Evidence map›Paper›PMID 26399231›Full record

ArticleBMC medicine2015

Metabolomic profiles of hepatocellular carcinoma in a European prospective cohort.

Anne Fages, Talita Duarte-Salles, Magdalena Stepien, Pietro Ferrari, Veronika Fedirko, Clément Pontoizeau, Antonia Trichopoulou, Krasimira Aleksandrova, Anne Tjønneland, Anja Olsen and 36 more

Open access · goldAbstract read
In one paragraph

Article in BMC medicine, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 57 papers.

0numbers the graph read from it
0cells of the map it votes in
57citing papers in PubMed
4.8field-weighted citation impact, top 4% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

57 citing papers in PubMed, 110 citations in OpenAlex.

  1. Utility of [Molecular imaging and biology · 2016
    Trial
  2. Prediagnostic Plasma Metabolite Profiles and Prediction of Hepatocellular Carcinoma Risk: The Multiethnic Cohort.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2026
    Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

46 authors at 20 institutions in 13 countries.

Anne FagesInstitut des Sciences Analytiques, Centre de RMN à très hauts champs, CNRS/ENS Lyon/UCB Lyon-1, Université de Lyon, 5 rue de la Doua, 69100, Villeurbanne, France.
Talita Duarte-SallesInternational Agency for Research on Cancer (IARC-WHO), Lyon, France.
Magdalena StepienInternational Agency for Research on Cancer (IARC-WHO), Lyon, France.
Pietro FerrariInternational Agency for Research on Cancer (IARC-WHO), Lyon, France.
Veronika FedirkoDepartment of Epidemiology, Rollins School of Public Health, Winship Cancer Institute, Emory University, Atlanta, GA, USA.
Clément PontoizeauInstitut des Sciences Analytiques, Centre de RMN à très hauts champs, CNRS/ENS Lyon/UCB Lyon-1, Université de Lyon, 5 rue de la Doua, 69100, Villeurbanne, France.
Antonia TrichopoulouHellenic Health Foundation, Alexandroupoleos 23, GR-115 27, Athens, Greece.
Krasimira AleksandrovaDepartment of Epidemiology, German Institute of Human Nutrition (DIfE), Potsdam-Rehbrücke, Germany.
Anne TjønnelandDiet, Genes and Environment, Danish Cancer Society Research Center, Strandboulevarden 49, DK 2100, Copenhagen, Denmark.
Anja OlsenDiet, Genes and Environment, Danish Cancer Society Research Center, Strandboulevarden 49, DK 2100, Copenhagen, Denmark.
Françoise Clavel-ChapelonINSERM, Centre for Research in Epidemiology and Population Health (CESP), U1018, Nutrition, Hormones and Women's Health Team, F-94805, Villejuif, France.
Marie-Christine Boutron-RuaultINSERM, Centre for Research in Epidemiology and Population Health (CESP), U1018, Nutrition, Hormones and Women's Health Team, F-94805, Villejuif, France.
Gianluca SeveriHuman Genetics Foundation (HuGeF), Torino, Italy.
Rudolf KaaksDepartment of Cancer Epidemiology, German Cancer Research Centre, Heidelberg, Germany.
Tilman KuhnDepartment of Cancer Epidemiology, German Cancer Research Centre, Heidelberg, Germany.
Anna FloegelDepartment of Epidemiology, German Institute of Human Nutrition (DIfE), Potsdam-Rehbrücke, Germany.
Heiner BoeingDepartment of Epidemiology, German Institute of Human Nutrition (DIfE), Potsdam-Rehbrücke, Germany.
Pagona LagiouDepartment of Hygiene, Epidemiology, and Medical Statistics, University of Athens Medical School, 75 M. Asias, Goudi, GR-115 27, Athens, Greece.
Christina BamiaDepartment of Hygiene, Epidemiology, and Medical Statistics, University of Athens Medical School, 75 M. Asias, Goudi, GR-115 27, Athens, Greece.
Dimitrios TrichopoulosHellenic Health Foundation, Alexandroupoleos 23, GR-115 27, Athens, Greece.
Domenico PalliMolecular and Nutritional Epidemiology Unit, Cancer Research and Prevention Institute - ISPO, Florence, Italy.
Valeria PalaEpidemiology and Prevention Unit, Fondazione IRCCS Istituto Nazionale dei Tumori, Via Venezian 1, 20133, Milano, Italy.
Salvatore PanicoDipartimento di Medicina Clinica e Chirurgia, Federico II University, Naples, Italy.
Rosario TuminoCancer Registry and Histopathology Unit, "Civic - M.P. Arezzo" Hospital, Ragusa, Italy.
Paolo VineisHuman Genetics Foundation (HuGeF), Torino, Italy.
H Bas Bueno-de-MesquitaDepartment for Determinants of Chronic Diseases (DCD), National Institute for Public Health and the Environment (RIVM), Bilthoven, The Netherlands.
Petra H PeetersMRC-PHE Centre for Environment and Health, School of Public Health, Imperial College London, London, UK.
Elisabete WeiderpassDepartment of Community Medicine, Faculty of Health Sciences, University of Tromsø, The Arctic University of Norway, Tromsø, Norway.
Antonio AgudoUnit of Nutrition and Cancer, IDIBELL, Catalan Institute of Oncology-ICO, L'Hospitalet de Llobregat, Barcelona, 08908, Spain.
Esther Molina-MontesEscuela Andaluza de Salud Pública, Instituto de Investigación Biosanitaria ibs.GRANADA, Hospitales Universitarios de Granada/Universidad de Granada, Granada, Spain.
José María HuertaCIBER Epidemiología y Salud Pública (CIBERESP), Madrid, Spain.
Eva ArdanazCIBER Epidemiología y Salud Pública (CIBERESP), Madrid, Spain.
Miren DorronsoroPublic Health Direction and Biodonostia CIBERESP, Basque Regional Health Department, San Sebastian, Spain.
Klas SjöbergDepartment of Clinical Sciences, Lund University, Malmö, Sweden.
Bodil OhlssonDepartment of Clinical Sciences, Division of Internal Medicine, Skåne University Hospital, Lund University, Malmö, Sweden.
Kay-Tee KhawUniversity of Cambridge School of Clinical Medicine, Clinical Gerontology Unit, Addenbrooke's Hospital, Cambridge, UK.
Nick WarehamMRC Epidemiology Unit, University of Cambridge, Cambridge, UK.
Ruth C TravisCancer Epidemiology Unit, Nuffield Department of Population Health, University of Oxford, Oxford, UK.
Julie A SchmidtCancer Epidemiology Unit, Nuffield Department of Population Health, University of Oxford, Oxford, UK.
Amanda CrossDepartment of Epidemiology and Biostatistics, School of Public Health, Imperial College London, London, UK.
Marc GunterDepartment of Epidemiology and Biostatistics, School of Public Health, Imperial College London, London, UK.
Elio RiboliDepartment of Epidemiology and Biostatistics, School of Public Health, Imperial College London, London, UK.
Augustin ScalbertInternational Agency for Research on Cancer (IARC-WHO), Lyon, France.
Isabelle RomieuInternational Agency for Research on Cancer (IARC-WHO), Lyon, France.
Benedicte Elena-HerrmannInstitut des Sciences Analytiques, Centre de RMN à très hauts champs, CNRS/ENS Lyon/UCB Lyon-1, Université de Lyon, 5 rue de la Doua, 69100, Villeurbanne, France. benedicte.elena@ens-lyon.fr.
Mazda JenabInternational Agency for Research on Cancer (IARC-WHO), Lyon, France. jenabm@iarc.fr.
Centre International de Recherche sur le Cancer · FRImperial College London · GBGerman Institute of Human Nutrition · DEDanish Cancer Society · DKGerman Cancer Research Center · DEHellenic Health Foundation · GRInstitut des Sciences Analytiques · FRNational and Kapodistrian University of Athens · GRUniversity of Oxford · GBAddenbrooke's Hospital · GBAndalusian School of Public Health · ESAzienda Usl 8 Arezzo · ITBiogipuzkoa Health Research Institute · ESCentro de Investigación Biomédica en Red de Epidemiología y Salud Pública · ESEmory University · USFederico II University Hospital · ITFondazione IRCCS Istituto Nazionale dei Tumori · ITInserm · FRInstitut d'Investigació Biomédica de Bellvitge · ESInstitut Gustave Roussy · FR

Funding

British Heart FoundationCancer Research UK 14136Cancer Research UK 16491Department of HealthMedical Research Council G0401527Medical Research Council G1000143Medical Research Council MC_U106179471Medical Research Council MC_UU_12015/1Wellcome TrustWorld Health Organization 001
6 · The paper itself

Abstract

backgroundHepatocellular carcinoma (HCC), the most prevalent form of liver cancer, is difficult to diagnose and has limited treatment options with a low survival rate. Aside from a few key risk factors, such as hepatitis, high alcohol consumption, smoking, obesity, and diabetes, there is incomplete etiologic understanding of the disease and little progress in identification of early risk biomarkers.

methodsTo address these aspects, an untargeted nuclear magnetic resonance metabolomic approach was applied to pre-diagnostic serum samples obtained from first incident, primary HCC cases (n = 114) and matched controls (n = 222) identified from amongst the participants of a large European prospective cohort.

resultsA metabolic pattern associated with HCC risk comprised of perturbations in fatty acid oxidation and amino acid, lipid, and carbohydrate metabolism was observed. Sixteen metabolites of either endogenous or exogenous origin were found to be significantly associated with HCC risk. The influence of hepatitis infection and potential liver damage was assessed, and further analyses were made to distinguish patterns of early or later diagnosis.

conclusionOur results show clear metabolic alterations from early stages of HCC development with application for better etiologic understanding, prevention, and early detection of this increasingly common cancer.

Indexed as

AdultAgedCarcinoma, HepatocellularCase-Control StudiesCohort StudiesEarly Detection of CancerEuropeFemaleHumansLiver NeoplasmsMagnetic Resonance SpectroscopyMaleMetabolomicsMiddle AgedObesityProspective Studies

Identifiers

PMID26399231
PMCPMC4581424
OpenAlexW2134314555

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.