Evidence map›Paper›PMID 37460165›Full record

ArticleGut2023

Efficient plasma metabolic fingerprinting as a novel tool for diagnosis and prognosis of gastric cancer: a large-scale, multicentre study.

Zhiyuan Xu, Yida Huang, Can Hu, Lingbin Du, Yi-An Du, Yanqiang Zhang, Jiangjiang Qin, Wanshan Liu, Ruimin Wang, Shouzhi Yang and 19 more

Open access · hybridAbstract readMulticenter Study
In one paragraph

Article in Gut, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 44 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
44citing papers in PubMed, 1 pooled it
10.6field-weighted citation impact, top 1% 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

44 citing papers in PubMed, 1 synthesis or guideline pooled it, 69 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Observational
  4. Article
  5. Targeted metabolomic profiling of gastric cancer biopsies.The Indian journal of medical research · 2026
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  18. Observational
  19. Serum metabolic patterns reveal the diagnostic and prognostic role of alanine abnormality in ocular adnexal lymphoma.Proceedings of the National Academy of Sciences of the United States of America · 2025
    Article
  20. 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

29 authors at 7 institutions in 1 country.

Zhiyuan Xu *Department of Gastric Surgery, Zhejiang Cancer Hospital, Hangzhou, Zhejiang, China.
Yida Huang *State Key Laboratory of Systems Medicine for Cancer, School of Biomedical Engineering, Institute of Medical Robotics and Med-X Research Institute, Shanghai Jiao Tong University, Shanghai, China.
Can Hu *Department of Gastric Surgery, Zhejiang Cancer Hospital, Hangzhou, Zhejiang, China.
Lingbin DuOffice of Cancer Center, Zhejiang Cancer Hospital, Hangzhou, Zhejiang, China.
Yi-An DuDepartment of Gastric Surgery, Zhejiang Cancer Hospital, Hangzhou, Zhejiang, China.
Yanqiang ZhangDepartment of Gastric Surgery, Zhejiang Cancer Hospital, Hangzhou, Zhejiang, China.
Jiangjiang QinDepartment of Gastric Surgery, Zhejiang Cancer Hospital, Hangzhou, Zhejiang, China.
Wanshan LiuState Key Laboratory of Systems Medicine for Cancer, School of Biomedical Engineering, Institute of Medical Robotics and Med-X Research Institute, Shanghai Jiao Tong University, Shanghai, China.
Ruimin WangState Key Laboratory of Systems Medicine for Cancer, School of Biomedical Engineering, Institute of Medical Robotics and Med-X Research Institute, Shanghai Jiao Tong University, Shanghai, China.
Shouzhi YangState Key Laboratory of Systems Medicine for Cancer, School of Biomedical Engineering, Institute of Medical Robotics and Med-X Research Institute, Shanghai Jiao Tong University, Shanghai, China.
Jiao WuState Key Laboratory of Systems Medicine for Cancer, School of Biomedical Engineering, Institute of Medical Robotics and Med-X Research Institute, Shanghai Jiao Tong University, Shanghai, China.
Jing CaoState Key Laboratory of Systems Medicine for Cancer, School of Biomedical Engineering, Institute of Medical Robotics and Med-X Research Institute, Shanghai Jiao Tong University, Shanghai, China.
Juxiang ZhangState Key Laboratory of Systems Medicine for Cancer, School of Biomedical Engineering, Institute of Medical Robotics and Med-X Research Institute, Shanghai Jiao Tong University, Shanghai, China.
Gui-Ping ChenDepartment of Gastrointestinal Surgery, The First Affiliated Hospital of Zhejiang Chinese Medical University, Hangzhou, China.
Hang LvThe First Affiliated Hospital of Zhejiang Chinese Medical University, Hangzhou, China.
Ping ZhaoDepartment of Gastrointestinal Surgery, Sichuan Cancer Hospital, Chengdu, China.
Weiyang HeDepartment of Gastrointestinal Surgery, Sichuan Cancer Hospital, Chengdu, China.
Xiaoliang WangDepartment of General Surgery, Fenghua People's Hospital, Ningbo, China.
Min XuDepartment of Gastroenterology, Tiantai People's Hospital, Taizhou, China.
Pingfang WangDepartment of Gastroenterology, Xinchang People's Hospital, Shaoxing, China.
Chuanshen HongDepartment of General Surgery, Daishan People's Hospital, Zhoushan, China.
Li-Tao YangDepartment of Gastric Surgery, Zhejiang Cancer Hospital, Hangzhou, Zhejiang, China.
Jingli XuDepartment of Gastric Surgery, Zhejiang Cancer Hospital, Hangzhou, Zhejiang, China.
Jiahui ChenDepartment of Gastric Surgery, Zhejiang Cancer Hospital, Hangzhou, Zhejiang, China.ORCID 0000-0001-9738-6605
Qing WeiDepartment of Gastric Surgery, Zhejiang Cancer Hospital, Hangzhou, Zhejiang, China.
Ruolan ZhangDepartment of Gastric Surgery, Zhejiang Cancer Hospital, Hangzhou, Zhejiang, China.
Li YuanDepartment of Gastric Surgery, Zhejiang Cancer Hospital, Hangzhou, Zhejiang, China chengxd@zjcc.org.cn k.qian@sjtu.edu.cn yuanli2768@zjcc.org.cn.
Kun QianState Key Laboratory of Systems Medicine for Cancer, School of Biomedical Engineering, Institute of Medical Robotics and Med-X Research Institute, Shanghai Jiao Tong University, Shanghai, China chengxd@zjcc.org.cn k.qian@sjtu.edu.cn yuanli2768@zjcc.org.cn.
Xiangdong ChengDepartment of Gastric Surgery, Zhejiang Cancer Hospital, Hangzhou, Zhejiang, China chengxd@zjcc.org.cn k.qian@sjtu.edu.cn yuanli2768@zjcc.org.cn.ORCID 0000-0003-1470-2831
Zhejiang Cancer Hospital · CNShanghai Jiao Tong University · CNSichuan Cancer Hospital · CNZhejiang Chinese Medical University · CNShaoxing People's Hospital · CNThe First People's Hospital of Tianmen · CNZhoushan Hospital · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveMetabolic biomarkers are expected to decode the phenotype of gastric cancer (GC) and lead to high-performance blood tests towards GC diagnosis and prognosis. We attempted to develop diagnostic and prognostic models for GC based on plasma metabolic information.

designWe conducted a large-scale, multicentre study comprising 1944 participants from 7 centres in retrospective cohort and 264 participants in prospective cohort. Discovery and verification phases of diagnostic and prognostic models were conducted in retrospective cohort through machine learning and Cox regression of plasma metabolic fingerprints (PMFs) obtained by nanoparticle-enhanced laser desorption/ionisation-mass spectrometry (NPELDI-MS). Furthermore, the developed diagnostic model was validated in prospective cohort by both NPELDI-MS and ultra-performance liquid chromatography-MS (UPLC-MS).

resultsWe demonstrated the high throughput, desirable reproducibility and limited centre-specific effects of PMFs obtained through NPELDI-MS. In retrospective cohort, we achieved diagnostic performance with areas under curves (AUCs) of 0.862-0.988 in the discovery (n=1157 from 5 centres) and independent external verification dataset (n=787 from another 2 centres), through 5 different machine learning of PMFs, including neural network, ridge regression, lasso regression, support vector machine and random forest. Further, a metabolic panel consisting of 21 metabolites was constructed and identified for GC diagnosis with AUCs of 0.921-0.971 and 0.907-0.940 in the discovery and verification dataset, respectively. In the prospective study (n=264 from lead centre), both NPELDI-MS and UPLC-MS were applied to detect and validate the metabolic panel, and the diagnostic AUCs were 0.855-0.918 and 0.856-0.916, respectively. Moreover, we constructed a prognosis scoring system for GC in retrospective cohort, which can effectively predict the survival of GC patients.

conclusionWe developed and validated diagnostic and prognostic models for GC, which also contribute to advanced metabolic analysis towards diseases, including but not limited to GC.

Indexed as

Biomarkers, TumorStomach NeoplasmsAgedFemaleHumansMachine LearningMaleMetabolomicsMiddle AgedPrognosisProspective StudiesReproducibility of ResultsRetrospective StudiesSpectrometry, Mass, Matrix-Assisted Laser Desorption-IonizationBiomarkers, TumorGASTRIC CANCER

Identifiers

PMID37460165
PMCPMC11883865
OpenAlexW4384521699

What Socratic holds

Textmetadata
LicenceCC BY-NC
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.