Serum and Urine Metabolic Fingerprints Characterize Renal Cell Carcinoma for Classification, Early Diagnosis, and Prognosis

  • 0Department of Urology, Renji Hospital, School of Medicine in Shanghai Jiao Tong University, 160 Pujian Road, Shanghai, 200127, P. R. China.

Summary

This summary is machine-generated.

This study introduces nanoparticle-enhanced laser desorption ionization mass spectrometry (NELDI MS) for analyzing renal cell carcinoma (RCC) metabolic fingerprints. This method shows high accuracy in distinguishing tumors, classifying subtypes, and predicting disease progression.

Area Of Science

  • Biomedical Science
  • Analytical Chemistry
  • Oncology

Background

  • Renal cell carcinoma (RCC) presents a growing health challenge with heterogeneous manifestations, limiting current clinical management.
  • Metabolic analyses offer a promising noninvasive approach for RCC characterization and diagnosis.

Purpose Of The Study

  • To develop and validate a nanoparticle-enhanced laser desorption ionization mass spectrometry (NELDI MS) method for metabolic fingerprinting of RCC.
  • To assess the diagnostic and prognostic capabilities of NELDI MS in classifying RCC tumors and predicting disease outcomes.

Main Methods

  • Analysis of metabolic fingerprints from 456 renal tumors and 200 healthy controls using NELDI MS.
  • Development of classification models to distinguish tumors from controls, malignant from benign tumors, and RCC subtypes.
  • Construction of a predictive model for RCC prognosis.

Main Results

  • Classification models achieved high AUC values: 0.938 for tumor vs. control, 0.850 for malignant vs. benign, and 0.925-0.932 for RCC subtypes.
  • Early-stage RCC subtypes showed averaged diagnostic sensitivity of 90.5% and specificity of 91.3%.
  • Metabolic biomarkers were identified as significant indicators for subtype diagnosis (p < 0.05), and a prognostic model predicted disease (p = 0.003).

Conclusions

  • NELDI MS provides a powerful, noninvasive tool for accurate RCC characterization, including subtype classification and early detection.
  • Identified metabolic biomarkers hold potential for guiding RCC diagnosis and prognosis.
  • This approach offers a promising future for metabolic analytical tools in clinical RCC management.

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