Evidence map›Paper›PMID 41843023›Full record

ArticleChinese journal of integrative medicine2026

Serum Biomarker Identification of Damp-Heat Pattern in Patients with Chronic Liver Diseases.

Yu-Qing Pan, Yi-Yang Hu, Bin-Bin Zhang, Na Hu, Xin Xin, Jing-Hua Peng, Qin Feng, Yu Zhao

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Article in Chinese journal of integrative medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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5 · Who and what money

Authors and funding

8 authors.

Yu-Qing PanInstitute of Liver Diseases, Shuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine, Shanghai, 201203, China.
Yi-Yang HuInstitute of Liver Diseases, Shuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine, Shanghai, 201203, China.
Bin-Bin ZhangInstitute of Liver Diseases, Shuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine, Shanghai, 201203, China.
Na HuInstitute of Liver Diseases, Shuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine, Shanghai, 201203, China.
Xin XinInstitute of Liver Diseases, Shuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine, Shanghai, 201203, China.
Jing-Hua PengInstitute of Liver Diseases, Shuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine, Shanghai, 201203, China.
Qin FengInstitute of Liver Diseases, Shuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine, Shanghai, 201203, China.
Yu ZhaoInstitute of Liver Diseases, Shuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine, Shanghai, 201203, China. yu_zhao@shutcm.edu.cn.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo identify serum diagnostic biomarker for damp-heat (DH) pattern in chronic liver diseases using transcriptomics and metabolomics.

methodsPatients with chronic hepatitis B (CHB) or metabolic dysfunction-associated fatty liver disease (MAFLD) were categorized into DH and non-DH pattern groups. Serum RNA profiles were analyzed via RNA-seq/microarray, and metabolites were quantified by ultraperformance liquid chromatography coupled with tandem mass spectrometry (UPLC-MS/MS). Biomarker screening and validation employed discovery (88 cases) and validation (85 cases) cohorts, utilizing Rank-in analysis and Least Absolute Shrinkage and Selection Operator (LASSO) regression for gene selection; reverse transcription-polymerase chain reaction (RT-PCR) and targeted UPLC-MS/MS for expression validation; random forest and receiver operating characteristic (ROC) curve analysis (with area under the curve, AUC) for diagnostic assessment.

resultsCompared with the non-DH pattern group, patients with DH pattern showed significantly elevated liver injury markers and reduced apolipoprotein A1 (P<0.05). Integrated transcriptome analysis (Rank-in) identified 315 dysregulated gene sets, primarily enriched in chemokine signaling. LASSO selected 27 genes for RT-PCR validation, confirming 5 differential genes. Metabolomics revealed 25 differential metabolites (discovery cohort), with 7 showing ⩾ 2-fold change; 6 maintained consistent trends in validation. A random forest model combining 4 genes (PTPN22, CTSD, TBX21, STAT4) and 2 metabolites (pyroglutamic acid and glutamic acid) achieved a validation AUC of 0.828 for DH diagnosis.

conclusionA multi-omics diagnostic model incorporating 4 genes and 2 metabolites demonstrates promising diagnostic potential for DH pattern in patients with chronic liver diseases. (registration No. ChiCTR2000037248).

Indexed as

Chinese medicinechronic hepatitis Bdamp-heat patternmetabolic dysfunction-associated fatty liver diseasemulti-omics

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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.