Evidence map›Paper›PMID 32235493›Full record

ArticleJournal of clinical medicine2020

Nuclear Magnetic Resonance Metabolomics Biomarkers for Identifying High Risk Patients with Extranodal Extension in Oral Squamous Cell Carcinoma.

Cheng-Kun Tsai, Chien-Yu Lin, Chung-Jan Kang, Chun-Ta Liao, Wan-Ling Wang, Meng-Han Chiang, Tzu-Chen Yen, Gigin Lin

Open access · goldAbstract read
In one paragraph

Article in Journal of clinical medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
3.3field-weighted citation impact, top 6% of its field
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

19 citing papers in PubMed, 27 citations in OpenAlex.

  1. Article
  2. Review
  3. Review
  4. Article
  5. Biological biomarkers of oral cancer.Periodontology 2000 · 2024
    Review
  6. Review
  7. Review
  8. Article
  9. Review
  10. Article
  11. Recent Advances in Oral Squamous Cell Carcinoma.Journal of clinical medicine · 2022
    Article
  12. Review
  13. Review
  14. Article
  15. Review
  16. Article
  17. Mass spectrometry imaging of L-[ring-Cancer & metabolism · 2021
    Article
  18. Organoids and Liquid Biopsy in Oral Cancer Research.Journal of clinical medicine · 2020
    Article
  19. Metabolic landscape of oral squamous cell carcinoma.Metabolomics : Official journal of the Metabolomic Society · 2020
    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

8 authors at 1 institution in 1 country.

Cheng-Kun TsaiClinical Metabolomics Core Lab, Chang Gung Memorial Hospital at Linkou, Taoyuan 333, Taiwan.
Chien-Yu LinDepartment of Radiation Oncology, Chang Gung Memorial Hospital at Linkou, Taoyuan 333, Taiwan.
Chung-Jan KangHead and Neck Oncology Team, Chang Gung Memorial Hospital at Linkou, Taoyuan 333, Taiwan.
Chun-Ta LiaoHead and Neck Oncology Team, Chang Gung Memorial Hospital at Linkou, Taoyuan 333, Taiwan.
Wan-Ling WangDepartment of Nuclear Medicine, Chang Gung Memorial Hospital at Linkou, Taoyuan 333, Taiwan.
Meng-Han ChiangClinical Metabolomics Core Lab, Chang Gung Memorial Hospital at Linkou, Taoyuan 333, Taiwan.
Tzu-Chen YenHead and Neck Oncology Team, Chang Gung Memorial Hospital at Linkou, Taoyuan 333, Taiwan.
Gigin LinClinical Metabolomics Core Lab, Chang Gung Memorial Hospital at Linkou, Taoyuan 333, Taiwan.ORCID 0000-0001-7246-1058
Chang Gung Memorial Hospital · TW

Funding

Chang Gung Medical Foundation CMRPG3D1821Chang Gung Medical Foundation CMRPG3D1822Chang Gung Medical Foundation CMRPG3D1823
6 · The paper itself

Abstract

Extranodal extension (ENE) is an independent adverse prognostic factor in oral squamous cell carcinoma (OSCC), and is difficult to identify preoperatively. We aimed to discover biomarkers for high risk patients with ENE. Tandem tissue, plasma, and urine samples of 110 patients with OSCC were investigated through 600-MHz nuclear magnetic resonance (NMR) metabolomics analysis. We found that the levels of creatine, creatine phosphate, glycine, and tyramine in plasma significantly decreased in stage IV ENE positive OSCC compared with stage IV ENE negative OSCC. To understand the underlying mechanism behind the alteration of plasma metabolites, our tissue analysis revealed that the carnitine level significantly increased in tumors but significantly decreased in the adjacent normal tissue in advanced stage OSCC, in addition to decreased levels of alanine and pyruvate in tumor tissues. The global metabolomics analysis on tumor tissues also showed that stage IV tumors with an ENE positive status demonstrated higher levels of aspartate, butyrate, carnitine, glutamate, glutathione, glycine, glycolate, guanosine, and sucrose but lower levels of alanine, choline, glucose, isoleucine, lactate, leucine, myo-inositol, O-acetylcholine, oxypurinol, phenylalanine, pyruvate, succinate, tyrosine, valine, and xanthine than tumors with an ENE negative status. We concluded that metabolomics alterations in tumor tissues correspond to an increase in the tumor stage and are detectable in plasma samples. Metabolomic alterations of OSCC can serve as potential diagnostic markers and predictors of ENE in patients with stage IV OSCC.

Indexed as

biomarkerextranodal extensionmetabolic pathwaymetabolitemetabolomicsnuclear magnetic resonanceoral squamous cell carcinoma

Identifiers

PMID32235493
PMCPMC7230778
OpenAlexW3013974497

What Socratic holds

Textmetadata
LicenceCC BY
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 Socratic graph.