Altered plasma, urine, and tissue profiles of sulfatides and sphingomyelins in patients with renal cell carcinoma
Renal cell carcinoma (RCC) represents the most common type of kidney cancer with the highest incidence and mortality rate among all urological malignancies. In this study, we show that RCC-related processes change body fluids sphingolipid concentrations, which may be used to monitor cancer occurrence in low-invasive lipid-based blood and urine tests. We investigate 674 plasma, urine, and tissue samples from 369 RCC patients and controls. For the first time, we show the significant concentration changes of low abundant sulfatides in plasma and urine of RCC patients. Elevated concentrations of lactosylsulfatides, decreased concentrations of sphingomyelines with long saturated N-fatty acyls and sulfatides with hydroxylated fatty acyls are the most crucial alternations in RCC. These changes are stage-dependent and are more emphasized in late-stage RCC. Similar trends in body fluids and tissues indicate that RCC widely influences lipid metabolism and highlights the potential of lipidomic profiling for cancer detection.