BEVITAL AS

Metabolomics Strategies

Learn more about different metabolomics approaches and Bevital´s outstanding platforms

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Which Metabolomics Strategy Should You Choose?

Untargeted, semi-targeted, and targeted metabolomics are three distinct strategies for studying metabolites. Selecting the most suitable approach depends on various factors, such as the research objectives and the study hypothesis.

Untargeted Metabolomics

Untargeted metabolomics is a hypothesis generating approach, analyzing as many metabolites as possible without prior knowledge of their identity. It’s used for broad, comprehensive profiling and discovery of new or unexpected metabolites.

Semi-Targeted Metabolomics

Semi-targeted metabolomics focuses on a subset of metabolites, often from a specific pathway or class, but without the strict quantification requirements of targeted approaches. It combines some level of metabolite selection with exploratory analysis.

Targeted Metabolomics

Targeted metabolomics specifically quantifies a predefined set of known metabolites. It is highly sensitive and precise, often used for hypothesis-driven research or validation of known metabolic pathways.

General Comparison

Targeted approaches are typically used for hypothesis testing, whereas untargeted methods are employed to generate hypotheses and discover new or unknown metabolites (Table 1). As a result, targeted metabolomics usually covers a limited range of analytes, typically around 50-200 metabolites, while untargeted approaches provide broader data, often identifying more than 10,000 so-called features.

When it comes to data quality, targeted approaches generally surpass untargeted methods for several reasons. Untargeted metabolomics provides relative quantification, limiting the ability to compare data across different experiments, labs, cohorts, or studies. In contrast, targeted metabolomics delivers absolute quantification (typically in nmol/L or µg/mL), which is essential for clinical diagnostics and especially valuable when validation and regulatory approval are required. Additionally, untargeted methods lack standardization, leading to lower assay reproducibility and often resulting in inconsistent findings across studies. Targeted approaches also typically offer higher specificity and sensitivity, as they are optimized for a defined set of well-characterized analytes. As a result, automation is more feasible in targeted workflows, with analytes measured under well-established parameters. Finally, data interpretation is faster and more cost-effective with targeted approaches, while untargeted methods require extensive and costly statistical analysis tools.

Semi-targeted metabolomics is a middle ground, suitable when researchers need both breadth and specificity, typically around defined biochemical pathways. It doesn’t fully replicate the discovery power of untargeted or the precision of targeted metabolomics, but it’s a versatile approach for studies with defined focus.

For a detailed comparison of targeted and untargeted metabolomics we recommend the talk by Dr. David S. Wishart from October 2022: “Why targeted metabolomics is essential for population health”. 

FeatureTargetedUntargeted
DiscoveryLow: Primarily focuses on validating or quantifying pre-defined metabolites. It is not designed to discover novel or unexpected compounds.High: The primary strength of untargeted metabolomics. Aims to detect and identify a broad range of metabolites, including novel, unknown, or unexpected compounds, leading to new hypotheses and biomarker identification.
CoverageLimited, focused: Measures a predefined, relatively small set (tens to a few hundreds) of known metabolites.Broad, comprehensive: Aims to detect and identify as many metabolites as possible (hundreds to thousands), including novel or unknown compounds.
QuantificationAbsolute Quantification: Typically uses stable isotope-labeled internal standards and calibration curves for precise and accurate quantification of specific metabolites.Relative Quantification: Provides relative changes in metabolite levels between samples (e.g., fold changes). Absolute quantification is challenging due to the lack of standards for all detected compounds.
StandardizationHigh: Methods are highly standardized, with established protocols for sample preparation, instrument parameters, and data processing. Relies on validated analytical methods for specific analytes.Lower: Due to the discovery-driven nature and broad scope, standardization is more challenging. Variations in sample preparation, analytical platforms, and data processing workflows can impact results.
ReproducibilityHigh: Excellent reproducibility due to well-defined analytical parameters, use of internal standards, and focus on a limited set of analytes.Moderate to Good: Can be challenging due to the complexity of the data, potential for noise, and variability in metabolite identification. Robust quality control (QC) practices are crucial to improve reproducibility.
SpecificityHigh: Designed to specifically detect and quantify a particular metabolite, minimizing interference from other compounds. Uses specific precursor-product ion transitions.Lower (for individual metabolites): While sensitive to many compounds, the high number of detected features can make precise identification and confirmation of individual metabolites challenging, especially for unknown compounds.
SensitivityHigh: Optimized for the sensitive detection of the targeted metabolites, often achieving low limits of detection (LODs) for specific compounds.Variable: Overall sensitivity is good for detecting a wide range of compounds, but for any single metabolite, it might be lower than a highly optimized targeted assay for that specific compound.
AutomationHigh: Highly amenable to automation, from sample preparation to data acquisition and initial processing, due to defined workflows.Moderate: While data acquisition can be automated, significant manual intervention is often required for data processing, peak annotation, and metabolite identification due to the complexity and sheer volume of data.
Data InterpretationStraightforward: Data is typically presented as absolute or relative concentrations of known metabolites, making interpretation and pathway mapping relatively direct and hypothesis-driven.Complex: Generates large, complex datasets requiring sophisticated bioinformatics tools, multivariate statistical analysis, and often manual curation for metabolite identification. Interpretation is more discovery-driven and can lead to new hypotheses.
FDA ApprovalMore Feasible (for specific assays): While there aren’t many broadly “FDA-approved metabolomics tests” as a whole, individual targeted metabolomics assays can and are being developed and validated for specific diagnostic purposes (e.g., inborn errors of metabolism screening). They benefit from the high specificity, quantification, and reproducibility that align with FDA’s requirements for in vitro diagnostics (IVDs) or Laboratory Developed Tests (LDTs), especially when adhering to Good Clinical Practice (GCP) and Good Clinical Laboratory Practice (GCLP) standards.Highly Challenging (for broad application): Direct FDA approval for a general “untargeted metabolomics test” is currently very difficult, if not impossible, due to the inherent complexity, lack of comprehensive standardization across all detectable metabolites, and the discovery-oriented nature. While untargeted metabolomics data can be used in FDA submissions for drug development (e.g., to understand drug mechanism of action or safety), the assay itself for broad diagnostic claims would face significant hurdles. Untargeted approaches are primarily used in the discovery phase to identify potential biomarkers that can then be validated using targeted methods for potential regulatory approval.
Targeted Metabolomics by Bevital

During the last 20 years Bevital´s scientists and technicians have specialized in targeted metabolomics and our panels have been applied in many hypothesis-driven projects and biomarker validation studies.

Bevital’s diverse analytical platforms are designed to be both analytically and biologically complementary, established across dedicated GC- and LC-MS/MS systems. As a result, our metabolomic platforms enable quantification of a wide range of related metabolite classes, spanning both low- and high-abundance compounds within physiologically relevant dynamic ranges from pmol/L to mmol/L. Unlike untargeted approaches, which often produce missing data for low abundance metabolites while “fishing on the surface of the ocean” (Fig. 1), targeted methods allow to “explore the deep sea ” and quantify metabolites within their physiological concentration range. 

Fig. 1: Dynamic range. Exploring the “Deep Sea of Metabolomics” by targeted metabolomics. Various metabolites and biomarkers are plotted against their physiological concentrations and spread in the general population.

Isotope-labeled internal standards (ILIS) are considered the gold standard for quantification in metabolomics. However, because authentic ILIS (AILIS) are either unavailable or very expensive for certain metabolites, most targeted approaches and metabolomics labs use non-authentic ILIS for many of their analytes. In contrast, Bevital’s methods exclusively rely on authentic ILIS for each analyte, enabling us to provide both relative and absolute metabolite quantification of the highest quality, consistently validated through participation in external quality programs. As demonstrated by figure 2, AILIS offer higher precision with 3-7 times lower CVs (Ulvik et al.), which is crucial in small cohort studies often suffering from limited statistical power to detect true biological differences. Additionally, internal data from our group indicate that quantification using non-authentic ILIS can lead to false-positive results. These artifacts, known as spurious correlations since described by Pearson in 1897, can be avoided only through targeted approaches specifically designed to quantify each analyte using its AILIS.

Fig. 2: Precision. Comparison of CV (%) of selected analytes by use of authentic and non-authentic ILIS.

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Per Christian Eriksen

Øivind

Per Magne Ueland has been Professor at the University of Bergen 1987-2018. He is one of the founders of Bevital AS and the scientific advisor in Bevital since 2023. His interests includes biomarkers related to nutrition, inflammation, ageing and life-style related chronic diseases. Per is committed to the development of precise, high-throughput mass spectrometry methods, tailored for metabolic profiling of biobank specimens from large cohorts.

Marit holds a degree in chemical engineering from Bergen Ingeniørhøyskole, which is now part of the Western Norway University of Applied Sciences. She works with quantitative analysis and method development on LC-MS/MS at the laboratory of Bevital AS.

Ove completed a bachelor’s degree in Biomedical Laboratory Sciences at the Western Norway University of Applied Sciences in Bergen. With extensive experience in method development and expertise in GC-MS/MS, he specializes in optimizing analytical techniques for research-focused studies. At Bevital, Ove is dedicated to advancing laboratory methods and workflows, contributing to innovative research through precise and reliable analytical solutions.

Lene holds a bachelor’s degree in Biomedical Laboratory Science from the Western Norway University of Applied Sciences, where she is also completing her master’s degree in Medical Laboratory Technology. At Bevital, she works with GC-MS/MS analyses, focusing on accurate and reliable testing of biological samples. With her strong laboratory background, Lene is committed to delivering high-quality results that support medical research.

Klaus holds a PhD in physics from the University of Münster in Germany. He has over three decades of experience in Time-of-Flight mass spectrometry. He leverages his extensive expertise to provide customers with cutting-edge MALDI-MS analysis and the newest Olink Proteomics services.

Adrian holds a PhD in diabetes research, along with bachelor’s and master’s degrees in biomedical science and public health, respectively. With over 20 years of experience in laboratory science, he leads high-precision metabolite analyses and method development at Bevital. His expertise centers on quantifying biomarkers, metabolite classes, and metabolic pathways related to nutrition, cardiovascular and neurodegenerative diseases, and cancer. Adrian is committed to advancing research quality and actively collaborates nationally and internationally, leveraging targeted metabolomics to support innovative, multidisciplinary research.

Statistical power is the probability that a statistical test will correctly reject a false null hypothesis (H0​) when a specific alternative hypothesis (H1​) is true. H0​ is the null hypothesis, which states there is no effect or no difference. H1​ is the alternative hypothesis, which states there is a real effect or difference. Alpha (α) is the probability of a Type I error (a false positive), which is the risk of incorrectly rejecting the H0​ when it is actually true. You set this value before the experiment, commonly at 0.05. Beta (β) is the probability of a Type II error (a false negative), which is the risk of failing to reject the H0​ when it is actually false.

Power is calculated as 1−β. Increasing power means you are decreasing the probability of making a Type II error.

Several factors can be adjusted to increase the power of a statistical test:

  • Effect Size: This is the magnitude of the difference you are trying to detect. A larger effect size is easier to detect, thus increasing power. 

  • Sample Size: The number of observations in a study. A larger sample size provides more information about the population, reducing the margin of error and increasing the power to detect a true effect.

  • Variation: Refers to the spread or standard deviation of the data within the population. Less variation makes it easier to distinguish a real effect from random noise, thereby increasing power.

  • Alpha (): Increasing the alpha level (e.g., from 0.05 to 0.10) also increases power, but at the cost of a higher risk of a Type I error. This trade-off is often undesirable.

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21.

Sulistyoningrum, Dian C; Sullivan, Thomas R; Skubisz, Monika; Palmer, Debra J; Wood, Simon; Ueland, Per Magne; McCann, Adrian; Makrides, Maria; Green, Timothy J; Best, Karen P

Maternal serum unmetabolized folic acid concentration following multivitamin and mineral supplementation with or without folic acid after 12 weeks gestation: A randomized controlled trial Journal Article

In: Matern Child Nutr, vol. 20, no. 4, pp. e13668, 2024, ISSN: 1740-8709.

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Wilson, Edward; Umans, Jacob; Swarovski, Michelle; Minhas, Paras; Midttun, Øivind; Ulvik, Arve Arve; Shahid-Besanti, Marian; Linortner, Patricia; Mhatre, Siddhita; Wang, Qian; Channappa, Divya; Corso, Nicole; Tian, Lu; Fredericks, Carolyn; Kerchner, Geoffrey; Plowey, Edward; Cholerton, Brenna; Ueland, Per; Zabetian, Cyrus; Gray, Nora; Quinn, Joseph; Montine, Thomas; Sha, Sharon; Longo, Frank; Wolk, David; Chen-Plotkin, Alice; Henderson, Victor; Wyss-Coray, Tony; Wagner, Anthony; Mormino, Elizabeth; Aghaeepour, Nima; Poston, Kathleen; Andreasson, Katrin

Parkinson's disease is characterized by vitamin B6-dependent inflammatory kynurenine pathway dysfunction Journal Article

In: Res Sq, 2024, ISSN: 2693-5015.

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23.

Midtbø, Helga; Ulvik, Arve; Cramariuc, Dana; Meyer, Klaus; Ueland, Per M; Halland, Hilde; Gerdts, Eva

Influence of cardiorespiratory fitness on obesity-associated inflammation in women and men: The FATCOR study Journal Article

In: Nutr Metab Cardiovasc Dis, vol. 34, no. 8, pp. 1942–1949, 2024, ISSN: 1590-3729.

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Ulak, Manjeswori; Kvestad, Ingrid; Chandyo, Ram K; Schwinger, Catherine; Basnet, Sudha; Shrestha, Merina; Ranjitkar, Suman; Nguyen, Linda Vy; Corona-Pérez, Diana; Vivo, Immaculata De; Ueland, Per M; McCann, Adrian; Strand, Tor A

The Effect of Vitamin B Supplementation on Leukocyte Telomere Length in Mildly Stunted Nepalese Children: A Secondary Outcome of a Randomized Controlled Trial Journal Article

In: J Nutr, vol. 154, no. 8, pp. 2543–2550, 2024, ISSN: 1541-6100.

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Knapskog, Anne-Brita; Edwin, Trine Holt; Ueland, Per Magne; Ulvik, Arve; Fang, Evandro Fei; Eldholm, Rannveig Sakshaug; Halaas, Nathalie Bodd; Giil, Lasse M; Saltvedt, Ingvild; Watne, Leiv Otto; Aksnes, Mari

Sex-specific associations of kynurenic acid with neopterin in Alzheimer's disease Journal Article

In: Alzheimers Res Ther, vol. 16, no. 1, pp. 167, 2024, ISSN: 1758-9193.

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Pluvinage, John V; Ngo, Thomas; Fouassier, Camille; McDonagh, Maura; Holmes, Brandon B; Bartley, Christopher M; Kondapavulur, Sravani; Hurabielle, Charlotte; Bodansky, Aaron; Pai, Vincent; Hinman, Sam; Aslanpour, Ava; Alvarenga, Bonny D; Zorn, Kelsey C; Zamecnik, Colin; McCann, Adrian; Asencor, Andoni I; Huynh, Trung; Browne, Weston; Tubati, Asritha; Haney, Michael S; Douglas, Vanja C; Louine, Martineau; Cree, Bruce A C; Hauser, Stephen L; Seeley, William; Baranzini, Sergio E; Wells, James A; Spudich, Serena; Farhadian, Shelli; Ramachandran, Prashanth S; Gillum, Leslie; Hales, Chadwick M; Zikherman, Julie; Anderson, Mark S; Yazdany, Jinoos; Smith, Bryan; Nath, Avindra; Suh, Gina; Flanagan, Eoin P; Green, Ari J; Green, Ralph; Gelfand, Jeffrey M; DeRisi, Joseph L; Pleasure, Samuel J; Wilson, Michael R

Transcobalamin receptor antibodies in autoimmune vitamin B12 central deficiency Journal Article

In: Sci Transl Med, vol. 16, no. 753, pp. eadl3758, 2024, ISSN: 1946-6242.

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Bråtveit, Marianne; Parys, Anthea Van; Olsen, Thomas; Strand, Elin; Marienborg, Ingvild; Laupsa-Borge, Johnny; Haugsgjerd, Teresa Risan; McCann, Adrian; Dhar, Indu; Ueland, Per Magne; Dierkes, Jutta; Dankel, Simon Nitter; Nygård, Ottar Kjell; Lysne, Vegard

Association between dietary macronutrient composition and plasma one-carbon metabolites and B-vitamin cofactors in patients with stable angina pectoris Journal Article

In: Br J Nutr, vol. 131, no. 10, pp. 1678–1690, 2024, ISSN: 1475-2662.

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28.

Holthuijsen, Daniëlle D B; van Roekel, Eline H; Bours, Martijn J L; Ueland, Per M; Breukink, Stéphanie O; Janssen-Heijnen, Maryska L G; Keulen, Eric T P; Gigic, Biljana; Gsur, Andrea; Meyer, Klaus; Ose, Jennifer; Ulvik, Arve; Weijenberg, Matty P; Eussen, Simone J P M

Longitudinal associations of plasma kynurenines and ratios with anxiety and depression scores in colorectal cancer survivors up to 12 months post-treatment Journal Article

In: Psychoneuroendocrinology, vol. 163, pp. 106981, 2024, ISSN: 1873-3360.

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29.

Sandvig, Heidi Vihovde; Aam, Stina; Alme, Katinka N; Lydersen, Stian; Ueland, Per Magne; Ulvik, Arve; Wethal, Torgeir; Saltvedt, Ingvild; Knapskog, Anne-Brita

Neopterin, kynurenine metabolites, and indexes related to vitamin B6 are associated with post-stroke cognitive impairment: The Nor-COAST study Journal Article

In: Brain Behav Immun, vol. 118, pp. 167–177, 2024, ISSN: 1090-2139.

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30.

Senkin, Sergey; Moody, Sarah; Díaz-Gay, Marcos; Abedi-Ardekani, Behnoush; Cattiaux, Thomas; Ferreiro-Iglesias, Aida; Wang, Jingwei; Fitzgerald, Stephen; Kazachkova, Mariya; Vangara, Raviteja; Le, Anh Phuong; Bergstrom, Erik N; Khandekar, Azhar; Otlu, Burçak; Cheema, Saamin; Latimer, Calli; Thomas, Emily; Atkins, Joshua Ronald; Smith-Byrne, Karl; Penha, Ricardo Cortez Cardoso; Carreira, Christine; Chopard, Priscilia; Gaborieau, Valérie; Keski-Rahkonen, Pekka; Jones, David; Teague, Jon W; Ferlicot, Sophie; Asgari, Mojgan; Sangkhathat, Surasak; Attawettayanon, Worapat; Świątkowska, Beata; Jarmalaite, Sonata; Sabaliauskaite, Rasa; Shibata, Tatsuhiro; Fukagawa, Akihiko; Mates, Dana; Jinga, Viorel; Rascu, Stefan; Mijuskovic, Mirjana; Savic, Slavisa; Milosavljevic, Sasa; Bartlett, John M S; Albert, Monique; Phouthavongsy, Larry; Ashton-Prolla, Patricia; Botton, Mariana R; Neto, Brasil Silva; Bezerra, Stephania Martins; Curado, Maria Paula; de Cássio Zequi, Stênio; Reis, Rui Manuel; Faria, Eliney Ferreira; de Menezes, Nei Soares; Ferrari, Renata Spagnoli; Banks, Rosamonde E; Vasudev, Naveen S; Zaridze, David; Mukeriya, Anush; Shangina, Oxana; Matveev, Vsevolod; Foretova, Lenka; Navratilova, Marie; Holcatova, Ivana; Hornakova, Anna; Janout, Vladimir; Purdue, Mark P; Rothman, Nathaniel; Chanock, Stephen J; Ueland, Per Magne; Johansson, Mattias; McKay, James; Scelo, Ghislaine; Chanudet, Estelle; Humphreys, Laura; de Carvalho, Ana Carolina; Perdomo, Sandra; Alexandrov, Ludmil B; Stratton, Michael R; Brennan, Paul

Geographic variation of mutagenic exposures in kidney cancer genomes Journal Article

In: Nature, vol. 629, no. 8013, pp. 910–918, 2024, ISSN: 1476-4687.

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31.

Strand, Tor A; McCann, Adrian; Kvestad, Ingrid; Chandyo, Ram K

Vitamin B12 deficiency in pregnant women - Authors' reply Miscellaneous

2024, ISSN: 1474-547X.

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32.

Anfinsen, Åslaug Matre; Johannesen, Christina Osland; Myklebust, Vilde Haugen; Rosendahl-Riise, Hanne; McCann, Adrian; Nygård, Ottar Kjell; Dierkes, Jutta; Lysne, Vegard

Time-resolved concentrations of serum amino acids, one-carbon metabolites and B-vitamin biomarkers during the postprandial and fasting state: the Postprandial Metabolism in Healthy Young Adults (PoMet) Study Journal Article

In: Br J Nutr, vol. 131, no. 5, pp. 786–800, 2024, ISSN: 1475-2662.

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33.

Rim, Sehee; Vedøy, Oda Barth; Brønstad, Ingeborg; McCann, Adrian; Meyer, Klaus; Steinsland, Hans; Hanevik, Kurt

Inflammation, the kynurenines, and mucosal injury during human experimental enterotoxigenic Escherichia coli infection Journal Article

In: Med Microbiol Immunol, vol. 213, no. 1, pp. 2, 2024, ISSN: 1432-1831.

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34.

Trøseid, Marius; Molinaro, Antonio; Gelpi, Marco; Vestad, Beate; Kofoed, Klaus Fuglsang; Fuchs, Andreas; Køber, Lars; Holm, Kristian; Benfield, Thomas; Ueland, Per M; Hov, Johannes R; Nielsen, Susanne Dam; Knudsen, Andreas Dehlbæk

Gut Microbiota Alterations and Circulating Imidazole Propionate Levels Are Associated With Obstructive Coronary Artery Disease in People With HIV Journal Article

In: J Infect Dis, vol. 229, no. 3, pp. 898–907, 2024, ISSN: 1537-6613.

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35.

Kok, Dieuwertje E; van Duijnhoven, Fränzel Jb; Lubberman, Floor Je; McKay, Jill A; van Lanen, Anne-Sophie; Winkels, Renate M; Wesselink, Evertine; van Halteren, Henk K; de Wilt, Johannes Hw; Ulrich, Cornelia M; Ulvik, Arve; Ueland, Per M; Kampman, Ellen

Intake and biomarkers of folate and folic acid as determinants of chemotherapy-induced toxicities in patients with colorectal cancer: a cohort study Journal Article

In: Am J Clin Nutr, vol. 119, no. 2, pp. 294–301, 2024, ISSN: 1938-3207.

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36.

Raju, Sajan C; Molinaro, Antonio; Awoyemi, Ayodeji; Jørgensen, Silje F; Braadland, Peder R; Nendl, Andraz; Seljeflot, Ingebjørg; Ueland, Per M; McCann, Adrian; Aukrust, Pål; Vestad, Beate; Mayerhofer, Cristiane; Broch, Kaspar; Gullestad, Lars; Lappegård, Knut T; Halvorsen, Bente; Kristiansen, Karsten; Hov, Johannes R; Trøseid, Marius

Microbial-derived imidazole propionate links the heart failure-associated microbiome alterations to disease severity Journal Article

In: Genome Med, vol. 16, no. 1, pp. 27, 2024, ISSN: 1756-994X.

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37.

Braadland, Peder R; Farnes, Ingvild; Kure, Elin H; Yaqub, Sheraz; McCann, Adrian; Ueland, Per M; Labori, Knut Jørgen; Hov, Johannes R

Indole 3-acetate and response to therapy in borderline resectable or locally advanced pancreatic cancer Journal Article

In: Front Oncol, vol. 14, pp. 1488749, 2024, ISSN: 2234-943X.

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38.

Giil, Lasse Melvaer; Hanseth, Silja; Bojovic, Ognjen; Nordrehaug, Jan Erik; Ueland, Per Magne; Meyer, Klaus; Tell, Grethe S

The inverse association between the apolipoprotein E ε4 allele and C-reactive protein levels is stronger in persons with obesity and diabetes Journal Article

In: Scand J Immunol, vol. 99, no. 1, pp. e13323, 2024, ISSN: 1365-3083.

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39.

Grymyr, Lisa M D; Mellgren, Gunnar; McCann, Adrian; Gerdts, Eva; Meyer, Klaus; Nadirpour, Saied; Fernø, Johan; Nedrebø, Bjørn G; Cramariuc, Dana

Preoperative risk factors associated with left ventricular dysfunction after bariatric surgery Journal Article

In: Sci Rep, vol. 14, no. 1, pp. 2173, 2024, ISSN: 2045-2322.

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40.

Kupjetz, Marie; Patt, Nadine; Joisten, Niklas; Ueland, Per Magne; McCann, Adrian; Gonzenbach, Roman; Bansi, Jens; Zimmer, Philipp

Baseline Inflammation but not Exercise Modality Impacts Exercise-induced Kynurenine Pathway Modulation in Persons With Multiple Sclerosis: Secondary Results From a Randomized Controlled Trial Journal Article

In: Int J Tryptophan Res, vol. 17, pp. 11786469241284423, 2024, ISSN: 1178-6469.

Abstract | Links | BibTeX

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