Metabolomics-based diagnostic markers for pancreatic cancer and its screening methods and applications
A diagnostic marker and pancreatic cancer technology, applied in the field of clinical examination and diagnosis, can solve the problems of high detection sensitivity, many data features, and huge data volume, and achieve high sensitivity, simple construction method, and good specificity
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Embodiment 1
[0062] Example 1: Screening of pancreatic cancer diagnostic markers
[0063] 1. Research object
[0064] A total of 333 plasma samples from patients with pancreatic cancer and 262 plasma samples from normal healthy controls were included in this study from 4 independent medical centers. The diagnostic criteria for pancreatic cancer were pancreatic ductal adenocarcinoma confirmed by postoperative pathology.
[0065] 2. Plasma non-targeted metabolomics analysis using liquid chromatography-mass spectrometry
[0066] All plasma samples were centrifuged and stored in a -80°C refrigerator. Plasma samples were taken out during the research, and after sample pretreatment, metabolomics analysis was performed using high-performance liquid chromatography-mass spectrometry to obtain the original metabolic fingerprint of the sample including chromatographic and mass spectrometric information. The specific operation is as follows:
[0067] 2.1 Instruments and reagents
[0068] Experime...
Embodiment 2
[0097] Example 2: Construction of a pancreatic cancer diagnostic model using 19 plasma metabolic markers
[0098] 1. Research object
[0099] This study included 333 plasma samples from pancreatic cancer patients and 262 healthy controls with normal physical examination from 4 independent medical centers, which were from the same source as the characteristic screening samples (595 cases). Among them, 495 cases of pancreatic cancer patients and healthy controls were used for the training set, and 100 cases were used for the test set. Among them, the diagnostic standard of pancreatic cancer is the presence of single or multiple pancreatic cancers with a diameter of less than 3 cm confirmed by imaging examination and tissue biopsy.
[0100] 2. Plasma Targeted Metabolomics Analysis Using Liquid Chromatography-Mass Spectrometry
[0101] All plasma samples were centrifuged and stored in a -80°C refrigerator. Plasma samples were taken out during the research, and after sample pret...
Embodiment 3
[0128] Example 3: Construction of a pancreatic cancer diagnostic model using 17 plasma metabolic markers
[0129] The research objects and detection and analysis methods of this embodiment are the same as those of Example 2, except that 17 plasma metabolic markers (including lysophosphatidylcholine LPC 14:0, lysophosphatidylcholine 14:0, lysophosphatidylcholine Alkaline LPC 16:0, Lysophosphatidylcholine LPC 18:1, Lysophosphatidylcholine LPC 20:4, Phosphatidylcholine PC 16:0-16:0, Phosphatidylcholine PC 16:0-18: 1. Phosphatidylcholine PC 18:0-18:2, Phosphatidylcholine PC 18:0-20:3, Phosphatidylcholine PC16:0-22:5, Phosphatidylcholine PC 18:0-22 :5, Phosphatidylcholine PC O-16:0-18:2, Lysophosphatidylethanolamine LPE22:4, Phosphatidylethanolamine PE 16:0-18:2, Sphingomyelin SM d18:1 / 18:0, Sphingomyelin Phospholipids SM d18:2 / 24:1, sphingomyelin SM d18:2 / 24:2, diglycerides DG 18:1-18:1) for machine learning and modeling, the sensitivity of the obtained model (sensitivity), spec...
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