Evidence map›Paper›PMID 42581140›Full record

ArticleEMBO molecular medicine2026

Urinary multi-omics reveal non-invasive diagnostic biomarkers in clear cell renal cell carcinoma.

Gustav Jonsson, Tiago Oliveira, Maura Hofmann, Ursula Lemberger, Karel Stejskal, Gabriela Krššáková, Irma Sakic, Maria Novatchkova, Stefan Mereiter, Gerlinde Grabmann and 12 more

Abstract read
In one paragraph

Article in EMBO molecular medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Article
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

22 authors.

Gustav Jonsson *Institute of Molecular Biotechnology of the Austrian Academy of Sciences, IMBA, Vienna, Austria. gustav.jonsson@medunigraz.at.ORCID http://orcid.org/0000-0001-6692-8395
Tiago Oliveira *Institute of Molecular Biotechnology of the Austrian Academy of Sciences, IMBA, Vienna, Austria.
Maura Hofmann *Institute of Molecular Biotechnology of the Austrian Academy of Sciences, IMBA, Vienna, Austria.
Ursula Lemberger *Department of Urology, Center for Cancer Research and Comprehensive Cancer Center, Medical University of Vienna, Vienna, Austria.ORCID http://orcid.org/0000-0003-2019-6111
Karel StejskalInstitute of Molecular Biotechnology of the Austrian Academy of Sciences, IMBA, Vienna, Austria.ORCID http://orcid.org/0009-0005-6430-4550
Gabriela KrššákováInstitute of Molecular Biotechnology of the Austrian Academy of Sciences, IMBA, Vienna, Austria.
Irma SakicInstitute of Molecular Biotechnology of the Austrian Academy of Sciences, IMBA, Vienna, Austria.
Maria NovatchkovaInstitute of Molecular Biotechnology of the Austrian Academy of Sciences, IMBA, Vienna, Austria.
Stefan MereiterInstitute of Molecular Biotechnology of the Austrian Academy of Sciences, IMBA, Vienna, Austria.
Gerlinde GrabmannVienna BioCenter Core Facilities (VBCF), Vienna, Austria.ORCID http://orcid.org/0000-0002-8733-8981
Thomas KöcherVienna BioCenter Core Facilities (VBCF), Vienna, Austria.ORCID http://orcid.org/0000-0003-0827-1457
Rubina KoglgruberInstitute of Molecular Biotechnology of the Austrian Academy of Sciences, IMBA, Vienna, Austria.
Zeljko KikicDepartment of Urology, Center for Cancer Research and Comprehensive Cancer Center, Medical University of Vienna, Vienna, Austria.
Sonia Camano PáezBioBank Hospital Ramón y Cajal-IRYCIS, Madrid, Spain.
Bárbara Luna SanchezBioBank Hospital Ramón y Cajal-IRYCIS, Madrid, Spain.ORCID http://orcid.org/0009-0002-2734-8384
Víctor Díez NicolásUrology Department, Ramón y Cajal Hospital, IRYCIS, Madrid, Spain.
Gerald N RechbergerInstitute of Molecular Biosciences, NAWI Graz, University of Graz, Graz, Austria.ORCID http://orcid.org/0000-0002-0071-317X
Thomas ZülligInstitute of Molecular Biosciences, NAWI Graz, University of Graz, Graz, Austria.ORCID http://orcid.org/0000-0002-8483-0962
Astrid Hagelkruys *Institute of Molecular Biotechnology of the Austrian Academy of Sciences, IMBA, Vienna, Austria.
Bernhard Englinger *Department of Urology, Center for Cancer Research and Comprehensive Cancer Center, Medical University of Vienna, Vienna, Austria.
Manuela Schmidinger *Department of Urology, Center for Cancer Research and Comprehensive Cancer Center, Medical University of Vienna, Vienna, Austria.
Josef M PenningerDepartment of Laboratory Medicine, Medical University of Vienna, Vienna, Austria. josef.penninger@helmholtz-hzi.de.ORCID http://orcid.org/0000-0002-8194-3777

Funding

Austrian Science Fund (FWF) ESP 166Austrian Science Fund (FWF) Z 271-B19Bundesministerium für Forschung, Technologie und Raumfahrt (BMBF) 01KX2324Canada Research Chairs (CRC) F18-01336EC | H2020 | PRIORITY 'Excellent science' | H2020 Marie Skłodowska-Curie Actions (MSCA) 841319Fundació la Marató de TV3 (Fundació la Marató) 202125-31Österreichische Akademie der Wissenschaften (ÖAW) DOC fellowship
6 · The paper itself

Abstract

Clear cell renal cell carcinoma (ccRCC) is the most common kidney malignancy. Yet, no rapid, non-invasive biomarkers are available for diagnosis or screening. Urine represents an ideal analyte matrix due to its accessibility, low invasiveness, longitudinal sampling, and the kidney's central role in filtration. Here, we integrated proteomic, lipidomic, and metabolomic analyses of urine from ccRCC patients and controls to identify diagnostic biomarkers. Multi-omics profiling revealed urogenital metabolic dysregulation in ccRCC, including increased lipid metabolism, altered mitochondrial respiration signatures, and elevated urinary lipid content. We identified three urinary protein biomarkers: serum amyloid A1 (SAA1), haptoglobin (HP), and lipocalin 15 (LCN15). Using a parallel reaction monitoring mass spectrometry workflow, we developed a rapid and sensitive assay and combined these markers into a diagnostic UrineScore. The UrineScore achieved 0.96 in an area under the receiver operating characteristic curve analysis in the discovery cohort, and 0.95 in an independent validation cohort. Together, these results support the feasibility of multi-omics-guided urinary biomarker discovery and represent a step toward accessible diagnostic platforms for ccRCC.

Indexed as

Biomarkers, TumorCarcinoma, Renal CellKidney NeoplasmsBiomarkersFemaleHaptoglobinsHumansLipocalinsMaleMetabolomicsMiddle AgedMultiomicsProteomicsSerum Amyloid A ProteinBiomarkersBiomarkers, TumorHaptoglobinsLipocalinsSerum Amyloid A Protein

Identifiers

PMID42581140
PMCPMC13562635

What OpenQuestion holds

Textmetadata
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.