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Serum metabolite profiles are associated with the presence of advanced liver fibrosis in Chinese patients with chronic hepatitis B viral infection.

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机构: [1]E-Institute of Shanghai Municipal Education Committee, Institute ofInterdisciplinary Integrative Medicine Research, Shanghai University ofTraditional Chinese Medicine, Shanghai 201203, China. [2]HumanMetabolomics Institute, Inc., Shenzhen 518109, Guangdong, China. [3]KeyLaboratory of Liver and Kidney Diseases (Ministry of Education), ShuguangHospital, Shanghai University of Traditional Chinese Medicine, Shanghai201203, China. [4]University of Hawaii Cancer Center, Honolulu, HI 96813, USA. [5]Shanghai Key Laboratory of Diabetes Mellitus and Center for TranslationalMedicine, Shanghai Jiao Tong University Affiliated Sixth People’s Hospital,Shanghai 200233, China. [6]Department of Endocrinology and Metabolism,Zhongshan Hospital, Fudan University, Shanghai 200032, China. [7]Institute ofLiver Diseases, Shuguang Hospital, Shanghai University of Traditional ChineseMedicine, 528 Zhangheng Road, Shanghai 201203, China. [8]School of ChineseMedicine, Hong Kong Baptist University, Kowloon Tong, Hong Kong, China.
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关键词: Bile acids Free fatty acids Amino acids Hepatitis B Chronic liver disease Liver fibrosis Metabolomics Random forest

摘要:
Accurate and noninvasive diagnosis and staging of liver fibrosis are essential for effective clinical management of chronic liver disease (CLD). We aimed to identify serum metabolite markers that reliably predict the stage of fibrosis in CLD patients. We quantitatively profiled serum metabolites of participants in 2 independent cohorts. Based on the metabolomics data from cohort 1 (504 HBV associated liver fibrosis patients and 502 normal controls, NC), we selected a panel of 4 predictive metabolite markers. Consequently, we constructed 3 machine learning models with the 4 metabolite markers using random forest (RF), to differentiate CLD patients from normal controls (NC), to differentiate cirrhosis patients from fibrosis patients, and to differentiate advanced fibrosis from early fibrosis, respectively. The panel of 4 metabolite markers consisted of taurocholate, tyrosine, valine, and linoelaidic acid. The RF models of the metabolite panel demonstrated the strongest stratification ability in cohort 1 to diagnose CLD patients from NC (area under the receiver operating characteristic curve (AUROC) = 0.997 and the precision-recall curve (AUPR) = 0.994), to differentiate fibrosis from cirrhosis (0.941, 0.870), and to stage liver fibrosis (0.918, 0.892). The diagnostic accuracy of the models was further validated in an independent cohort 2 consisting of 300 CLD patients with chronic HBV infection and 90 NC. The AUCs of the models were consistently higher than APRI, FIB-4, and AST/ALT ratio, with both greater sensitivity and specificity. Our study showed that this 4-metabolite panel has potential usefulness in clinical assessments of CLD progression in patients with chronic hepatitis B virus infection.

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出版当年[2019]版:
大类 | 1 区 医学
小类 | 2 区 医学:内科
最新[2025]版:
大类 | 1 区 医学
小类 | 1 区 医学:内科
第一作者:
第一作者机构: [1]E-Institute of Shanghai Municipal Education Committee, Institute ofInterdisciplinary Integrative Medicine Research, Shanghai University ofTraditional Chinese Medicine, Shanghai 201203, China. [2]HumanMetabolomics Institute, Inc., Shenzhen 518109, Guangdong, China.
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通讯作者:
通讯机构: [1]E-Institute of Shanghai Municipal Education Committee, Institute ofInterdisciplinary Integrative Medicine Research, Shanghai University ofTraditional Chinese Medicine, Shanghai 201203, China. [3]KeyLaboratory of Liver and Kidney Diseases (Ministry of Education), ShuguangHospital, Shanghai University of Traditional Chinese Medicine, Shanghai201203, China. [4]University of Hawaii Cancer Center, Honolulu, HI 96813, USA. [7]Institute ofLiver Diseases, Shuguang Hospital, Shanghai University of Traditional ChineseMedicine, 528 Zhangheng Road, Shanghai 201203, China. [8]School of ChineseMedicine, Hong Kong Baptist University, Kowloon Tong, Hong Kong, China.
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