Nuclear magnetic resonance (NMR)-based metabolomics is a valuable tool for identifying biomarkers and understanding the underlying metabolic changes associated with various diseases. However, the translation of metabolomics analysis to clinical practice has been limited by the high cost and large size of traditional high-resolution NMR spectrometers. Benchtop NMR, a compact and low-cost alternative, offers the potential to overcome these limitations and facilitate the wider use of NMR-based metabolomics in clinical settings. This review summarizes the current state of benchtop NMR for clinical applications where benchtop NMR has demonstrated the ability to reproducibly detect changes in metabolite levels associated with diseases such as type 2 diabetes and tuberculosis. Benchtop NMR has been used to identify metabolic biomarkers in a range of biofluids, including urine, blood plasma and saliva. However, further research is needed to optimize the use of benchtop NMR for clinical applications and to identify additional biomarkers that can be used to monitor and manage a range of diseases. Overall, benchtop NMR has the potential to revolutionize the way metabolomics is used in clinical practice, providing a more accessible and cost-effective way to study metabolism and identify biomarkers for disease diagnosis, prognosis, and treatment.

Goats represent a significant reservoir for tuberculosis (TB) in animals, contributing notably to public and animal health challenges, causing economic repercussions. Ante mortem diagnosis of TB is hindered by the limited sensitivity of available techniques and false-positive results from other mycobacterial infections, such as paratuberculosis (PTB). Nuclear Magnetic Resonance (NMR)-based metabolomics provides unique fingerprinting of the disease’s metabolic status, making it a promising diagnostic tool. However, conventional high-resolution NMR has limitations in veterinary practice, where high costs and large equipment size are major constraints. Benchtop NMR spectrometer is proposed as a compact, cost-effective alternative for livestock farms. The study aimed to evaluate NMR-based metabolomics as a diagnostic tool and transfer it from high-resolution to benchtop NMR spectrometers in an animal setting. Serum samples from TB-infected, PTB-infected ( n = 16), and healthy control goats (HC) were analyzed by both high-resolution and benchtop NMR spectroscopy. Multivariate statistical analysis successfully differentiated groups on the basis of their metabolic profiles with both spectrometers. We identified that betaine, glucose, glycerol, and lactate are significantly capable of distinguishing between the three groups. Additionally, 3-hydroxybutyrate, creatine, glutamate, leucine, lysine, phenylalanine, threonine, and tyrosine further differentiate TB from HC. Acetate, creatine, glutamate, isoleucine, leucine, and lysine distinguish TB from PTB, while 3-hydroxybutyrate and phenylalanine serve to differentiate PTB from HC. Analyses with both high-resolution and benchtop spectrometers demonstrated high sensitivity and accuracy and reliable metabolite identification. These findings highlight NMR’s spectroscopy potential to identify biomarkers associated with TB and PTB infection, improving health management in livestock.