Evidence map›Paper›PMID 35897102›Full record

ArticleJournal of nanobiotechnology2022

Lipidomic identification of urinary extracellular vesicles for non-alcoholic steatohepatitis diagnosis.

Qingfu Zhu, Hengrui Li, Zheng Ao, Hao Xu, Jiaxin Luo, Connor Kaurich, Rui Yang, Pei-Wu Zhu, Sui-Dan Chen, Xiao-Dong Wang and 6 more

Open access · goldAbstract read
In one paragraph

Article in Journal of nanobiotechnology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed
7.0field-weighted citation impact, top 2% 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

31 citing papers in PubMed, 51 citations in OpenAlex.

  1. Article
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  8. Exosomes as Emerging Nanocarriers for Targeted Cancer Therapy.International journal of nanomedicine · 2026
    Review
  9. Human extracellular vesicle blueprints.Nature cell biology · 2025
    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

16 authors at 4 institutions in 2 countries.

Qingfu Zhu *Eye Hospital, School of Ophthalmology & Optometry, School of Biomedical Engineering, Wenzhou Medical University, Wenzhou, Zhejiang, 325035, China.
Hengrui Li *Eye Hospital, School of Ophthalmology & Optometry, School of Biomedical Engineering, Wenzhou Medical University, Wenzhou, Zhejiang, 325035, China.
Zheng AoDepartment of Intelligent Systems Engineering, Indiana University, Bloomington, IN, 47405, USA.
Hao XuEye Hospital, School of Ophthalmology & Optometry, School of Biomedical Engineering, Wenzhou Medical University, Wenzhou, Zhejiang, 325035, China.
Jiaxin LuoEye Hospital, School of Ophthalmology & Optometry, School of Biomedical Engineering, Wenzhou Medical University, Wenzhou, Zhejiang, 325035, China.
Connor KaurichDepartment of Intelligent Systems Engineering, Indiana University, Bloomington, IN, 47405, USA.
Rui YangEye Hospital, School of Ophthalmology & Optometry, School of Biomedical Engineering, Wenzhou Medical University, Wenzhou, Zhejiang, 325035, China.
Pei-Wu ZhuDepartment of Laboratory Medicine, the First Affiliated Hospital of Wenzhou Medical University, Wenzhou, China.
Sui-Dan ChenDepartment of Pathology, the First Affiliated Hospital of Wenzhou Medical University, Wenzhou, China.
Xiao-Dong WangKey Laboratory of Diagnosis and Treatment for the Development of Chronic Liver Disease in Zhejiang Province, Wenzhou, China.
Liang-Jie TangDepartment of Hepatology, NAFLD Research Center, the First Affiliated Hospital of Wenzhou Medical University, Wenzhou, China.
Gang LiDepartment of Hepatology, NAFLD Research Center, the First Affiliated Hospital of Wenzhou Medical University, Wenzhou, China.
Ou-Yang HuangDepartment of Hepatology, NAFLD Research Center, the First Affiliated Hospital of Wenzhou Medical University, Wenzhou, China.
Ming-Hua ZhengDepartment of Hepatology, NAFLD Research Center, the First Affiliated Hospital of Wenzhou Medical University, Wenzhou, China. zhengmh@wmu.edu.cn.
Hui-Ping LiThe First Affiliated Hospital of Wenzhou Medical University, Wenzhou, Zhejiang, 325035, China. wzlihuip@sina.com.
Fei LiuThe First Affiliated Hospital of Wenzhou Medical University, Wenzhou, Zhejiang, 325035, China. feiliu@wmu.edu.cn.
First Affiliated Hospital of Wenzhou Medical University · CNAffiliated Eye Hospital of Wenzhou Medical College · CNIndiana University Bloomington · USWenzhou Medical University · CN

Funding

Zhejiang Provincial and Ministry of Health Research Fund for Medical Sciences WKJ-ZJ-1910Zhejiang Provincial Natural Science Foundation LY22H120002
6 · The paper itself

Abstract

BACKGROUND AND

aimsNon-alcoholic fatty liver disease (NAFLD) is a usual chronic liver disease and lacks non-invasive biomarkers for the clinical diagnosis and prognosis. Extracellular vesicles (EVs), a group of heterogeneous small membrane-bound vesicles, carry proteins and nucleic acids as promising biomarkers for clinical applications, but it has not been well explored on their lipid compositions related to NAFLD studies. Here, we investigate the lipid molecular function of urinary EVs and their potential as biomarkers for non-alcoholic steatohepatitis (NASH) detection.

methodsThis work includes 43 patients with non-alcoholic fatty liver (NAFL) and 40 patients with NASH. The EVs of urine were isolated and purified using the EXODUS method. The EV lipidomics was performed by LC-MS/MS. We then systematically compare the EV lipidomic profiles of NAFL and NASH patients and reveal the lipid signatures of NASH with the assistance of machine learning.

resultsBy lipidomic profiling of urinary EVs, we identify 422 lipids mainly including sterol lipids, fatty acyl lipids, glycerides, glycerophospholipids, and sphingolipids. Via the machine learning and random forest modeling, we obtain a biomarker panel composed of 4 lipid molecules including FFA (18:0), LPC (22:6/0:0), FFA (18:1), and PI (16:0/18:1), that can distinguish NASH with an AUC of 92.3%. These lipid molecules are closely associated with the occurrence and development of NASH.

conclusionThe lack of non-invasive means for diagnosing NASH causes increasing morbidity. We investigate the NAFLD biomarkers from the insights of urinary EVs, and systematically compare the EV lipidomic profiles of NAFL and NASH, which holds the promise to expand the current knowledge of disease pathogenesis and evaluate their role as non-invasive biomarkers for NASH diagnosis and progression.

Indexed as

Extracellular VesiclesNon-alcoholic Fatty Liver DiseaseBiomarkersChromatography, LiquidHumansLipidomicsLipidsTandem Mass SpectrometryBiomarkersLipidsLipidomicsNon-alcoholic fatty liver diseaseNon-alcoholic steatohepatitisUrinary extracellular vesicles

Identifiers

PMID35897102
PMCPMC9327366
OpenAlexW4288051424

What OpenQuestion holds

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Registered trials

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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.