Evidence map›Paper›PMID 40751234›Full record

ArticleBMC cancer2025

Integrative analysis of saliva-derived exosomal proteome and lipidome for the diagnosis of esophageal squamous cell carcinoma.

Wei Zhong, Jian Liu, Junhua Xie, Zhiyan Zhang, Zhiwen Gong, Zhixiang Yan, Qingdong Cao

Abstract read
In one paragraph

Article in BMC cancer, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. 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

7 authors.

Wei Zhong *Department of Thoracic Surgery and Lung Transplantation, The Fifth Affiliated Hospital of Sun Yat-Sen University, Zhuhai, 519000, China.
Jian Liu *Department of Thoracic Surgery and Lung Transplantation, The Fifth Affiliated Hospital of Sun Yat-Sen University, Zhuhai, 519000, China.
Junhua XieGuangdong Provincial Key Laboratory of Biomedical Imaging and Guangdong Provincial Engineering Research Center of Molecular Imaging, The Fifth Affiliated Hospital of Sun Yat-Sen University, Zhuhai, 519000, China.
Zhiyan ZhangGuangdong Provincial Key Laboratory of Biomedical Imaging and Guangdong Provincial Engineering Research Center of Molecular Imaging, The Fifth Affiliated Hospital of Sun Yat-Sen University, Zhuhai, 519000, China.
Zhiwen GongDepartment of Thoracic Surgery and Lung Transplantation, The Fifth Affiliated Hospital of Sun Yat-Sen University, Zhuhai, 519000, China.
Zhixiang YanGuangdong Provincial Key Laboratory of Biomedical Imaging and Guangdong Provincial Engineering Research Center of Molecular Imaging, The Fifth Affiliated Hospital of Sun Yat-Sen University, Zhuhai, 519000, China. yanzhx3@mail.sysu.edu.cn.
Qingdong CaoDepartment of Thoracic Surgery and Lung Transplantation, The Fifth Affiliated Hospital of Sun Yat-Sen University, Zhuhai, 519000, China. caoqd@mail.sysu.edu.cn.

Funding

the Fifth Affiliated Hospital of Sun Yat-sen University Qingdong Cao's talent-attracting fund 220904094208the Science and Technology Development Fund of the Macao SAR 0004/2021/AKP
6 · The paper itself

Abstract

backgroundEarly diagnosis of esophageal squamous cell carcinoma (ESCC) is crucial for improving patient prognosis. Currently, the diagnosis of ESCC primarily relies on endoscopic biopsy. Salivary exosomes have shown great potential in non-invasive screening, but their proteomic and lipidomic characteristics remain to be reported.

methodsExosomes were isolated from salivary samples of 54 patients with ESCC and 62 healthy controls using ultracentrifugation, and subsequently subjected to non-targeted proteomic and lipidomic analysis by liquid chromatography-tandem mass spectrometry (LC-MS/MS). Differentially expressed proteins and lipids in salivary exosomes were identified through differential analysis, and a comprehensive analysis of multi-omics data was performed using correlation analysis.

resultsSignificant proteomic and lipidomic differences were observed between ESCC patients and healthy controls. The proteomic characteristics of ESCC were primarily manifested in immune responses, disruption of tissue structural homeostasis, and enhanced antifungal and antimicrobial humoral immune responses. Through multi-omics analysis, we found that ESCC may regulate fatty acid metabolism by modulating epigenetic modifications, thereby influencing the oral immune microenvironment. Finally, a diagnostic model constructed using 28 lipid features achieved excellent diagnostic performance (Are Under the Curve = 1.000) for ESCC diagnosis.

conclusionsOur study revealed significant alterations in the proteomic and lipidomic profiles of the oral microenvironment in ESCC patients, which may provide new insights into the development and progression of ESCC. We found that lipid features have high potential for diagnosing ESCC, providing support for further validation in larger cohorts.

Indexed as

Esophageal NeoplasmsEsophageal Squamous Cell CarcinomaExosomesLipidomicsProteomeSalivaAdultAgedBiomarkers, TumorCase-Control StudiesChromatography, LiquidEarly Detection of CancerFemaleHumansMaleMiddle AgedBiomarkers, TumorProteomeDiagnosisEsophageal squamous cell carcinomaExosomesLipidomicsProteomics

Identifiers

PMID40751234
PMCPMC12317507

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.