Review Article

Metabolic Biomarkers of Squamous Cell Carcinoma of the Aerodigestive Tract: A Systematic Review and Quality Assessment

Table 1

Study characteristics, statistical analysis, and prediction model performed.

AuthorCountrySample typeSCC stageTargeted/untargeted methodAnalytical platformStatistical analysis/prediction modelSTARD scoreQUADASCAWG-MSI metabolite ID levelCAWG-MSI scoreSn (%)Sp (%)AUC
Risk of biasApplicability

Studies of oesophageal squamous cell carcinoma
 Liu 2013ChinaPlasmaLate: 17
Control: 53
UntargetedUPLC-ESI-TOF-MSPCA, hierarchical cluster analysis37LowLow213
 Wang L 2013ChinaTissueEarly: 28
Late: 71
Control: 30
Untargeted1H-NMROPLS-DA35LowHigh27
 Jin 2014ChinaPlasmaEarly: 49
Late: 31
Control: 30
UntargetedGC-MSModel of 3 compounds based on OPLS-DA model33LowLow2169096.670.964
 Ma 2014ChinaPlasmaEarly: 51
Control: 60
TargetedHPLCStudent -test, PLS-DA32LowLow210
 Wang J 2016ChinaPlasmaEarly: 28
Late: 30
Control: 105
UntargetedUHPLC-QTOF/MSModel of 16 compounds based on random forest model37LowLow1198590.50.929
 Xu 2016ChinaUrineLate: 40
Control: 62
UntargetedLC-MS/MSModel of 7 compounds based on binary logistic regression and ROC curve25UnclearLow21990.296.00.961
 Cheng 2017ChinaPlasmaPatient: 40
Control: 27
TargetedLC-MS/MSModel of 4 compounds based on fivefold cross-validation test32LowLow21577.585.330.798
 Zhang 2017ChinaPlasmaEarly: 17
Late: 23
Control: 40
Untargeted1H-NMR, UHPLCModel of 9 compounds based on binary logistic regression and ROC curves33LowLow21497.4950.988

Studies of lung squamous cell carcinoma
 Song 2010ChinaBreathEarly: 20
Late: 33
Control: 41
UntargetedSPME GC-MSWilcoxon rank sum test, ROC29LowLow211
 De Castro 2014SpainPlasmaPatient: 30
Control: 35
TargetedGC-MSModel of 1 compound based on ROC curves30UnclearLow11377660.7
 Handa 2014GermanyBreathEarly: 19
late: 31
Normal: 39
UntargetedIMSModel of 11 compounds based on decision tree algorithm27UnclearLow3697.460
 Rocha 2015PortugalTissuePatient: 19
Control: 37
Untargeted1H-NMRPLS-DA, Wilcoxon rank sum test25UnclearLow27
 Sanchez-Rodriguez 2015SpainPlasmaLate: 18
Control: 50
TargetedGC-MSModel of 1 compound based on ROC curves31LowLow11769680.68

Studies of head and neck squamous cell carcinoma
 Mizukawa 1998JapanSalivaPatient: 18
Control: 18
TargetedHPLCNil–peak detection only21LowHigh17
 Somashekar 2011USATissuePatient: 22
Control: 22
UntargetedHR-magic angle spinning proton NMR spectroscopyPCA23LowLow18
 Wei 2011ChinaSalivaEarly: 21
Late: 16
Control: 66
UntargetedUPLC-QTOF-MSModel of 5 compounds based on ROC curves31LowLow31386.582.40.89
 Yonezawa 2013JapanTissue, plasmaEarly: 7
Late: 10
Control: 22
UntargetedGC-MSStudent’s -test, Bartlett’s test, Wilcoxon rank sum test27LowLow217
 Gruber 2014IsraelBreathEarly: 9
Late: 11
Control: 40
UntargetedGC-MS, sensorsModel of 3 compounds based on discriminant factor analysis30LowLow31077900.83
 Wang Q (Clinica Chimica Acta) 2014ChinaSalivaEarly: 13
Late: 17
Control: 0
TargetedUPLC-MSModel of 4 compounds based on ROC curves30UnclearLow12492.391.7
 Wang Q (Scientific Reports) 2014ChinaSalivaEarly: 13
Late: 17
Control: 30
UntargetedRPLC-MS, HILIC-MSModel of 5 compounds based on ROC curve24UnclearLow11610096.70.997
 Wang Q (Talanta) 2014ChinaSalivaEarly: 13
Late: 17
Control: 60
TargetedUPLC-ESI-MSModel of 2 compounds based on logistic regression model25LowUnclear12592.391.70.871
 Gupta 2015IndiaPlasmaEarly: 28
Late: 72
Control: 175
UntargetedH-NMRModel of 2 compounds based on OPLS-DA33UnclearLow21090940.979
 Szabo 2015HungaryBreathCancer: 14
Control: 11
TargetedOralChroma and GC-MSNil–peak detection only22UnclearLow18
 Kekatpure 2016IndiaUrineEarly: 14
Late: 64
Control: 94
UntargetedLC-triple quadrupole-MS/MSKruskal-Wallis, Fisher exact test, Cox proportional hazards model23LowHigh213
 Mukherjee 2016USATissue, salivaEarly: 2
Late: 5
Control: 7
UntargetedLC-MS, LC-MS/MS, GC-MSKruskal-Wallis with adjustment for multiple testing36LowLow315
 Shoffel-Havakuk 2016IsraelSalivaCancer: 6
Control: 4
UntargetedGC-MSMann–Whitney , Fisher exact test24LowLow211
 Bouza 2017SpainBreathEarly: 11
Late: 15
Control: 26
UntargetedSPME, GC-MSKruskal-Wallis, Mann–Whitney, PLS-DA, SIMCA prediction25UnclearLow210
 Hartwig 2017GermanyBreathEarly: 5
Late: 5
Control: 4
UntargetedGC-MSJackknife/leave-one-out cross-validation34UnclearLow36
 Kamarajan 2017USATissue, saliva, plasmaEarly: 17
Late: 30
Control: 19
UntargetedUPLC-MS/MS, GC-MSAnova, -test, random forest classification, PCA31LowLow220
 Ohshima 2017JapanSalivaEarly: 14
Late: 8
Control: 21
UntargetedCE-TOF-MSHierarchical cluster analysis, Wilcoxon rank sum test37LowLow39

Key: LC: liquid chromatography; GC: gas chromatography; UPLC: ultra-performance liquid chromatography; HPLC: high-performance liquid chromatography; QTOF: quad-time-of-flight; 1H-NMR: proton nuclear magnetic resonance; UHPLC: ultra-high performance liquid chromatography; IMS: ion mobility spectroscopy; ESI: electrospray ionisation; SPME: solid-phase microextraction; CE: capillary electrophoresis; RPLC: reverse-phase liquid chromatography; HILIC: hydrophilic interaction chromatography; MS: mass spectrometry; PCA: principal component analysis; PLS-DA: partial least squares discriminant analysis; MCCV: Monte Carlo cross-validation; OPLS-DA: orthogonal partial least squares discriminant analysis; ROC: receiver operating curve.