Evidence map›Paper›PMID 39609660›Full record

ArticleBMC cancer2024

Machine learning based on alcohol drinking-gut microbiota-liver axis in predicting the occurrence of early-stage hepatocellular carcinoma.

Yi Yang, Zhiyuan Bo, Jingxian Wang, Bo Chen, Qing Su, Yiran Lian, Yimo Guo, Jinhuan Yang, Chongming Zheng, Juejin Wang and 5 more

Abstract read
In one paragraph

Article in BMC cancer, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–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.

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

4 citing papers in PubMed.

  1. Article
  2. Review
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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.

Yi Yang *Department of Epidemiology and Biostatistics, School of Public Health, Wenzhou Medical University, Wenzhou, 325035, China.
Zhiyuan Bo *Department of Surgery, Women's Hospital, Zhejiang University School of Medicine, Hangzhou, China.
Jingxian WangDepartment of Epidemiology and Biostatistics, School of Public Health, Wenzhou Medical University, Wenzhou, 325035, China.
Bo ChenDepartment of Hepatobiliary Surgery, The First Affiliated Hospital of Wenzhou Medical University, Wenzhou, Zhejiang, 325035, China.
Qing SuDepartment of Epidemiology and Biostatistics, School of Public Health, Wenzhou Medical University, Wenzhou, 325035, China.
Yiran LianThe Second Clinical School of Wenzhou Medical University, Wenzhou, China.
Yimo GuoClinical Medicine, Renji College, Wenzhou Medical University, Wenzhou, China.
Jinhuan YangDepartment of Hepatobiliary Surgery, The First Affiliated Hospital of Wenzhou Medical University, Wenzhou, Zhejiang, 325035, China.
Chongming ZhengDepartment of Hepatobiliary Surgery, The First Affiliated Hospital of Wenzhou Medical University, Wenzhou, Zhejiang, 325035, China.
Juejin WangDepartment of Epidemiology and Biostatistics, School of Public Health, Wenzhou Medical University, Wenzhou, 325035, China.
Hao ZengDepartment of Epidemiology and Biostatistics, School of Public Health, Wenzhou Medical University, Wenzhou, 325035, China.
Junxi ZhouDepartment of Epidemiology and Biostatistics, School of Public Health, Wenzhou Medical University, Wenzhou, 325035, China.
Yaqing ChenDepartment of Epidemiology and Biostatistics, School of Public Health, Wenzhou Medical University, Wenzhou, 325035, China.
Gang ChenDepartment of Hepatobiliary Surgery, The First Affiliated Hospital of Wenzhou Medical University, Wenzhou, Zhejiang, 325035, China. chen.gang@wmu.edu.cn.
Yi WangDepartment of Epidemiology and Biostatistics, School of Public Health, Wenzhou Medical University, Wenzhou, 325035, China. wang.yi@wmu.edu.cn.

Funding

Major Science and Technology Innovation Project of Wenzhou ZY2023019Medical Science and Technology Project of Zhejiang Province 2018KY124National Natural Science Foundation of China No-82072685National Natural Science Foundation of China No- 82371744
6 · The paper itself

Abstract

backgroundAlcohol drinking and gut microbiota are related to hepatocellular carcinoma (HCC), but the specific relationship between them remains unclear.

aimsWe aimed to establish the alcohol drinking-gut microbiota-liver axis and develop machine learning (ML) models in predicting the occurrence of early-stage HCC.

methodsTwo hundred sixty-nine patients with early-stage HCC and 278 controls were recruited. Alcohol drinking-gut microbiota-liver axis was established through the mediation/moderation effect analyses. Eight ML algorithms including Classification and Regression Tree (CART), Gradient Boosting Machine (GBM), K-Nearest Neighbor (KNN), Logistic Regression (LR), Neural Network (NN), Random Forest (RF), Support Vector Machine (SVM), and eXtreme Gradient Boosting (XGBoost) were applied.

resultsA total of 160 pairs of individuals were included for analyses. The mediation effects of Genus_Catenibacterium (P = 0.024), Genus_Tyzzerella_4 (P < 0.001), and Species_Tyzzerella_4 (P = 0.020) were discovered. The moderation effects of Family_Enterococcaceae (OR = 0.741, 95%CI:0.160-0.760, P = 0.017), Family_Leuconostocaceae (OR = 0.793, 95%CI:0.486-3.593, P = 0.010), Genus_Enterococcus (OR = 0.744, 95%CI:0.161-0.753, P = 0.017), Genus_Erysipelatoclostridium (OR = 0.693, 95%CI:0.062-0.672, P = 0.032), Genus_Lactobacillus (OR = 0.655, 95%CI:0.098-0.749, P = 0.011), Species_Enterococcus_faecium (OR = 0.692, 95%CI:0.061-0.673, P = 0.013), and Species_Lactobacillus (OR = 0.653, 95%CI:0.086-0.765, P = 0.014) were uncovered. The predictive power of eight ML models was satisfactory (AUCs:0.855-0.932). The XGBoost model had the best predictive ability (AUC = 0.932).

conclusionsML models based on the alcohol drinking-gut microbiota-liver axis are valuable in predicting the occurrence of early-stage HCC.

Indexed as

Alcohol DrinkingCarcinoma, HepatocellularGastrointestinal MicrobiomeLiver NeoplasmsMachine LearningAdultAgedCase-Control StudiesFemaleHumansLiverMaleMiddle AgedNeoplasm StagingAlcohol drinkingEarly-stage hepatocellular carcinomaGut microbiotaMachine learningMediation/Moderation effect

Identifiers

PMID39609660
PMCPMC11606210

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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.