, Fumarate, Isocitrate, Lactate, Malate, Pyruvate, Ketone bodies, 3-Hydroxybutyrate, Acetoacetate

AGEs: Carboxyethyllysine, Carboxymethyllysine

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Kynurenines: Kynurenine, Kynurenic acid, Quinaldic acid, Anthranilic acid, 3-Hydroxykynurenine, Xanthurenic acid, 3-Hydroxyanthranilic acid, Picolinic acid, Quinolinic acid, Nicotinic acid, Nicotinamide, N1-methylnicotinamide

Neopterin

Proteins: C-Reactive protein, Calprotectin, Serum Amyloid A

Ratio-derived: Kynurenine/tryptophan ratio, PAr index (PLP, PL, PA)

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SCFAs: Acetate, Butyrate, Formate, Isobutyrate, Isovalerate, Propionate, Valerate, α-Methylbutyrate

Indoles: 3-Indoxyl sulfate, Imidazole propionate, Indole-3-acetamide, Indole-3-acetate, Indole-3-aldehyde, Indole-3-lactate, Indole-3-propionate

Choline metabolites: Choline ,Betaine, DMG, TMAO

Amino acid derived: Phenylacetylglutamine

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B-vitamins, functional markers, and methyl donors: 4-Pyridoxic acid, Betaine, Choline, Cobalamin, Flavin mononucleotide, Folate, Methylmalonic acid, N1-methylnicotinamide, Nicotinamide, Nicotinic acid, Pyridoxal, Pyridoxal 5-phosphate, Pyridoxine, Riboflavin, Thiamine, Thiamine monophosphate, Total homocysteine

Fat-soluble vitamins: 25-hydroxy vitamin D2, 25-hydroxy vitamin D3, α-Tocopherol (Vit. E), All-trans retinol (Vit. A), Phylloquinone (Vit. K1), y-Tocopherol (Vit. E)

Essential amino acids: Histidine, Isoleucine, Leucine, Lysine, Methionine, Phenylalanine, Threonine, Tryptophan, Valine

Meat and fish intake: 1-Methylhistidine, 3-Methylhistidine, B-Alanine, Creatine, Creatinine, TMAO

Tobacco use and coffee intake: Cotinine, Trans-3-hydroxycotinine, Trigonelline

Volume (ul)
150
100
200
200
Analytical technique
GC- and LC-MS/MS
LC- and MALDI-MS
GC- and LC-MS/MS
GC- and LC-MS/MS
Turnaround time (weeks)
1
1
1
1

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