RT Journal Article T1 Metabolomic profiles of hepatocellular carcinoma in a European prospective cohort. A1 Fages, Anne A1 Duarte-Salles, Talita A1 Stepien, Magdalena A1 Ferrari, Pietro A1 Fedirko, Veronika A1 Pontoizeau, Clément A1 Trichopoulou, Antonia A1 Aleksandrova, Krasimira A1 Tjønneland, Anne A1 Olsen, Anja A1 Clavel-Chapelon, Françoise A1 Boutron-Ruault, Marie-Christine A1 Severi, Gianluca A1 Kaaks, Rudolf A1 Kuhn, Tilman A1 Floegel, Anna A1 Boeing, Heiner A1 Lagiou, Pagona A1 Bamia, Christina A1 Trichopoulos, Dimitrios A1 Palli, Domenico A1 Pala, Valeria A1 Panico, Salvatore A1 Tumino, Rosario A1 Vineis, Paolo A1 Bueno-de-Mesquita, H Bas A1 Peeters, Petra H A1 Weiderpass, Elisabete A1 Agudo, Antonio A1 Molina-Montes, Esther A1 Huerta, José María A1 Ardanaz, Eva A1 Dorronsoro, Miren A1 Sjöberg, Klas A1 Ohlsson, Bodil A1 Khaw, Kay-Tee A1 Wareham, Nick A1 Travis, Ruth C A1 Schmidt, Julie A A1 Cross, Amanda A1 Gunter, Marc A1 Riboli, Elio A1 Scalbert, Augustin A1 Romieu, Isabelle A1 Elena-Herrmann, Benedicte A1 Jenab, Mazda K1 Epidemiology K1 European Prospective Investigation into Cancer and Nutrition K1 Hepatocellular carcinoma K1 Liver cancer K1 Metabolomics K1 Nuclear magnetic resonance K1 Carcinoma Hepatocelular K1 Neoplasias Hepáticas K1 Metabolómica K1 Estudios Prospectivos AB BACKGROUNDHepatocellular carcinoma (HCC), the most prevalent form of liver cancer, is difficult to diagnose and has limited treatment options with a low survival rate. Aside from a few key risk factors, such as hepatitis, high alcohol consumption, smoking, obesity, and diabetes, there is incomplete etiologic understanding of the disease and little progress in identification of early risk biomarkers.METHODSTo address these aspects, an untargeted nuclear magnetic resonance metabolomic approach was applied to pre-diagnostic serum samples obtained from first incident, primary HCC cases (n = 114) and matched controls (n = 222) identified from amongst the participants of a large European prospective cohort.RESULTSA metabolic pattern associated with HCC risk comprised of perturbations in fatty acid oxidation and amino acid, lipid, and carbohydrate metabolism was observed. Sixteen metabolites of either endogenous or exogenous origin were found to be significantly associated with HCC risk. The influence of hepatitis infection and potential liver damage was assessed, and further analyses were made to distinguish patterns of early or later diagnosis.CONCLUSIONOur results show clear metabolic alterations from early stages of HCC development with application for better etiologic understanding, prevention, and early detection of this increasingly common cancer. PB BioMed Central YR 2015 FD 2015-09-23 LK http://hdl.handle.net/10668/2102 UL http://hdl.handle.net/10668/2102 LA spa NO Fages A, Duarte-Salles T, Stepien M, Ferrari P, Fedirko V, Pontoizeau C, et al. Metabolomic profiles of hepatocellular carcinoma in a European prospective cohort. BMC Med 2015;13(1):242 NO JOURNAL ARTICLE; DS RISalud RD Apr 12, 2025