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Analytical methods

Comparative study #1 #2 #3 #4
Chromatography LC LC GC LC
Ion source ESI ESI EI ESI
Positive/Negative mode positive negative both
Mass analyzer Q-TOF Q-TOF TOF Q-TOF
Identification level MS/MS MS/MS

Sample information

Comparative study #1 #2 #3 #4
Country China China China China
Specimen serum serum serum serum
Marker function diagnosis diagnosis diagnosis diagnosis
Participants(Case) Cancer type NSCLC NSCLC NSCLC NSCLC
StageI, III, III, III, II
Number90909090
Gender (M,F)40, 5040, 5040, 5040, 50
Mean age (range) (M,F) 58.1 ± 9.0 58.1 ± 9.0 58.1 ± 9.0 58.1 ± 9.0
Smoking status
Participants(Control) Type healthy healthy healthy healthy
Number90909090
Gender (M,F)42, 4842, 4842, 4842, 48
Mean age (range) (M,F)53.0 ± 11.853.0 ± 11.853.0 ± 11.853.0 ± 11.8
Smoking status

Data processing and metabolite identification

Data processing software Analyst TF, XCMS
Database search in-house

Statistical analysis

Differential analysis method PCA, OPLS-DA
Classification method ROC curve
Survival analysis method

Lung cancer-related metabolites identified in the paper

Metabolite Author-emphasized biomarkers Mean concentration (case) Mean concentration (control) Fold change (case/control) P-value FDR VIP
PC(16:0/16:0) 10094.11 ng/mL 8855.64 ng/mL 1.14 0.10 0.10
PC(24:1/20:4) 104.6 ng/mL 78.53 ng/mL 1.33 0.01 0.02
PC(15:0/18:3) 107.03 ng/mL 89.66 ng/mL 1.19 0.20 0.17
PC(20:5/20:4) 113.74 ng/mL 103.25 ng/mL 1.10 0.43 0.30
PC(18:0/20:5) 11830.36 ng/mL 9044.54 ng/mL 1.31 0.03 0.04
PC(20:4/24:0) 119.34 ng/mL 123.08 ng/mL 0.97 0.74 0.42
PC(19:0/18:2) 1200.51 ng/mL 1378.44 ng/mL 0.87 0.09 0.09
PC(20:5/15:0) 121.23 ng/mL 104.1 ng/mL 1.16 0.35 0.26
PC(22:0/20:4) 124.58 ng/mL 175.44 ng/mL 0.71 0.03 0.04
PC(24:4/17:2) V 128.19 ng/mL 167.95 ng/mL 0.76 3.78e-03 0.01
PC(18:0/16:0) V 13251.6 ng/mL 10152.58 ng/mL 1.31 5.27e-03 0.02
PC(18:1/20:4) 13268.59 ng/mL 13353.05 ng/mL 0.99 0.96 0.49
PC(16:1/22:6) 1389.09 ng/mL 1444.44 ng/mL 0.96 0.77 0.43
PC(16:0/18:0) 140.06 ng/mL 117.01 ng/mL 1.20 0.07 0.07
PC(14:0/20:4) 1402.49 ng/mL 1290.82 ng/mL 1.09 0.56 0.36
PC(19:0/20:3) 141.86 ng/mL 123.29 ng/mL 1.15 0.36 0.26
PC(22:6/21:0) 142.05 ng/mL 159.1 ng/mL 0.89 0.25 0.20
PC(15:0/18:1) V 1455.64 ng/mL 974.53 ng/mL 1.49 8.26e-03 0.02
PC(22:5/22:6) 1457.7 ng/mL 1282.42 ng/mL 1.14 0.09 0.02
PC(15:0/18:2) V 1546.56 ng/mL 1950.71 ng/mL 0.79 7.15e-03 0.02
PC(22:0/18:1) 155.05 ng/mL 139.53 ng/mL 1.11 0.30 0.23
PC(20:4/22:4) 159.63 ng/mL 165.79 ng/mL 0.96 0.70 0.41
PC(17:2/2:0) V 163.47 ng/mL 340.06 ng/mL 0.48 1.86e-05 6.38e-04
PC(18:0/18:2) 163154.58 ng/mL 176296.51 ng/mL 0.93 0.28 0.22
PC(20:3/12:0) 170 ng/mL 112.85 ng/mL 1.51 0.01 0.03
PC(16:1/20:5) 174.17 ng/mL 119.98 ng/mL 1.45 0.03 0.04
PC(23:0/20:4) 177.55 ng/mL 156.4 ng/mL 1.14 0.17 0.15
PC(22:6/20:5) 18.13 ng/mL 19.55 ng/mL 0.93 0.67 0.40
PC(18:0/24:4) 184.49 ng/mL 174.66 ng/mL 1.06 0.61 0.38
PC(24:0/18:1) 185.51 ng/mL 157.4 ng/mL 1.18 0.18 0.15
PC(14:0/20:5) 200.35 ng/mL 208.58 ng/mL 0.96 0.74 0.42
PC(17:0/20:4) 2040.32 ng/mL 2444.92 ng/mL 0.83 0.05 0.06
PC(26:1/16:1) 207.38 ng/mL 223.27 ng/mL 0.93 0.50 0.33
PC(18:0/22:6) 21841.19 ng/mL 20693.65 ng/mL 1.06 0.49 0.33
PC(16:0/20:5) 22087.92 ng/mL 18949.11 ng/mL 1.17 0.32 0.24
PC(17:0/18:0) 232.32 ng/mL 271.59 ng/mL 0.86 0.10 0.10
PC(18:4/3:0) V 235.84 ng/mL 411.84 ng/mL 0.57 1.18e-03 6.07e-03
PC(26:2/13:0) 240.06 ng/mL 227.89 ng/mL 1.05 0.66 0.40
PC(20:1/20:3) 242.84 ng/mL 235.42 ng/mL 1.03 0.64 0.39
PC(22:5/7:0) 246.13 ng/mL 263.28 ng/mL 0.93 0.65 0.39
PC(18:2/18:2) V 25110.02 ng/mL 37034.05 ng/mL 0.68 1.05e-03 5.81e-03
PC(17:0/18:1) 2536.8 ng/mL 2087.97 ng/mL 1.21 0.07 0.07
PC(22:6/20:1) 256.54 ng/mL 223.9 ng/mL 1.15 0.18 0.15
PC(16:0/18:1) 25906.69 ng/mL 29510.92 ng/mL 0.88 0.05 0.06
PC(16:0/20:3) V 2686.1 ng/mL 4173.25 ng/mL 0.64 1.42e-03 6.48e-03
PC(16:0/18:3) V 269.38 ng/mL 436.53 ng/mL 0.62 1.13e-04 2.27e-03
PC(16:0/14:1) 275.77 ng/mL 172.01 ng/mL 1.60 0.05 0.06
PC(20:2/22:6) 279.93 ng/mL 226.7 ng/mL 1.23 0.03 0.05
PC(20:3/20:4) 300.11 ng/mL 350.8 ng/mL 0.86 0.11 0.10
PC(16:1/18:3) 312.25 ng/mL 295.24 ng/mL 1.06 0.64 0.39
PC(16:1/20:4) 3293.54 ng/mL 3498.54 ng/mL 0.94 0.63 0.38
PC(20:4/22:1) 338.61 ng/mL 311.97 ng/mL 1.09 0.55 0.35
PC(16:0/14:0) 34.86 ng/mL 41.39 ng/mL 0.84 0.04 0.05
PC(22:1/18:1) 342.73 ng/mL 351.95 ng/mL 0.97 0.81 0.44
PC(22:6/18:2) 343.23 ng/mL 302.29 ng/mL 1.14 0.07 0.08
PC(14:0/18:2) 3582.98 ng/mL 4360.35 ng/mL 0.82 0.11 0.10
PC(18:0/18:1) 363.14 ng/mL 350.67 ng/mL 1.04 0.74 0.42
PC(18:0/20:3) 36541.57 ng/mL 28218.05 ng/mL 1.29 0.04 0.05
PC(18:0/22:5) 3775.85 ng/mL 3660.31 ng/mL 1.03 0.69 0.41
PC(18:1/22:6) 4078.03 ng/mL 4084.22 ng/mL 1.00 0.99 0.49
PC(19:0/20:4) 411.12 ng/mL 479.23 ng/mL 0.86 0.09 0.09
PC(19:0/18:1) 477.29 ng/mL 545.53 ng/mL 0.87 0.10 0.09
PC(22:1/18:2) 502.72 ng/mL 445.59 ng/mL 1.13 0.09 0.02
PC(15:0/22:6) V 512.71 ng/mL 734.49 ng/mL 0.70 4.00e-04 3.63e-03
PC(18:0/20:1) V 518.4 ng/mL 347.2 ng/mL 1.49 1.96e-03 0.03
PC(26:2/8:0) 522.14 ng/mL 591.42 ng/mL 0.88 0.59 0.37
PC(22:6/17:0) 529.87 ng/mL 647.27 ng/mL 0.82 0.12 0.11
PC(15:0/20:4) 55.07 ng/mL 42.68 ng/mL 1.29 0.06 0.07
PC(22:6/15:0) 561.26 ng/mL 413.09 ng/mL 1.36 0.20 0.17
PC(16:0/22:6) 57560.48 ng/mL 66739.77 ng/mL 0.86 0.04 0.05
PC(18:0/20:4) 57760.34 ng/mL 60476.63 ng/mL 0.96 0.63 0.38
PC(17:0/18:2) V 5810.28 ng/mL 7593.07 ng/mL 0.77 5.72e-04 4.36e-03
PC(14:0/22:6) 594.49 ng/mL 667 ng/mL 0.89 0.30 0.23
PC(17:0/22:5) 607.42 ng/mL 627.51 ng/mL 0.97 0.69 0.41
PC(18:0/20:2) 6103.35 ng/mL 4748.18 ng/mL 1.29 0.05 0.06
PC(18:0/22:4) 653.71 ng/mL 652.32 ng/mL 1.00 0.98 0.49
PC(15:1/4:0) 71.83 ng/mL 101.28 ng/mL 0.71 0.01 0.03
PC(22:5/20:4) 74.62 ng/mL 90.12 ng/mL 0.83 0.30 0.23
PC(16:0/20:4) 76576.82 ng/mL 72744.63 ng/mL 1.05 0.62 0.38
PC(16:0/16:1) 774.49 ng/mL 944.72 ng/mL 0.82 0.06 0.04
PC(23:0/20:5) 904.67 ng/mL 782.35 ng/mL 1.16 0.12 0.11
PC(18:2/20:4) 9076.63 ng/mL 11530.32 ng/mL 0.79 0.03 0.04
PC(16:0/18:2) 930.98 ng/mL 979.69 ng/mL 0.95 0.66 0.39
PC(17:0/20:3) 967.08 ng/mL 955.46 ng/mL 1.01 0.92 0.48
PC(17:0/20:5) 99.9 ng/mL 126.39 ng/mL 0.79 0.06 0.02
4-androsten-19-ol-3,17-dione 11.59 3.67
galactonic acid 6.64 4.26
inosine 4.17 1.72
5,10-methylenetrahydrofolate 3.80 1.11
PC(18:3/0:0) V 2.11 1.57
DL-lactate 2.03 2.41
D-(glycerol-1-phosphate) 1.90 2.91
PC(O-16:0/0:0) V 1.83 1.29
mannose 1.74 1.59
PC(18:4/22:6) V 1.69 1.03
prostaglandin E2 1.68 1.06
PE(18:1/0:0) 1.67 1.11
PC(18:0/22:6) V 1.64 1.57
PC(16:1/0:0) V 1.62 1.08
3-hydroxybutyric acid 1.60 3.29
PC(15:1/22:6) V 1.57 1.54
PE(18:2/0:0) 1.57 1.26
L-prolyl-L-phenylalanine 1.50 1.67
PC(O-16:1/0:0) V 1.49 1.34
PE(16:0/0:0) 1.48 1.35
PC(19:0/0:0) V 1.45 1.34
2-hydroxy-3-methylbutyric acid 1.39 1.09
PC(17:2/24:4) V 1.39 1.35
PE(18:0/0:0) 1.34 1.04
4-acetylbutyric acid 1.32 1.56
PE(22:2/12:0) 1.29 1.15
glycochenodeoxycholate 1.28 1.07
PA(18:2/18:0) 1.21 1.81
2-oxoadipic acid 1.18 1.79
ethanolamine 0.88 1.32
β-glycerophosphoric acid 0.87 1.39
palmitic acid 0.86 1.04
lyxose 0.85 1.45
arachidonic acid 0.84 1.26
2-deoxyerythritol 0.83 1.30
2-hydroxypyridine 0.83 1.10
glucose 1-phosphate 0.82 1.52
3-(2-hydroxyphenyl)propionic acid 0.81 1.50
cis-(6,9,12)-linolenic acid 0.80 1.25
sedoheptulose 0.77 1.28
aspartic acid 0.76 1.21
isoleucine 0.74 1.37
4-aminobutyric acid 0.67 1.24
1-methylxanthine 0.63 1.01
p-cresol 0.60 1.17
xanthine 0.52 1.29
PC(20:0/0:0) V 0.51 1.48
3-hydroxybutyric acid 0.50 1.54
L-palmitoylcarnitine 0.50 1.62
theophylline 0.42 1.19
hippuric acid 0.41 1.22
β-octylglucoside 0.39 1.73
PC(O-18:3/0:0) V 0.37 1.62
PC(10:0/22:2) 0.36 1.49
isovaleric acid 0.35 1.60
biliverdin 0.29 1.11
Metabolite Author-emphasized biomarkers Cutoff value AUROC (95%CI) Sensitivity (%) Specificity (%) Accuracy (%)
PC(16:0/16:0)
PC(24:1/20:4)
PC(15:0/18:3)
PC(20:5/20:4)
PC(18:0/20:5)
PC(20:4/24:0)
PC(19:0/18:2)
PC(20:5/15:0)
PC(22:0/20:4)
PC(24:4/17:2) V 0.273 (0.139–0.407), combination of down-regulated PCs: 0.897 (0.818–0.975), combination of 12 altered PCs: 1.000 (1.000–1.000) 70, combination of down-regulated PCs: 90.0, combination of 12 altered PCs: 100 80, combination of down-regulated PCs: 76.7, combination of 12 altered PCs: 100
PC(18:0/16:0) V 0.763 (0.641–0.885), combination of up-regulated PCs: 0.811 (0.703–0.919), combination of 12 altered PCs: 1.000 (1.000–1.000) 73.3, combination of up-regulated PCs: 76.7, combination of 12 altered PCs: 100 76.7, combination of up-regulated PCs: 70.0, combination of 12 altered PCs: 100
PC(18:1/20:4)
PC(16:1/22:6)
PC(16:0/18:0)
PC(14:0/20:4)
PC(19:0/20:3)
PC(22:6/21:0)
PC(15:0/18:1) V 0.717 (0.586–0.848), combination of up-regulated PCs: 0.811 (0.703–0.919), combination of 12 altered PCs: 1.000 (1.000–1.000) 60, combination of up-regulated PCs: 76.7, combination of 12 altered PCs: 100 80, combination of up-regulated PCs: 70.0, combination of 12 altered PCs: 100
PC(22:5/22:6)
PC(15:0/18:2) V 0.283 (0.147–0.420), combination of down-regulated PCs: 0.897 (0.818–0.975), combination of 12 altered PCs: 1.000 (1.000–1.000) 56.7, combination of down-regulated PCs: 90.0, combination of 12 altered PCs: 100 90, combination of down-regulated PCs: 76.7, combination of 12 altered PCs: 100
PC(22:0/18:1)
PC(20:4/22:4)
PC(17:2/2:0) V 0.183 (0.078–0.288), 0.897 (0.818–0.975) combination of down-regulated PCs 66.7, combination of down-regulated PCs: 90.0, combination of 12 altered PCs: 100 86.7, combination of down-regulated PCs: 76.7, combination of 12 altered PCs: 100
PC(18:0/18:2)
PC(20:3/12:0)
PC(16:1/20:5)
PC(23:0/20:4)
PC(22:6/20:5)
PC(18:0/24:4)
PC(24:0/18:1)
PC(14:0/20:5)
PC(17:0/20:4)
PC(26:1/16:1)
PC(18:0/22:6)
PC(16:0/20:5)
PC(17:0/18:0)
PC(18:4/3:0) V 0.233 (0.110–0.356), 0.897 (0.818–0.975) combination of down-regulated PCs 66.7, combination of down-regulated PCs: 90.0, combination of 12 altered PCs: 100 83.3, combination of down-regulated PCs: 76.7, combination of 12 altered PCs: 100
PC(26:2/13:0)
PC(20:1/20:3)
PC(22:5/7:0)
PC(18:2/18:2) V 0.254 (0.128–0.381), combination of down-regulated PCs: 0.897 (0.818–0.975), combination of 12 altered PCs: 1.000 (1.000–1.000) 53.3, combination of down-regulated PCs: 90.0, combination of 12 altered PCs: 100 93.3, combination of down-regulated PCs: 76.7, combination of 12 altered PCs: 100
PC(17:0/18:1)
PC(22:6/20:1)
PC(16:0/18:1)
PC(16:0/20:3) V 0.252 (0.126–0.378), combination of down-regulated PCs: 0.897 (0.818–0.975), combination of 12 altered PCs: 1.000 (1.000–1.000) 60, combination of down-regulated PCs: 90.0, combination of 12 altered PCs: 100 90, combination of down-regulated PCs: 76.7, combination of 12 altered PCs: 100
PC(16:0/18:3) V 0.218 (0.101–0.335), combination of down-regulated PCs: 0.897 (0.818–0.975), combination of 12 altered PCs: 1.000 (1.000–1.000) 83.8, combination of down-regulated PCs: 90.0, combination of 12 altered PCs: 100 70, combination of down-regulated PCs: 76.7, combination of 12 altered PCs: 100
PC(16:0/14:1)
PC(20:2/22:6)
PC(20:3/20:4)
PC(16:1/18:3)
PC(16:1/20:4)
PC(20:4/22:1)
PC(16:0/14:0)
PC(22:1/18:1)
PC(22:6/18:2)
PC(14:0/18:2)
PC(18:0/18:1)
PC(18:0/20:3)
PC(18:0/22:5)
PC(18:1/22:6)
PC(19:0/20:4)
PC(19:0/18:1)
PC(22:1/18:2)
PC(15:0/22:6) V 0.243 (0.121–0.365), combination of down-regulated PCs: 0.897 (0.818–0.975), combination of 12 altered PCs: 1.000 (1.000–1.000) 53.5, combination of down-regulated PCs: 90.0, combination of 12 altered PCs: 100 90, combination of down-regulated PCs: 76.7, combination of 12 altered PCs: 100
PC(18:0/20:1) V 0.691 (0.556–0.826), combination of up-regulated PCs: 0.811 (0.703–0.919), combination of 12 altered PCs: 1.000 (1.000–1.000) 66.7, combination of up-regulated PCs: 76.7, combination of 12 altered PCs: 100 70, combination of up-regulated PCs: 70.0, combination of 12 altered PCs: 100
PC(26:2/8:0)
PC(22:6/17:0)
PC(15:0/20:4)
PC(22:6/15:0)
PC(16:0/22:6)
PC(18:0/20:4)
PC(17:0/18:2) V 0.25 (0.125–0.375), combination of down-regulated PCs: 0.897 (0.818–0.975), combination of 12 altered PCs: 1.000 (1.000–1.000) 70, combination of down-regulated PCs: 90.0, combination of 12 altered PCs: 100 73.3, combination of down-regulated PCs: 76.7, combination of 12 altered PCs: 100
PC(14:0/22:6)
PC(17:0/22:5)
PC(18:0/20:2)
PC(18:0/22:4)
PC(15:1/4:0)
PC(22:5/20:4)
PC(16:0/20:4)
PC(16:0/16:1)
PC(23:0/20:5)
PC(18:2/20:4)
PC(16:0/18:2)
PC(17:0/20:3)
PC(17:0/20:5)
4-androsten-19-ol-3,17-dione 0.692 (0.612–0.771) 91.1 56.7
galactonic acid
inosine
5,10-methylenetrahydrofolate
PC(18:3/0:0) V Combined effects of PCs: 0.996 (0.987–1.000) Combined effects of PCs: 98.9 Combined effects of PCs: 98.9
DL-lactate
D-(glycerol-1-phosphate)
PC(O-16:0/0:0) V Combined effects of PCs: 0.996 (0.987–1.000) Combined effects of PCs: 98.9 Combined effects of PCs: 98.9
mannose
PC(18:4/22:6) V Combined effects of PCs: 0.996 (0.987–1.000) Combined effects of PCs: 98.9 Combined effects of PCs: 98.9
prostaglandin E2
PE(18:1/0:0)
PC(18:0/22:6) V Combined effects of PCs: 0.996 (0.987–1.000) Combined effects of PCs: 98.9 Combined effects of PCs: 98.9
PC(16:1/0:0) V Combined effects of PCs: 0.996 (0.987–1.000) Combined effects of PCs: 98.9 Combined effects of PCs: 98.9
3-hydroxybutyric acid
PC(15:1/22:6) V Combined effects of PCs: 0.996 (0.987–1.000) Combined effects of PCs: 98.9 Combined effects of PCs: 98.9
PE(18:2/0:0)
L-prolyl-L-phenylalanine
PC(O-16:1/0:0) V Combined effects of PCs: 0.996 (0.987–1.000) Combined effects of PCs: 98.9 Combined effects of PCs: 98.9
PE(16:0/0:0)
PC(19:0/0:0) V Combined effects of PCs: 0.996 (0.987–1.000) Combined effects of PCs: 98.9 Combined effects of PCs: 98.9
2-hydroxy-3-methylbutyric acid
PC(17:2/24:4) V Combined effects of PCs: 0.996 (0.987–1.000) Combined effects of PCs: 98.9 Combined effects of PCs: 98.9
PE(18:0/0:0)
4-acetylbutyric acid
PE(22:2/12:0)
glycochenodeoxycholate
PA(18:2/18:0)
2-oxoadipic acid
ethanolamine
β-glycerophosphoric acid
palmitic acid
lyxose
arachidonic acid
2-deoxyerythritol
2-hydroxypyridine
glucose 1-phosphate 0.316 (0.238–0.394) 86.7 50
3-(2-hydroxyphenyl)propionic acid
cis-(6,9,12)-linolenic acid
sedoheptulose
aspartic acid
isoleucine
4-aminobutyric acid
1-methylxanthine
p-cresol
xanthine 0.264 (0.191–0.337) 77.8 60
PC(20:0/0:0) V Combined effects of PCs: 0.996 (0.987–1.000) Combined effects of PCs: 98.9 Combined effects of PCs: 98.9
3-hydroxybutyric acid
L-palmitoylcarnitine
theophylline 0.251 (0.181–0.322) 67.8 76.7
hippuric acid
β-octylglucoside
PC(O-18:3/0:0) V Combined effects of PCs: 0.996 (0.987–1.000) Combined effects of PCs: 98.9 Combined effects of PCs: 98.9
PC(10:0/22:2) Combined effects of PCs: 0.996 (0.987–1.000) Combined effects of PCs: 98.9 Combined effects of PCs: 98.9
isovaleric acid
biliverdin

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