Abstract

Metabolomics has emerged as a powerful tool for identifying biomarkers of disease, and nuclear magnetic resonance (NMR) spectroscopy allows for the simultaneous detection of a wide range of metabolites. However, due to complex interactions within metabolic networks, metabolites often exhibit high correlation and collinearity. To address this challenge, self-organizing maps (SOMs) of Kohonen maps and counter propagation-artificial neural networks (CP-ANN) were employed in this study to model proton nuclear magnetic resonance spectroscopic (1HNMR) data from control samples and breast cancer (BC) patients. Blood serum samples from a control group (n=24) and BC patients (n=18) were used to extract metabolites using methanol and chloroform solvents in optimum extraction conditions. The 1HNMR data was preprocessed by performing phase, baseline, and shift corrections. Subsequently, the preprocessed data was modeled using Kohonen network as an unsupervised technique and CP-ANN as a supervised technique. In this regard, the model built with CP-ANN successfully distinguished between the two classes with an accuracy of 100 % for both group and sensitivity of 96 % and 100 % for control group and BC patients, respectively. Additionally, CP-ANN algorithm demonstrated predictive capabilities by accurately classifying test samples with 90 % sensitivity, 98 % specificity, and 96 % accuracy for control group and 100 % sensitivity, 90 % specificity, and 96 % accuracy for BC patients. Furthermore, analysis of the resulting topological map revealed 14 significant variables (biomarkers) such as sarcosine, lysine, trehalose, tryptophan, and betaine that effectively differentiated between healthy individuals and BC patients.

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