Evidence mapPaperPMID 32521714Full record

ArticleJournal of clinical medicine2020

L-Arginine/NO Pathway Metabolites in Colorectal Cancer: Relevance as Disease Biomarkers and Predictors of Adverse Clinical Outcomes Following Surgery.

Iwona Bednarz-Misa, Mariusz G Fleszar, Marek Zawadzki, Bartosz Kapturkiewicz, Agnieszka Kubiak, Katarzyna Neubauer, Wojciech Witkiewicz, Małgorzata Krzystek-Korpacka

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 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
2.1field-weighted citation impact, top 13% 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

10 citing papers in PubMed, 23 citations in OpenAlex.

  1. Colorectal neoplasia-specific amino acid profiles and their diagnostic potential: a systematic review.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2026
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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

8 authors at 2 institutions in 1 country.

Iwona Bednarz-MisaDepartment of Medical Biochemistry, Wroclaw Medical University, 50-368 Wrocław, Poland.ORCID 0000-0001-7244-2017
Mariusz G FleszarDepartment of Medical Biochemistry, Wroclaw Medical University, 50-368 Wrocław, Poland.ORCID 0000-0001-7857-327X
Marek ZawadzkiDepartment of Oncological Surgery, Regional Specialist Hospital, 51-124 Wrocław, Poland.
Bartosz KapturkiewiczFirst Department of Oncological Surgery of Lower Silesian Oncology Center, 53-413 Wrocław, Poland.
Agnieszka KubiakDepartment of Medical Biochemistry, Wroclaw Medical University, 50-368 Wrocław, Poland.
Katarzyna NeubauerDepartment of Gastroenterology and Hepatology, Wroclaw Medical University, 50-556 Wrocław, Poland.
Wojciech WitkiewiczDepartment of Oncological Surgery, Regional Specialist Hospital, 51-124 Wrocław, Poland.
Małgorzata Krzystek-KorpackaDepartment of Medical Biochemistry, Wroclaw Medical University, 50-368 Wrocław, Poland.
Wroclaw Medical University · PLLublin Oncology Center · PL

Funding

European Regional Development Fund WroVasc - Integrated Cardiovascular CentreMinistry of Science and Higher Education in the Regional Initiative of Excellence 016/RID/2019/19
6 · The paper itself

Abstract

The L-Arginine/NO pathway is involved in carcinogenesis and immunity. Its diagnostic and prognostic value in colorectal cancer (CRC) was determined using tandem mass spectrometry in 199 individuals (137 with CRC) and, during a three-day follow up, in 60 patients undergoing colorectal surgery. Citrulline was decreased and asymmetric (ADMA) and symmetric (SDMA) dimethylarginines and dimethylamine (DMA) were increased in CRC. The DMA increase corresponded with CRC advancement while arginine, ADMA, and SDMA levels were higher in left-sided cancers. Arginine, citrulline, ADMA, and DMA dropped and SDMA increased post incision. Females experienced a more substantial drop in arginine. The arginine and ADMA dynamics depended on blood loss. The initial SDMA increase was higher in patients requiring transfusions. Postoperative dynamics in arginine and dimethylarginines differed in robot-assisted and open surgery. Concomitant SDMA, citrulline, and DMA quantification displayed a 92% accuracy in detecting CRC. Monitoring changes in arginine, ADMA, and SDMA in the early postoperative period predicted postoperative ileus with 84% and surgical site infections with 90% accuracy. Changes in ADMA predicted operative morbidity with 90% and anastomotic leakage with 77% accuracy. If positively validated, L-arginine/NO pathway metabolites may facilitate CRC screening and surveillance, support differential diagnosis, and assist in clinical decision-making regarding patients recovering from colorectal surgery.

Indexed as

anastomotic leakageasymmetric dimethylarginine (ADMA)biomarkerdimethylamine (DMA)L-citrullineoperative morbiditypostoperative ileusrobotic surgerysurgical site infectionssymmetric dimethylarginine (SDMA)

Identifiers

PMID32521714
PMCPMC7355854
OpenAlexW3033282160

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.