Predicted ROC curves for metabolomic marker profiles

Biomarkers of:

In order to predict how accurate our device will be in classifying diseases we collected a corpus of metabolomic profiling literature. From it we extracted information about the distribution of metabolite concentrations for the control and patient groups in each study. Using this information we applied Monte Carlo techniques to build a synthetic data set representative of the study distribution, but including (considering) only the subset of markers available in our Tricorder. The method allowed us to combine metabolomic signatures from multiple studies into a single signature.

Metabolomic disease signatures that combine different levels and directions of change in multiple compounds create a system that is too complex to be directly understood and interpreted by humans. Machine learning techniques are therefore necessary for interpretation when combining multiple compounds into a single test. In order to classify the samples we used a support vector machine (SVM) with a Gaussian kernel. This algorithm is widely used in the field of metabolomics for interpreting metabolomic signatures.

We used 5-fold cross-validation to evaluate the predictive ability of each model and created receiver operator characteristic curves (ROC curves) to summarize the results. ROC curves demonstrate how the rate of true positives vs. false positives. The area under the ROC curve (AUC) is a commonly used measure that summarizes the overall sensitivity and specificity as the separation parameters are varied. An AUC of 1.0 is a perfect score while 0.5 is equivalent to assigning labels randomly. An AUC of 0.85 is considered to be an acceptable value for most clinical applications.

Biomarkers of Preeclampsia

Predictive: Early Preeclampsia (blood test)

Predictive: Early Preeclampsia
  • betaine
  • choline
  • creatinine
  • formate
  • glucose
  • glutamine
  • glycerol
  • lactate
  • leucine
  • phenylalanine
  • pyruvate
  • tyrosine

Predictive: Late Preeclampsia (blood test)

Predictive: Late Preeclampsia
  • choline
  • formate
  • glucose
  • glutamine
  • glycerol
  • leucine
  • phenylalanine
  • pyruvate
  • tyrosine

Biomarkers of Neurological Disorders

Diagnostic: Autism (blood test)

Diagnostic: Autism
  • glutamate
  • glutamine
  • taurine
  • homocysteine
  • neopterin
  • phenylalanine

Diagnostic: Autism (urine test)

Diagnostic: Autism
  • HPHPA
  • homocysteine

Diagnostic: Amyotrophic Lateral Sclerosis (blood test)

Diagnostic: Amyotrophic Lateral Sclerosis
  • lactate
  • glutamine
  • pyruvate
  • glucose
  • formate
  • homocysteine
  • leucine
  • phenylalanine
  • glutamate

Diagnostic: Early Alzheimer's Disease (blood test)

Diagnostic: Alzheimer's Disease
  • carnosine
  • homocysteine
  • neopterin

Diagnostic: Chronic Fatigue Syndrome (blood test)

Diagnostic: Chronic Fatigue Syndrome
  • neopterin
  • vitamin D
  • glutamate
  • glutamine
  • taurine
  • tyrosine
  • leucine
  • phenylalanine

Diagnostic: Multiple Sclerosis (blood test)

Diagnostic: Multiple Sclerosis
  • uric acid
  • creatinine
  • folate
  • homocysteine

Predictive: High Risk of Relapse of Multiple Sclerosis (blood test)

Predictive: High Risk of Relapse of Multiple Sclerosis
  • uric acid
  • vitamin D

Diagnostic: Parkinson's Disease (blood test)

Diagnostic: Parkinson's Disease
  • uric acid
  • homocysteine
  • pyruvate
  • glycerol

Diagnostic: Schizophrenia (blood test)

Diagnostic: Schizophrenia
  • lactate
  • glutamate
  • 3-hydroxybutyrate
  • pyruvate
  • phenylalanine

Diagnostic: Depression (blood test)

Diagnostic: Depression
  • glutamate
  • glutamine
  • taurine
  • tyrosine
  • leucine
  • phenylalanine

Biomarkers of Diabetes

Predictive: High Risk of Diabetes (blood test)

Predictive: High Risk of Diabetes
  • leucine
  • phenylalanine
  • tyrosine
  • glycerol
  • lactate
  • glucose

Biomarkers of Cardiovascular Diseases

Predictive: Increased Risk of Stroke (blood test)

Predictive: Increased Risk of Stroke
  • folate
  • homocysteine
  • glutamine
  • pyruvate
  • formate

Diagnostic: Stroke (urine test)

Diagnostic: Stroke
  • creatinine
  • homocysteine

Biomarkers of Gastrointestinal and Renal disorders

Diagnostic: Celiac Disease (blood test)

Diagnostic: Celiac Disease
  • 3-OH-butyrate
  • creatinine
  • glucose
  • lactate
  • leucine

Diagnostic: Celiac Disease (urine test)

Diagnostic: Celiac Disease
  • choline
  • glutamate/glutamine ratio
  • indoxyl sulfate

Diagnostic: Chronic Renal Failure (blood test)

Diagnostic: Chronic Renal Failure
  • ADMA
  • creatinine
  • folate
  • homocysteine

Biomarkers of Cancer

Predictive: Breast Cancer (blood test)

Diagnostic: Breast Cancer
  • taurine
  • glutamine
  • tyrosine
  • phenylalanine

Predictive: Early Detection of Breast Cancer Recurrence (blood test)

Diagnostic: Early Detection of Breast Cancer Recurrence
  • formate
  • choline
  • glutamate

Diagnostic: Esophageal Cancer (blood test)

Diagnostic: Esophageal Cancer
  • lactic acid
  • leucine
  • tyrosine
  • glutamine
  • creatinine
  • glucose

Diagnostic: Pancreatic Cancer (blood test)

Diagnostic: Pancreatic Cancer
  • 3-hydroxybutyrate
  • leucine
  • TMAO
  • lactate
  • creatinine
  • uric acid
  • neopterin

Predictive: High Risk of Pancreatic Cancer (blood test)

Predictive: High Risk of Pancreatic Cancer
  • folate
  • vitamin D

Diagnostic: Prostate Cancer (blood test)

Diagnostic: Prostate Cancer
  • glutamine
  • leucine
  • homocysteine

Predictive: Muscle Wasting Occurring as a Result of Cancer Cachexia (urine test)

Diagnostic: Muscle Wasting Occurring as a Result of Cancer Cachexia
  • 3-hydroxybutyrate
  • betaine
  • creatinine
  • formate
  • glucose
  • glutamine
  • lactate
  • leucine
  • pyruvate
  • taurine
  • tyrosine

Diagnostic: Colorectal Cancer (blood test)

Diagnostic: Colorectal Cancer
  • glutamine
  • leucine
  • tyrosine
  • phenylalanine
  • glutamate

Diagnostic: Gastric Cancer (blood test)

Diagnostic: Gastric Cancer
  • glutamine
  • leucine
  • tyrosine
  • phenylalanine

Biomarkers of Other

Diagnostic: Fibromyalgia (blood test)

Diagnostic: Fibromyalgia
  • ADMA
  • leucine
  • phenylalanine
  • tyrosine
  • glutamate
  • glutamine
  • taurine

Predictive: Lupus Risk (blood test)

Predictive: Lupus Risk
  • neopterin
  • homocysteine
  • folate
  • creatinine