Osteoporosis, bone & mineral

Ultra-High Performance Liquid Chromatography-Mass Spectrometry-based Serum Metabolomics for Early Diagnosis of Refractory Tumor-induced Osteomalacia: A Case-control Study

J Clin Endocrinol MetabPublished Case-control study

Authors' conclusion

We investigate the global metabolomes of refractory TIO and identify potential prognostic biomarkers preliminarily. A high sensitivity and specificity panel were identified as promising discriminating predictors, which need to be verified in more patients. This work may demonstrate novel insights into TIO prognosis and pathogenesis.

Study context

Population
Patients with tumor-induced osteomalacia (TIO) and matched controls; preoperative sera
Participants
86 samples
Comparison
Refractory (nonremission) vs recovered TIO vs matched healthy controls, preoperative serum metabolomics
  • TIO recoveryn = 32
  • Nonremissionn = 11
  • Controlsn = 43reference
Outcome
Panel of L-pipecolic acid + 2-dodecylbenzenesulfonic acid for TIO prognosis (random forest)
Methodological detailscross-sectional comparison of metabolomic profile between TIO and normal control, longitudinal study for prognostic model
  • Cross-sectional comparison of metabolomic profile between TIO and normal control
  • Longitudinal study for prognostic model

Main finding

As reported in the abstract

AUC of L-pipecolic acid + 2-dodecylbenzenesulfonic acid panel for TIO prognosis

0.921

95% CI 0.787–0.995

Observational data: associations, not effects.

Original publication

Ultra-High Performance Liquid Chromatography-Mass Spectrometry-based Serum Metabolomics for Early Diagnosis of Refractory Tumor-induced Osteomalacia: A Case-control Study. J Clin Endocrinol Metab. Published 31 January 2023. doi:10.1210/clinem/dgad034

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