Metabolomics as a potential method for predicting thyroid malignancy in children and adolescents.

Abstract:

PURPOSE:To identify potential metabolic biomarkers for distinguishing malignant and benign thyroid nodules in children and adolescents using a metabolomics approach. METHODS:A total of 96 consecutive patients (median age 14.29 ± 2.31 years, range 9-18 years) who underwent thyroidectomy and 40 healthy controls were enrolled. Patients were assigned to the papillary thyroid carcinoma and benign thyroid adenoma groups according to postoperative pathologic biopsy. Plasma samples were preoperatively collected, and multivariate analysis was performed to identify differential metabolites. RESULTS:Papillary thyroid carcinoma could be distinguished not only from healthy serum but also from benign thyroid adenoma according to the metabolic profiles. A total of 17 metabolites were identified. Compared with those from benign thyroid adenoma patients and healthy controls, the metabolites from papillary thyroid carcinoma patients, including leucine, lactate, alanine, glycine, acetate, lysine and choline, were increased, while glucose was decreased. CONCLUSION:The metabolomics method based on proton nuclear magnetic resonance has great potential for identifying papillary thyroid carcinoma in children and adolescents. Lactate and glycine may be used as potential serum markers for the diagnosis of papillary thyroid carcinoma.

journal_name

Pediatr Surg Int

authors

Zhou Q,Zhang LY,Xie C,Zhang ML,Wang YJ,Liu GH

doi

10.1007/s00383-019-04584-0

subject

Has Abstract

pub_date

2020-02-01 00:00:00

pages

145-153

issue

2

eissn

0179-0358

issn

1437-9813

pii

10.1007/s00383-019-04584-0

journal_volume

36

pub_type

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