PMID- 28978166 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20191120 IS - 1949-2553 (Electronic) IS - 1949-2553 (Linking) VI - 8 IP - 40 DP - 2017 Sep 15 TI - Metabolomic biomarkers of pancreatic cancer: a meta-analysis study. PG - 68899-68915 LID - 10.18632/oncotarget.20324 [doi] AB - Pancreatic cancer (PC) is an aggressive disease with high mortality rates, however, there is no blood test for early detection and diagnosis of this disease. Several research groups have reported on metabolomics based clinical investigations to identify biomarkers of PC, however there is a lack of a centralized metabolite biomarker repository that can be used for meta-analysis and biomarker validation. Furthermore, since the incidence of PC is associated with metabolic syndrome and Type 2 diabetes mellitus (T2DM), there is a need to uncouple these common metabolic dysregulations that may otherwise diminish the clinical utility of metabolomic biosignatures. Here, we attempted to externally replicate proposed metabolite biomarkers of PC reported by several other groups in an independent group of PC subjects. Our study design included a T2DM cohort that was used as a non-cancer control and a separate cohort diagnosed with colorectal cancer (CRC), as a cancer disease control to eliminate possible generic biomarkers of cancer. We used targeted mass spectrometry for quantitation of literature-curated metabolite markers and identified a biomarker panel that discriminates between normal controls (NC) and PC patients with high accuracy. Further evaluation of our model with CRC, however, showed a drop in specificity for the PC biomarker panel. Taken together, our study underscores the need for a more robust study design for cancer biomarker studies so as to maximize the translational value and clinical implementation. FAU - Mehta, Khyati Y AU - Mehta KY AD - Department of Oncology, Georgetown University Medical Center, Washington, DC, United States of America. FAU - Wu, Hung-Jen AU - Wu HJ AD - Department of Biochemistry and Molecular and Cellular Biology, Georgetown University Medical Center, Washington, DC, United States of America. FAU - Menon, Smrithi S AU - Menon SS AD - Department of Oncology, Georgetown University Medical Center, Washington, DC, United States of America. FAU - Fallah, Yassi AU - Fallah Y AD - Department of Oncology, Georgetown University Medical Center, Washington, DC, United States of America. FAU - Zhong, Xiaogang AU - Zhong X AD - Department of Biostatistics Bioinformatics and Biomathematics, Georgetown University, Washington, DC, United States of America. FAU - Rizk, Nasser AU - Rizk N AD - Department of Health Sciences, Qatar University, Doha, Qatar. FAU - Unger, Keith AU - Unger K AD - Lombardi Comprehensive Cancer Center, Med-Star Georgetown University Hospital, Washington, DC, United States of America. FAU - Mapstone, Mark AU - Mapstone M AD - Department of Neurology, University of California, Irvine, CA, United States of America. FAU - Fiandaca, Massimo S AU - Fiandaca MS AD - Department of Neurology, University of California, Irvine, CA, United States of America. AD - Department of Neurological Surgery, University of California, Irvine, CA, United States of America. FAU - Federoff, Howard J AU - Federoff HJ AD - Department of Neurology, University of California, Irvine, CA, United States of America. FAU - Cheema, Amrita K AU - Cheema AK AD - Department of Oncology, Georgetown University Medical Center, Washington, DC, United States of America. AD - Department of Biochemistry and Molecular and Cellular Biology, Georgetown University Medical Center, Washington, DC, United States of America. LA - eng GR - P30 CA051008/CA/NCI NIH HHS/United States PT - Journal Article DEP - 20170818 PL - United States TA - Oncotarget JT - Oncotarget JID - 101532965 PMC - PMC5620306 OTO - NOTNLM OT - biomarkers OT - metabolomics OT - pancreatic cancer COIS- CONFLICTS OF INTEREST The authors declare no competing conflicts of interest. EDAT- 2017/10/06 06:00 MHDA- 2017/10/06 06:01 PMCR- 2017/09/15 CRDT- 2017/10/06 06:00 PHST- 2017/04/19 00:00 [received] PHST- 2017/08/04 00:00 [accepted] PHST- 2017/10/06 06:00 [entrez] PHST- 2017/10/06 06:00 [pubmed] PHST- 2017/10/06 06:01 [medline] PHST- 2017/09/15 00:00 [pmc-release] AID - 20324 [pii] AID - 10.18632/oncotarget.20324 [doi] PST - epublish SO - Oncotarget. 2017 Aug 18;8(40):68899-68915. doi: 10.18632/oncotarget.20324. eCollection 2017 Sep 15.