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Altered plasma metabolite levels can be detected years before a glioma diagnosis
Umeå University, Faculty of Science and Technology, Department of Chemistry.ORCID iD: 0000-0001-9228-0625
Umeå University, Faculty of Medicine, Department of Radiation Sciences, Oncology. Biobank Reserach Unit.
Division of Cancer Epidemiology, German Cancer Research Center (DKFZ), Heidelberg, Germany.
Department of Molecular Epidemiology, German Institute of Human Nutrition Potsdam-Rehbruecke, Nuthetal, Germany; Institute of Nutritional Science, University of Potsdam, Nuthetal, Germany.
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2023 (English)In: JCI Insight, ISSN 2379-3708, Vol. 8, no 19, article id e171225Article in journal (Refereed) Published
Abstract [en]

Genetic and metabolic changes in tissue and blood are reported to occur several years before glioma diagnosis. Since gliomas are currently detected late, a liquid biopsy for early detection could affect the quality of life and prognosis of patients. Here, we present a nested case-control study of 550 prediagnostic glioma cases and 550 healthy controls from the Northern Sweden Health and Disease study (NSHDS) and the European Prospective Investigation into Cancer and Nutrition (EPIC) study. We identified 93 significantly altered metabolites related to glioma development up to 8 years before diagnosis. Out of these metabolites, a panel of 20 selected metabolites showed strong disease correlation and a consistent progression pattern toward diagnosis in both the NSHDS and EPIC cohorts, and they separated future cases from controls independently of biological sex. The blood metabolite panel also successfully separated both lower-grade glioma and glioblastoma cases from controls, up to 8 years before diagnosis in patients within the NSHDS cohort and up to 2 years before diagnosis in EPIC. Pathway enrichment analysis detected metabolites related to the TCA cycle, Warburg effect, gluconeogenesis, and cysteine, pyruvate, and tyrosine metabolism as the most affected.

Place, publisher, year, edition, pages
American Society For Clinical Investigation, 2023. Vol. 8, no 19, article id e171225
Keywords [en]
Brain cancer, Metabolism, Oncology
National Category
Cancer and Oncology
Identifiers
URN: urn:nbn:se:umu:diva-215372DOI: 10.1172/jci.insight.171225ISI: 001085355700001PubMedID: 37651185Scopus ID: 2-s2.0-85173580693OAI: oai:DiVA.org:umu-215372DiVA, id: diva2:1808405
Funder
Swedish Research Council, 2017-00650Swedish Research Council, 2019-01566Swedish Cancer Society, CAN2018/390Swedish Cancer Society, 19 0370Cancerforskningsfonden i Norrland, AMP 21-1045Cancerforskningsfonden i Norrland, AMP22-1084Sjöberg Foundation, 2020-01-07-08Public Health Agency of Sweden , 2020-2022World Cancer Research Fund InternationalRegion SkåneRegion VästerbottenAvailable from: 2023-10-31 Created: 2023-10-31 Last updated: 2024-10-02Bibliographically approved
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Löding, SebastianAndersson, UlrikaNyberg, LarsAntti, HenrikBjörkblom, BennyMelin, Beatrice S.

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