Evidence map›Paper›PMID 38687603›Full record

ArticleClinical cancer research : an official journal of the American Association for Cancer Research2024

Cervicovaginal Metabolome and Tumor Characteristics for Endometrial Cancer Detection and Risk Stratification.

Georgia M Lorentzen, Paweł Łaniewski, Haiyan Cui, Nichole D Mahnert, Jamal Mourad, Matthew P Borst, Lyndsay Willmott, Dana M Chase, Denise J Roe, Melissa M Herbst-Kralovetz

Abstract read
In one paragraph

Article in Clinical cancer research : an official journal of the American Association for Cancer Research, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing 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

17 citing papers in PubMed.

  1. Draft genome ofMicrobiology resource announcements · 2026
    Article
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  3. Draft genome sequence of endometrialMicrobiology resource announcements · 2026
    Article
  4. Draft genome sequence of endometrialMicrobiology resource announcements · 2026
    Article
  5. Draft genome sequence of endometrialMicrobiology resource announcements · 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

10 authors.

Georgia M LorentzenDepartment of Obstetrics and Gynecology, College of Medicine-Phoenix, University of Arizona, Phoenix, Arizona.ORCID 0009-0003-4244-7310
Paweł ŁaniewskiDepartment of Basic Medical Sciences, College of Medicine-Phoenix, University of Arizona, Phoenix, Arizona.ORCID 0000-0002-5190-2173
Haiyan CuiUA Cancer Center, University of Arizona, Tucson, Arizona.ORCID 0000-0003-4969-4835
Nichole D MahnertDepartment of Obstetrics and Gynecology, College of Medicine-Phoenix, University of Arizona, Phoenix, Arizona.ORCID 0000-0002-2650-7585
Jamal MouradDepartment of Obstetrics and Gynecology, College of Medicine-Phoenix, University of Arizona, Phoenix, Arizona.ORCID 0000-0002-0670-4530
Matthew P BorstDepartment of Obstetrics and Gynecology, College of Medicine-Phoenix, University of Arizona, Phoenix, Arizona.ORCID 0009-0008-6448-117X
Lyndsay WillmottArizona Center for Cancer Care, Phoenix, Arizona.ORCID 0009-0007-8004-2559
Dana M ChaseArizona Center for Cancer Care, Phoenix, Arizona.ORCID 0000-0002-1073-8688
Denise J RoeUA Cancer Center, University of Arizona, Tucson, Arizona.ORCID 0000-0001-6989-6579
Melissa M Herbst-KralovetzDepartment of Obstetrics and Gynecology, College of Medicine-Phoenix, University of Arizona, Phoenix, Arizona.ORCID 0000-0002-8540-5917

Funding

VITAMIN AP30CA023074 · NCI · UNIVERSITY OF ARIZONA · PI Dan Theodorescu · 1985 to 2026
$110.2M
Uranium as an Environmental Risk Factor for Cancer Among the NavajoU54CA143924 · NCI · UNIVERSITY OF ARIZONA · PI Melissa Marie Herbst-Kralovetz, JUANITA L. MERCHANT · 2009 to 2026
$26.7M
Arizona Biomedical Research Center 39084114Mary Kay FoundationNational Cancer Institute of the National Institutes of HealthNCI NIH HHS P30 CA023074NCI NIH HHS U54 CA143924Phoenix Friends FoundationValley Research Partnership
6 · The paper itself

Abstract

purposeEndometrial cancer is highly prevalent and lacking noninvasive diagnostic techniques. Diagnosis depends on histological investigation of biopsy samples. Serum biomarkers for endometrial cancer have lacked sensitivity and specificity. The objective of this study was to investigate the cervicovaginal environment to improve the understanding of metabolic reprogramming related to endometrial cancer and identify potential biomarker candidates for noninvasive diagnostic and prognostic tests. EXPERIMENTAL

designCervicovaginal lavages were collected from 192 participants with endometrial cancer (n = 66) and non-malignant conditions (n = 108), and global untargeted metabolomics was performed. Using the metabolite data (n = 920), we completed a multivariate biomarker discovery analysis.

resultsWe analyzed grade 1/2 endometrioid carcinoma (n = 53) and other endometrial cancer subtypes (n = 13) to identify shared and unique metabolic signatures between the subtypes. When compared to non-malignant conditions, downregulation of proline (P < 0.0001), tryptophan (P < 0.0001), and glutamate (P < 0.0001) was found among both endometrial cancer groups, relating to key hallmarks of cancer including immune suppression and redox balance. Upregulation (q < 0.05) of sphingolipids, fatty acids, and glycerophospholipids was observed in endometrial cancer in a type-specific manner. Furthermore, cervicovaginal metabolites related to tumor characteristics, including tumor size and myometrial invasion.

conclusionsOur findings provide insights into understanding the endometrial cancer metabolic landscape and improvement in diagnosis. The metabolic dysregulation described in this article linked specific metabolites and pathophysiological mechanisms including cellular proliferation, energy supply, and invasion of neighboring tissues. Furthermore, cervicovaginal metabolite levels related to tumor characteristics, which are used for risk stratification. Overall, development of noninvasive diagnostics can improve both the acceptability and accessibility of diagnosis.

Indexed as

Biomarkers, TumorEndometrial NeoplasmsMetabolomeVaginaAdultAgedCarcinoma, EndometrioidCervix UteriFemaleHumansMetabolomicsMiddle AgedPrognosisRisk AssessmentBiomarkers, Tumor

Identifiers

PMID38687603
PMCPMC11247321

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
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.