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Discovery and Validation of Novel Biomarkers for Colorectal Neoplasia Detection via Plasma Metabolomics

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机构: [1]Nanjing Med Univ, Collaborat Innovat Ctr Canc Personalized Med, Dept Epidemiol, Jiangsu Key Lab Canc Biomarkers Prevent & Treatmen, Nanjing, Peoples R China [2]Chinese Acad Sci, Zhejiang Canc Hosp, Inst Basic Med & Canc IBMC, Zhejiang Prov Off Canc Prevent & Control, Hangzhou, Peoples R China [3]Chinese Univ Hong Kong, Inst Digest Dis, CUHK Shenzhen Res Inst, Dept Med & Therapeut,State Key Lab Digest Dis,Li K, Hong Kong, Peoples R China [4]Nanjing Med Univ, Affiliated Hosp 2, Med Ctr Digest Dis, Nanjing, Peoples R China [5]Sun Yat sen Univ, Affiliated Hosp 6, Guangdong Inst Gastroenterol, Dept Colorectal Surg,Guangdong Prov Key Lab Colore, Guangzhou, Peoples R China [6]Kunming Med Univ, Affiliated Hosp 1, Dept Gastroenterol, Kunming, Peoples R China [7]Chinese Acad Med Sci & Peking Union Med Coll, Canc Hosp, Off Canc Screening, Natl Canc Ctr,Natl Clin Res Ctr Canc, Beijing, Peoples R China
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关键词: biomarkers colorectal adenoma colorectal cancer early diagnosis metabolomics

摘要:
Metabolic disturbance plays a critical role in the initiation of colorectal cancer (CRC), yet the identification of metabolites that are useful for early detection of CRC and its precursor lesions remains elusive. We conducted an untargeted plasma metabolomic profiling by liquid chromatography-mass spectrometry in a two-stage case-control study, including 219 CRC cases, 164 colorectal adenoma (CRA) cases, and 219 normal controls (NC) as a training set, and 91 CRC, 115 CRA, and 109 NC as a validation set. Among 891 named metabolites, 239 were significantly altered in CRC versus NC, 26 in CRA versus NC, and 88 in CRC versus CRA within the training set. The results were stable when adjusting for potential confounders. A panel of 10 metabolites, including six lipid species, one benzenoid, one organoheterocyclic compound, one organic acid derivative, and one organic oxygen compound, showed optimal performance in discriminating CRC from NC (AUC = 0.81) in the validation. Moreover, a panel of seven metabolites exhibited optimal performance in discriminating CRA from NC, with an AUC of 0.89. Our findings provide novel evidence supporting specific plasma metabolites, particularly those implicated in lipid metabolism, as promising biomarkers for the early detection of CRC.

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大类 | 1 区 医学
小类 | 1 区 医学:研究与实验
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Q1 MEDICINE, RESEARCH & EXPERIMENTAL

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第一作者机构: [1]Nanjing Med Univ, Collaborat Innovat Ctr Canc Personalized Med, Dept Epidemiol, Jiangsu Key Lab Canc Biomarkers Prevent & Treatmen, Nanjing, Peoples R China
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