RT Journal Article
T1 The altered serum lipidome and its diagnostic potential for Non-Alcoholic Fatty Liver (NAFL)-associated hepatocellular carcinoma
A1 Lewinska, Monika
A1 Santos-Laso, Alvaro
A1 Arretxe, Enara
A1 Alonso, Cristina
A1 Zhuravleva, Ekaterina
A1 Jimenez-Aguero, Raul
A1 Eizaguirre, Emma
A1 Jesus Pareja, Maria
A1 Romero-Gomez, Manuel
A1 Arrese, Marco
A1 Suppli, Malte P.
A1 Knop, Filip K.
A1 Oversoe, Stine Karlsen
A1 Villadsen, Gerda Elisabeth
A1 Decaens, Thomas
A1 Carrilho, Flair Jose
A1 de Oliveira, Claudia P. M. S.
A1 Sangro, Bruno
A1 Macias, Rocio I. R.
A1 Banales, Jesus M.
A1 Andersen, Jesper B.
K1 NAFLD
K1 HCC
K1 metabolomics
K1 lipidomics
K1 biomarker discovery
K1 Disease
K1 Obesity
AB Background: Non-alcoholic fatty liver disease (NAFLD) is affecting more people globally. Indeed, NAFLD is a spectrum of metabolic dysfunctions that can progress to hepatocellular carcinoma (NAFLD-HCC). This development can occur in a non-cirrhotic liver and thus, often lack clinical surveillance. The aim of this study was to develop non-invasive surveillance method for NAFLD-HCC.Methods: Using comprehensive ultra-high-performance liquid chromatography mass-spectrometry, we investigated 1,295 metabolites in serum from 249 patients. Area under the receiver operating characteristic curve was calculated for all detected metabolites and used to establish their diagnostic potential. Logistic regression analysis was used to establish the diagnostic score.Findings: We show that NAFLD-HCC is characterised by a complete rearrangement of the serum lipidome, which distinguishes NAFLD-HCC from non-cancerous individuals and other HCC patients. We used machine learning to build a diagnostic model for NAFLD-HCC. We quantified predictive metabolites and developed the NAFLD-HCC Diagnostic Score (NHDS), presenting superior diagnostic potential compared to alpha-fetoprotein (AFP). Patients' metabolic landscapes show a progressive depletion in unsaturated fatty acids and acylcarnitines during transformation. Upregulation of fatty acid transporters in NAFLD-HCC tumours contribute to fatty acid depletion in the serum.Interpretation: NAFLD-HCC patients can be efficiently distinguished by serum metabolic alterations from the healthy population and from HCC patients related to other aetiologies (alcohol and viral hepatitis). Our model can be used for non-invasive surveillance of individuals with metabolic syndrome(s), allowing for early detection of NAFLD-HCC. Therefore, serum metabolomics may provide valuable insight to monitor patients at risk, including morbidly obese, diabetics, and NAFLD patients. (C) 2021 The Author(s). Published by Elsevier B.V.
PB Elsevier
SN 2352-3964
YR 2021
FD 2021-10-29
LK https://hdl.handle.net/10668/26530
UL https://hdl.handle.net/10668/26530
LA en
DS RISalud
RD Apr 8, 2025