Evidence map›Paper›PMID 35871322›Full record

ArticleCancer biomarkers : section A of Disease markers2023

Identification of urinary biomarkers of colorectal cancer: Towards the development of a colorectal screening test in limited resource settings.

Lun Zhang, Jiamin Zheng, Kathleen P Ismond, Scott MacKay, Marcia LeVatte, Jeremy Constable, Olusegun Isaac Alatise, T Peter Kingham, David S Wishart

Open access · greenAbstract read
In one paragraph

Article in Cancer biomarkers : section A of Disease markers, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
0.5field-weighted citation impact, top 39% 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

6 citing papers in PubMed, 1 synthesis or guideline pooled it, 7 citations in OpenAlex.

  1. Colorectal neoplasia-specific amino acid profiles and their diagnostic potential: a systematic review.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2026
    Pooled it
  2. Article
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  4. Review
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  6. Review
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

9 authors at 3 institutions in 3 countries.

Lun ZhangDepartment of Biological Sciences, University of Alberta, Edmonton, AB, Canada.
Jiamin ZhengDepartment of Biological Sciences, University of Alberta, Edmonton, AB, Canada.
Kathleen P IsmondDepartment of Medicine, University of Alberta, Edmonton, AB, Canada.
Scott MacKayDepartment of Biological Sciences, University of Alberta, Edmonton, AB, Canada.
Marcia LeVatteDepartment of Biological Sciences, University of Alberta, Edmonton, AB, Canada.
Jeremy ConstableDepartment of Surgery, Memorial Sloan Kettering Cancer Center, New York, NY, USA.
Olusegun Isaac AlatiseDepartment of Surgery, Obafemi Awolowo University and Obafemi Awolowo University Teaching Hospitals Complex, Ile-Ife, Nigeria.
T Peter KinghamDepartment of Surgery, Memorial Sloan Kettering Cancer Center, New York, NY, USA.
David S WishartDepartment of Biological Sciences, University of Alberta, Edmonton, AB, Canada.
University of Alberta · CAMemorial Sloan Kettering Cancer Center · USObafemi Awolowo University Teaching Hospitals Complex · NG

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Hongbiao Carl Lekaye · 1985 to 2026
$347.4M
Point of care, real-time urine metabolomics test to diagnose colorectal cancers and polyps in low- and middle-income countriesUH3CA257869 · NCI · SLOAN-KETTERING INST CAN RESEARCH · PI ALATISE, OLUSEGUN ISAAC, KINGHAM, T PETER · 2020 to 2022
$2.3M
Point of care, real-time urine metabolomics test to diagnose colorectal cancers and polyps in low- and middle-income countriesUG3EB024965 · NIBIB · SLOAN-KETTERING INST CAN RESEARCH · PI ALATISE, OLUSEGUN ISAAC, KINGHAM, T PETER · 2017 to 2018
$767k
NCI NIH HHS P30 CA008748NCI NIH HHS UH3 CA257869NIBIB NIH HHS UG3 EB024965
6 · The paper itself

Abstract

backgroundAfrican colorectal cancer (CRC) rates are rising rapidly. A low-cost CRC screening approach is needed to identify CRC from non-CRC patients who should be sent for colonoscopy (a scarcity in Africa).

objectiveTo identify urinary metabolite biomarkers that, combined with easy-to-measure clinical variables, would identify patients that should be further screened for CRC by colonoscopy. Ideal metabolites would be water-soluble and easily translated into a sensitive, low-cost point-of-care (POC) test.

methodsLiquid-chromatography mass spectrometry (LC-MS/MS) was used to quantify 142 metabolites in spot urine samples from 514 Nigerian CRC patients and healthy controls. Metabolite concentration data and clinical characteristics were used to determine optimal sets of biomarkers for identifying CRC from non-CRC subjects.

resultsOur statistical analysis identified N1, N12-diacetylspermine, hippurate, p-hydroxyhippurate, and glutamate as the best metabolites to discriminate CRC patients via POC screening. Logistic regression modeling using these metabolites plus clinical data achieved an area under the receiver-operator characteristic (AUCs) curves of 89.2% for the discovery set, and 89.7% for a separate validation set.

conclusionsEffective urinary biomarkers for CRC screening do exist. These results could be transferred into a simple, POC urinary test for screening CRC patients in Africa.

Indexed as

Colorectal NeoplasmsEarly Detection of CancerBiomarkers, TumorChromatography, LiquidHumansTandem Mass SpectrometryBiomarkers, Tumorcancer biomarkersColorectal cancer screeningliquid chromatography-mass spectrometrylogistic regressionmetabolomic profilingurine test

Identifiers

PMID35871322
PMCPMC10627333
OpenAlexW4286239345

What OpenQuestion holds

Textmetadata
LicenceTDM
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.