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Expanded metabolomics approach to profiling endogenous carbohydrates in the serum of ovarian cancer patients
Authors:Li Li  Bangjie Zhu  Feng Liu  Yan Wang  Xue Gu  Chao Yan
Affiliation:1. Department of Gynecology, Affiliated Tumor Hospital, Xinjiang Medical University, ürümqi, China;2. School of Pharmacy, Shanghai Jiao Tong University, Shanghai, China
Abstract:We applied hydrophilic interaction liquid chromatography coupled with tandem mass spectrometry to the quantitative analysis of serum from 58 women, including ovarian cancer patients, ovarian benign tumor patients, and healthy controls. All of these ovarian cancer and ovarian benign tumor patients have elevated cancer antigen 125, which makes them clinically difficult to differentiate the malignant from the benign. All of the 16 endogenous carbohydrates were quantitatively detected in the human sera, of which, eight endogenous carbohydrates were significantly different (P‐value < 0.05) between the ovarian cancer and healthy control. According to the receiver operating characteristic curve analysis, arabitol was the most potentially specific biomarker for discriminating ovarian cancer from healthy control, having an area under the curve of 0.911. A panel of metabolite markers composed of maltose, maltotriose, raffinose, and mannitol was selected, which was able to discriminate the ovarian cancer from the benign ovarian tumor counterparts, with an area under concentration‐time curve value of 0.832. Endogenous carbohydrates in the expanded metabolomics approach after the global metabolic profiling are characterized and are potential biomarkers for the early diagnosis of ovarian cancer.
Keywords:Carbohydrates  Hydrophilic interaction chromatography  Quantitative metabolomics  Ovarian cancer
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