Evidence map›Paper›PMID 40857390›Full record

ArticleHepatology communications2025

Integrating multi-omics in bile for biomarker discovery in cholangiocarcinoma.

Jonathan Y Xia, Srinadh Komanduri, Rajesh N Keswani, Terrance R Rodrigues, Jasmine Sinha, Arvind Rengarajan, Peter Tran, Chelsea Hepler, Arthur Prindle, A Aziz Aadam

Abstract read
In one paragraph

Article in Hepatology communications, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Article
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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

10 authors.

Jonathan Y XiaDivision of Gastroenterology and Hepatology, Department of Medicine, University of Michigan, Ann Arbor, Michigan, USA.ORCID 0000-0003-1225-2566
Srinadh KomanduriDivision of Gastroenterology and Hepatology, Department of Medicine, Feinberg School of Medicine, Northwestern University, Chicago, Illinois, USA.
Rajesh N KeswaniDivision of Gastroenterology and Hepatology, Department of Medicine, Feinberg School of Medicine, Northwestern University, Chicago, Illinois, USA.
Terrance R RodriguesDivision of Gastroenterology and Hepatology, Department of Medicine, Feinberg School of Medicine, Northwestern University, Chicago, Illinois, USA.
Jasmine SinhaDivision of Gastroenterology and Hepatology, Department of Medicine, Feinberg School of Medicine, Northwestern University, Chicago, Illinois, USA.
Arvind RengarajanDivision of Gastroenterology and Hepatology, Department of Medicine, Washington University School of Medicine, St. Louis, Missouri, USA.
Peter TranDivision of Plastic, Reconstructive and Oral Surgery, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, USA.
Chelsea HeplerDepartment of Molecular & Integrative Physiology, University of Michigan, Ann Arbor, Michigan, USA.ORCID 0000-0001-9938-382
Arthur PrindleDepartment of Biochemistry and Molecular Genetics and Center for Synthetic Biology, Northwestern University, Evanston, Illinois, USA.
A Aziz AadamDivision of Gastroenterology and Hepatology, Department of Medicine, Feinberg School of Medicine, Northwestern University, Chicago, Illinois, USA.

Funding

Emergent metabolic coordination and cell-to-cell signaling in bacterial biofilms-ADMIN SUPP for EquipmentR35GM147170 · NIGMS · NORTHWESTERN UNIVERSITY AT CHICAGO · PI Arthur Prindle · 2022 to 2026
$2.1M
A Central Circadian Clock-Adipose Tissue Circuit Regulates Thermogenesis and Energy BalanceF32DK122675 · NIDDK · NORTHWESTERN UNIVERSITY AT CHICAGO · PI HEPLER, CHELSEA · 2020 to 2023
$204k
NIDDK NIH HHS F32 DK122675NIGMS NIH HHS R35 GM147170
6 · The paper itself

Abstract

backgroundCholangiocarcinoma (CCA) is an aggressive cancer with a poor prognosis. Histopathology evaluation of brushings and biopsies obtained during endoscopic retrograde cholangiopancreatography (ERCP) currently remains the main method of diagnosis, which has limited sensitivity for malignancy detection. Our study aimed to identify human bile-derived biomarkers to improve CCA diagnosis. Bile samples were collected from patients during ERCP for primary sclerosing cholangitis, CCA, or benign biliary disease.

methodsBile samples were collected from patients undergoing ERCP for biliary obstruction due to primary sclerosing cholangitis, newly identified malignant strictures concerning for CCA, or benign biliary disease. Using 16S sequencing, metabolomics, and bile acid quantification, we aimed to identify distinctive microbial and metabolite signatures associated with CCA.

resultsMulti-omics analyses revealed distinct microbial and metabolite signatures associated with CCA. From these findings, we identified and validated microbial and metabolite markers capable of accurately detecting CCA with improved sensitivity and specificity for malignancy detection compared to current cytology-based methods.

conclusionsThese findings highlight the potential of multi-omics bile-based diagnostic panels to enhance endoscopic detection of biliary malignancies, offering a promising tool for evaluating indeterminate biliary strictures and advancing precision in ERCP diagnostics.

Indexed as

BileBile Duct NeoplasmsBiomarkers, TumorCholangiocarcinomaAgedBile Acids and SaltsCholangiopancreatography, Endoscopic RetrogradeCholangitis, SclerosingFemaleHumansMaleMetabolomicsMiddle AgedMultiomicsSensitivity and SpecificityBile Acids and SaltsBiomarkers, TumorcholangiocarcinomaERCPindeterminate biliary stricturesmetabolomicsmicrobiomeprimary sclerosing cholangitis

Identifiers

PMID40857390
PMCPMC12385002

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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.