Background:
The study aimed to find
out the alterations in serum amino acid (AA) profiles and to detect
their relationship with carcinoma formation.
Methods:
Targeted metabolomics based on ultraperformance liquid
chromatography triple quadrupole mass spectrometry to quantitatively
analyze serum AA levels in 136 hepatitis B (CHB) patients and 93 hepatitis
B virus (HBV)-related hepatocellular carcinoma (HCC) patients.
Results:
It was shown that decreased serum
levels of leucine, lysine, threonine, tryptophan, valine, serotonin,
and taurine were observed in more HCC patients than CHB patients,
but the serum phenylalanine level was increased. Serum valine and
serotonin were lower in Class C than Class A and Class B in HCC patients.
Accompanied with the higher score of Model for End-Stage Liver Disease,
serum phenylalanine was increased not only in CHB patients but also
in HCC patients. The serum level of phenylalanine increased in the
decompensated stage more than in the compensated stage, while serum
leucine and serotonin significantly decreased. Serum serotonin still
had significant differences between CHB and HCC both in the HBV desoxyribonucleic
acid (HBV-DNA) negative group and in the HBV-DNA positive group. Furthermore,
it was shown that the tryptophan ratio, branched-chain amino acids
(BCAA)/aromatic amino acids ratio, BCAAs/tyrosine ratio, Fischer’s
ratio, and serotonin-to-tryptophan ratio significantly decreased,
while the tyrosine ratio and the kynurenine-to-tryptophan ratio increased
in HCC patients more than those in CHB.
Conclusions:
A distinct metabolite signature of some specific serum
amino acids was found between CHB and HCC patients, which may help
predict the development of HCC at an early stage.