A serum nuclear magnetic resonance-based metabolomic signature of advanced metastatic human breast cancer

A serum nuclear magnetic resonance-based metabolomic signature of advanced metastatic human breast cancer
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DOI:
10.1016/j.canlet.2013.09.011
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发表时间:
2014-02-01
期刊:
影响因子:
9.7
通讯作者:
Tredan, Olivier
Tredan, Olivier
中科院分区:
医学1区
文献类型:
--
作者:
Jobard, Elodie;Pontoizeau, Clement;Tredan, Olivier

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乳腺癌(BC)从组织学到预后、转移演变和治疗反应都表现出高度异质性。我们在这里报告了一项基于H-1 NMR的代谢表型研究,旨在确定与晚期转移性乳腺癌(MBC)相关的协调代谢血清变化,与局部早期疾病(EBC)相比。获得区分EBC和MBC患者的模型(n = 85:46 EBC和39 MBC),并用独立队列验证(n = 112:61 EBC和51 MBC; 89.8%灵敏度,79.3%特异性)。我们确定了9个统计学显著的代谢产物参与这种歧视:组氨酸,乙酰乙酸,甘油,丙酮酸,糖蛋白(N-乙酰基),甘露糖,谷氨酸和苯丙氨酸。这项工作说明了核磁共振代谢表型的诊断,预后和癌症患者的管理的强大潜力。(C)2013爱思唯尔爱尔兰有限公司版权所有。
Breast cancer (BC) displays a high heterogeneity from histology to prognosis, metastatic evolution and treatment responses. We report here a H-1 NMR-based metabolic phenotyping study aiming at identifying coordinated metabolic serum changes associated with advanced metastatic breast cancer (MBC) in comparison to the localized early disease (EBC). A model discriminating EBC and MBC patients is obtained (n = 85: 46 EBC and 39 MBC), and validated with an independent cohort (n = 112: 61 EBC and 51 MBC; 89.8% sensitivity, 79.3% specificity). We identify 9 statistically significant metabolites involved in this discrimination: histidine, acetoacetate, glycerol, pyruvate, glycoproteins (N-acetyl), mannose, glutamate and phenylalanine. This work illustrates the strong potential of NMR metabolic phenotyping for the diagnosis, prognosis, and management of cancer patients. (C) 2013 Elsevier Ireland Ltd. All rights reserved.