Evidence map›Paper›PMID 36872928›Full record

ArticleLiver cancer2023

Discriminatory Changes in Circulating Metabolites as a Predictor of Hepatocellular Cancer in Patients with Metabolic (Dysfunction) Associated Fatty Liver Disease.

Haonan Lu, Jacob George, Mohammed Eslam, Augusto Villanueva, Luigi Bolondi, Helen L Reeves, Misti McCain, Edward Chambers, Caroline Ward, Dewi Sartika and 5 more

Open access · goldAbstract read
In one paragraph

Article in Liver cancer, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
2.8field-weighted citation impact, top 9% 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

15 citing papers in PubMed, 18 citations in OpenAlex.

  1. Article
  2. Evaluation of metabolite biomarker candidates in detecting HCC in patients with liver cirrhosis.Metabolomics : Official journal of the Metabolomic Society · 2026
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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

15 authors at 6 institutions in 4 countries.

Haonan LuDivision of Surgery and Cancer, Imperial College London, Hammersmith Hospital, London, UK.
Jacob GeorgeStorr Liver Centre, The Westmead Institute for Medical Research, Westmead Hospital and University of Sydney, Westmead, New South Wales, Australia.
Mohammed EslamStorr Liver Centre, The Westmead Institute for Medical Research, Westmead Hospital and University of Sydney, Westmead, New South Wales, Australia.
Augusto VillanuevaIcahn School of Medicine at Mount Sinai, New York, New York, USA.
Luigi BolondiDivision of Internal Medicine, University of Bologna, Bologna, Italy.
Helen L ReevesNewcastle University Translational Clinical Research Institute, Newcastle University Centre for Cancer, Newcastle-upon-Tyne Hospitals NHS Foundation Trust, Newcastle-upon-Tyne, UK.
Misti McCainNewcastle University Translational Clinical Research Institute, Newcastle University Centre for Cancer, Newcastle-upon-Tyne Hospitals NHS Foundation Trust, Newcastle-upon-Tyne, UK.
Edward ChambersDepartment of Medicine, Imperial College London, Hammersmith Hospital, London, UK.
Caroline WardDivision of Surgery and Cancer, Imperial College London, Hammersmith Hospital, London, UK.
Dewi SartikaDivision of Surgery and Cancer, Imperial College London, Hammersmith Hospital, London, UK.
Caroline SandsNational Phenome Centre, Imperial College London, London, UK.
Lynn MaslenNational Phenome Centre, Imperial College London, London, UK.
Matthew R LewisNational Phenome Centre, Imperial College London, London, UK.
Ramya RamaswamiDivision of Surgery and Cancer, Imperial College London, Hammersmith Hospital, London, UK.
Rohini SharmaDivision of Surgery and Cancer, Imperial College London, Hammersmith Hospital, London, UK.
Hammersmith Hospital · GBImperial College London · GBNewcastle upon Tyne Hospitals NHS Foundation Trust · GBThe University of Sydney · AUIcahn School of Medicine at Mount Sinai · USUniversity of Bologna · IT

Funding

Cancer Research UK 26813
6 · The paper itself

Abstract

Introduction: The burden of metabolic (dysfunction) associated fatty liver disease (MAFLD) is rising mirrored by an increase in hepatocellular cancer (HCC). MAFLD and its sequelae are characterized by perturbations in lipid handling, inflammation, and mitochondrial damage. The profile of circulating lipid and small molecule metabolites with the development of HCC is poorly characterized in MAFLD and could be used in future studies as a biomarker for HCC. Methods: We assessed the profile of 273 lipid and small molecule metabolites by ultra-performance liquid chromatography coupled to high-resolution mass spectrometry in serum from patients with MAFLD ( Results: Twenty lipid species and one metabolite, reflecting changes in mitochondrial function and sphingolipid metabolism, were associated with the presence of cancer on a background of MAFLD with high accuracy (AUC 0.789, 95% CI: 0.721-0.858), which was enhanced with the addition of cirrhosis to the model (AUC 0.855, 95% CI: 0.793-0.917). In particular, the presence of these metabolites was associated with cirrhosis in the MAFLD subgroup ( Conclusion: These exploratory findings reveal a metabolic signature in serum which is capable of accurately detecting the presence of HCC on a background of MAFLD. This unique serum signature will be taken forward for further investigation of diagnostic performance as biomarker of early stage HCC in patients with MAFLD in the future.

Indexed as

DetectionHepatocellular cancerLipidomicsMetabolic (dysfunction) associated fatty liver diseaseMetabolomicsSurvival

Identifiers

PMID36872928
PMCPMC9982340
OpenAlexW4284966515

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.