中国科学院机构知识库网格
Chinese Academy of Sciences Institutional Repositories Grid
A Large-scale, multicenter serum metabolite biomarker identification study for the early detection of hepatocellular carcinoma

文献类型:期刊论文

作者Luo, Ping2,3; Yin, Peiyuan2; Hua, Rui4; Tan, Yexiong5; Li, Zaifang2,3; Qiu, Gaokun6; Yin, Zhenyu7; Xie, Xingwang1; Wang, Xiaomei4; Chen, Wenbin8
刊名HEPATOLOGY
出版日期2018-02-01
卷号67期号:2页码:662-675
ISSN号0270-9139
DOI10.1002/hep.29561
文献子类Article
英文摘要Hepatocellular carcinoma (HCC) is the third most lethal cancer worldwide. The lack of effective biomarkers for the early detection of HCC results in unsatisfactory curative treatments. Here, metabolite biomarkers were identified and validated for HCC diagnosis. A total of 1,448 subjects, including healthy controls and patients with chronic hepatitis B virus infection, liver cirrhosis, and HCC, were recruited from multiple centers in China. Liquid chromatography-mass spectrometry-based metabolomics methods were used to characterize the subjects' serum metabolic profiles and to screen and validate the HCC biomarkers. A serum metabolite biomarker panel including phenylalanyl-tryptophan and glycocholate was defined. This panel had a higher diagnostic performance than did -fetoprotein (AFP) in differentiating HCC from a high-risk population of cirrhosis, such as an area under the receiver-operating characteristic curve of 0.930, 0.892, and 0.807 for the panel versus 0.657, 0.725, and 0.650 for AFP in the discovery set, test set, and cohort 1 of the validation set, respectively. In the nested case-control study, this panel had high sensitivity (range 80.0%-70.3%) to detect preclinical HCC, and its combination with AFP provided better risk prediction of preclinical HCC before clinical diagnosis. Besides, this panel showed a larger area under the receiver-operating characteristic curve than did AFP (0.866 versus 0.682) to distinguish small HCC, and 80.6% of the AFP false-negative patients with HCC were correctly diagnosed using this panel in the test set, which was corroborated by the validation set. The specificity and biological relevance of the identified biomarkers were further evaluated using sera from another two cancers and HCC tissue specimens, respectively. Conclusion: The discovered and validated serum metabolite biomarker panel exhibits good diagnostic performance for the early detection of HCC from at-risk populations. (Hepatology 2018;67:662-675).
WOS关键词PSEUDOTARGETED METABOLOMICS METHOD ; CHROMATOGRAPHY-MASS SPECTROMETRY ; HUMAN HEPATOCYTES ; GUT MICROBIOTA ; LIVER-DISEASE ; DISCOVERY ; ACID ; CARCINOGENESIS ; HOMEOSTASIS ; VALIDATION
WOS研究方向Gastroenterology & Hepatology
语种英语
出版者WILEY
WOS记录号WOS:000422694900022
源URL[http://cas-ir.dicp.ac.cn/handle/321008/168712]  
专题大连化学物理研究所_中国科学院大连化学物理研究所
通讯作者Wu, Tangchun; Wang, Hongyang; Niu, Junqi; Xu, Guowang
作者单位1.Peking Univ, Peoples Hosp, Beijing, Peoples R China
2.Chinese Acad Sci, Dalian Inst Chem Phys, CAS Key Lab Separat Sci Analyt Chem, Dalian 116023, Peoples R China
3.Univ Chinese Acad Sci, Beijing, Peoples R China
4.Jilin Univ, Hosp 1, Dept Hepatol, Changchun 130021, Jilin, Peoples R China
5.Second Mil Med Univ, Eastern Hepatobiliary Surg Inst, Int Cooperat Lab Signal Transduct, Shanghai 200031, Peoples R China
6.Huazhong Univ Sci & Technol, Tongji Med Coll, Sch Publ Hlth, MOE Key Lab Environm & Hlth, Wuhan 430030, Hubei, Peoples R China
7.Xiamen Univ, Zhongshan Hosp, Xiamen, Peoples R China
8.Shandong Univ, Shangdong Prov Hosp, Jinan, Shandong, Peoples R China
推荐引用方式
GB/T 7714
Luo, Ping,Yin, Peiyuan,Hua, Rui,et al. A Large-scale, multicenter serum metabolite biomarker identification study for the early detection of hepatocellular carcinoma[J]. HEPATOLOGY,2018,67(2):662-675.
APA Luo, Ping.,Yin, Peiyuan.,Hua, Rui.,Tan, Yexiong.,Li, Zaifang.,...&Xu, Guowang.(2018).A Large-scale, multicenter serum metabolite biomarker identification study for the early detection of hepatocellular carcinoma.HEPATOLOGY,67(2),662-675.
MLA Luo, Ping,et al."A Large-scale, multicenter serum metabolite biomarker identification study for the early detection of hepatocellular carcinoma".HEPATOLOGY 67.2(2018):662-675.

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来源:大连化学物理研究所

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