2018
DOI: 10.1038/s41598-018-21595-4
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Small molecule metabolite biomarkers for hepatocellular carcinoma with bile duct tumor thrombus diagnosis

Abstract: Hepatocellular carcinoma with bile duct tumor thrombus (BDTT) is a malignant disease. The most commonly used diagnosis methods for BDTT are MRCP/ERCP, ultrasonic diagnosis or CT scan. However, BDTT is often misdiagnosed as other bile duct diseases, such as extrahepatic cholangiocarcinoma (EHCC), choledochal cyst (Cyst) and common bile duct stone (Stone). Diagnostic methods, which are more accurate and less destructive, are urgently needed. In this paper, we analyzed the small molecule metabolites in the serum … Show more

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Cited by 18 publications
(15 citation statements)
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“…VIP values produced in the OPLS-DA model were applied to find differential metabolites and variables VIP > 1 were further processed for Student’s t-test. Variables with VIP > 1 and p < 0.05 were considered to be significant differential metabolites [ 37 ]. Identification of the potential metabolite biomarkers was preliminarily carried out by their accurate mass spectra, retention time and retention index, and further by searching online databases, including the Kyoto Encyclopedia of Genes and Genomes (KEGG) ( ), HMDB ( ) and METLIN ( ).…”
Section: Methodsmentioning
confidence: 99%
“…VIP values produced in the OPLS-DA model were applied to find differential metabolites and variables VIP > 1 were further processed for Student’s t-test. Variables with VIP > 1 and p < 0.05 were considered to be significant differential metabolites [ 37 ]. Identification of the potential metabolite biomarkers was preliminarily carried out by their accurate mass spectra, retention time and retention index, and further by searching online databases, including the Kyoto Encyclopedia of Genes and Genomes (KEGG) ( ), HMDB ( ) and METLIN ( ).…”
Section: Methodsmentioning
confidence: 99%
“…These can be used to distinguish HCC with BDTT from those without BDTT. However, the features are also observed in other biliary tract diseases, such as hepatic insu ciency, extrahepatic cholangiocarcinoma, choledochal cyst and common bile duct stone [15].…”
Section: Discussionmentioning
confidence: 93%
“…Due to advances in imaging an increased understanding of this entity, more and more HCC patients with macroscopic BDTT were con rmed preoperatively. However, the rate of misdiagnosis of HCC with BDTT before surgery is still very high [15].…”
mentioning
confidence: 99%
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“…Small molecule inhibitors and hormone-like drugs have been used in the treatment of cancer 36 . Small molecule metabolites can be used as potential biomarkers of liver cancer and better distinguish liver cancer from other bile duct diseases with bile duct tumor thrombosis 37 . The activation of effector CD8 T cells can initiate an immune response that is positively associated with breast cancer survival and be used as a marker for personalized immunotherapy 38 .…”
Section: Discussionmentioning
confidence: 99%