PMID- 37283897 OWN - NLM STAT- MEDLINE DCOM- 20230609 LR - 20230611 IS - 2167-8359 (Electronic) IS - 2167-8359 (Linking) VI - 11 DP - 2023 TI - Clinical diagnostic value of amino acids in laryngeal squamous cell carcinomas. PG - e15469 LID - 10.7717/peerj.15469 [doi] LID - e15469 AB - BACKGROUND: Early diagnosis and treatment can improve the survival rates of patients with laryngeal squamous cell carcinoma (LSCC). Therefore, it is necessary to discover new biomarkers for laryngeal cancer screening and early diagnosis. METHODS: We collected fasting plasma from LSCC patients and healthy volunteers, as well as cancer and para-carcinoma tissues from LSCC patients, and performed quantitative detection of amino acid levels using liquid chromatography-mass spectrometry. We used overall analysis and multivariate statistical analysis to screen out the statistically significant differential amino acids in the plasma and tissue samples, conducted receiver operating characteristic (ROC) analysis of the differential amino acids to evaluate the sensitivity and specificity of the differential amino acids, and finally determined the diagnostic value of amino acids for laryngeal cancer. Additionally, we identified amino acids in the plasma and tissue samples that are valuable for the early diagnosis of laryngeal cancer classified according to the tumor-node-metastasis (TNM) classification. RESULTS: Asparagine (Asp) and homocysteine (Hcy) were two amino acids of common significance in plasma and tissue samples, and their specificity and sensitivity analysis showed that they may be new biomarkers for the diagnosis and treatment of LSCC. According to the TNM staging system, phenylalanine (Phe) and isoleucine (Ile) were screened out in the plasma of LSCC patients at early (I and II) and advanced (III and IV) stages; ornithine hydrochloride (Orn), glutamic acid (Glu), and Glycine (Gly) were selected in the tissue. These dysregulated amino acids found in LSCC patients may be useful as clinical biomarkers for the early diagnosis and screening of LSCC. CI - (c) 2023 Hu et al. FAU - Hu, Shousen AU - Hu S AD - Department of Otolaryngology Head and Neck Surgery, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, China. FAU - Zhao, Chang AU - Zhao C AD - Department of Otorhinolaryngology, Zhengzhou Seventh People's Hospital, Zhengzhou, China. FAU - Wang, Zi'an AU - Wang Z AD - Department of Pharmacy, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, China. AD - Henan Key Laboratory of Precision Clinical Pharmacy, Zhengzhou University, Zhengzhou, China. FAU - Li, Zeyun AU - Li Z AD - Department of Pharmacy, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, China. AD - Henan Key Laboratory of Precision Clinical Pharmacy, Zhengzhou University, Zhengzhou, China. FAU - Kong, Xiangzhen AU - Kong X AD - Department of Pharmacy, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, China. AD - Henan Key Laboratory of Precision Clinical Pharmacy, Zhengzhou University, Zhengzhou, China. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20230601 PL - United States TA - PeerJ JT - PeerJ JID - 101603425 RN - 0 (Amino Acids) RN - 0 (Biomarkers, Tumor) SB - IM MH - Humans MH - Squamous Cell Carcinoma of Head and Neck/diagnosis MH - *Laryngeal Neoplasms/diagnosis MH - *Carcinoma, Squamous Cell/diagnosis MH - Amino Acids MH - Biomarkers, Tumor MH - Early Detection of Cancer MH - *Head and Neck Neoplasms PMC - PMC10239616 OTO - NOTNLM OT - Amino acid OT - Biomarker OT - LC-MS OT - Laryngeal cancer OT - Staging COIS- The authors declare that they have no competing interests. EDAT- 2023/06/07 13:10 MHDA- 2023/06/09 06:42 PMCR- 2023/06/01 CRDT- 2023/06/07 09:39 PHST- 2023/01/20 00:00 [received] PHST- 2023/05/05 00:00 [accepted] PHST- 2023/06/09 06:42 [medline] PHST- 2023/06/07 13:10 [pubmed] PHST- 2023/06/07 09:39 [entrez] PHST- 2023/06/01 00:00 [pmc-release] AID - 15469 [pii] AID - 10.7717/peerj.15469 [doi] PST - epublish SO - PeerJ. 2023 Jun 1;11:e15469. doi: 10.7717/peerj.15469. eCollection 2023.