Evidence map›Paper›PMID 37046788›Full record

ArticleCancers2023

NMR-Metabolomics Reveals a Metabolic Shift after Surgical Resection of Non-Small Cell Lung Cancer.

Elien Derveaux, Melvin Geubbelmans, Maarten Criel, Ingel Demedts, Ulrike Himpe, Kurt Tournoy, Piet Vercauter, Erik Johansson, Dirk Valkenborg, Karolien Vanhove and 3 more

Registry-linked trialAbstract read
In one paragraph

Article in Cancers, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07087080 (Combining PET-CT With a Glutamate-based Blood Test Improves Cancer Diagnosis in Solitary Pulmonary Nodules), which is not on this map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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.

NCT07087080 narecruitingnot on this map

Combining PET-CT With a Glutamate-based Blood Test Improves Cancer Diagnosis in Solitary Pulmonary Nodules

TypeinterventionalSponsorHasselt UniversityRan2022 to 2027Enrolled350ConditionsSolitary Pulmonary Nodules, Lung CancerArmsBlood sampling
3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Review
  4. Review
  5. 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

13 authors.

Elien DerveauxFaculty of Medicine and Life Sciences, Hasselt University, Martelarenlaan 42, B-3500 Hasselt, Belgium.ORCID 0000-0002-3243-7309
Melvin GeubbelmansData Science Institute, Hasselt University, Agoralaan 1, B-3590 Diepenbeek, Belgium.
Maarten CrielDepartment of Respiratory Medicine, Ziekenhuis Oost-Limburg, Schiepse Bos 6, B-3600 Genk, Belgium.ORCID 0000-0002-2591-6061
Ingel DemedtsDepartment of Respiratory Medicine, AZ Delta, Deltalaan 1, B-8800 Roeselare, Belgium.
Ulrike HimpeDepartment of Respiratory Medicine, AZ Delta, Deltalaan 1, B-8800 Roeselare, Belgium.
Kurt TournoyDepartment of Respiratory Medicine, Onze-Lieve-Vrouw Ziekenhuis, Moorselbaan 164, B-9300 Aalst, Belgium.
Piet VercauterDepartment of Respiratory Medicine, Onze-Lieve-Vrouw Ziekenhuis, Moorselbaan 164, B-9300 Aalst, Belgium.
Erik JohanssonSartorius Stedim Data Analytics AB, Östra Strandgatan 24, 903 33 Umeå, Sweden.
Dirk ValkenborgData Science Institute, Hasselt University, Agoralaan 1, B-3590 Diepenbeek, Belgium.
Karolien VanhoveApplied and Analytical Chemistry, Institute for Materials Research, Hasselt University, Agoralaan 1-Building D, B-3590 Diepenbeek, Belgium.ORCID 0000-0002-0108-5435
Liesbet MesottenFaculty of Medicine and Life Sciences, Hasselt University, Martelarenlaan 42, B-3500 Hasselt, Belgium.ORCID 0000-0001-9396-5749
Peter AdriaensensApplied and Analytical Chemistry, Institute for Materials Research, Hasselt University, Agoralaan 1-Building D, B-3590 Diepenbeek, Belgium.ORCID 0000-0003-4183-0150
Michiel ThomeerFaculty of Medicine and Life Sciences, Hasselt University, Martelarenlaan 42, B-3500 Hasselt, Belgium.ORCID 0000-0001-5627-0323

Funding

Kom Op Tegen Kanker (KOTK, Stand Up Against Cancer) 2016/10693/1Research Foundation Flanders (FWO Vlaanderen) AUHL/15/2-GOH3816N (Hercules Project)
6 · The paper itself

Abstract

backgroundLung cancer can be detected by measuring the patient's plasma metabolomic profile using nuclear magnetic resonance (NMR) spectroscopy. This NMR-based plasma metabolomic profile is patient-specific and represents a snapshot of the patient's metabolite concentrations. The onset of non-small cell lung cancer (NSCLC) causes a change in the metabolite profile. However, the level of metabolic changes after complete NSCLC removal is currently unknown. PATIENTS AND

methodsFasted pre- and postoperative plasma samples of 74 patients diagnosed with resectable stage I-IIIA NSCLC were analyzed using

resultsA trained multivariate discriminant classification model shows a strong differentiation between the pre- and postoperative NSCLC profiles with a specificity of 96% (95% CI [86-100]) and a sensitivity of 92% (95% CI [81-98]). Validation of this model results in an excellent predictive accuracy of 90% (95% CI [77-97]) and an AUC value of 0.97 (95% CI [0.93-1]). The validation of a second trained model using an additional preoperative control sample dataset confirms the separation of the pre- and postoperative profiles with a predictive accuracy of 93% (95% CI [82-99]) and an AUC value of 0.97 (95% CI [0.93-1]). Metabolite analysis reveals significantly increased lactate, cysteine, asparagine and decreased acetate levels in the postoperative plasma metabolite profile.

conclusionsThe results of this paper demonstrate that surgical removal of NSCLC generates a detectable metabolic shift in blood plasma. The observed metabolic shift indicates that the NSCLC metabolite profile is determined by the tumor's presence rather than donor-specific features. Furthermore, the ability to detect the metabolic difference before and after surgical tumor resection strongly supports the prospect that NMR-generated metabolite profiles via blood samples advance towards early detection of NSCLC recurrence.

Indexed as

metabolomicsNMR spectroscopynon-small cell lung cancer

Identifiers

PMID37046788
PMCPMC10093525

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Registered trials

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.