Evidence map›Paper›PMID 36469776›Full record

ArticleProceedings of the National Academy of Sciences of the United States of America2022

Noninvasive detection of any-stage cancer using free glycosaminoglycans.

Sinisa Bratulic, Angelo Limeta, Saeed Dabestani, Helgi Birgisson, Gunilla Enblad, Karin Stålberg, Göran Hesselager, Michael Häggman, Martin Höglund, Oscar E Simonson and 26 more

Open access · hybridAbstract read
In one paragraph

Article in Proceedings of the National Academy of Sciences of the United States of America, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 36 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
36citing papers in PubMed, 3 pooled it
5.6field-weighted citation impact, top 3% 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

36 citing papers in PubMed, 3 syntheses or guidelines pooled it, 61 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Article
  5. Article
  6. Review
  7. Review
  8. Review
  9. External Validation of Plasma Glycosaminoglycans as Biomarkers to Improve Lung Cancer Risk Stratification.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2025
    Article
  10. Review
  11. Review
  12. Review
  13. Genome-scale models in human metabologenomics.Nature reviews. Genetics · 2025
    Review
  14. Review
  15. Article
  16. Review
  17. Article
  18. Article
  19. Epigenetic Targeting of Heparan Sulfate 3-ACS pharmacology & translational science · 2024
    Article
  20. 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

36 authors at 15 institutions in 5 countries.

Sinisa BratulicDepartment of Biology and Biological Engineering, Chalmers University of Technology, Gothenburg 412 96, Sweden.ORCID 0000-0002-1663-2227
Angelo LimetaDepartment of Biology and Biological Engineering, Chalmers University of Technology, Gothenburg 412 96, Sweden.ORCID 0000-0002-6093-8426
Saeed DabestaniDepartment of Translational Medicine, Division of Urological Cancers, Lund University, 20502, Lund 205 02, Sweden.
Helgi BirgissonDepartment of Surgical Sciences, Uppsala University Hospital, Uppsala 751 85, Sweden.
Gunilla EnbladDepartment of Immunology, Genetics and Pathology, Uppsala University, Uppsala 751 85, Sweden.
Karin StålbergDepartment of Women's and Children's, Health Uppsala University, Uppsala 751 85, Sweden.ORCID 0000-0001-5527-8796
Göran HesselagerDepartment of Neurosurgery, Uppsala University Hospital, Uppsala 751 85, Sweden.ORCID 0000-0001-9613-1344
Michael HäggmanDepartment of Urology, Uppsala University Hospital, Uppsala 751 85, Sweden.ORCID 0000-0001-7234-2534
Martin HöglundInstitution of Medical Sciences, Uppsala University Hospital, Uppsala 751 85, Sweden.
Oscar E SimonsonDepartment of Surgical Sciences, Uppsala University Hospital, Uppsala 751 85, Sweden.ORCID 0000-0002-3552-5558
Peter StålbergDepartment of Surgical Sciences, Uppsala University Hospital, Uppsala 751 85, Sweden.
Henrik LindmanDepartment of Immunology, Genetics and Pathology, Uppsala University, Uppsala 751 85, Sweden.ORCID 0000-0002-5871-268X
Anna Bång-RudenstamDepartment of Clinical Sciences Lund, Section of Oncology and Pathology, Lund University, Lund 221 85, Sweden.ORCID 0000-0003-2706-9502
Matias EkstrandDepartment of Molecular and Clinical Medicine, Institute of Medicine Wallenberg Laboratory, Sahlgrenska Academy, University of Gothenburg, Gothenburg 413 45, Sweden.ORCID 0000-0002-0403-9266
Gunjan KumarVancouver Prostate Centre, Vancouver, BC V6H 3Z6, Canada.
Ilaria CavarrettaDivision of Experimental Oncology/Unit of Urology, Urological Research Institute, Istituto di Ricovero e Cura a Carattere Scientifico, Ospedale San Raffaele, Milan 20132, Italy.ORCID 0000-0002-3531-2931
Massimo AlfanoDivision of Experimental Oncology/Unit of Urology, Urological Research Institute, Istituto di Ricovero e Cura a Carattere Scientifico, Ospedale San Raffaele, Milan 20132, Italy.ORCID 0000-0002-6904-9158
Francesco PellegrinoDivision of Experimental Oncology/Unit of Urology, Urological Research Institute, Istituto di Ricovero e Cura a Carattere Scientifico, Ospedale San Raffaele, Milan 20132, Italy.ORCID 0000-0002-7828-6876
Thomas Mandel-ClausenDepartment of Cellular and Molecular Medicine, University of California San Diego, La Jolla, CA 92093.
Ali SalantiCentre for Medical Parasitology at Department for Immunology and Microbiology, Faculty of Health and Medical Sciences, University of Copenhagen, Copenhagen 2200, Denmark.
Francesca MaccariDepartment of Life Sciences, University of Modena and Reggio Emilia, Modena 411 25, Italy.
Fabio GaleottiDepartment of Life Sciences, University of Modena and Reggio Emilia, Modena 411 25, Italy.
Nicola VolpiDepartment of Life Sciences, University of Modena and Reggio Emilia, Modena 411 25, Italy.
Mads DaugaardVancouver Prostate Centre, Vancouver, BC V6H 3Z6, Canada.ORCID 0000-0001-8383-055X
Mattias BeltingDepartment of Clinical Sciences Lund, Section of Oncology and Pathology, Lund University, Lund 221 85, Sweden.ORCID 0000-0003-1585-5434
Sven LundstamDepartment of Urology, Institute of Clinical Sciences, Sahlgrenska Academy, University of Gothenburg, Gothenburg 413 45, Sweden.ORCID 0000-0003-4543-3398
Ulrika StiernerDepartment of Oncology, Institute of Clinical Sciences, Sahlgrenska Academy, University of Gothenburg, Gothenburg 413 45, Sweden.
Jan NymanDepartment of Oncology, Institute of Clinical Sciences, Sahlgrenska Academy, University of Gothenburg, Gothenburg 413 45, Sweden.ORCID 0000-0002-2314-5902
Bengt BergmanDepartment of Respiratory Medicine, Sahlgrenska Academy, University of Gothenburg, Gothenburg 413 45, Sweden.
Per-Henrik EdqvistDepartment of Immunology, Genetics and Pathology, Uppsala University, Uppsala 751 85, Sweden.ORCID 0000-0002-8330-0134
Max LevinDepartment of Molecular and Clinical Medicine, Institute of Medicine Wallenberg Laboratory, Sahlgrenska Academy, University of Gothenburg, Gothenburg 413 45, Sweden.ORCID 0000-0001-9676-5582
Andrea SaloniaDivision of Experimental Oncology/Unit of Urology, Urological Research Institute, Istituto di Ricovero e Cura a Carattere Scientifico, Ospedale San Raffaele, Milan 20132, Italy.ORCID 0000-0002-0595-7165
Henrik KjölhedeDepartment of Urology, Institute of Clinical Sciences, Sahlgrenska Academy, University of Gothenburg, Gothenburg 413 45, Sweden.ORCID 0000-0001-6441-4729
Eric JonaschThe University of Texas MD Anderson Cancer Center, Houston, TX 77030.
Jens NielsenDepartment of Biology and Biological Engineering, Chalmers University of Technology, Gothenburg 412 96, Sweden.ORCID 0000-0002-9955-6003
Francesco GattoDepartment of Biology and Biological Engineering, Chalmers University of Technology, Gothenburg 412 96, Sweden.ORCID 0000-0002-9031-9562
University of Gothenburg · SEUppsala University Hospital · SEUppsala University · SEIRCCS Ospedale San Raffaele · ITLund University · SEUniversity of Modena and Reggio Emilia · ITChalmers University of Technology · SEUniversity of British Columbia · CABioInnovation Institute · DKKarolinska Institutet · SESahlgrenska University Hospital · SEThe University of Texas MD Anderson Cancer Center · USUniversity of California San Diego · USUniversity of Copenhagen · DKVita-Salute San Raffaele University · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Cancer mortality is exacerbated by late-stage diagnosis. Liquid biopsies based on genomic biomarkers can noninvasively diagnose cancers. However, validation studies have reported ~10% sensitivity to detect stage I cancer in a screening population and specific types, such as brain or genitourinary tumors, remain undetectable. We investigated urine and plasma free glycosaminoglycan profiles (GAGomes) as tumor metabolism biomarkers for multi-cancer early detection (MCED) of 14 cancer types using 2,064 samples from 1,260 cancer or healthy subjects. We observed widespread cancer-specific changes in biofluidic GAGomes recapitulated in an in vivo cancer progression model. We developed three machine learning models based on urine (

Indexed as

GlycosaminoglycansNeoplasmsBiomarkers, TumorEarly Detection of CancerHumansLiquid BiopsyBiomarkers, TumorGlycosaminoglycanscancer biomarkersliquid biopsymetabolomicsmulti-cancer early detectionprognosis

Identifiers

PMID36469776
PMCPMC9897435
OpenAlexW4310941456

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.