This study investigates the metabolic profile of blood plasma for distinguishing prostate cancer (PCa) patients with high Gleason score (GS≥7) and low Gleason score (GS<7) using 1H-NMR metabolomics. A significantly higher concentration of lactate, pyruvate, choline, dimethylamine, acetate and alanine were observed in the blood plasma of PCa patients with high Gleason score as compared to patients with low Gleason score. Our results suggested that the metabolic pathway alterations seen in amino acids, choline, glucose and ketone body may be related to changes in PCa progression.
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