{"id":336502,"date":"2021-12-14T14:33:10","date_gmt":"2021-12-14T19:33:10","guid":{"rendered":"https:\/\/news.harvard.edu\/gazette\/?p=336502"},"modified":"2023-11-08T19:57:03","modified_gmt":"2023-11-09T00:57:03","slug":"early-stage-lung-cancer-may-be-detected-from-a-drop-of-blood","status":"publish","type":"post","link":"https:\/\/news.harvard.edu\/gazette\/story\/2021\/12\/early-stage-lung-cancer-may-be-detected-from-a-drop-of-blood\/","title":{"rendered":"Cancer clues in a drop of blood"},"content":{"rendered":"<header\n\tclass=\"wp-block-harvard-gazette-article-header alignfull article-header is-style-full-width-text-below centered-image\"\n\tstyle=\" \"\n>\n\t<figure class=\"wp-block-image\"><img fetchpriority=\"high\" decoding=\"async\" alt=\"Lungs illustration.\" height=\"1667\" loading=\"eager\" src=\"https:\/\/news.harvard.edu\/gazette\/wp-content\/uploads\/2021\/12\/lungs.jpg\" width=\"2500\"\/><figcaption class=\"wp-element-caption\"><p class=\"wp-element-caption--caption\">\u201cThe predictive model we constructed can identify which people may be harboring lung cancer,\u201d says Leo Cheng, who co-led the study.\n\n<\/p><p class=\"wp-element-caption--credit\">iStock by Getty Images<\/p><\/figcaption><\/figure>\n\n\t<div class=\"article-header__content\">\n\t\t\t<a\n\t\t\tclass=\"article-header__category\"\n\t\t\thref=\"https:\/\/news.harvard.edu\/gazette\/section\/health\/\"\n\t\t>\n\t\t\tHealth\t\t<\/a>\n\t\t\n\t\t<h1 class=\"article-header__title wp-block-heading \">\n\t\tCancer clues in a drop of blood\t<\/h1>\n\n\t\n\t\t\t<\/div>\n\t\t\n\t<div class=\"article-header__meta\">\n\t\t<div class=\"wp-block-post-author\">\n\t\t\t<address class=\"wp-block-post-author__content\">\n\t\t\t\t\t<p class=\"author wp-block-post-author__name\">\n\t\tAnita Slomski\t<\/p>\n\t\t\t<p class=\"wp-block-post-author__byline\">\n\t\t\tMGH News and Public Affairs\t\t<\/p>\n\t\t\t\t\t<\/address>\n\t\t<\/div>\n\n\t\t<time class=\"article-header__date\" datetime=\"2021-12-14\">\n\t\t\tDecember 14, 2021\t\t<\/time>\n\n\t\t<span class=\"article-header__reading-time\">\n\t\t\t4 min read\t\t<\/span>\n\t<\/div>\n\n\t\n\t\t\t<h2 class=\"article-header__subheading wp-block-heading\">\n\t\t\tNew diagnostic blood test paves the way for early stage lung cancer screening\t\t<\/h2>\n\t\t\n<\/header>\n\n\n\n<div class=\"wp-block-group alignwide has-global-padding is-content-justification-center is-layout-constrained wp-block-group-is-layout-constrained\">\n\n\n\t\t<p>A diagnostic blood test may provide early detection of lung cancer in asymptomatic patients, according to a new study.<\/p>\n<p>Lung cancer, the leading cause of cancer death, is usually diagnosed at a late stage when the survival rate is extremely low. Early stage lung cancer is mostly asymptomatic, and low-dose spiral CT imaging, the current method for detecting early lung cancer lesions, isn\u2019t feasible as a widespread screening test for the general population due to high cost and the radiation hazard of repeated screenings.<\/p>\n<p>The study, published in Proceedings of the National Academy of Sciences provides proof-of-concept for the ability of a drop of blood to reveal lung cancer in asymptomatic patients. It was co-led by researchers at Harvard-affiliated Massachusetts General Hospital: Leo Cheng, associate biophysicist in pathology and radiology, Athinsula A. Martinos Center for Biomedical Imaging, and David Christiani, pulmonary and critical care physician.<\/p>\n<p>\u201cOur study demonstrates the potential for developing a sensitive screening tool for the early detection of lung cancer,\u201d says Cheng. \u201cThe predictive model we constructed can identify which people may be harboring lung cancer. Individuals with suspicious findings would then be referred for further evaluation by imaging tests, such as low-dose CT, for a definitive diagnosis.\u201d<\/p>\n<p>Cheng, Christiani, and their co-investigators built a lung-cancer predictive model based on metabolomics profiles in blood. Metabolomics analyzes cellular metabolite flows to decipher healthy and pathological states by studying the metabolome \u2014 the dynamic biochemical suite found in all cells, fluids, and tissues of the body. The presence of lung cancer, with its altered physiology and pathology, can cause changes in the blood metabolites produced or consumed by cancer cells in the lungs. The researchers measured metabolomics profiles in blood using high-resolution magnetic resonance spectroscopy, a tool that can examine an array of compounds within living cells by measuring the collective reactions of metabolites.<\/p>\n<p>The investigators screened tens of thousands of blood specimens stored in MGH\u2019s biobank and others and found 25 patients with non-small cell lung cancer (NSCLC) with stored blood specimens obtained at the time of their diagnosis and at least six months prior to their diagnosis. They matched these patients with 25 healthy controls.<\/p>\n<p>The researchers first trained their statistical model to recognize lung cancer by measuring metabolomic profile values in blood samples obtained from patients at the time of their diagnosis and comparing them to blood samples from the healthy controls. They then validated their model using blood samples from the same patients obtained prior to their lung cancer diagnosis. Here the predictive model yielded values between the healthy controls and the patients at the time of their diagnosis.<\/p>\n<p>\u201cThis was very encouraging, because screening for early disease should detect changes in blood metabolomic profiles that are intermediate between healthy and disease states,\u201d says Cheng.<\/p>\n<p>The investigators then tested their model with a different group of 54 patients with NSCLC using blood samples obtained before their cancer diagnosis, which confirmed that the model\u2019s predictions were accurate.<\/p>\n<p>Values from the predictive model measured from prior-to-diagnosis blood samples could also predict five-year survival for patients, which may be useful in guiding clinical strategies and treatment decisions. A previous study by the investigators showed the potential for magnetic resonance spectroscopy-based metabolomics to differentiate cancer types and stages of diseases. Larger studies are needed to validate the use of blood metabolomics models as NSCLC early screening tools in clinical practice.<\/p>\n<p>Next, the researchers will analyze metabolomic profiles of lung cancer\u2019s clinical characteristics to understand the entire metabolic spectrum of the disease, which may be useful in choosing targeted therapies. They have also measured metabolomics profiles of more than 400 patients with prostate cancer to create a model that will distinguish between indolent cancer, which needs to be monitored, and more aggressive cancer that requires immediate treatment. The investigators also plan to use the same technology to screen for Alzheimer disease using blood samples and cerebrospinal fluid.<\/p>\n<p>Cheng is associate professor of radiology at Harvard Medical School. Christiani is professor of medicine at HMS, and professor of environmental genetics at the Harvard T.H. Chan School of Public Health.<\/p>\n<p><em>The National Cancer Institute funded this study.\u00a0<\/em><\/p>\n\n\n<\/div>\n\n\t\t","protected":false},"excerpt":{"rendered":"<p>A new study provides proof-of-concept for the ability of a drop of blood to reveal lung cancer in asymptomatic patients.<\/p>\n","protected":false},"author":105622744,"featured_media":336505,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"gz_ga_pageviews":207,"gz_ga_lastupdated":"2024-02-17 21:05","document_color_palette":"blue","author":"Anita Slomski","affiliation":"MGH News and Public Affairs","_category_override":"","_yoast_wpseo_primary_category":"","_jetpack_memberships_contains_paid_content":false,"footnotes":""},"categories":[39644],"tags":[6998,11583,49397,49398,22204],"gazette-formats":[],"series":[],"class_list":["post-336502","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-health","tag-cancer","tag-early-detection","tag-early-stage-lung-cancer","tag-low-dose-spiral-ct-imaging","tag-lung-cancer"],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v23.0 (Yoast SEO v27.1.1) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>Early stage lung cancer may be detected from a drop of blood &#8212; Harvard Gazette<\/title>\n<meta name=\"description\" content=\"A new study provides proof-of-concept for the ability of a drop of blood to reveal lung cancer in asymptomatic patients.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, 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test paves the way for early stage lung cancer screening","centeredImage":true,"className":"is-style-full-width-text-below","mediaHeight":1667,"mediaWidth":2500,"backgroundFixed":false,"backgroundTone":"light","coloredBackground":false,"displayOverlay":true,"fadeInText":false,"isAmbient":false,"mediaLength":"","mediaPosition":"","posterText":"","titleAbove":false,"useUncroppedImage":false,"lock":[],"metadata":[]},"innerBlocks":[],"innerHTML":"<figure class=\"wp-block-image\"><img alt=\"Lungs illustration.\" height=\"1667\" loading=\"eager\" src=\"https:\/\/news.harvard.edu\/gazette\/wp-content\/uploads\/2021\/12\/lungs.jpg\" width=\"2500\"\/><figcaption class=\"wp-element-caption\"><p class=\"wp-element-caption--caption\">\u201cThe predictive model we constructed can identify which people may be harboring lung cancer,\u201d says Leo Cheng, who co-led the study.\n\n<\/p><p class=\"wp-element-caption--credit\">iStock by Getty Images<\/p><\/figcaption><\/figure>\n","innerContent":["<figure class=\"wp-block-image\"><img alt=\"Lungs illustration.\" height=\"1667\" loading=\"eager\" src=\"https:\/\/news.harvard.edu\/gazette\/wp-content\/uploads\/2021\/12\/lungs.jpg\" width=\"2500\"\/><figcaption class=\"wp-element-caption\"><p class=\"wp-element-caption--caption\">\u201cThe predictive model we constructed can identify which people may be harboring lung cancer,\u201d says Leo Cheng, who co-led the study.\n\n<\/p><p class=\"wp-element-caption--credit\">iStock by Getty Images<\/p><\/figcaption><\/figure>\n"],"rendered":"<header\n\tclass=\"wp-block-harvard-gazette-article-header alignfull article-header is-style-full-width-text-below centered-image\"\n\tstyle=\" \"\n>\n\t<figure class=\"wp-block-image\"><img alt=\"Lungs illustration.\" height=\"1667\" loading=\"eager\" src=\"https:\/\/news.harvard.edu\/gazette\/wp-content\/uploads\/2021\/12\/lungs.jpg\" width=\"2500\"\/><figcaption class=\"wp-element-caption\"><p class=\"wp-element-caption--caption\">\u201cThe predictive model we constructed can identify which people may be harboring lung cancer,\u201d says Leo Cheng, who co-led the study.\n\n<\/p><p class=\"wp-element-caption--credit\">iStock by Getty Images<\/p><\/figcaption><\/figure>\n\n\t<div class=\"article-header__content\">\n\t\t\t<a\n\t\t\tclass=\"article-header__category\"\n\t\t\thref=\"https:\/\/news.harvard.edu\/gazette\/section\/health\/\"\n\t\t>\n\t\t\tHealth\t\t<\/a>\n\t\t\n\t\t<h1 class=\"article-header__title wp-block-heading \">\n\t\tCancer clues in a drop of blood\t<\/h1>\n\n\t\n\t\t\t<\/div>\n\t\t\n\t<div class=\"article-header__meta\">\n\t\t<div class=\"wp-block-post-author\">\n\t\t\t<address class=\"wp-block-post-author__content\">\n\t\t\t\t\t<p class=\"author wp-block-post-author__name\">\n\t\tAnita Slomski\t<\/p>\n\t\t\t<p class=\"wp-block-post-author__byline\">\n\t\t\tMGH News and Public Affairs\t\t<\/p>\n\t\t\t\t\t<\/address>\n\t\t<\/div>\n\n\t\t<time class=\"article-header__date\" datetime=\"2021-12-14\">\n\t\t\tDecember 14, 2021\t\t<\/time>\n\n\t\t<span class=\"article-header__reading-time\">\n\t\t\t4 min read\t\t<\/span>\n\t<\/div>\n\n\t\n\t\t\t<h2 class=\"article-header__subheading wp-block-heading\">\n\t\t\tNew diagnostic blood test paves the way for early stage lung cancer screening\t\t<\/h2>\n\t\t\n<\/header>\n"},"2":{"blockName":"core\/group","attrs":{"templateLock":false,"metadata":{"name":"Article content"},"align":"wide","layout":{"type":"constrained","justifyContent":"center"},"tagName":"div","lock":[],"className":"","style":[],"backgroundColor":"","textColor":"","gradient":"","fontSize":"","fontFamily":"","borderColor":"","ariaLabel":"","anchor":""},"innerBlocks":[{"blockName":"core\/freeform","attrs":{"content":"","lock":[],"metadata":[]},"innerBlocks":[],"innerHTML":"\n\t\t<p>A diagnostic blood test may provide early detection of lung cancer in asymptomatic patients, according to a new study.<\/p>\n<p>Lung cancer, the leading cause of cancer death, is usually diagnosed at a late stage when the survival rate is extremely low. Early stage lung cancer is mostly asymptomatic, and low-dose spiral CT imaging, the current method for detecting early lung cancer lesions, isn\u2019t feasible as a widespread screening test for the general population due to high cost and the radiation hazard of repeated screenings.<\/p>\n<p>The study, published in Proceedings of the National Academy of Sciences provides proof-of-concept for the ability of a drop of blood to reveal lung cancer in asymptomatic patients. It was co-led by researchers at Harvard-affiliated Massachusetts General Hospital: Leo Cheng, associate biophysicist in pathology and radiology, Athinsula A. Martinos Center for Biomedical Imaging, and David Christiani, pulmonary and critical care physician.<\/p>\n<p>\u201cOur study demonstrates the potential for developing a sensitive screening tool for the early detection of lung cancer,\u201d says Cheng. \u201cThe predictive model we constructed can identify which people may be harboring lung cancer. Individuals with suspicious findings would then be referred for further evaluation by imaging tests, such as low-dose CT, for a definitive diagnosis.\u201d<\/p>\n<p>Cheng, Christiani, and their co-investigators built a lung-cancer predictive model based on metabolomics profiles in blood. Metabolomics analyzes cellular metabolite flows to decipher healthy and pathological states by studying the metabolome \u2014 the dynamic biochemical suite found in all cells, fluids, and tissues of the body. The presence of lung cancer, with its altered physiology and pathology, can cause changes in the blood metabolites produced or consumed by cancer cells in the lungs. The researchers measured metabolomics profiles in blood using high-resolution magnetic resonance spectroscopy, a tool that can examine an array of compounds within living cells by measuring the collective reactions of metabolites.<\/p>\n<p>The investigators screened tens of thousands of blood specimens stored in MGH\u2019s biobank and others and found 25 patients with non-small cell lung cancer (NSCLC) with stored blood specimens obtained at the time of their diagnosis and at least six months prior to their diagnosis. They matched these patients with 25 healthy controls.<\/p>\n<p>The researchers first trained their statistical model to recognize lung cancer by measuring metabolomic profile values in blood samples obtained from patients at the time of their diagnosis and comparing them to blood samples from the healthy controls. They then validated their model using blood samples from the same patients obtained prior to their lung cancer diagnosis. Here the predictive model yielded values between the healthy controls and the patients at the time of their diagnosis.<\/p>\n<p>\u201cThis was very encouraging, because screening for early disease should detect changes in blood metabolomic profiles that are intermediate between healthy and disease states,\u201d says Cheng.<\/p>\n<p>The investigators then tested their model with a different group of 54 patients with NSCLC using blood samples obtained before their cancer diagnosis, which confirmed that the model\u2019s predictions were accurate.<\/p>\n<p>Values from the predictive model measured from prior-to-diagnosis blood samples could also predict five-year survival for patients, which may be useful in guiding clinical strategies and treatment decisions. A previous study by the investigators showed the potential for magnetic resonance spectroscopy-based metabolomics to differentiate cancer types and stages of diseases. Larger studies are needed to validate the use of blood metabolomics models as NSCLC early screening tools in clinical practice.<\/p>\n<p>Next, the researchers will analyze metabolomic profiles of lung cancer\u2019s clinical characteristics to understand the entire metabolic spectrum of the disease, which may be useful in choosing targeted therapies. They have also measured metabolomics profiles of more than 400 patients with prostate cancer to create a model that will distinguish between indolent cancer, which needs to be monitored, and more aggressive cancer that requires immediate treatment. The investigators also plan to use the same technology to screen for Alzheimer disease using blood samples and cerebrospinal fluid.<\/p>\n<p>Cheng is associate professor of radiology at Harvard Medical School. Christiani is professor of medicine at HMS, and professor of environmental genetics at the Harvard T.H. Chan School of Public Health.<\/p>\n<p><em>The National Cancer Institute funded this study.\u00a0<\/em><\/p>\n","innerContent":["\n\t\t<p>A diagnostic blood test may provide early detection of lung cancer in asymptomatic patients, according to a new study.<\/p>\n<p>Lung cancer, the leading cause of cancer death, is usually diagnosed at a late stage when the survival rate is extremely low. Early stage lung cancer is mostly asymptomatic, and low-dose spiral CT imaging, the current method for detecting early lung cancer lesions, isn\u2019t feasible as a widespread screening test for the general population due to high cost and the radiation hazard of repeated screenings.<\/p>\n<p>The study, published in Proceedings of the National Academy of Sciences provides proof-of-concept for the ability of a drop of blood to reveal lung cancer in asymptomatic patients. It was co-led by researchers at Harvard-affiliated Massachusetts General Hospital: Leo Cheng, associate biophysicist in pathology and radiology, Athinsula A. Martinos Center for Biomedical Imaging, and David Christiani, pulmonary and critical care physician.<\/p>\n<p>\u201cOur study demonstrates the potential for developing a sensitive screening tool for the early detection of lung cancer,\u201d says Cheng. \u201cThe predictive model we constructed can identify which people may be harboring lung cancer. Individuals with suspicious findings would then be referred for further evaluation by imaging tests, such as low-dose CT, for a definitive diagnosis.\u201d<\/p>\n<p>Cheng, Christiani, and their co-investigators built a lung-cancer predictive model based on metabolomics profiles in blood. Metabolomics analyzes cellular metabolite flows to decipher healthy and pathological states by studying the metabolome \u2014 the dynamic biochemical suite found in all cells, fluids, and tissues of the body. The presence of lung cancer, with its altered physiology and pathology, can cause changes in the blood metabolites produced or consumed by cancer cells in the lungs. The researchers measured metabolomics profiles in blood using high-resolution magnetic resonance spectroscopy, a tool that can examine an array of compounds within living cells by measuring the collective reactions of metabolites.<\/p>\n<p>The investigators screened tens of thousands of blood specimens stored in MGH\u2019s biobank and others and found 25 patients with non-small cell lung cancer (NSCLC) with stored blood specimens obtained at the time of their diagnosis and at least six months prior to their diagnosis. They matched these patients with 25 healthy controls.<\/p>\n<p>The researchers first trained their statistical model to recognize lung cancer by measuring metabolomic profile values in blood samples obtained from patients at the time of their diagnosis and comparing them to blood samples from the healthy controls. They then validated their model using blood samples from the same patients obtained prior to their lung cancer diagnosis. Here the predictive model yielded values between the healthy controls and the patients at the time of their diagnosis.<\/p>\n<p>\u201cThis was very encouraging, because screening for early disease should detect changes in blood metabolomic profiles that are intermediate between healthy and disease states,\u201d says Cheng.<\/p>\n<p>The investigators then tested their model with a different group of 54 patients with NSCLC using blood samples obtained before their cancer diagnosis, which confirmed that the model\u2019s predictions were accurate.<\/p>\n<p>Values from the predictive model measured from prior-to-diagnosis blood samples could also predict five-year survival for patients, which may be useful in guiding clinical strategies and treatment decisions. A previous study by the investigators showed the potential for magnetic resonance spectroscopy-based metabolomics to differentiate cancer types and stages of diseases. Larger studies are needed to validate the use of blood metabolomics models as NSCLC early screening tools in clinical practice.<\/p>\n<p>Next, the researchers will analyze metabolomic profiles of lung cancer\u2019s clinical characteristics to understand the entire metabolic spectrum of the disease, which may be useful in choosing targeted therapies. They have also measured metabolomics profiles of more than 400 patients with prostate cancer to create a model that will distinguish between indolent cancer, which needs to be monitored, and more aggressive cancer that requires immediate treatment. The investigators also plan to use the same technology to screen for Alzheimer disease using blood samples and cerebrospinal fluid.<\/p>\n<p>Cheng is associate professor of radiology at Harvard Medical School. Christiani is professor of medicine at HMS, and professor of environmental genetics at the Harvard T.H. Chan School of Public Health.<\/p>\n<p><em>The National Cancer Institute funded this study.\u00a0<\/em><\/p>\n"],"rendered":"\n\t\t<p>A diagnostic blood test may provide early detection of lung cancer in asymptomatic patients, according to a new study.<\/p>\n<p>Lung cancer, the leading cause of cancer death, is usually diagnosed at a late stage when the survival rate is extremely low. Early stage lung cancer is mostly asymptomatic, and low-dose spiral CT imaging, the current method for detecting early lung cancer lesions, isn\u2019t feasible as a widespread screening test for the general population due to high cost and the radiation hazard of repeated screenings.<\/p>\n<p>The study, published in Proceedings of the National Academy of Sciences provides proof-of-concept for the ability of a drop of blood to reveal lung cancer in asymptomatic patients. It was co-led by researchers at Harvard-affiliated Massachusetts General Hospital: Leo Cheng, associate biophysicist in pathology and radiology, Athinsula A. Martinos Center for Biomedical Imaging, and David Christiani, pulmonary and critical care physician.<\/p>\n<p>\u201cOur study demonstrates the potential for developing a sensitive screening tool for the early detection of lung cancer,\u201d says Cheng. \u201cThe predictive model we constructed can identify which people may be harboring lung cancer. Individuals with suspicious findings would then be referred for further evaluation by imaging tests, such as low-dose CT, for a definitive diagnosis.\u201d<\/p>\n<p>Cheng, Christiani, and their co-investigators built a lung-cancer predictive model based on metabolomics profiles in blood. Metabolomics analyzes cellular metabolite flows to decipher healthy and pathological states by studying the metabolome \u2014 the dynamic biochemical suite found in all cells, fluids, and tissues of the body. The presence of lung cancer, with its altered physiology and pathology, can cause changes in the blood metabolites produced or consumed by cancer cells in the lungs. The researchers measured metabolomics profiles in blood using high-resolution magnetic resonance spectroscopy, a tool that can examine an array of compounds within living cells by measuring the collective reactions of metabolites.<\/p>\n<p>The investigators screened tens of thousands of blood specimens stored in MGH\u2019s biobank and others and found 25 patients with non-small cell lung cancer (NSCLC) with stored blood specimens obtained at the time of their diagnosis and at least six months prior to their diagnosis. They matched these patients with 25 healthy controls.<\/p>\n<p>The researchers first trained their statistical model to recognize lung cancer by measuring metabolomic profile values in blood samples obtained from patients at the time of their diagnosis and comparing them to blood samples from the healthy controls. They then validated their model using blood samples from the same patients obtained prior to their lung cancer diagnosis. Here the predictive model yielded values between the healthy controls and the patients at the time of their diagnosis.<\/p>\n<p>\u201cThis was very encouraging, because screening for early disease should detect changes in blood metabolomic profiles that are intermediate between healthy and disease states,\u201d says Cheng.<\/p>\n<p>The investigators then tested their model with a different group of 54 patients with NSCLC using blood samples obtained before their cancer diagnosis, which confirmed that the model\u2019s predictions were accurate.<\/p>\n<p>Values from the predictive model measured from prior-to-diagnosis blood samples could also predict five-year survival for patients, which may be useful in guiding clinical strategies and treatment decisions. A previous study by the investigators showed the potential for magnetic resonance spectroscopy-based metabolomics to differentiate cancer types and stages of diseases. Larger studies are needed to validate the use of blood metabolomics models as NSCLC early screening tools in clinical practice.<\/p>\n<p>Next, the researchers will analyze metabolomic profiles of lung cancer\u2019s clinical characteristics to understand the entire metabolic spectrum of the disease, which may be useful in choosing targeted therapies. They have also measured metabolomics profiles of more than 400 patients with prostate cancer to create a model that will distinguish between indolent cancer, which needs to be monitored, and more aggressive cancer that requires immediate treatment. The investigators also plan to use the same technology to screen for Alzheimer disease using blood samples and cerebrospinal fluid.<\/p>\n<p>Cheng is associate professor of radiology at Harvard Medical School. Christiani is professor of medicine at HMS, and professor of environmental genetics at the Harvard T.H. Chan School of Public Health.<\/p>\n<p><em>The National Cancer Institute funded this study.\u00a0<\/em><\/p>\n"}],"innerHTML":"\n<div class=\"wp-block-group alignwide\">\n\n\n\n<\/div>\n","innerContent":["\n<div class=\"wp-block-group alignwide\">\n\n","\n\n<\/div>\n"],"rendered":"\n<div class=\"wp-block-group alignwide has-global-padding is-content-justification-center is-layout-constrained wp-block-group-is-layout-constrained\">\n\n\n\t\t<p>A diagnostic blood test may provide early detection of lung cancer in asymptomatic patients, according to a new study.<\/p>\n<p>Lung cancer, the leading cause of cancer death, is usually diagnosed at a late stage when the survival rate is extremely low. Early stage lung cancer is mostly asymptomatic, and low-dose spiral CT imaging, the current method for detecting early lung cancer lesions, isn\u2019t feasible as a widespread screening test for the general population due to high cost and the radiation hazard of repeated screenings.<\/p>\n<p>The study, published in Proceedings of the National Academy of Sciences provides proof-of-concept for the ability of a drop of blood to reveal lung cancer in asymptomatic patients. It was co-led by researchers at Harvard-affiliated Massachusetts General Hospital: Leo Cheng, associate biophysicist in pathology and radiology, Athinsula A. Martinos Center for Biomedical Imaging, and David Christiani, pulmonary and critical care physician.<\/p>\n<p>\u201cOur study demonstrates the potential for developing a sensitive screening tool for the early detection of lung cancer,\u201d says Cheng. \u201cThe predictive model we constructed can identify which people may be harboring lung cancer. Individuals with suspicious findings would then be referred for further evaluation by imaging tests, such as low-dose CT, for a definitive diagnosis.\u201d<\/p>\n<p>Cheng, Christiani, and their co-investigators built a lung-cancer predictive model based on metabolomics profiles in blood. Metabolomics analyzes cellular metabolite flows to decipher healthy and pathological states by studying the metabolome \u2014 the dynamic biochemical suite found in all cells, fluids, and tissues of the body. The presence of lung cancer, with its altered physiology and pathology, can cause changes in the blood metabolites produced or consumed by cancer cells in the lungs. The researchers measured metabolomics profiles in blood using high-resolution magnetic resonance spectroscopy, a tool that can examine an array of compounds within living cells by measuring the collective reactions of metabolites.<\/p>\n<p>The investigators screened tens of thousands of blood specimens stored in MGH\u2019s biobank and others and found 25 patients with non-small cell lung cancer (NSCLC) with stored blood specimens obtained at the time of their diagnosis and at least six months prior to their diagnosis. They matched these patients with 25 healthy controls.<\/p>\n<p>The researchers first trained their statistical model to recognize lung cancer by measuring metabolomic profile values in blood samples obtained from patients at the time of their diagnosis and comparing them to blood samples from the healthy controls. They then validated their model using blood samples from the same patients obtained prior to their lung cancer diagnosis. Here the predictive model yielded values between the healthy controls and the patients at the time of their diagnosis.<\/p>\n<p>\u201cThis was very encouraging, because screening for early disease should detect changes in blood metabolomic profiles that are intermediate between healthy and disease states,\u201d says Cheng.<\/p>\n<p>The investigators then tested their model with a different group of 54 patients with NSCLC using blood samples obtained before their cancer diagnosis, which confirmed that the model\u2019s predictions were accurate.<\/p>\n<p>Values from the predictive model measured from prior-to-diagnosis blood samples could also predict five-year survival for patients, which may be useful in guiding clinical strategies and treatment decisions. A previous study by the investigators showed the potential for magnetic resonance spectroscopy-based metabolomics to differentiate cancer types and stages of diseases. Larger studies are needed to validate the use of blood metabolomics models as NSCLC early screening tools in clinical practice.<\/p>\n<p>Next, the researchers will analyze metabolomic profiles of lung cancer\u2019s clinical characteristics to understand the entire metabolic spectrum of the disease, which may be useful in choosing targeted therapies. They have also measured metabolomics profiles of more than 400 patients with prostate cancer to create a model that will distinguish between indolent cancer, which needs to be monitored, and more aggressive cancer that requires immediate treatment. The investigators also plan to use the same technology to screen for Alzheimer disease using blood samples and cerebrospinal fluid.<\/p>\n<p>Cheng is associate professor of radiology at Harvard Medical School. Christiani is professor of medicine at HMS, and professor of environmental genetics at the Harvard T.H. Chan School of Public Health.<\/p>\n<p><em>The National Cancer Institute funded this study.\u00a0<\/em><\/p>\n\n\n<\/div>\n"}},"jetpack-related-posts":[{"id":280890,"url":"https:\/\/news.harvard.edu\/gazette\/story\/2019\/07\/better-screening-for-lung-cancer\/","url_meta":{"origin":336502,"position":0},"title":"Better screening for lung cancer","author":"Lian Parsons","date":"July 16, 2019","format":false,"excerpt":"Massachusetts General Hospital researchers have identified markers that can distinguish between major subtypes of lung cancer and accurately identify lung cancer stage. Their work could eventually help physicians decide whether lung cancer patients need standard treatment or more aggressive therapy.","rel":"","context":"In &quot;Health&quot;","block_context":{"text":"Health","link":"https:\/\/news.harvard.edu\/gazette\/section\/health\/"},"img":{"alt_text":"Person lying in a CT scanner","src":"https:\/\/news.harvard.edu\/wp-content\/uploads\/2019\/07\/ken-treloar-pFoA5Pphb-Q-unsplash2500.jpg?resize=350%2C200","width":350,"height":200,"srcset":"https:\/\/news.harvard.edu\/wp-content\/uploads\/2019\/07\/ken-treloar-pFoA5Pphb-Q-unsplash2500.jpg?resize=350%2C200 1x, https:\/\/news.harvard.edu\/wp-content\/uploads\/2019\/07\/ken-treloar-pFoA5Pphb-Q-unsplash2500.jpg?resize=525%2C300 1.5x, https:\/\/news.harvard.edu\/wp-content\/uploads\/2019\/07\/ken-treloar-pFoA5Pphb-Q-unsplash2500.jpg?resize=700%2C400 2x"},"classes":[]},{"id":53634,"url":"https:\/\/news.harvard.edu\/gazette\/story\/2000\/03\/laser-lights-way-to-treating-advanced-lung-cancer\/","url_meta":{"origin":336502,"position":1},"title":"Laser Lights Way To Treating Advanced Lung Cancer","author":"gazetteimport","date":"March 9, 2000","format":false,"excerpt":"The woman\u0092s left lung had collapsed because a tumor blocked the airway leading to it. She could only survive in a hospital with the help of a machine that forced air into her lungs. This unfortunate condition made her an ideal candidate for a new procedure known as photodynamic, or\u2026","rel":"","context":"In &quot;Campus &amp; Community&quot;","block_context":{"text":"Campus &amp; Community","link":"https:\/\/news.harvard.edu\/gazette\/section\/campus-community\/"},"img":{"alt_text":"","src":"","width":0,"height":0},"classes":[]},{"id":43158,"url":"https:\/\/news.harvard.edu\/gazette\/story\/2004\/06\/males-females-have-same-lung-cancer-risk\/","url_meta":{"origin":336502,"position":2},"title":"Males, females have same lung cancer risk","author":"gazetteimport","date":"June 3, 2004","format":false,"excerpt":"Researchers at Brigham and Womens Hospital (BWH) have found new evidence that suggests that women and men with similar smoking histories have the same risk of developing lung cancer. The large-scale analysis of more than 85,000 men and women shows that the nations top cancer killer strikes male and female\u2026","rel":"","context":"In &quot;Campus &amp; Community&quot;","block_context":{"text":"Campus &amp; Community","link":"https:\/\/news.harvard.edu\/gazette\/section\/campus-community\/"},"img":{"alt_text":"","src":"","width":0,"height":0},"classes":[]},{"id":12666,"url":"https:\/\/news.harvard.edu\/gazette\/story\/2007\/11\/genome-study-charts-genetic-landscape-of-lung-cancer\/","url_meta":{"origin":336502,"position":3},"title":"Genome study charts genetic landscape of lung cancer","author":"harvardgazette","date":"November 8, 2007","format":false,"excerpt":"An international team of scientists Sunday (Nov. 4) announced the results of a systematic effort to map the genetic changes underlying lung cancer, the world\u2019s leading cause of cancer deaths.","rel":"","context":"In &quot;Health&quot;","block_context":{"text":"Health","link":"https:\/\/news.harvard.edu\/gazette\/section\/health\/"},"img":{"alt_text":"","src":"","width":0,"height":0},"classes":[]},{"id":301347,"url":"https:\/\/news.harvard.edu\/gazette\/story\/2020\/03\/in-clinical-study-blood-test-can-detect-range-of-cancers\/","url_meta":{"origin":336502,"position":4},"title":"New blood test can detect wide range of cancers","author":"Lian Parsons","date":"March 31, 2020","format":false,"excerpt":"In a study involving thousands of participants, a new blood test detected more than 50 types of cancer as well as their location within the body with a high degree of accuracy.","rel":"","context":"In &quot;Health&quot;","block_context":{"text":"Health","link":"https:\/\/news.harvard.edu\/gazette\/section\/health\/"},"img":{"alt_text":"Petri dish in a lab.","src":"https:\/\/news.harvard.edu\/wp-content\/uploads\/2020\/03\/dana-farber-2500.jpg?resize=350%2C200","width":350,"height":200,"srcset":"https:\/\/news.harvard.edu\/wp-content\/uploads\/2020\/03\/dana-farber-2500.jpg?resize=350%2C200 1x, https:\/\/news.harvard.edu\/wp-content\/uploads\/2020\/03\/dana-farber-2500.jpg?resize=525%2C300 1.5x, https:\/\/news.harvard.edu\/wp-content\/uploads\/2020\/03\/dana-farber-2500.jpg?resize=700%2C400 2x"},"classes":[]},{"id":59328,"url":"https:\/\/news.harvard.edu\/gazette\/story\/2005\/07\/dna-scanning-technology-finds-possible-sites-of-cancer-genes-in-chromosomes-of-lung-cancer-cell\/","url_meta":{"origin":336502,"position":5},"title":"DNA-scanning technology finds possible sites of cancer genes in chromosomes of lung cancer cell","author":"harvardgazette","date":"July 1, 2005","format":false,"excerpt":"In a study in the July 1, 2005 issue of the journal Cancer Research, the researchers used single nucleotide polymorphism (SNP) array technology to identify regions of chromosomes where genes were either left out or multiplied over and over - mistakes that are often associated with cancer. In this effort,\u2026","rel":"","context":"In &quot;Health&quot;","block_context":{"text":"Health","link":"https:\/\/news.harvard.edu\/gazette\/section\/health\/"},"img":{"alt_text":"","src":"","width":0,"height":0},"classes":[]}],"jetpack_sharing_enabled":true,"_links":{"self":[{"href":"https:\/\/news.harvard.edu\/gazette\/wp-json\/wp\/v2\/posts\/336502","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/news.harvard.edu\/gazette\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/news.harvard.edu\/gazette\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/news.harvard.edu\/gazette\/wp-json\/wp\/v2\/users\/105622744"}],"replies":[{"embeddable":true,"href":"https:\/\/news.harvard.edu\/gazette\/wp-json\/wp\/v2\/comments?post=336502"}],"version-history":[{"count":8,"href":"https:\/\/news.harvard.edu\/gazette\/wp-json\/wp\/v2\/posts\/336502\/revisions"}],"predecessor-version":[{"id":336536,"href":"https:\/\/news.harvard.edu\/gazette\/wp-json\/wp\/v2\/posts\/336502\/revisions\/336536"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/news.harvard.edu\/gazette\/wp-json\/wp\/v2\/media\/336505"}],"wp:attachment":[{"href":"https:\/\/news.harvard.edu\/gazette\/wp-json\/wp\/v2\/media?parent=336502"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/news.harvard.edu\/gazette\/wp-json\/wp\/v2\/categories?post=336502"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/news.harvard.edu\/gazette\/wp-json\/wp\/v2\/tags?post=336502"},{"taxonomy":"format","embeddable":true,"href":"https:\/\/news.harvard.edu\/gazette\/wp-json\/wp\/v2\/gazette-formats?post=336502"},{"taxonomy":"series","embeddable":true,"href":"https:\/\/news.harvard.edu\/gazette\/wp-json\/wp\/v2\/series?post=336502"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}