Skip to main content
Top

Machine learning based on alcohol drinking-gut microbiota-liver axis in predicting the occurrence of early-stage hepatocellular carcinoma

Unlock free access to practice-relevant journal articles

Join our community of medical professionals and register now to access a handpicked selection of journal articles from Springer's Medical portfolio. 

Looking for something specific?

Find articles from over 500 clinical journals from Springer with the search function.

About journals on Springer Medicine

The range of medical journals on Springer Medicine is extremely diverse. It includes the current editions and archives of around 500 English-language journals from almost all medical disciplines published by Springer. 

The specialist literature is usually available both online in full text and as a PDF for download. The online view is optimized in such a way that the specialist texts can be read comfortably on all screen sizes, from desktops to tablets to smartphones. We also include features to support your use of the journals for your research, such as bookmark setting.

Whether you’re interested in internal medicine, surgery, general medicine, gynecology, orthopedics, neurology, or pediatrics, there are excellent journals in almost every subject area, such as the BMC Series, Diabetologia, Breast Cancer Research, Current Obesity Reports, CNS Drugs and many others, all of which are an integral part of the everyday life of doctors across Europe. 

The breadth of content from this suite of journals allows the Springer Medicine team to collect and deliver broad-ranging content across the full spectrum of medical knowledge, with a special focus on topics highlighted by these leading journals and their editorial boards and specialist authors. This guarantees a high quality of content and ensures that our readers are offered the most relevant topics in their respective specialist area. 

Our experienced clinical content managers constantly monitor the needs of medical professionals to provide up-to-date reports from international congresses, expert interviews, and a range of digestible content on emerging topics in the field of medicine.

Published in:

Open Access 01-12-2024 | Respiratory Microbiota | Research

Machine learning based on alcohol drinking-gut microbiota-liver axis in predicting the occurrence of early-stage hepatocellular carcinoma

Authors: Yi Yang, Zhiyuan Bo, Jingxian Wang, Bo Chen, Qing Su, Yiran Lian, Yimo Guo, Jinhuan Yang, Chongming Zheng, Juejin Wang, Hao Zeng, Junxi Zhou, Yaqing Chen, Gang Chen, Yi Wang

Published in: BMC Cancer | Issue 1/2024

Login to get access

Abstract

Background

Alcohol drinking and gut microbiota are related to hepatocellular carcinoma (HCC), but the specific relationship between them remains unclear.

Aims

We aimed to establish the alcohol drinking-gut microbiota-liver axis and develop machine learning (ML) models in predicting the occurrence of early-stage HCC.

Methods

Two hundred sixty-nine patients with early-stage HCC and 278 controls were recruited. Alcohol drinking-gut microbiota-liver axis was established through the mediation/moderation effect analyses. Eight ML algorithms including Classification and Regression Tree (CART), Gradient Boosting Machine (GBM), K-Nearest Neighbor (KNN), Logistic Regression (LR), Neural Network (NN), Random Forest (RF), Support Vector Machine (SVM), and eXtreme Gradient Boosting (XGBoost) were applied.

Results

A total of 160 pairs of individuals were included for analyses. The mediation effects of Genus_Catenibacterium (P = 0.024), Genus_Tyzzerella_4 (P < 0.001), and Species_Tyzzerella_4 (P = 0.020) were discovered. The moderation effects of Family_Enterococcaceae (OR = 0.741, 95%CI:0.160–0.760, P = 0.017), Family_Leuconostocaceae (OR = 0.793, 95%CI:0.486–3.593, P = 0.010), Genus_Enterococcus (OR = 0.744, 95%CI:0.161–0.753, P = 0.017), Genus_Erysipelatoclostridium (OR = 0.693, 95%CI:0.062–0.672, P = 0.032), Genus_Lactobacillus (OR = 0.655, 95%CI:0.098–0.749, P = 0.011), Species_Enterococcus_faecium (OR = 0.692, 95%CI:0.061–0.673, P = 0.013), and Species_Lactobacillus (OR = 0.653, 95%CI:0.086–0.765, P = 0.014) were uncovered. The predictive power of eight ML models was satisfactory (AUCs:0.855–0.932). The XGBoost model had the best predictive ability (AUC = 0.932).

Conclusions

ML models based on the alcohol drinking-gut microbiota-liver axis are valuable in predicting the occurrence of early-stage HCC.

Graphical Abstract

Appendix
Available only for authorised users
Literature
1.
go back to reference Vogel A, Meyer T, Sapisochin G, Salem R, Saborowski A. Hepatocellular carcinoma. Lancet. 2022;400(10360):1345–62.PubMedCrossRef Vogel A, Meyer T, Sapisochin G, Salem R, Saborowski A. Hepatocellular carcinoma. Lancet. 2022;400(10360):1345–62.PubMedCrossRef
2.
go back to reference Llovet JM, Zucman-Rossi J, Pikarsky E, Sangro B, Schwartz M, Sherman M, Gores G. Hepatocellular carcinoma. Nat Rev Dis Primers. 2016;2:16018.PubMedCrossRef Llovet JM, Zucman-Rossi J, Pikarsky E, Sangro B, Schwartz M, Sherman M, Gores G. Hepatocellular carcinoma. Nat Rev Dis Primers. 2016;2:16018.PubMedCrossRef
3.
go back to reference Sia D, Villanueva A, Friedman SL, Llovet JM. Liver cancer cell of origin, molecular class, and effects on patient prognosis. Gastroenterology. 2017;152(4):745–61.PubMedCrossRef Sia D, Villanueva A, Friedman SL, Llovet JM. Liver cancer cell of origin, molecular class, and effects on patient prognosis. Gastroenterology. 2017;152(4):745–61.PubMedCrossRef
4.
go back to reference Yang X, Yang C, Zhang S, Geng H, Zhu AX, Bernards R, Qin W, Fan J, Wang C, Gao Q. Precision treatment in advanced hepatocellular carcinoma. Cancer Cell. 2024;42(2):180–97.PubMedCrossRef Yang X, Yang C, Zhang S, Geng H, Zhu AX, Bernards R, Qin W, Fan J, Wang C, Gao Q. Precision treatment in advanced hepatocellular carcinoma. Cancer Cell. 2024;42(2):180–97.PubMedCrossRef
5.
go back to reference Yang JD, Hainaut P, Gores GJ, Amadou A, Plymoth A, Roberts LR. A global view of hepatocellular carcinoma: trends, risk, prevention and management. Nat Rev Gastroenterol Hepatol. 2019;16(10):589–604.PubMedPubMedCentralCrossRef Yang JD, Hainaut P, Gores GJ, Amadou A, Plymoth A, Roberts LR. A global view of hepatocellular carcinoma: trends, risk, prevention and management. Nat Rev Gastroenterol Hepatol. 2019;16(10):589–604.PubMedPubMedCentralCrossRef
6.
go back to reference GBD 2019 Diseases and Injuries Collaborators. Global burden of 369 diseases and injuries in 204 countries and territories, 1990-2019: a systematic analysis for the Global Burden of Disease Study 2019. Lancet. 2020;396(10258):1204–22. GBD 2019 Diseases and Injuries Collaborators. Global burden of 369 diseases and injuries in 204 countries and territories, 1990-2019: a systematic analysis for the Global Burden of Disease Study 2019. Lancet. 2020;396(10258):1204–22.
7.
go back to reference Huang DQ, Singal AG, Kono Y, Tan DJH, El-Serag HB, Loomba R. Changing global epidemiology of liver cancer from 2010 to 2019: NASH is the fastest growing cause of liver cancer. Cell Metabol. 2022;34(7):969–977.e962.CrossRef Huang DQ, Singal AG, Kono Y, Tan DJH, El-Serag HB, Loomba R. Changing global epidemiology of liver cancer from 2010 to 2019: NASH is the fastest growing cause of liver cancer. Cell Metabol. 2022;34(7):969–977.e962.CrossRef
8.
go back to reference Julien J, Ayer T, Bethea ED, Tapper EB, Chhatwal J. Projected prevalence and mortality associated with alcohol-related liver disease in the USA, 2019-40: a modelling study. Lancet Public Health. 2020;5(6):e316–323.PubMedCrossRef Julien J, Ayer T, Bethea ED, Tapper EB, Chhatwal J. Projected prevalence and mortality associated with alcohol-related liver disease in the USA, 2019-40: a modelling study. Lancet Public Health. 2020;5(6):e316–323.PubMedCrossRef
9.
go back to reference Ladd AD, Duarte S, Sahin I, Zarrinpar A. Mechanisms of drug resistance in HCC. Hepatology (Baltimore MD). 2024;79(4):926–40.PubMed Ladd AD, Duarte S, Sahin I, Zarrinpar A. Mechanisms of drug resistance in HCC. Hepatology (Baltimore MD). 2024;79(4):926–40.PubMed
10.
go back to reference Schwabe RF, Greten TF. Gut microbiome in HCC - mechanisms, diagnosis and therapy. J Hepatol. 2020;72(2):230–8.PubMedCrossRef Schwabe RF, Greten TF. Gut microbiome in HCC - mechanisms, diagnosis and therapy. J Hepatol. 2020;72(2):230–8.PubMedCrossRef
11.
go back to reference Ma C, Han M, Heinrich B, Fu Q, Zhang Q, Sandhu M, Agdashian D, Terabe M, Berzofsky JA, Fako V, et al. Gut microbiome-mediated bile acid metabolism regulates liver cancer via NKT cells. Science. 2018;360(6391):eaan5931.PubMedPubMedCentralCrossRef Ma C, Han M, Heinrich B, Fu Q, Zhang Q, Sandhu M, Agdashian D, Terabe M, Berzofsky JA, Fako V, et al. Gut microbiome-mediated bile acid metabolism regulates liver cancer via NKT cells. Science. 2018;360(6391):eaan5931.PubMedPubMedCentralCrossRef
12.
go back to reference Shalapour S, Lin XJ, Bastian IN, Brain J, Burt AD, Aksenov AA, Vrbanac AF, Li W, Perkins A, Matsutani T, et al. Inflammation-induced IgA + cells dismantle anti-liver cancer immunity. Nature. 2017;551(7680):340–5.PubMedPubMedCentralCrossRef Shalapour S, Lin XJ, Bastian IN, Brain J, Burt AD, Aksenov AA, Vrbanac AF, Li W, Perkins A, Matsutani T, et al. Inflammation-induced IgA + cells dismantle anti-liver cancer immunity. Nature. 2017;551(7680):340–5.PubMedPubMedCentralCrossRef
13.
go back to reference Albillos A, de Gottardi A, Rescigno M. The gut-liver axis in liver disease: pathophysiological basis for therapy. J Hepatol. 2020;72(3):558–77.PubMedCrossRef Albillos A, de Gottardi A, Rescigno M. The gut-liver axis in liver disease: pathophysiological basis for therapy. J Hepatol. 2020;72(3):558–77.PubMedCrossRef
14.
go back to reference Bajaj JS. Alcohol, liver disease and the gut microbiota. Nat Rev Gastroenterol Hepatol. 2019;16(4):235–46.PubMedCrossRef Bajaj JS. Alcohol, liver disease and the gut microbiota. Nat Rev Gastroenterol Hepatol. 2019;16(4):235–46.PubMedCrossRef
15.
go back to reference Holden S, Matthews M, Rathleff MS, Kasza J, Vicenzino B. How do hip exercises improve pain in individuals with patellofemoral pain? Secondary mediation analysis of strength and psychological factors as mechanisms. J Orthop Sports Phys Ther. 2021;51(12):602–10.PubMedCrossRef Holden S, Matthews M, Rathleff MS, Kasza J, Vicenzino B. How do hip exercises improve pain in individuals with patellofemoral pain? Secondary mediation analysis of strength and psychological factors as mechanisms. J Orthop Sports Phys Ther. 2021;51(12):602–10.PubMedCrossRef
16.
go back to reference Liu H, Yuan KH. New measures of effect size in moderation analysis. Psychol Methods. 2021;26(6):680–700.PubMedCrossRef Liu H, Yuan KH. New measures of effect size in moderation analysis. Psychol Methods. 2021;26(6):680–700.PubMedCrossRef
17.
go back to reference Luo S, Zhao Y, Zhu S, Liu L, Cheng K, Ye B, Han Y, Fan J, Xia M. Flavonifractor plautii protects against elevated arterial stiffness. Circul Res. 2023;132(2):167–81.CrossRef Luo S, Zhao Y, Zhu S, Liu L, Cheng K, Ye B, Han Y, Fan J, Xia M. Flavonifractor plautii protects against elevated arterial stiffness. Circul Res. 2023;132(2):167–81.CrossRef
18.
go back to reference Shimomura Y, Zha L, Komukai S, Narii N, Sobue T, Kitamura T, Shiba S, Mizutani S, Yamada T, Sawada N, et al. Mediation effect of intestinal microbiota on the relationship between fiber intake and colorectal cancer. Int J Cancer. 2023;152(9):1752–62.PubMedCrossRef Shimomura Y, Zha L, Komukai S, Narii N, Sobue T, Kitamura T, Shiba S, Mizutani S, Yamada T, Sawada N, et al. Mediation effect of intestinal microbiota on the relationship between fiber intake and colorectal cancer. Int J Cancer. 2023;152(9):1752–62.PubMedCrossRef
19.
go back to reference Tran KA, Kondrashova O, Bradley A, Williams ED, Pearson JV, Waddell N. Deep learning in cancer diagnosis, prognosis and treatment selection. Genome Med. 2021;13(1):152.PubMedPubMedCentralCrossRef Tran KA, Kondrashova O, Bradley A, Williams ED, Pearson JV, Waddell N. Deep learning in cancer diagnosis, prognosis and treatment selection. Genome Med. 2021;13(1):152.PubMedPubMedCentralCrossRef
21.
go back to reference Cheng N, Ren Y, Zhou J, Zhang Y, Wang D, Zhang X, Chen B, Liu F, Lv J, Cao Q, et al. Deep learning-based classification of hepatocellular nodular lesions on whole-slide histopathologic images. Gastroenterology. 2022;162(7):1948–61.e1947.PubMedCrossRef Cheng N, Ren Y, Zhou J, Zhang Y, Wang D, Zhang X, Chen B, Liu F, Lv J, Cao Q, et al. Deep learning-based classification of hepatocellular nodular lesions on whole-slide histopathologic images. Gastroenterology. 2022;162(7):1948–61.e1947.PubMedCrossRef
22.
go back to reference Kim HY, Lampertico P, Nam JY, Lee HC, Kim SU, Sinn DH, Seo YS, Lee HA, Park SY, Lim YS, et al. An artificial intelligence model to predict hepatocellular carcinoma risk in Korean and caucasian patients with chronic hepatitis B. J Hepatol. 2022;76(2):311–8.PubMedCrossRef Kim HY, Lampertico P, Nam JY, Lee HC, Kim SU, Sinn DH, Seo YS, Lee HA, Park SY, Lim YS, et al. An artificial intelligence model to predict hepatocellular carcinoma risk in Korean and caucasian patients with chronic hepatitis B. J Hepatol. 2022;76(2):311–8.PubMedCrossRef
23.
go back to reference Ren Z, Li A, Jiang J, Zhou L, Yu Z, Lu H, Xie H, Chen X, Shao L, Zhang R, et al. Gut microbiome analysis as a tool towards targeted non-invasive biomarkers for early hepatocellular carcinoma. Gut. 2019;68(6):1014–23.PubMedCrossRef Ren Z, Li A, Jiang J, Zhou L, Yu Z, Lu H, Xie H, Chen X, Shao L, Zhang R, et al. Gut microbiome analysis as a tool towards targeted non-invasive biomarkers for early hepatocellular carcinoma. Gut. 2019;68(6):1014–23.PubMedCrossRef
24.
go back to reference Yang JO, Chittajallu P, Benhammou JN, Patel A, Pisegna JR, Tabibian J, Dong TS. Validation of a machine learning algorithm, EVendo, for predicting esophageal varices in hepatocellular carcinoma. Dig Dis Sci. 2024;69(8):3079–84.PubMedPubMedCentralCrossRef Yang JO, Chittajallu P, Benhammou JN, Patel A, Pisegna JR, Tabibian J, Dong TS. Validation of a machine learning algorithm, EVendo, for predicting esophageal varices in hepatocellular carcinoma. Dig Dis Sci. 2024;69(8):3079–84.PubMedPubMedCentralCrossRef
25.
go back to reference Benson AB 3, D’Angelica MI, Abbott DE, Abrams TA, Alberts SR, Saenz DA, Are C, Brown DB, Chang DT, Covey AM, et al. NCCN guidelines insights: hepatobiliary cancers, version 1.2017. J Natl Compr Canc Netw. 2017;15(5):563–73.PubMedPubMedCentralCrossRef Benson AB 3, D’Angelica MI, Abbott DE, Abrams TA, Alberts SR, Saenz DA, Are C, Brown DB, Chang DT, Covey AM, et al. NCCN guidelines insights: hepatobiliary cancers, version 1.2017. J Natl Compr Canc Netw. 2017;15(5):563–73.PubMedPubMedCentralCrossRef
26.
go back to reference Reig M, Forner A, Rimola J, Ferrer-Fàbrega J, Burrel M, Garcia-Criado Á, Kelley RK, Galle PR, Mazzaferro V, Salem R, et al. BCLC strategy for prognosis prediction and treatment recommendation: the 2022 update. J Hepatol. 2022;76(3):681–93.PubMedCrossRef Reig M, Forner A, Rimola J, Ferrer-Fàbrega J, Burrel M, Garcia-Criado Á, Kelley RK, Galle PR, Mazzaferro V, Salem R, et al. BCLC strategy for prognosis prediction and treatment recommendation: the 2022 update. J Hepatol. 2022;76(3):681–93.PubMedCrossRef
27.
go back to reference Stein DJ, Szatmari P, Gaebel W, Berk M, Vieta E, Maj M, de Vries YA, Roest AM, de Jonge P, Maercker A, et al. Mental, behavioral and neurodevelopmental disorders in the ICD-11: an international perspective on key changes and controversies. BMC Med. 2020;18(1):21.PubMedPubMedCentralCrossRef Stein DJ, Szatmari P, Gaebel W, Berk M, Vieta E, Maj M, de Vries YA, Roest AM, de Jonge P, Maercker A, et al. Mental, behavioral and neurodevelopmental disorders in the ICD-11: an international perspective on key changes and controversies. BMC Med. 2020;18(1):21.PubMedPubMedCentralCrossRef
28.
go back to reference Logue JB, Stedmon CA, Kellerman AM, Nielsen NJ, Andersson AF, Laudon H, Lindström ES, Kritzberg ES. Experimental insights into the importance of aquatic bacterial community composition to the degradation of dissolved organic matter. ISME J. 2016;10(3):533–45.PubMedCrossRef Logue JB, Stedmon CA, Kellerman AM, Nielsen NJ, Andersson AF, Laudon H, Lindström ES, Kritzberg ES. Experimental insights into the importance of aquatic bacterial community composition to the degradation of dissolved organic matter. ISME J. 2016;10(3):533–45.PubMedCrossRef
29.
go back to reference Segata N, Izard J, Waldron L, Gevers D, Miropolsky L, Garrett WS, Huttenhower C. Metagenomic biomarker discovery and explanation. Genome Biol. 2011;12(6):R60.PubMedPubMedCentralCrossRef Segata N, Izard J, Waldron L, Gevers D, Miropolsky L, Garrett WS, Huttenhower C. Metagenomic biomarker discovery and explanation. Genome Biol. 2011;12(6):R60.PubMedPubMedCentralCrossRef
30.
go back to reference Kuss O, Blettner M, Börgermann J. Propensity score: an alternative method of analyzing treatment effects. Deutsches Arzteblatt Int. 2016;113(35–36):597–603. Kuss O, Blettner M, Börgermann J. Propensity score: an alternative method of analyzing treatment effects. Deutsches Arzteblatt Int. 2016;113(35–36):597–603.
31.
go back to reference Luo W, Phung D, Tran T, Gupta S, Rana S, Karmakar C, Shilton A, Yearwood J, Dimitrova N, Ho TB, et al. Guidelines for developing and reporting machine learning predictive models in biomedical research: a multidisciplinary view. J Med Internet Res. 2016;18(12):e323.PubMedPubMedCentralCrossRef Luo W, Phung D, Tran T, Gupta S, Rana S, Karmakar C, Shilton A, Yearwood J, Dimitrova N, Ho TB, et al. Guidelines for developing and reporting machine learning predictive models in biomedical research: a multidisciplinary view. J Med Internet Res. 2016;18(12):e323.PubMedPubMedCentralCrossRef
32.
go back to reference Kumar Y, Gupta S, Singla R, Hu YC. A systematic review of artificial intelligence techniques in cancer prediction and diagnosis. Arch Comput Methods Eng: State Art Rev. 2022;29(4):2043–70.CrossRef Kumar Y, Gupta S, Singla R, Hu YC. A systematic review of artificial intelligence techniques in cancer prediction and diagnosis. Arch Comput Methods Eng: State Art Rev. 2022;29(4):2043–70.CrossRef
33.
go back to reference Adam G, Rampášek L, Safikhani Z, Smirnov P, Haibe-Kains B, Goldenberg A. Machine learning approaches to drug response prediction: challenges and recent progress. NPJ Precision Oncol. 2020;4:19.CrossRef Adam G, Rampášek L, Safikhani Z, Smirnov P, Haibe-Kains B, Goldenberg A. Machine learning approaches to drug response prediction: challenges and recent progress. NPJ Precision Oncol. 2020;4:19.CrossRef
34.
go back to reference Dwork C, Feldman V, Hardt M, Pitassi T, Reingold O, Roth A. STATISTICS. The reusable holdout: preserving validity in adaptive data analysis. Science. 2015;349(6248):636–8.PubMedCrossRef Dwork C, Feldman V, Hardt M, Pitassi T, Reingold O, Roth A. STATISTICS. The reusable holdout: preserving validity in adaptive data analysis. Science. 2015;349(6248):636–8.PubMedCrossRef
35.
go back to reference Vickers AJ, Van Calster B, Steyerberg EW. Net benefit approaches to the evaluation of prediction models, molecular markers, and diagnostic tests. BMJ (Clinical Res ed). 2016;352:i6. Vickers AJ, Van Calster B, Steyerberg EW. Net benefit approaches to the evaluation of prediction models, molecular markers, and diagnostic tests. BMJ (Clinical Res ed). 2016;352:i6.
36.
go back to reference Moons KG, Altman DG, Reitsma JB, Ioannidis JP, Macaskill P, Steyerberg EW, Vickers AJ, Ransohoff DF, Collins GS. Transparent reporting of a multivariable prediction model for individual prognosis or diagnosis (TRIPOD): explanation and elaboration. Ann Intern Med. 2015;162(1):W1–73.PubMedCrossRef Moons KG, Altman DG, Reitsma JB, Ioannidis JP, Macaskill P, Steyerberg EW, Vickers AJ, Ransohoff DF, Collins GS. Transparent reporting of a multivariable prediction model for individual prognosis or diagnosis (TRIPOD): explanation and elaboration. Ann Intern Med. 2015;162(1):W1–73.PubMedCrossRef
37.
go back to reference Marcoulides KM, Raykov T. Evaluation of variance inflation factors in regression models using latent variable modeling methods. Educ Psychol Meas. 2019;79(5):874–82.PubMedCrossRef Marcoulides KM, Raykov T. Evaluation of variance inflation factors in regression models using latent variable modeling methods. Educ Psychol Meas. 2019;79(5):874–82.PubMedCrossRef
38.
go back to reference Park SY, Park JE, Kim H, Park SH. Review of statistical methods for evaluating the performance of survival or other time-to-event prediction models (from conventional to deep learning approaches). Korean J Radiol. 2021;22(10):1697–707.PubMedPubMedCentralCrossRef Park SY, Park JE, Kim H, Park SH. Review of statistical methods for evaluating the performance of survival or other time-to-event prediction models (from conventional to deep learning approaches). Korean J Radiol. 2021;22(10):1697–707.PubMedPubMedCentralCrossRef
39.
go back to reference Steyerberg EW, Vickers AJ, Cook NR, Gerds T, Gonen M, Obuchowski N, Pencina MJ, Kattan MW. Assessing the performance of prediction models: a framework for traditional and novel measures. Epidemiol (Cambridge Mass). 2010;21(1):128–38.CrossRef Steyerberg EW, Vickers AJ, Cook NR, Gerds T, Gonen M, Obuchowski N, Pencina MJ, Kattan MW. Assessing the performance of prediction models: a framework for traditional and novel measures. Epidemiol (Cambridge Mass). 2010;21(1):128–38.CrossRef
40.
go back to reference Sung H, Ferlay J, Siegel RL, Laversanne M, Soerjomataram I, Jemal A, Bray F. Global cancer statistics 2020: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries. CA Cancer J Clin. 2021;71(3):209–49.PubMedCrossRef Sung H, Ferlay J, Siegel RL, Laversanne M, Soerjomataram I, Jemal A, Bray F. Global cancer statistics 2020: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries. CA Cancer J Clin. 2021;71(3):209–49.PubMedCrossRef
41.
42.
go back to reference VanderWeele TJ. Mediation analysis: a practitioner’s guide. Annu Rev Public Health. 2016;37:17–32.PubMedCrossRef VanderWeele TJ. Mediation analysis: a practitioner’s guide. Annu Rev Public Health. 2016;37:17–32.PubMedCrossRef
43.
go back to reference Aguinis H, Beaty JC, Boik RJ, Pierce CA. Effect size and power in assessing moderating effects of categorical variables using multiple regression: a 30-year review. J Appl Psychol. 2005;90(1):94–107.PubMedCrossRef Aguinis H, Beaty JC, Boik RJ, Pierce CA. Effect size and power in assessing moderating effects of categorical variables using multiple regression: a 30-year review. J Appl Psychol. 2005;90(1):94–107.PubMedCrossRef
44.
go back to reference Vaziri ND, Wong J, Pahl M, Piceno YM, Yuan J, DeSantis TZ, Ni Z, Nguyen TH, Andersen GL. Chronic kidney disease alters intestinal microbial flora. Kidney Int. 2013;83(2):308–15.PubMedCrossRef Vaziri ND, Wong J, Pahl M, Piceno YM, Yuan J, DeSantis TZ, Ni Z, Nguyen TH, Andersen GL. Chronic kidney disease alters intestinal microbial flora. Kidney Int. 2013;83(2):308–15.PubMedCrossRef
45.
go back to reference Kelly TN, Bazzano LA, Ajami NJ, He H, Zhao J, Petrosino JF, Correa A, He J. Gut microbiome associates with lifetime cardiovascular disease risk profile among bogalusa heart study participants. Circul Res. 2016;119(8):956–64.CrossRef Kelly TN, Bazzano LA, Ajami NJ, He H, Zhao J, Petrosino JF, Correa A, He J. Gut microbiome associates with lifetime cardiovascular disease risk profile among bogalusa heart study participants. Circul Res. 2016;119(8):956–64.CrossRef
46.
go back to reference Zhang HL, Yu LX, Yang W, Tang L, Lin Y, Wu H, Zhai B, Tan YX, Shan L, Liu Q, et al. Profound impact of gut homeostasis on chemically-induced pro-tumorigenic inflammation and hepatocarcinogenesis in rats. J Hepatol. 2012;57(4):803–12.PubMedCrossRef Zhang HL, Yu LX, Yang W, Tang L, Lin Y, Wu H, Zhai B, Tan YX, Shan L, Liu Q, et al. Profound impact of gut homeostasis on chemically-induced pro-tumorigenic inflammation and hepatocarcinogenesis in rats. J Hepatol. 2012;57(4):803–12.PubMedCrossRef
47.
go back to reference Ram AK, Vairappan B, Srinivas BH. Nimbolide attenuates gut dysbiosis and prevents bacterial translocation by improving intestinal barrier integrity and ameliorating inflammation in hepatocellular carcinoma. Phytother Res. 2022;36(5):2143–60.PubMedCrossRef Ram AK, Vairappan B, Srinivas BH. Nimbolide attenuates gut dysbiosis and prevents bacterial translocation by improving intestinal barrier integrity and ameliorating inflammation in hepatocellular carcinoma. Phytother Res. 2022;36(5):2143–60.PubMedCrossRef
48.
go back to reference Zhang P, Liu J, Xiong B, Zhang C, Kang B, Gao Y, Li Z, Ge W, Cheng S, Hao Y, et al. Microbiota from alginate oligosaccharide-dosed mice successfully mitigated small intestinal mucositis. Microbiome. 2020;8(1):112.PubMedPubMedCentralCrossRef Zhang P, Liu J, Xiong B, Zhang C, Kang B, Gao Y, Li Z, Ge W, Cheng S, Hao Y, et al. Microbiota from alginate oligosaccharide-dosed mice successfully mitigated small intestinal mucositis. Microbiome. 2020;8(1):112.PubMedPubMedCentralCrossRef
49.
go back to reference Zhuge A, Li S, Lou P, Wu W, Wang K, Yuan Y, Xia J, Li B, Li L. Longitudinal 16S rRNA sequencing reveals relationships among alterations of gut microbiota and nonalcoholic fatty liver disease progression in mice. Microbiol Spectr. 2022;10(3):e0004722.PubMedCrossRef Zhuge A, Li S, Lou P, Wu W, Wang K, Yuan Y, Xia J, Li B, Li L. Longitudinal 16S rRNA sequencing reveals relationships among alterations of gut microbiota and nonalcoholic fatty liver disease progression in mice. Microbiol Spectr. 2022;10(3):e0004722.PubMedCrossRef
50.
go back to reference Spann A, Yasodhara A, Kang J, Watt K, Wang B, Goldenberg A, Bhat M. Applying machine learning in liver disease and transplantation: a comprehensive review. Hepatology. 2020;71(3):1093–105.PubMedCrossRef Spann A, Yasodhara A, Kang J, Watt K, Wang B, Goldenberg A, Bhat M. Applying machine learning in liver disease and transplantation: a comprehensive review. Hepatology. 2020;71(3):1093–105.PubMedCrossRef
51.
go back to reference Chaudhary K, Poirion OB, Lu L, Garmire LX. Deep learning-based multi-omics integration robustly predicts survival in liver cancer. Clin Cancer Res: Off J Am Assoc Cancer Res. 2018;24(6):1248–59.CrossRef Chaudhary K, Poirion OB, Lu L, Garmire LX. Deep learning-based multi-omics integration robustly predicts survival in liver cancer. Clin Cancer Res: Off J Am Assoc Cancer Res. 2018;24(6):1248–59.CrossRef
52.
go back to reference Park IG, Yoon SJ, Won SM, Oh KK, Hyun JY, Suk KT, Lee U. Gut microbiota-based machine-learning signature for the diagnosis of alcohol-associated and metabolic dysfunction-associated steatotic liver disease. Sci Rep. 2024;14(1):16122.PubMedPubMedCentralCrossRef Park IG, Yoon SJ, Won SM, Oh KK, Hyun JY, Suk KT, Lee U. Gut microbiota-based machine-learning signature for the diagnosis of alcohol-associated and metabolic dysfunction-associated steatotic liver disease. Sci Rep. 2024;14(1):16122.PubMedPubMedCentralCrossRef
53.
go back to reference Feuerriegel S, Frauen D, Melnychuk V, Schweisthal J, Hess K, Curth A, Bauer S, Kilbertus N, Kohane IS, van der Schaar M. Causal machine learning for predicting treatment outcomes. Nat Med. 2024;30(4):958–68.PubMedCrossRef Feuerriegel S, Frauen D, Melnychuk V, Schweisthal J, Hess K, Curth A, Bauer S, Kilbertus N, Kohane IS, van der Schaar M. Causal machine learning for predicting treatment outcomes. Nat Med. 2024;30(4):958–68.PubMedCrossRef
54.
go back to reference Asnicar F, Thomas AM, Passerini A, Waldron L, Segata N. Machine learning for microbiologists. Nat Rev Microbiol. 2024;22(4):191–205.PubMedCrossRef Asnicar F, Thomas AM, Passerini A, Waldron L, Segata N. Machine learning for microbiologists. Nat Rev Microbiol. 2024;22(4):191–205.PubMedCrossRef
55.
go back to reference Gong Y, Ding W, Wang P, Wu Q, Yao X, Yang Q. Evaluating machine learning methods of analyzing multiclass metabolomics. J Chem Inf Model. 2023;63(24):7628–41.PubMedCrossRef Gong Y, Ding W, Wang P, Wu Q, Yao X, Yang Q. Evaluating machine learning methods of analyzing multiclass metabolomics. J Chem Inf Model. 2023;63(24):7628–41.PubMedCrossRef
56.
go back to reference He Y, Liang T, Chen Z, Mo S, Liao Y, Gao Q, Huang K, Peng T, Zhou W, Han C. Recurrence of early hepatocellular carcinoma after surgery may be related to intestinal oxidative stress and the development of a predictive model. Oxid Med Cell Longev. 2022;2022:7261786.PubMedPubMedCentralCrossRef He Y, Liang T, Chen Z, Mo S, Liao Y, Gao Q, Huang K, Peng T, Zhou W, Han C. Recurrence of early hepatocellular carcinoma after surgery may be related to intestinal oxidative stress and the development of a predictive model. Oxid Med Cell Longev. 2022;2022:7261786.PubMedPubMedCentralCrossRef
Metadata
Title
Machine learning based on alcohol drinking-gut microbiota-liver axis in predicting the occurrence of early-stage hepatocellular carcinoma
Authors
Yi Yang
Zhiyuan Bo
Jingxian Wang
Bo Chen
Qing Su
Yiran Lian
Yimo Guo
Jinhuan Yang
Chongming Zheng
Juejin Wang
Hao Zeng
Junxi Zhou
Yaqing Chen
Gang Chen
Yi Wang
Publication date
01-12-2024
Publisher
BioMed Central
Published in
BMC Cancer / Issue 1/2024
Electronic ISSN: 1471-2407
DOI
https://doi.org/10.1186/s12885-024-13161-1