The
association of pancreatic cancer with type 2 diabetes mellitus
was investigated by 1H NMR metabolomic analysis of blood
plasma. Concentration data of 58 metabolites enabled discrimination
of pancreatic cancer (PC) patients from healthy controls (HC) and
long-term type 2 diabetes mellitus (T2DM) patients. A panel of eight
metabolites was proposed and successfully tested for group discrimination.
Furthermore, a prediction model for the identification of at-risk
individuals for future development of pancreatic cancer was built
and tested on recent-onset diabetes mellitus (RODM) patients. Six
of 59 RODM samples were assessed as PC with an accuracy of more than
80%. The health condition of these individuals was re-examined, and
in four cases, a correlation to the prediction was found. The current
health condition can be retrospectively attributed to misdiagnosed
pancreatogenic diabetes or to early-stage pancreatic cancer.
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