[
    {
        "biomarker_id": "AN6278-1",
        "biomarker_component": [
            {
                "biomarker": "increased IL6 level",
                "assessed_biomarker_entity": {
                    "recommended_name": "Interleukin-6",
                    "synonyms": [
                        {
                            "synonym": "IL-6"
                        },
                        {
                            "synonym": "B-cell stimulatory factor 2"
                        },
                        {
                            "synonym": "BSF-2"
                        },
                        {
                            "synonym": "CTL differentiation factor"
                        },
                        {
                            "synonym": "CDF"
                        },
                        {
                            "synonym": "Hybridoma growth factor"
                        },
                        {
                            "synonym": "Interferon beta-2"
                        },
                        {
                            "synonym": "IFN-beta-2"
                        }
                    ]
                },
                "assessed_biomarker_entity_id": "UPKB:P05231",
                "assessed_entity_type": "protein",
                "specimen": [
                    {
                        "name": "blood",
                        "id": "UBERON:0000178",
                        "name_space": "Uberon",
                        "url": "http://purl.obolibrary.org/obo/UBERON_0000178",
                        "loinc_code": "26881-3"
                    }
                ],
                "evidence_source": [
                    {
                        "id": "10914713",
                        "database": "Pubmed",
                        "url": "https://pubmed.ncbi.nlm.nih.gov/10914713",
                        "evidence_list": [
                            {
                                "evidence": "Univariate analysis of all patients demonstrated that an extent of disease (EOD) on bone scanning > or = 1, IL-6 > or = 7 pg/ml, PS > or = 1, PSA > 100 ng/ml, and ALP > 620 IU/liter were associated with a significantly lower survival rate than their respective counterparts. In multivariate analysis, however, the only two significant prognostic factors were EOD and IL-6. These results indicate that the serum IL-6 level is a significant prognostic factor for prostate cancer as well as EOD."
                            }
                        ],
                        "tags": [
                            {
                                "tag": "biomarker"
                            },
                            {
                                "tag": "assessed_biomarker_entity"
                            },
                            {
                                "tag": "specimen:UBERON:0000178"
                            }
                        ]
                    }
                ]
            }
        ],
        "best_biomarker_role": [
            {
                "role": "prognostic"
            }
        ],
        "condition": {
            "id": "DOID:10283",
            "recommended_name": {
                "id": "DOID:10283",
                "name": "prostate cancer",
                "description": "A male reproductive organ cancer that is located_in the prostate.",
                "resource": "Disease Ontology",
                "url": "http://purl.obolibrary.org/obo/DOID_10283"
            },
            "synonyms": [
                {
                    "id": "DOID:10283",
                    "name": "prostate neoplasm",
                    "resource": "Disease Ontology",
                    "url": "http://purl.obolibrary.org/obo/DOID_10283"
                },
                {
                    "id": "DOID:10283",
                    "name": "NGP - new growth of prostate",
                    "resource": "Disease Ontology",
                    "url": "http://purl.obolibrary.org/obo/DOID_10283"
                },
                {
                    "id": "DOID:10283",
                    "name": "tumor of the prostate",
                    "resource": "Disease Ontology",
                    "url": "http://purl.obolibrary.org/obo/DOID_10283"
                },
                {
                    "id": "DOID:10283",
                    "name": "prostate cancer, familial",
                    "resource": "Disease Ontology",
                    "url": "http://purl.obolibrary.org/obo/DOID_10283"
                },
                {
                    "id": "DOID:10283",
                    "name": "prostatic neoplasm",
                    "resource": "Disease Ontology",
                    "url": "http://purl.obolibrary.org/obo/DOID_10283"
                },
                {
                    "id": "DOID:10283",
                    "name": "malignant tumor of the prostate",
                    "resource": "Disease Ontology",
                    "url": "http://purl.obolibrary.org/obo/DOID_10283"
                },
                {
                    "id": "DOID:10283",
                    "name": "hereditary prostate cancer",
                    "resource": "Disease Ontology",
                    "url": "http://purl.obolibrary.org/obo/DOID_10283"
                },
                {
                    "id": "DOID:10283",
                    "name": "prostatic cancer",
                    "resource": "Disease Ontology",
                    "url": "http://purl.obolibrary.org/obo/DOID_10283"
                }
            ]
        },
        "evidence_source": [
            {
                "id": "10914713",
                "database": "Pubmed",
                "url": "https://pubmed.ncbi.nlm.nih.gov/10914713",
                "evidence_list": [
                    {
                        "evidence": "Univariate analysis of all patients demonstrated that an extent of disease (EOD) on bone scanning > or = 1, IL-6 > or = 7 pg/ml, PS > or = 1, PSA > 100 ng/ml, and ALP > 620 IU/liter were associated with a significantly lower survival rate than their respective counterparts. In multivariate analysis, however, the only two significant prognostic factors were EOD and IL-6. These results indicate that the serum IL-6 level is a significant prognostic factor for prostate cancer as well as EOD."
                    }
                ],
                "tags": [
                    {
                        "tag": "best_biomarker_role"
                    },
                    {
                        "tag": "condition"
                    }
                ]
            }
        ],
        "citation": [
            {
                "title": "Serum interleukin 6 as a prognostic factor in patients with prostate cancer.",
                "journal": "Clinical cancer research : an official journal of the American Association for Cancer Research",
                "authors": "Nakashima J, Tachibana M, Horiguchi Y, Oya M, Ohigashi T, Asakura H, Murai M",
                "date": "2000-07-29",
                "evidence": [],
                "reference": [
                    {
                        "id": "10914713",
                        "type": "Pubmed",
                        "url": "https://pubmed.ncbi.nlm.nih.gov/10914713"
                    }
                ]
            }
        ],
        "biomarker_canonical_id": "AN6278",
        "score": 2,
        "score_info": {
            "contributions": [
                {
                    "c": "first_pmid",
                    "w": 1,
                    "f": 1
                },
                {
                    "c": "other_pmid",
                    "w": 0.2,
                    "f": 0
                },
                {
                    "c": "first_source",
                    "w": 1,
                    "f": 0
                },
                {
                    "c": "other_source",
                    "w": 0.1,
                    "f": 0
                },
                {
                    "c": "generic_condition_pen",
                    "w": -4,
                    "f": 0
                },
                {
                    "c": "loinc",
                    "w": 1,
                    "f": 1
                }
            ],
            "formula": "sum(w*f)",
            "variables": {
                "c": "condition",
                "w": "weight",
                "f": "frequency"
            }
        },
        "collision": 0
    },
    {
        "biomarker_id": "AN6278-5",
        "biomarker_component": [
            {
                "biomarker": "increased IL6 level",
                "assessed_biomarker_entity": {
                    "recommended_name": "Interleukin-6",
                    "synonyms": [
                        {
                            "synonym": "IL-6"
                        },
                        {
                            "synonym": "B-cell stimulatory factor 2"
                        },
                        {
                            "synonym": "BSF-2"
                        },
                        {
                            "synonym": "CTL differentiation factor"
                        },
                        {
                            "synonym": "CDF"
                        },
                        {
                            "synonym": "Hybridoma growth factor"
                        },
                        {
                            "synonym": "Interferon beta-2"
                        },
                        {
                            "synonym": "IFN-beta-2"
                        }
                    ]
                },
                "assessed_biomarker_entity_id": "UPKB:P05231",
                "assessed_entity_type": "protein",
                "specimen": [
                    {
                        "name": "blood",
                        "id": "UBERON:0000178",
                        "name_space": "Uberon",
                        "url": "http://purl.obolibrary.org/obo/UBERON_0000178",
                        "loinc_code": "26881-3"
                    }
                ],
                "evidence_source": [
                    {
                        "id": "32479790",
                        "database": "Pubmed",
                        "url": "https://pubmed.ncbi.nlm.nih.gov/32479790",
                        "evidence_list": [
                            {
                                "evidence": "IL-6 plays multifaceted roles in regulation of vascular leakage, complement activation, and coagulation pathways, which ultimately causes poor outcomes for acute respiratory distress syndrome, multiple organ dysfunction syndrome, and SARS."
                            }
                        ],
                        "tags": [
                            {
                                "tag": "biomarker"
                            },
                            {
                                "tag": "assessed_biomarker_entity"
                            },
                            {
                                "tag": "specimen:UBERON:0000178"
                            }
                        ]
                    },
                    {
                        "id": "32369209",
                        "database": "Pubmed",
                        "url": "https://pubmed.ncbi.nlm.nih.gov/32369209",
                        "evidence_list": [
                            {
                                "evidence": "Low lymphocytes, increased IL-6, CRP, PCT, D dimer, and LDH, these finds were similar to previous studies. The increase of these inflammatory indexes indicates that the infected patients were in inflammatory state, which may be closely related to the inflammatory storm. The increase of the cancer biomarkers in patients with COVID-19, especially in severe and critical patients, suggests that inflammation is closely related to the development of COVID-19."
                            }
                        ],
                        "tags": [
                            {
                                "tag": "biomarker"
                            },
                            {
                                "tag": "assessed_biomarker_entity"
                            },
                            {
                                "tag": "specimen:UBERON:0000178"
                            }
                        ]
                    },
                    {
                        "id": "32259560",
                        "database": "Pubmed",
                        "url": "https://pubmed.ncbi.nlm.nih.gov/32259560",
                        "evidence_list": [
                            {
                                "evidence": "Serial measurement of circulating IL-6 levels may be important in identifying disease progression among COVID-19-infected patients."
                            }
                        ],
                        "tags": [
                            {
                                "tag": "biomarker"
                            },
                            {
                                "tag": "assessed_biomarker_entity"
                            },
                            {
                                "tag": "specimen:UBERON:0000178"
                            }
                        ]
                    },
                    {
                        "id": "32428990",
                        "database": "Pubmed",
                        "url": "https://pubmed.ncbi.nlm.nih.gov/32428990",
                        "evidence_list": [
                            {
                                "evidence": "The decrease of IL-6 was closely related to treatment effectiveness, while the increase of IL-6 indicated disease exacerbation. Collectively, the dynamic change of IL-6 level can be used as a marker for disease monitoring in patients with severe COVID-19."
                            }
                        ],
                        "tags": [
                            {
                                "tag": "biomarker"
                            },
                            {
                                "tag": "assessed_biomarker_entity"
                            },
                            {
                                "tag": "specimen:UBERON:0000178"
                            }
                        ]
                    },
                    {
                        "id": "32677844",
                        "database": "Pubmed",
                        "url": "https://pubmed.ncbi.nlm.nih.gov/32677844",
                        "evidence_list": [
                            {
                                "evidence": "Elevated levels of IL-6, D-dimer, CRP, LDH, and ferritin all had an independent increased risk for the clinical outcomes assessed (ICU admission, invasive ventilatory support and death), which were statistically significant."
                            }
                        ],
                        "tags": [
                            {
                                "tag": "biomarker"
                            },
                            {
                                "tag": "assessed_biomarker_entity"
                            },
                            {
                                "tag": "specimen:UBERON:0000178"
                            }
                        ]
                    },
                    {
                        "id": "32438331",
                        "database": "Pubmed",
                        "url": "https://pubmed.ncbi.nlm.nih.gov/32438331",
                        "evidence_list": [
                            {
                                "evidence": "Clinical biomarkers for chronic inflammation, in particular Interleukin-6, predict the severity of COVID-19."
                            },
                            {
                                "evidence": "A deep network analysis has suggested clinical biomarkers predicting the higher risk of severe COVID-19 infection: Hypertension, elevated serum Alanine aminotransferase, high Interleukin-6, and low Lymphocytes count. In particular, patients with diabetes, but also those with prediabetic state, deserve special attention."
                            }
                        ],
                        "tags": [
                            {
                                "tag": "biomarker"
                            },
                            {
                                "tag": "assessed_biomarker_entity"
                            },
                            {
                                "tag": "specimen:UBERON:0000178"
                            }
                        ]
                    },
                    {
                        "id": "32475810",
                        "database": "Pubmed",
                        "url": "https://pubmed.ncbi.nlm.nih.gov/32475810",
                        "evidence_list": [
                            {
                                "evidence": "C-reactive protein, serum amyloid A, interleukin-6, lactate dehydrogenase, neutrophil-to-lymphocyte ratio, D-dimer, cardiac troponin, and renal biomarkers showed significantly higher levels in patients with severe complications of COVID-19 infection compared to their non-severe counterparts."
                            },
                            {
                                "evidence": "Since the proportionate rise of IL-6 is correlated with disease severity, this study can prove ground-breaking."
                            }
                        ],
                        "tags": [
                            {
                                "tag": "biomarker"
                            },
                            {
                                "tag": "assessed_biomarker_entity"
                            },
                            {
                                "tag": "specimen:UBERON:0000178"
                            }
                        ]
                    },
                    {
                        "id": "32234467",
                        "database": "Pubmed",
                        "url": "https://pubmed.ncbi.nlm.nih.gov/32234467",
                        "evidence_list": [
                            {
                                "evidence": "Interleukin-6 (IL-6) plays an important role in cytokine release syndrome. If it is possible to block the signal transduction pathway of IL-6, it is expected to become a new method for the treatment of severe COVID-19 patients."
                            }
                        ],
                        "tags": [
                            {
                                "tag": "biomarker"
                            },
                            {
                                "tag": "assessed_biomarker_entity"
                            },
                            {
                                "tag": "specimen:UBERON:0000178"
                            }
                        ]
                    },
                    {
                        "id": "32442528",
                        "database": "Pubmed",
                        "url": "https://pubmed.ncbi.nlm.nih.gov/32442528",
                        "evidence_list": [
                            {
                                "evidence": "findings in this study include determining independent associations between biomarkers for inflammation (interleukin-6) and thrombosis (D-dimer) and mortality."
                            }
                        ],
                        "tags": [
                            {
                                "tag": "biomarker"
                            },
                            {
                                "tag": "assessed_biomarker_entity"
                            },
                            {
                                "tag": "specimen:UBERON:0000178"
                            }
                        ]
                    },
                    {
                        "id": "32161940",
                        "database": "Pubmed",
                        "url": "https://pubmed.ncbi.nlm.nih.gov/32161940",
                        "evidence_list": [
                            {
                                "evidence": "lower lymphocyte counts, higher leukocyte counts and neutrophil-lymphocyte ratio (NLR), lower monocytes, eosinophils, and basophils elevated inflammatory cytokines. T cells significantly decreased, helper T (Th) cells and suppressor T cells were below normal levels naive Th cells increased and memory Th cells decreased. lower levels of regulatory T cells."
                            }
                        ],
                        "tags": [
                            {
                                "tag": "biomarker"
                            },
                            {
                                "tag": "assessed_biomarker_entity"
                            },
                            {
                                "tag": "specimen:UBERON:0000178"
                            }
                        ]
                    },
                    {
                        "id": "32425269",
                        "database": "Pubmed",
                        "url": "https://pubmed.ncbi.nlm.nih.gov/32425269",
                        "evidence_list": [
                            {
                                "evidence": "The maximal level of IL-6, followed by CRP level, was highly predictive of the need for mechanical ventilation. This suggests the possibility of using IL-6 or CRP level to guide escalation of treatment in patients with COVID-19-related hyperinflammatory syndrome."
                            }
                        ],
                        "tags": [
                            {
                                "tag": "biomarker"
                            },
                            {
                                "tag": "assessed_biomarker_entity"
                            },
                            {
                                "tag": "specimen:UBERON:0000178"
                            }
                        ]
                    },
                    {
                        "id": "32385523",
                        "database": "Pubmed",
                        "url": "https://pubmed.ncbi.nlm.nih.gov/32385523",
                        "evidence_list": [
                            {
                                "evidence": "Up-regulated IL-6 levels may serve as a potential marker for predicting progression of COVID19 patients."
                            }
                        ],
                        "tags": [
                            {
                                "tag": "biomarker"
                            },
                            {
                                "tag": "assessed_biomarker_entity"
                            },
                            {
                                "tag": "specimen:UBERON:0000178"
                            }
                        ]
                    },
                    {
                        "id": "32181911",
                        "database": "Pubmed",
                        "url": "https://pubmed.ncbi.nlm.nih.gov/32181911",
                        "evidence_list": [
                            {
                                "evidence": "IL-6 and d-D were closely related to the occurrence of severe COVID-19 in the adult patients, and their combined detection had the highest specificity and sensitivity for early prediction of the severity of COVID-19 patients, which has important clinical value."
                            }
                        ],
                        "tags": [
                            {
                                "tag": "biomarker"
                            },
                            {
                                "tag": "assessed_biomarker_entity"
                            },
                            {
                                "tag": "specimen:UBERON:0000178"
                            }
                        ]
                    },
                    {
                        "id": "32344321",
                        "database": "Pubmed",
                        "url": "https://pubmed.ncbi.nlm.nih.gov/32344321",
                        "evidence_list": [
                            {
                                "evidence": "The serum levels of IL-6 and CRP can effectively assess disease severity and predict outcome in patients with COVID-19."
                            }
                        ],
                        "tags": [
                            {
                                "tag": "biomarker"
                            },
                            {
                                "tag": "assessed_biomarker_entity"
                            },
                            {
                                "tag": "specimen:UBERON:0000178"
                            }
                        ]
                    },
                    {
                        "id": "32286245",
                        "database": "Pubmed",
                        "url": "https://pubmed.ncbi.nlm.nih.gov/32286245",
                        "evidence_list": [
                            {
                                "evidence": "In hospitalized patients with respiratory distress, we recommend clinicians closely monitor WBC count, lymphocyte count, platelet count, IL-6 and serum ferritin as markers for potential progression to critical illness."
                            }
                        ],
                        "tags": [
                            {
                                "tag": "biomarker"
                            },
                            {
                                "tag": "assessed_biomarker_entity"
                            },
                            {
                                "tag": "specimen:UBERON:0000178"
                            }
                        ]
                    },
                    {
                        "id": "32430456",
                        "database": "Pubmed",
                        "url": "https://pubmed.ncbi.nlm.nih.gov/32430456",
                        "evidence_list": [
                            {
                                "evidence": "The mean of glycemia during hospitalization was 10.65 0.84 mmol/L in the no insulin infusion group and 7.69 1.85 mmol/L in the insulin infusion group. At baseline, IL-6 and D-dimer levels were significantly higher in the hyperglycemic group than in the normoglycemic group (P < 0.001). Even though all patients were on standard treatment for COVID-19 infection, IL-6 and D-dimer levels persisted higher in patients with hyperglycemia during hospitalization."
                            }
                        ],
                        "tags": [
                            {
                                "tag": "biomarker"
                            },
                            {
                                "tag": "assessed_biomarker_entity"
                            },
                            {
                                "tag": "specimen:UBERON:0000178"
                            }
                        ]
                    },
                    {
                        "id": "32511562",
                        "database": "Pubmed",
                        "url": "https://pubmed.ncbi.nlm.nih.gov/32511562",
                        "evidence_list": [
                            {
                                "evidence": "COVID-19 is associated with high levels of IL-6, TNF-a, IL-1b, and CXCL8/IL-8. IL-6 was one of the most robust prognostic markers of survival. It remained independently associated with severity and predictive of outcome. Furthermore, elevated TNF-a, known to contribute to organ damage, was also a strong predictor of poor outcome."
                            }
                        ],
                        "tags": [
                            {
                                "tag": "biomarker"
                            },
                            {
                                "tag": "assessed_biomarker_entity"
                            },
                            {
                                "tag": "specimen:UBERON:0000178"
                            }
                        ]
                    }
                ]
            }
        ],
        "best_biomarker_role": [
            {
                "role": "prognostic"
            }
        ],
        "condition": {
            "id": "DOID:0080600",
            "recommended_name": {
                "id": "DOID:0080600",
                "name": "COVID-19",
                "description": "A Coronavirus infectious disease that is characterized by fever, cough and shortness of breath and that has_material_basis_in SARS-CoV-2.",
                "resource": "Disease Ontology",
                "url": "http://purl.obolibrary.org/obo/DOID_0080600"
            },
            "synonyms": [
                {
                    "id": "DOID:0080600",
                    "name": "SARS-CoV-2 infection",
                    "resource": "Disease Ontology",
                    "url": "http://purl.obolibrary.org/obo/DOID_0080600"
                },
                {
                    "id": "DOID:0080600",
                    "name": "Wuhan coronavirus infection",
                    "resource": "Disease Ontology",
                    "url": "http://purl.obolibrary.org/obo/DOID_0080600"
                },
                {
                    "id": "DOID:0080600",
                    "name": "COVID19",
                    "resource": "Disease Ontology",
                    "url": "http://purl.obolibrary.org/obo/DOID_0080600"
                },
                {
                    "id": "DOID:0080600",
                    "name": "Wuhan seafood market pneumonia virus infection",
                    "resource": "Disease Ontology",
                    "url": "http://purl.obolibrary.org/obo/DOID_0080600"
                },
                {
                    "id": "DOID:0080600",
                    "name": "2019-nCoV infection",
                    "resource": "Disease Ontology",
                    "url": "http://purl.obolibrary.org/obo/DOID_0080600"
                },
                {
                    "id": "DOID:0080600",
                    "name": "2019 Novel Coronavirus (2019-nCoV)",
                    "resource": "Disease Ontology",
                    "url": "http://purl.obolibrary.org/obo/DOID_0080600"
                }
            ]
        },
        "evidence_source": [
            {
                "id": "32479790",
                "database": "Pubmed",
                "url": "https://pubmed.ncbi.nlm.nih.gov/32479790",
                "evidence_list": [
                    {
                        "evidence": "IL-6 plays multifaceted roles in regulation of vascular leakage, complement activation, and coagulation pathways, which ultimately causes poor outcomes for acute respiratory distress syndrome, multiple organ dysfunction syndrome, and SARS."
                    }
                ],
                "tags": [
                    {
                        "tag": "best_biomarker_role"
                    },
                    {
                        "tag": "condition"
                    }
                ]
            },
            {
                "id": "32369209",
                "database": "Pubmed",
                "url": "https://pubmed.ncbi.nlm.nih.gov/32369209",
                "evidence_list": [
                    {
                        "evidence": "Low lymphocytes, increased IL-6, CRP, PCT, D dimer, and LDH, these finds were similar to previous studies. The increase of these inflammatory indexes indicates that the infected patients were in inflammatory state, which may be closely related to the inflammatory storm. The increase of the cancer biomarkers in patients with COVID-19, especially in severe and critical patients, suggests that inflammation is closely related to the development of COVID-19."
                    }
                ],
                "tags": [
                    {
                        "tag": "best_biomarker_role"
                    },
                    {
                        "tag": "condition"
                    }
                ]
            },
            {
                "id": "32259560",
                "database": "Pubmed",
                "url": "https://pubmed.ncbi.nlm.nih.gov/32259560",
                "evidence_list": [
                    {
                        "evidence": "Serial measurement of circulating IL-6 levels may be important in identifying disease progression among COVID-19-infected patients."
                    }
                ],
                "tags": [
                    {
                        "tag": "best_biomarker_role"
                    },
                    {
                        "tag": "condition"
                    }
                ]
            },
            {
                "id": "32428990",
                "database": "Pubmed",
                "url": "https://pubmed.ncbi.nlm.nih.gov/32428990",
                "evidence_list": [
                    {
                        "evidence": "The decrease of IL-6 was closely related to treatment effectiveness, while the increase of IL-6 indicated disease exacerbation. Collectively, the dynamic change of IL-6 level can be used as a marker for disease monitoring in patients with severe COVID-19."
                    }
                ],
                "tags": [
                    {
                        "tag": "best_biomarker_role"
                    },
                    {
                        "tag": "condition"
                    }
                ]
            },
            {
                "id": "32677844",
                "database": "Pubmed",
                "url": "https://pubmed.ncbi.nlm.nih.gov/32677844",
                "evidence_list": [
                    {
                        "evidence": "Elevated levels of IL-6, D-dimer, CRP, LDH, and ferritin all had an independent increased risk for the clinical outcomes assessed (ICU admission, invasive ventilatory support and death), which were statistically significant."
                    }
                ],
                "tags": [
                    {
                        "tag": "best_biomarker_role"
                    },
                    {
                        "tag": "condition"
                    }
                ]
            },
            {
                "id": "32438331",
                "database": "Pubmed",
                "url": "https://pubmed.ncbi.nlm.nih.gov/32438331",
                "evidence_list": [
                    {
                        "evidence": "Clinical biomarkers for chronic inflammation, in particular Interleukin-6, predict the severity of COVID-19."
                    },
                    {
                        "evidence": "A deep network analysis has suggested clinical biomarkers predicting the higher risk of severe COVID-19 infection: Hypertension, elevated serum Alanine aminotransferase, high Interleukin-6, and low Lymphocytes count. In particular, patients with diabetes, but also those with prediabetic state, deserve special attention."
                    }
                ],
                "tags": [
                    {
                        "tag": "best_biomarker_role"
                    },
                    {
                        "tag": "condition"
                    }
                ]
            },
            {
                "id": "32475810",
                "database": "Pubmed",
                "url": "https://pubmed.ncbi.nlm.nih.gov/32475810",
                "evidence_list": [
                    {
                        "evidence": "C-reactive protein, serum amyloid A, interleukin-6, lactate dehydrogenase, neutrophil-to-lymphocyte ratio, D-dimer, cardiac troponin, and renal biomarkers showed significantly higher levels in patients with severe complications of COVID-19 infection compared to their non-severe counterparts."
                    },
                    {
                        "evidence": "Since the proportionate rise of IL-6 is correlated with disease severity, this study can prove ground-breaking."
                    }
                ],
                "tags": [
                    {
                        "tag": "best_biomarker_role"
                    },
                    {
                        "tag": "condition"
                    }
                ]
            },
            {
                "id": "32234467",
                "database": "Pubmed",
                "url": "https://pubmed.ncbi.nlm.nih.gov/32234467",
                "evidence_list": [
                    {
                        "evidence": "Interleukin-6 (IL-6) plays an important role in cytokine release syndrome. If it is possible to block the signal transduction pathway of IL-6, it is expected to become a new method for the treatment of severe COVID-19 patients."
                    }
                ],
                "tags": [
                    {
                        "tag": "best_biomarker_role"
                    },
                    {
                        "tag": "condition"
                    }
                ]
            },
            {
                "id": "32442528",
                "database": "Pubmed",
                "url": "https://pubmed.ncbi.nlm.nih.gov/32442528",
                "evidence_list": [
                    {
                        "evidence": "findings in this study include determining independent associations between biomarkers for inflammation (interleukin-6) and thrombosis (D-dimer) and mortality."
                    }
                ],
                "tags": [
                    {
                        "tag": "best_biomarker_role"
                    },
                    {
                        "tag": "condition"
                    }
                ]
            },
            {
                "id": "32161940",
                "database": "Pubmed",
                "url": "https://pubmed.ncbi.nlm.nih.gov/32161940",
                "evidence_list": [
                    {
                        "evidence": "lower lymphocyte counts, higher leukocyte counts and neutrophil-lymphocyte ratio (NLR), lower monocytes, eosinophils, and basophils elevated inflammatory cytokines. T cells significantly decreased, helper T (Th) cells and suppressor T cells were below normal levels naive Th cells increased and memory Th cells decreased. lower levels of regulatory T cells."
                    }
                ],
                "tags": [
                    {
                        "tag": "best_biomarker_role"
                    },
                    {
                        "tag": "condition"
                    }
                ]
            },
            {
                "id": "32425269",
                "database": "Pubmed",
                "url": "https://pubmed.ncbi.nlm.nih.gov/32425269",
                "evidence_list": [
                    {
                        "evidence": "The maximal level of IL-6, followed by CRP level, was highly predictive of the need for mechanical ventilation. This suggests the possibility of using IL-6 or CRP level to guide escalation of treatment in patients with COVID-19-related hyperinflammatory syndrome."
                    }
                ],
                "tags": [
                    {
                        "tag": "best_biomarker_role"
                    },
                    {
                        "tag": "condition"
                    }
                ]
            },
            {
                "id": "32385523",
                "database": "Pubmed",
                "url": "https://pubmed.ncbi.nlm.nih.gov/32385523",
                "evidence_list": [
                    {
                        "evidence": "Up-regulated IL-6 levels may serve as a potential marker for predicting progression of COVID19 patients."
                    }
                ],
                "tags": [
                    {
                        "tag": "best_biomarker_role"
                    },
                    {
                        "tag": "condition"
                    }
                ]
            },
            {
                "id": "32181911",
                "database": "Pubmed",
                "url": "https://pubmed.ncbi.nlm.nih.gov/32181911",
                "evidence_list": [
                    {
                        "evidence": "IL-6 and d-D were closely related to the occurrence of severe COVID-19 in the adult patients, and their combined detection had the highest specificity and sensitivity for early prediction of the severity of COVID-19 patients, which has important clinical value."
                    }
                ],
                "tags": [
                    {
                        "tag": "best_biomarker_role"
                    },
                    {
                        "tag": "condition"
                    }
                ]
            },
            {
                "id": "32344321",
                "database": "Pubmed",
                "url": "https://pubmed.ncbi.nlm.nih.gov/32344321",
                "evidence_list": [
                    {
                        "evidence": "The serum levels of IL-6 and CRP can effectively assess disease severity and predict outcome in patients with COVID-19."
                    }
                ],
                "tags": [
                    {
                        "tag": "best_biomarker_role"
                    },
                    {
                        "tag": "condition"
                    }
                ]
            },
            {
                "id": "32286245",
                "database": "Pubmed",
                "url": "https://pubmed.ncbi.nlm.nih.gov/32286245",
                "evidence_list": [
                    {
                        "evidence": "In hospitalized patients with respiratory distress, we recommend clinicians closely monitor WBC count, lymphocyte count, platelet count, IL-6 and serum ferritin as markers for potential progression to critical illness."
                    }
                ],
                "tags": [
                    {
                        "tag": "best_biomarker_role"
                    },
                    {
                        "tag": "condition"
                    }
                ]
            },
            {
                "id": "32430456",
                "database": "Pubmed",
                "url": "https://pubmed.ncbi.nlm.nih.gov/32430456",
                "evidence_list": [
                    {
                        "evidence": "The mean of glycemia during hospitalization was 10.65 0.84 mmol/L in the no insulin infusion group and 7.69 1.85 mmol/L in the insulin infusion group. At baseline, IL-6 and D-dimer levels were significantly higher in the hyperglycemic group than in the normoglycemic group (P < 0.001). Even though all patients were on standard treatment for COVID-19 infection, IL-6 and D-dimer levels persisted higher in patients with hyperglycemia during hospitalization."
                    }
                ],
                "tags": [
                    {
                        "tag": "best_biomarker_role"
                    },
                    {
                        "tag": "condition"
                    }
                ]
            },
            {
                "id": "32511562",
                "database": "Pubmed",
                "url": "https://pubmed.ncbi.nlm.nih.gov/32511562",
                "evidence_list": [
                    {
                        "evidence": "COVID-19 is associated with high levels of IL-6, TNF-a, IL-1b, and CXCL8/IL-8. IL-6 was one of the most robust prognostic markers of survival. It remained independently associated with severity and predictive of outcome. Furthermore, elevated TNF-a, known to contribute to organ damage, was also a strong predictor of poor outcome."
                    }
                ],
                "tags": [
                    {
                        "tag": "best_biomarker_role"
                    },
                    {
                        "tag": "condition"
                    }
                ]
            },
            {
                "id": "33303843",
                "database": "Pubmed",
                "url": "https://pubmed.ncbi.nlm.nih.gov/33303843",
                "evidence_list": [
                    {
                        "evidence": "Elevated levels of pro-inflammatory cytokines were present in patients with severe COVID19. IL-6 and MCP-1 were inversely correlated with P/F with the largest AUC in ROC analyses and should be further explored as biomarkers to identify patients at risk for severe RF and as targets for improved treatment strategies."
                    }
                ],
                "tags": [
                    {
                        "tag": "condition"
                    },
                    {
                        "tag": "best_biomarker_role"
                    }
                ]
            },
            {
                "id": "32505227",
                "database": "Pubmed",
                "url": "https://pubmed.ncbi.nlm.nih.gov/32505227",
                "evidence_list": [
                    {
                        "evidence": "Other consistently reported markers in non-survivors are increased procalcitonin (PCT) and IL-6 levels, as well as increased serum urea, creatinine, cystatin C, direct bilirubin, and cholinesterase."
                    }
                ],
                "tags": [
                    {
                        "tag": "condition"
                    },
                    {
                        "tag": "best_biomarker_role"
                    }
                ]
            },
            {
                "id": "33349241",
                "database": "Pubmed",
                "url": "https://pubmed.ncbi.nlm.nih.gov/33349241",
                "evidence_list": [
                    {
                        "evidence": "Significant correlations were found about age, IL2R, IL-6, IL-8, IL-10, TNFα, CRP, ferroprotein, PCT, LC, NC, and EC. PCT (R = -0.650), CRP (R = -0.604), NC (R = -0.585), age (R = -0.564), LC (R = 0.56), IL-6 (R = -0.535), IL2R (R = -0.534) and ferroprotein (R = -0.508) were highly correlated."
                    }
                ],
                "tags": [
                    {
                        "tag": "condition"
                    },
                    {
                        "tag": "best_biomarker_role"
                    }
                ]
            },
            {
                "id": "32503382",
                "database": "Pubmed",
                "url": "https://pubmed.ncbi.nlm.nih.gov/32503382",
                "evidence_list": [
                    {
                        "evidence": "Erythrocyte sedimentation rate (ESR) (R=0.55, p < .01) was positively associated with CT severity scores. To sum up, we can conclude from the analysis of published studies that hematological (lymphocyte count, neutrophil count, and NLR), inflammatory (CRP, ESR, IL-6), and especially biochemical (D-dimer, Troponins, CK) parameters correlate with severe prognosis or exitus in COVID-19 patients and can therefore be used as predictive biomarkers."
                    }
                ],
                "tags": [
                    {
                        "tag": "condition"
                    },
                    {
                        "tag": "best_biomarker_role"
                    }
                ]
            },
            {
                "id": "32576222",
                "database": "Pubmed",
                "url": "https://pubmed.ncbi.nlm.nih.gov/32576222",
                "evidence_list": [
                    {
                        "evidence": "Levels of VEGF-D, TNF-alpha, SCF, LIF, IL-2, IL-4, IL-6, IL-8, IL-10, IL-15, IL-17A, IL-18, IL-1 beta, and IFN-gamma were significantly higher in the critical group than in the severe group (Table 1)."
                    }
                ],
                "tags": [
                    {
                        "tag": "condition"
                    },
                    {
                        "tag": "best_biomarker_role"
                    }
                ]
            },
            {
                "id": "32503877",
                "database": "Pubmed",
                "url": "https://pubmed.ncbi.nlm.nih.gov/32503877",
                "evidence_list": [
                    {
                        "evidence": "Analysis revealed significantly elevated BTK activity, as evidenced by autophosphorylation, and increased IL-6 production."
                    }
                ],
                "tags": [
                    {
                        "tag": "condition"
                    },
                    {
                        "tag": "best_biomarker_role"
                    }
                ]
            }
        ],
        "citation": [
            {
                "title": "Clinical characteristics and risk factors associated with COVID-19 disease severity in patients with cancer in Wuhan, China: a multicentre, retrospective, cohort study.",
                "journal": "The Lancet. Oncology",
                "authors": "Tian J, Yuan X, Xiao J, Zhong Q, Yang C, Liu B, Cai Y, Lu Z, Wang J, Wang Y, Liu S, Cheng B, Wang J, Zhang M, Wang L, Niu S, Yao Z, Deng X, Zhou F, Wei W, Li Q, Chen X, Chen W, Yang Q, Wu S, Fan J, Shu B, Hu Z, Wang S, Yang XP, Liu W, Miao X, Wang Z",
                "date": "2020-06-02",
                "evidence": [],
                "reference": [
                    {
                        "id": "32479790",
                        "type": "Pubmed",
                        "url": "https://pubmed.ncbi.nlm.nih.gov/32479790"
                    }
                ]
            },
            {
                "title": "Clinical characteristics and outcomes of cancer patients with COVID-19.",
                "journal": "Journal of medical virology",
                "authors": "Yang F, Shi S, Zhu J, Shi J, Dai K, Chen X",
                "date": "2020-05-06",
                "evidence": [],
                "reference": [
                    {
                        "id": "32369209",
                        "type": "Pubmed",
                        "url": "https://pubmed.ncbi.nlm.nih.gov/32369209"
                    }
                ]
            },
            {
                "title": "Interleukin-6 as a potential biomarker of COVID-19 progression.",
                "journal": "Medecine et maladies infectieuses",
                "authors": "Ulhaq ZS, Soraya GV",
                "date": "2020-04-08",
                "evidence": [],
                "reference": [
                    {
                        "id": "32259560",
                        "type": "Pubmed",
                        "url": "https://pubmed.ncbi.nlm.nih.gov/32259560"
                    }
                ]
            },
            {
                "title": "The role of interleukin-6 in monitoring severe case of coronavirus disease 2019.",
                "journal": "EMBO molecular medicine",
                "authors": "Liu T, Zhang J, Yang Y, Ma H, Li Z, Zhang J, Cheng J, Zhang X, Zhao Y, Xia Z, Zhang L, Wu G, Yi J",
                "date": "2020-05-20",
                "evidence": [],
                "reference": [
                    {
                        "id": "32428990",
                        "type": "Pubmed",
                        "url": "https://pubmed.ncbi.nlm.nih.gov/32428990"
                    }
                ]
            },
            {
                "title": "The association between biomarkers and clinical outcomes in novel coronavirus pneumonia in a US cohort.",
                "journal": "Biomarkers in medicine",
                "authors": "Ayanian S, Reyes J, Lynn L, Teufel K",
                "date": "2020-07-18",
                "evidence": [],
                "reference": [
                    {
                        "id": "32677844",
                        "type": "Pubmed",
                        "url": "https://pubmed.ncbi.nlm.nih.gov/32677844"
                    }
                ]
            },
            {
                "title": "Diabetes and metabolic syndrome as risk factors for COVID-19.",
                "journal": "Diabetes & metabolic syndrome",
                "authors": "Marhl M, Grubelnik V, Magdič M, Markovič R",
                "date": "2020-05-22",
                "evidence": [],
                "reference": [
                    {
                        "id": "32438331",
                        "type": "Pubmed",
                        "url": "https://pubmed.ncbi.nlm.nih.gov/32438331"
                    }
                ]
            },
            {
                "title": "The role of biomarkers in diagnosis of COVID-19 - A systematic review.",
                "journal": "Life sciences",
                "authors": "Kermali M, Khalsa RK, Pillai K, Ismail Z, Harky A",
                "date": "2020-06-02",
                "evidence": [],
                "reference": [
                    {
                        "id": "32475810",
                        "type": "Pubmed",
                        "url": "https://pubmed.ncbi.nlm.nih.gov/32475810"
                    }
                ]
            },
            {
                "title": "Cytokine release syndrome in severe COVID-19: interleukin-6 receptor antagonist tocilizumab may be the key to reduce mortality.",
                "journal": "International journal of antimicrobial agents",
                "authors": "Zhang C, Wu Z, Li JW, Zhao H, Wang GQ",
                "date": "2020-04-03",
                "evidence": [],
                "reference": [
                    {
                        "id": "32234467",
                        "type": "Pubmed",
                        "url": "https://pubmed.ncbi.nlm.nih.gov/32234467"
                    }
                ]
            },
            {
                "title": "Epidemiology, clinical course, and outcomes of critically ill adults with COVID-19 in New York City: a prospective cohort study.",
                "journal": "Lancet (London, England)",
                "authors": "Cummings MJ, Baldwin MR, Abrams D, Jacobson SD, Meyer BJ, Balough EM, Aaron JG, Claassen J, Rabbani LE, Hastie J, Hochman BR, Salazar-Schicchi J, Yip NH, Brodie D, O'Donnell MR",
                "date": "2020-05-23",
                "evidence": [],
                "reference": [
                    {
                        "id": "32442528",
                        "type": "Pubmed",
                        "url": "https://pubmed.ncbi.nlm.nih.gov/32442528"
                    }
                ]
            },
            {
                "title": "Dysregulation of Immune Response in Patients With Coronavirus 2019 (COVID-19) in Wuhan, China.",
                "journal": "Clinical infectious diseases : an official publication of the Infectious Diseases Society of America",
                "authors": "Qin C, Zhou L, Hu Z, Zhang S, Yang S, Tao Y, Xie C, Ma K, Shang K, Wang W, Tian DS",
                "date": "2020-03-13",
                "evidence": [],
                "reference": [
                    {
                        "id": "32161940",
                        "type": "Pubmed",
                        "url": "https://pubmed.ncbi.nlm.nih.gov/32161940"
                    }
                ]
            },
            {
                "title": "Elevated levels of IL-6 and CRP predict the need for mechanical ventilation in COVID-19.",
                "journal": "The Journal of allergy and clinical immunology",
                "authors": "Herold T, Jurinovic V, Arnreich C, Lipworth BJ, Hellmuth JC, von Bergwelt-Baildon M, Klein M, Weinberger T",
                "date": "2020-05-20",
                "evidence": [],
                "reference": [
                    {
                        "id": "32425269",
                        "type": "Pubmed",
                        "url": "https://pubmed.ncbi.nlm.nih.gov/32425269"
                    }
                ]
            },
            {
                "title": "IL-6 may be a good biomarker for earlier detection of COVID-19 progression.",
                "journal": "Intensive care medicine",
                "authors": "Wang C, Fei D, Li X, Zhao M, Yu K",
                "date": "2020-05-10",
                "evidence": [],
                "reference": [
                    {
                        "id": "32385523",
                        "type": "Pubmed",
                        "url": "https://pubmed.ncbi.nlm.nih.gov/32385523"
                    }
                ]
            },
            {
                "title": "Diagnostic utility of clinical laboratory data determinations for patients with the severe COVID-19.",
                "journal": "Journal of medical virology",
                "authors": "Gao Y, Li T, Han M, Li X, Wu D, Xu Y, Zhu Y, Liu Y, Wang X, Wang L",
                "date": "2020-03-18",
                "evidence": [],
                "reference": [
                    {
                        "id": "32181911",
                        "type": "Pubmed",
                        "url": "https://pubmed.ncbi.nlm.nih.gov/32181911"
                    }
                ]
            },
            {
                "title": "Prognostic value of interleukin-6, C-reactive protein, and procalcitonin in patients with COVID-19.",
                "journal": "Journal of clinical virology : the official publication of the Pan American Society for Clinical Virology",
                "authors": "Liu F, Li L, Xu M, Wu J, Luo D, Zhu Y, Li B, Song X, Zhou X",
                "date": "2020-04-29",
                "evidence": [],
                "reference": [
                    {
                        "id": "32344321",
                        "type": "Pubmed",
                        "url": "https://pubmed.ncbi.nlm.nih.gov/32344321"
                    }
                ]
            },
            {
                "title": "Hematologic, biochemical and immune biomarker abnormalities associated with severe illness and mortality in coronavirus disease 2019 (COVID-19): a meta-analysis.",
                "journal": "Clinical chemistry and laboratory medicine",
                "authors": "Henry BM, de Oliveira MHS, Benoit S, Plebani M, Lippi G",
                "date": "2020-04-15",
                "evidence": [],
                "reference": [
                    {
                        "id": "32286245",
                        "type": "Pubmed",
                        "url": "https://pubmed.ncbi.nlm.nih.gov/32286245"
                    }
                ]
            },
            {
                "title": "Outcomes in Patients With Hyperglycemia Affected by COVID-19: Can We Do More on Glycemic Control?",
                "journal": "Diabetes care",
                "authors": "Sardu C, D'Onofrio N, Balestrieri ML, Barbieri M, Rizzo MR, Messina V, Maggi P, Coppola N, Paolisso G, Marfella R",
                "date": "2020-05-21",
                "evidence": [],
                "reference": [
                    {
                        "id": "32430456",
                        "type": "Pubmed",
                        "url": "https://pubmed.ncbi.nlm.nih.gov/32430456"
                    }
                ]
            },
            {
                "title": "An inflammatory cytokine signature helps predict COVID-19 severity and death.",
                "journal": "medRxiv : the preprint server for health sciences",
                "authors": "Del Valle DM, Kim-Schulze S, Hsin-Hui H, Beckmann ND, Nirenberg S, Wang B, Lavin Y, Swartz T, Madduri D, Stock A, Marron T, Xie H, Patel MK, van Oekelen O, Rahman A, Kovatch P, Aberg J, Schadt E, Jagannath S, Mazumdar M, Charney A, Firpo-Betancourt A, Mendu DR, Jhang J, Reich D, Sigel K, Cordon-Cardo C, Feldmann M, Parekh S, Merad M, Gnjatic S",
                "date": "2020-06-09",
                "evidence": [],
                "reference": [
                    {
                        "id": "32511562",
                        "type": "Pubmed",
                        "url": "https://pubmed.ncbi.nlm.nih.gov/32511562"
                    }
                ]
            },
            {
                "title": "Increased interleukin-6 and macrophage chemoattractant protein-1 are associated with respiratory failure in COVID-19.",
                "journal": "Scientific reports",
                "authors": "Jøntvedt Jørgensen M, Holter JC, Christensen EE, Schjalm C, Tonby K, Pischke SE, Jenum S, Skeie LG, Nur S, Lind A, Opsand H, Enersen TB, Grøndahl R, Hermann A, Dudman S, Muller F, Ueland T, Mollnes TE, Aukrust P, Heggelund L, Holten AR, Dyrhol-Riise AM",
                "date": "2020-12-12",
                "evidence": [],
                "reference": [
                    {
                        "id": "33303843",
                        "type": "Pubmed",
                        "url": "https://pubmed.ncbi.nlm.nih.gov/33303843"
                    }
                ]
            },
            {
                "title": "Immunology of COVID-19: Current State of the Science.",
                "journal": "Immunity",
                "authors": "Vabret N, Britton GJ, Gruber C, Hegde S, Kim J, Kuksin M, Levantovsky R, Malle L, Moreira A, Park MD, Pia L, Risson E, Saffern M, Salomé B, Esai Selvan M, Spindler MP, Tan J, van der Heide V, Gregory JK, Alexandropoulos K, Bhardwaj N, Brown BD, Greenbaum B, Gümüş ZH, Homann D, Horowitz A, Kamphorst AO, Curotto de Lafaille MA, Mehandru S, Merad M, Samstein RM, None None",
                "date": "2020-06-09",
                "evidence": [],
                "reference": [
                    {
                        "id": "32505227",
                        "type": "Pubmed",
                        "url": "https://pubmed.ncbi.nlm.nih.gov/32505227"
                    }
                ]
            },
            {
                "title": "Correlation analysis between disease severity and inflammation-related parameters in patients with COVID-19: a retrospective study.",
                "journal": "BMC infectious diseases",
                "authors": "Gong J, Dong H, Xia QS, Huang ZY, Wang DK, Zhao Y, Liu WH, Tu SH, Zhang MM, Wang Q, Lu FE",
                "date": "2020-12-23",
                "evidence": [],
                "reference": [
                    {
                        "id": "33349241",
                        "type": "Pubmed",
                        "url": "https://pubmed.ncbi.nlm.nih.gov/33349241"
                    }
                ]
            },
            {
                "title": "Biomarkers associated with COVID-19 disease progression.",
                "journal": "Critical reviews in clinical laboratory sciences",
                "authors": "Ponti G, Maccaferri M, Ruini C, Tomasi A, Ozben T",
                "date": "2020-06-07",
                "evidence": [],
                "reference": [
                    {
                        "id": "32503382",
                        "type": "Pubmed",
                        "url": "https://pubmed.ncbi.nlm.nih.gov/32503382"
                    }
                ]
            },
            {
                "title": "VEGF-D: a novel biomarker for detection of COVID-19 progression.",
                "journal": "Critical care (London, England)",
                "authors": "Kong Y, Han J, Wu X, Zeng H, Liu J, Zhang H",
                "date": "2020-06-25",
                "evidence": [],
                "reference": [
                    {
                        "id": "32576222",
                        "type": "Pubmed",
                        "url": "https://pubmed.ncbi.nlm.nih.gov/32576222"
                    }
                ]
            },
            {
                "title": "Inhibition of Bruton tyrosine kinase in patients with severe COVID-19.",
                "journal": "Science immunology",
                "authors": "Roschewski M, Lionakis MS, Sharman JP, Roswarski J, Goy A, Monticelli MA, Roshon M, Wrzesinski SH, Desai JV, Zarakas MA, Collen J, Rose K, Hamdy A, Izumi R, Wright GW, Chung KK, Baselga J, Staudt LM, Wilson WH",
                "date": "2020-06-07",
                "evidence": [],
                "reference": [
                    {
                        "id": "32503877",
                        "type": "Pubmed",
                        "url": "https://pubmed.ncbi.nlm.nih.gov/32503877"
                    }
                ]
            }
        ],
        "biomarker_canonical_id": "AN6278",
        "score": 3.8,
        "score_info": {
            "contributions": [
                {
                    "c": "first_pmid",
                    "w": 1,
                    "f": 1
                },
                {
                    "c": "other_pmid",
                    "w": 0.2,
                    "f": 9
                },
                {
                    "c": "first_source",
                    "w": 1,
                    "f": 0
                },
                {
                    "c": "other_source",
                    "w": 0.1,
                    "f": 0
                },
                {
                    "c": "generic_condition_pen",
                    "w": -4,
                    "f": 0
                },
                {
                    "c": "loinc",
                    "w": 1,
                    "f": 1
                }
            ],
            "formula": "sum(w*f)",
            "variables": {
                "f": "frequency",
                "c": "condition",
                "w": "weight"
            }
        },
        "collision": 0
    },
    {
        "biomarker_id": "AN6278-2",
        "biomarker_component": [
            {
                "biomarker": "increased IL6 level",
                "assessed_biomarker_entity": {
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                            {
                                "evidence": "Our study is suggestive of S100A8/A9 and IL-6 being related to a persistent diabetes status post-surgically and of different pathophysiological mechanisms being involved in the post-surgical changes in the three groups, despite similar decreases in BMI."
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        "evidence_source": [
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                "evidence_list": [
                    {
                        "evidence": "Our study is suggestive of S100A8/A9 and IL-6 being related to a persistent diabetes status post-surgically and of different pathophysiological mechanisms being involved in the post-surgical changes in the three groups, despite similar decreases in BMI."
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                ],
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                    {
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        "citation": [
            {
                "title": "S100A8/A9 (Calprotectin), Interleukin-6, and C-Reactive Protein in Obesity and Diabetes before and after Roux-en-Y Gastric Bypass Surgery.",
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                "authors": "Lylloff L, Bathum L, Madsbad S, Grundtvig JLG, Nordgaard-Lassen I, Fenger M",
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                            "synonym": "CTL differentiation factor"
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                            {
                                "evidence": "Significantly higher IL-15 and IL-6 concentrations, HOMAIR, and markedly lower eGDR in newly diagnosed AD patients and first-degree relatives with positive anti-islet antibodies might suggest the role of these pro-inflammatory cytokines and insulin resistance in the pathogenesis of autoimmune diabetes. IL-15 and IL-6 might be used as biomarkers of the risk of autoimmune diabetes development."
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                    "id": "DOID:0080846",
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            {
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                    {
                        "evidence": "Significantly higher IL-15 and IL-6 concentrations, HOMAIR, and markedly lower eGDR in newly diagnosed AD patients and first-degree relatives with positive anti-islet antibodies might suggest the role of these pro-inflammatory cytokines and insulin resistance in the pathogenesis of autoimmune diabetes. IL-15 and IL-6 might be used as biomarkers of the risk of autoimmune diabetes development."
                    }
                ],
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                    {
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            {
                "title": "Interleukin-6 and Interleukin-15 as Possible Biomarkers of the Risk of Autoimmune Diabetes Development.",
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                "authors": "Siewko K, Maciulewski R, Zielinska-Maciulewska A, Poplawska-Kita A, Szumowski P, Wawrusiewicz-Kurylonek N, Lipinska D, Milewski R, Gorska M, Kretowski A, Szelachowska M",
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                                "evidence": "In hospitalized patients with respiratory distress, we recommend clinicians closely monitor WBC count, lymphocyte count, platelet count, IL-6 and serum ferritin as markers for potential progression to critical illness."
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                                "evidence": "Lower lymphocyte counts, higher leukocyte counts and neutrophil-lymphocyte ratio (NLR), lower monocytes, eosinophils, and basophils elevated inflammatory cytokines T cells significantly decreased, helper T (Th) cells and suppressor T cells were below normal levels naive Th cells increased and memory Th cells decreased lower levels of regulatory T cells."
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                                "evidence": "The blood count results showed anaemia in 21 (75%) patients, leucopaenia in 9 (32.1%) patients, and lymphopaenia in 23 (82.1%) patients. Patients developed severe clinical events; 6 (21.4%) patients were admitted to ICU, 10 (35.7%) patients had life-threatening complications, and 8 (28.6%) of the patients died."
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                                "evidence": "Post-COVID-19 infection, lower hemoglobin levels, higher total white blood cell (WBC) counts, and higher absolute neutrophil counts were associated with increased mortality (Table 3). Analysis of other serologic biomarkers demonstrated that elevated D-dimer, lactate, and lactate dehydrogenase (LDH) in patients were significantly correlated with dying (Table 3)."
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                        "evidence": "Lower lymphocyte counts, higher leukocyte counts and neutrophil-lymphocyte ratio (NLR), lower monocytes, eosinophils, and basophils elevated inflammatory cytokines T cells significantly decreased, helper T (Th) cells and suppressor T cells were below normal levels naive Th cells increased and memory Th cells decreased lower levels of regulatory T cells."
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                        "evidence": "Patients with flu had higher WBC, granulocyte and granulocyte/lymphocyte ratio, compared with COVID-19 patients."
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                        "evidence": "The blood count results showed anaemia in 21 (75%) patients, leucopaenia in 9 (32.1%) patients, and lymphopaenia in 23 (82.1%) patients. Patients developed severe clinical events; 6 (21.4%) patients were admitted to ICU, 10 (35.7%) patients had life-threatening complications, and 8 (28.6%) of the patients died."
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                        "evidence": "Post-COVID-19 infection, lower hemoglobin levels, higher total white blood cell (WBC) counts, and higher absolute neutrophil counts were associated with increased mortality (Table 3). Analysis of other serologic biomarkers demonstrated that elevated D-dimer, lactate, and lactate dehydrogenase (LDH) in patients were significantly correlated with dying (Table 3)."
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                "title": "Hematologic, biochemical and immune biomarker abnormalities associated with severe illness and mortality in coronavirus disease 2019 (COVID-19): a meta-analysis.",
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                        "id": "33349241",
                        "type": "Pubmed",
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            {
                "title": "Dysregulation of Immune Response in Patients With Coronavirus 2019 (COVID-19) in Wuhan, China.",
                "journal": "Clinical infectious diseases : an official publication of the Infectious Diseases Society of America",
                "authors": "Qin C, Zhou L, Hu Z, Zhang S, Yang S, Tao Y, Xie C, Ma K, Shang K, Wang W, Tian DS",
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                "evidence": [],
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                    {
                        "id": "32161940",
                        "type": "Pubmed",
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            {
                "title": "C-reactive protein correlates with computed tomographic findings and predicts severe COVID-19 early.",
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                "authors": "Tan C, Huang Y, Shi F, Tan K, Ma Q, Chen Y, Jiang X, Li X",
                "date": "2020-04-14",
                "evidence": [],
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                        "type": "Pubmed",
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            {
                "title": "Hematological findings and complications of COVID-19.",
                "journal": "American journal of hematology",
                "authors": "Terpos E, Ntanasis-Stathopoulos I, Elalamy I, Kastritis E, Sergentanis TN, Politou M, Psaltopoulou T, Gerotziafas G, Dimopoulos MA",
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                "authors": "Zhang L, Zhu F, Xie L, Wang C, Wang J, Chen R, Jia P, Guan HQ, Peng L, Chen Y, Peng P, Zhang P, Chu Q, Shen Q, Wang Y, Xu SY, Zhao JP, Zhou M",
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                "title": "Case Fatality Rate of Cancer Patients with COVID-19 in a New York Hospital System.",
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                "authors": "Mehta V, Goel S, Kabarriti R, Cole D, Goldfinger M, Acuna-Villaorduna A, Pradhan K, Thota R, Reissman S, Sparano JA, Gartrell BA, Smith RV, Ohri N, Garg M, Racine AD, Kalnicki S, Perez-Soler R, Halmos B, Verma A",
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                "title": "Leukocytosis, prognosis biomarker in locally advanced head and neck cancer patients after chemoradiotherapy.",
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                "authors": "Schernberg A, Blanchard P, Chargari C, Ou D, Levy A, Gorphe P, Breuskin I, Atallah S, Caula A, Escande A, Janot F, Nguyen F, Temam S, Deutsch E, Tao Y",
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                                "evidence": "Our results showed that the laboratory tests of cancer patients had the following characteristics: low lymphocytes, increased IL-6, CRP, PCT, D dimer, and LDH. The increase of these inflammatory indexes indicates that the infected patients were in inflammatory state, which may be closely related to the inflammatory storm."
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                                "evidence": "Patients with higher initial SAA are more likely to have poor CT imaging. Our study indicated that SAA/L. CRP, SAA, and l are valuable in predicting the severity and distinguishing critically ill patients from mild ones."
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                                "evidence": "the combinations of the hypoalbuminemia, lymphopenia, and high concentrations of CRP and LDH in 2019-nCoV infected patients upon hospital admission may predict more severe acute lung injury."
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                                "evidence": "Biomarkers that predict the mortality of individual patients more than 10 days in advance with more than 90% accuracy: lactic dehydrogenase (LDH), lymphocyte and high-sensitivity C-reactive protein (hs-CRP). [DOI:10.1038/s42256-020-0180-7] Clinical biomarkers predicting the higher risk: Hypertension, elevated serum Alanine aminotransferase, high Interleukin-6, decreased Lymphocytes count."
                            }
                        ],
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                                "evidence": "We propose that a few parameters, such Lymphocytes count, L/N ratio, SaO2 and CRP serum level can be used to assess the severity of COVID-19 in emergency room."
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                        ],
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                                "evidence": "In this study, the most important finding was that the neutrophil count, lymphocyte count and platelet count were independent risk factors for predicting the development of severe illness in COVID-19 patients."
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                                "evidence": "Lymphopenia is an effective and reliable indicator of the severity and hospitalization in COVID-19 patients."
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                                "evidence": "In hospitalized patients with respiratory distress, we recommend clinicians closely monitor WBC count, lymphocyte count, platelet count, IL-6 and serum ferritin as markers for potential progression to critical illness."
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                                "evidence": "Biomarkers that predict the mortality of individual patients more than 10 days in advance with more than 90% accuracy: lactic dehydrogenase (LDH), lymphocyte and high-sensitivity C-reactive protein (hs-CRP). [DOI:10.1038/s42256-020-0180-7] Lower lymphocyte counts, higher leukocyte counts and neutrophil-lymphocyte ratio (NLR), lower monocytes, eosinophils, and basophils elevated inflammatory cytokines T cells significantly decreased, helper T (Th) cells and suppressor T cells were below normal levels naive Th cells increased and memory Th cells decreased lower levels of regulatory T cells."
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                        ],
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                                "evidence": "Besides radiographic presentations, variables that were associated significantly with severity of COVID-19 were decreased lymphocytes, elevated body temperature, and high levels of procalcitonin, D-dimer, and creatine kinase MB."
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                                "evidence": "Detailed clinical investigation of 140 hospitalized COVID-19 cases suggests eosinopenia together with lymphopenia may be a potential indicator for diagnosis."
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                                "evidence": "Lymphopenia is a prominent part of severe COVID-19 and a lymphocyte count of less than 1.5 x 10^9/L may be useful in predicting the severity clinical outcomes."
                            }
                        ],
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                                "tag": "biomarker"
                            },
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                                "evidence": "Many biomarkers have been associated with poor outcomes and represent a candidate for risk stratification models for predicting severe COVID-19 in order to guide clinical care. Among all, lymphopenia, thrombocytopenia, leucocytosis, CRP, PCT, LDH, AST, ALT, D-dimer, cTn represent the most predictive parameters of severe COVID-19"
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                                "evidence": "Patient 1: Lymphocyte count increased from 30 × 10^9/l to a peak of 177 × 10^9/l.Patient 2: Lymphocyte count increased from 22 × 10^9/l to 32 × 10^9/l.Patient 3: Lymphocyte count increased from 235 × 10^9/l to 253 × 10^9/l and peaked at 346 × 10^9/l.Patient 4: Lymphocyte count increased from 2.8 × 10^9/l to 8 × 10^9/l."
                            }
                        ],
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                    "url": "http://purl.obolibrary.org/obo/DOID_0080600"
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                    "url": "http://purl.obolibrary.org/obo/DOID_0080600"
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                    "url": "http://purl.obolibrary.org/obo/DOID_0080600"
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                {
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                    "url": "http://purl.obolibrary.org/obo/DOID_0080600"
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                        "evidence": "Our results showed that the laboratory tests of cancer patients had the following characteristics: low lymphocytes, increased IL-6, CRP, PCT, D dimer, and LDH. The increase of these inflammatory indexes indicates that the infected patients were in inflammatory state, which may be closely related to the inflammatory storm."
                    }
                ],
                "tags": [
                    {
                        "tag": "best_biomarker_role"
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                    {
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                ]
            },
            {
                "id": "32475810",
                "database": "Pubmed",
                "url": "https://pubmed.ncbi.nlm.nih.gov/32475810",
                "evidence_list": [
                    {
                        "evidence": "Lymphocytes and platelet count showed significantly lower levels in severe patients compared to non-severe patients."
                    }
                ],
                "tags": [
                    {
                        "tag": "best_biomarker_role"
                    },
                    {
                        "tag": "condition"
                    }
                ]
            },
            {
                "id": "32048163",
                "database": "Pubmed",
                "url": "https://pubmed.ncbi.nlm.nih.gov/32048163",
                "evidence_list": [
                    {
                        "evidence": "the combinations of the hypoalbuminemia, lymphopenia, and high concentrations of CRP and LDH in 2019-nCoV infected patients upon hospital admission may predict more severe acute lung injury."
                    }
                ],
                "tags": [
                    {
                        "tag": "best_biomarker_role"
                    },
                    {
                        "tag": "condition"
                    }
                ]
            },
            {
                "id": "32438331",
                "database": "Pubmed",
                "url": "https://pubmed.ncbi.nlm.nih.gov/32438331",
                "evidence_list": [
                    {
                        "evidence": "Biomarkers that predict the mortality of individual patients more than 10 days in advance with more than 90% accuracy: lactic dehydrogenase (LDH), lymphocyte and high-sensitivity C-reactive protein (hs-CRP). [DOI:10.1038/s42256-020-0180-7] Clinical biomarkers predicting the higher risk: Hypertension, elevated serum Alanine aminotransferase, high Interleukin-6, decreased Lymphocytes count."
                    }
                ],
                "tags": [
                    {
                        "tag": "best_biomarker_role"
                    },
                    {
                        "tag": "condition"
                    }
                ]
            },
            {
                "id": "32471703",
                "database": "Pubmed",
                "url": "https://pubmed.ncbi.nlm.nih.gov/32471703",
                "evidence_list": [
                    {
                        "evidence": "We propose that a few parameters, such Lymphocytes count, L/N ratio, SaO2 and CRP serum level can be used to assess the severity of COVID-19 in emergency room."
                    }
                ],
                "tags": [
                    {
                        "tag": "best_biomarker_role"
                    },
                    {
                        "tag": "condition"
                    }
                ]
            },
            {
                "id": "32352397",
                "database": "Pubmed",
                "url": "https://pubmed.ncbi.nlm.nih.gov/32352397",
                "evidence_list": [
                    {
                        "evidence": "In this study, the most important finding was that the neutrophil count, lymphocyte count and platelet count were independent risk factors for predicting the development of severe illness in COVID-19 patients."
                    }
                ],
                "tags": [
                    {
                        "tag": "best_biomarker_role"
                    },
                    {
                        "tag": "condition"
                    }
                ]
            },
            {
                "id": "32377400",
                "database": "Pubmed",
                "url": "https://pubmed.ncbi.nlm.nih.gov/32377400",
                "evidence_list": [
                    {
                        "evidence": "Lymphopenia is an effective and reliable indicator of the severity and hospitalization in COVID-19 patients."
                    }
                ],
                "tags": [
                    {
                        "tag": "best_biomarker_role"
                    },
                    {
                        "tag": "condition"
                    }
                ]
            },
            {
                "id": "32286245",
                "database": "Pubmed",
                "url": "https://pubmed.ncbi.nlm.nih.gov/32286245",
                "evidence_list": [
                    {
                        "evidence": "In hospitalized patients with respiratory distress, we recommend clinicians closely monitor WBC count, lymphocyte count, platelet count, IL-6 and serum ferritin as markers for potential progression to critical illness."
                    }
                ],
                "tags": [
                    {
                        "tag": "best_biomarker_role"
                    },
                    {
                        "tag": "condition"
                    }
                ]
            },
            {
                "id": "32161940",
                "database": "Pubmed",
                "url": "https://pubmed.ncbi.nlm.nih.gov/32161940",
                "evidence_list": [
                    {
                        "evidence": "Biomarkers that predict the mortality of individual patients more than 10 days in advance with more than 90% accuracy: lactic dehydrogenase (LDH), lymphocyte and high-sensitivity C-reactive protein (hs-CRP). [DOI:10.1038/s42256-020-0180-7] Lower lymphocyte counts, higher leukocyte counts and neutrophil-lymphocyte ratio (NLR), lower monocytes, eosinophils, and basophils elevated inflammatory cytokines T cells significantly decreased, helper T (Th) cells and suppressor T cells were below normal levels naive Th cells increased and memory Th cells decreased lower levels of regulatory T cells."
                    }
                ],
                "tags": [
                    {
                        "tag": "best_biomarker_role"
                    },
                    {
                        "tag": "condition"
                    }
                ]
            },
            {
                "id": "32220650",
                "database": "Pubmed",
                "url": "https://pubmed.ncbi.nlm.nih.gov/32220650",
                "evidence_list": [
                    {
                        "evidence": "Besides radiographic presentations, variables that were associated significantly with severity of COVID-19 were decreased lymphocytes, elevated body temperature, and high levels of procalcitonin, D-dimer, and creatine kinase MB."
                    }
                ],
                "tags": [
                    {
                        "tag": "best_biomarker_role"
                    },
                    {
                        "tag": "condition"
                    }
                ]
            },
            {
                "id": "32077115",
                "database": "Pubmed",
                "url": "https://pubmed.ncbi.nlm.nih.gov/32077115",
                "evidence_list": [
                    {
                        "evidence": "Detailed clinical investigation of 140 hospitalized COVID-19 cases suggests eosinopenia together with lymphopenia may be a potential indicator for diagnosis."
                    }
                ],
                "tags": [
                    {
                        "tag": "best_biomarker_role"
                    },
                    {
                        "tag": "condition"
                    }
                ]
            },
            {
                "id": "32376308",
                "database": "Pubmed",
                "url": "https://pubmed.ncbi.nlm.nih.gov/32376308",
                "evidence_list": [
                    {
                        "evidence": "Lymphopenia is a prominent part of severe COVID-19 and a lymphocyte count of less than 1.5 x 10^9/L may be useful in predicting the severity clinical outcomes."
                    }
                ],
                "tags": [
                    {
                        "tag": "best_biomarker_role"
                    },
                    {
                        "tag": "condition"
                    }
                ]
            },
            {
                "id": "32277967",
                "database": "Pubmed",
                "url": "https://pubmed.ncbi.nlm.nih.gov/32277967",
                "evidence_list": [
                    {
                        "evidence": "Patients with higher initial SAA are more likely to have poor CT imaging. Our study indicated that SAA/L. CRP, SAA, and l are valuable in predicting the severity and distinguishing critically ill patients from mild ones."
                    },
                    {
                        "evidence": "SAA and Lymphocytes are sensitive indicators in evaluating the severity and prognosis of COVID-19."
                    }
                ],
                "tags": [
                    {
                        "tag": "condition"
                    },
                    {
                        "tag": "best_biomarker_role"
                    }
                ]
            },
            {
                "id": "32589600",
                "database": "Pubmed",
                "url": "https://pubmed.ncbi.nlm.nih.gov/32589600",
                "evidence_list": [
                    {
                        "evidence": "Many biomarkers have been associated with poor outcomes and represent a candidate for risk stratification models for predicting severe COVID-19 in order to guide clinical care. Among all, lymphopenia, thrombocytopenia, leucocytosis, CRP, PCT, LDH, AST, ALT, D-dimer, cTn represent the most predictive parameters of severe COVID-19"
                    }
                ],
                "tags": [
                    {
                        "tag": "condition"
                    },
                    {
                        "tag": "best_biomarker_role"
                    }
                ]
            },
            {
                "id": "32388230",
                "database": "Pubmed",
                "url": "https://pubmed.ncbi.nlm.nih.gov/32388230",
                "evidence_list": [
                    {
                        "evidence": "Patient 1: Lymphocyte count increased from 30 × 10^9/l to a peak of 177 × 10^9/l.Patient 2: Lymphocyte count increased from 22 × 10^9/l to 32 × 10^9/l.Patient 3: Lymphocyte count increased from 235 × 10^9/l to 253 × 10^9/l and peaked at 346 × 10^9/l.Patient 4: Lymphocyte count increased from 2.8 × 10^9/l to 8 × 10^9/l."
                    }
                ],
                "tags": [
                    {
                        "tag": "condition"
                    },
                    {
                        "tag": "best_biomarker_role"
                    }
                ]
            }
        ],
        "citation": [
            {
                "title": "Clinical characteristics and outcomes of cancer patients with COVID-19.",
                "journal": "Journal of medical virology",
                "authors": "Yang F, Shi S, Zhu J, Shi J, Dai K, Chen X",
                "date": "2020-05-06",
                "evidence": [],
                "reference": [
                    {
                        "id": "32369209",
                        "type": "Pubmed",
                        "url": "https://pubmed.ncbi.nlm.nih.gov/32369209"
                    }
                ]
            },
            {
                "title": "Serum Amyloid A is a biomarker of severe Coronavirus Disease and poor prognosis.",
                "journal": "The Journal of infection",
                "authors": "Li H, Xiang X, Ren H, Xu L, Zhao L, Chen X, Long H, Wang Q, Wu Q",
                "date": "2020-04-12",
                "evidence": [],
                "reference": [
                    {
                        "id": "32277967",
                        "type": "Pubmed",
                        "url": "https://pubmed.ncbi.nlm.nih.gov/32277967"
                    }
                ]
            },
            {
                "title": "The role of biomarkers in diagnosis of COVID-19 - A systematic review.",
                "journal": "Life sciences",
                "authors": "Kermali M, Khalsa RK, Pillai K, Ismail Z, Harky A",
                "date": "2020-06-02",
                "evidence": [],
                "reference": [
                    {
                        "id": "32475810",
                        "type": "Pubmed",
                        "url": "https://pubmed.ncbi.nlm.nih.gov/32475810"
                    }
                ]
            },
            {
                "title": "Clinical and biochemical indexes from 2019-nCoV infected patients linked to viral loads and lung injury.",
                "journal": "Science China. Life sciences",
                "authors": "Liu Y, Yang Y, Zhang C, Huang F, Wang F, Yuan J, Wang Z, Li J, Li J, Feng C, Zhang Z, Wang L, Peng L, Chen L, Qin Y, Zhao D, Tan S, Yin L, Xu J, Zhou C, Jiang C, Liu L",
                "date": "2020-02-13",
                "evidence": [],
                "reference": [
                    {
                        "id": "32048163",
                        "type": "Pubmed",
                        "url": "https://pubmed.ncbi.nlm.nih.gov/32048163"
                    }
                ]
            },
            {
                "title": "Diabetes and metabolic syndrome as risk factors for COVID-19.",
                "journal": "Diabetes & metabolic syndrome",
                "authors": "Marhl M, Grubelnik V, Magdič M, Markovič R",
                "date": "2020-05-22",
                "evidence": [],
                "reference": [
                    {
                        "id": "32438331",
                        "type": "Pubmed",
                        "url": "https://pubmed.ncbi.nlm.nih.gov/32438331"
                    }
                ]
            },
            {
                "title": "Laboratory Biomarkers Predicting COVID-19 Severity in the Emergency Room.",
                "journal": "Archives of medical research",
                "authors": "Assandri R, Buscarini E, Canetta C, Scartabellati A, Viganò G, Montanelli A",
                "date": "2020-05-31",
                "evidence": [],
                "reference": [
                    {
                        "id": "32471703",
                        "type": "Pubmed",
                        "url": "https://pubmed.ncbi.nlm.nih.gov/32471703"
                    }
                ]
            },
            {
                "title": "The hemocyte counts as a potential biomarker for predicting disease progression in COVID-19: a retrospective study.",
                "journal": "Clinical chemistry and laboratory medicine",
                "authors": "Zheng Y, Zhang Y, Chi H, Chen S, Peng M, Luo L, Chen L, Li J, Shen B, Wang D",
                "date": "2020-05-01",
                "evidence": [],
                "reference": [
                    {
                        "id": "32352397",
                        "type": "Pubmed",
                        "url": "https://pubmed.ncbi.nlm.nih.gov/32352397"
                    }
                ]
            },
            {
                "title": "Correction: Lymphopenia predicts disease severity of COVID-19: a descriptive and predictive study.",
                "journal": "Signal transduction and targeted therapy",
                "authors": "Tan L, Wang Q, Zhang D, Ding J, Huang Q, Tang YQ, Wang Q, Miao H",
                "date": "2020-05-08",
                "evidence": [],
                "reference": [
                    {
                        "id": "32377400",
                        "type": "Pubmed",
                        "url": "https://pubmed.ncbi.nlm.nih.gov/32377400"
                    }
                ]
            },
            {
                "title": "Hematologic, biochemical and immune biomarker abnormalities associated with severe illness and mortality in coronavirus disease 2019 (COVID-19): a meta-analysis.",
                "journal": "Clinical chemistry and laboratory medicine",
                "authors": "Henry BM, de Oliveira MHS, Benoit S, Plebani M, Lippi G",
                "date": "2020-04-15",
                "evidence": [],
                "reference": [
                    {
                        "id": "32286245",
                        "type": "Pubmed",
                        "url": "https://pubmed.ncbi.nlm.nih.gov/32286245"
                    }
                ]
            },
            {
                "title": "Dysregulation of Immune Response in Patients With Coronavirus 2019 (COVID-19) in Wuhan, China.",
                "journal": "Clinical infectious diseases : an official publication of the Infectious Diseases Society of America",
                "authors": "Qin C, Zhou L, Hu Z, Zhang S, Yang S, Tao Y, Xie C, Ma K, Shang K, Wang W, Tian DS",
                "date": "2020-03-13",
                "evidence": [],
                "reference": [
                    {
                        "id": "32161940",
                        "type": "Pubmed",
                        "url": "https://pubmed.ncbi.nlm.nih.gov/32161940"
                    }
                ]
            },
            {
                "title": "Clinical and epidemiological features of 36 children with coronavirus disease 2019 (COVID-19) in Zhejiang, China: an observational cohort study.",
                "journal": "The Lancet. Infectious diseases",
                "authors": "Qiu H, Wu J, Hong L, Luo Y, Song Q, Chen D",
                "date": "2020-03-30",
                "evidence": [],
                "reference": [
                    {
                        "id": "32220650",
                        "type": "Pubmed",
                        "url": "https://pubmed.ncbi.nlm.nih.gov/32220650"
                    }
                ]
            },
            {
                "title": "Clinical characteristics of 140 patients infected with SARS-CoV-2 in Wuhan, China.",
                "journal": "Allergy",
                "authors": "Zhang JJ, Dong X, Cao YY, Yuan YD, Yang YB, Yan YQ, Akdis CA, Gao YD",
                "date": "2020-02-23",
                "evidence": [],
                "reference": [
                    {
                        "id": "32077115",
                        "type": "Pubmed",
                        "url": "https://pubmed.ncbi.nlm.nih.gov/32077115"
                    }
                ]
            },
            {
                "title": "Lymphopenia is associated with severe coronavirus disease 2019 (COVID-19) infections: A systemic review and meta-analysis.",
                "journal": "International journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases",
                "authors": "Zhao Q, Meng M, Kumar R, Wu Y, Huang J, Deng Y, Weng Z, Yang L",
                "date": "2020-05-08",
                "evidence": [],
                "reference": [
                    {
                        "id": "32376308",
                        "type": "Pubmed",
                        "url": "https://pubmed.ncbi.nlm.nih.gov/32376308"
                    }
                ]
            },
            {
                "title": "Biochemical biomarkers alterations in Coronavirus Disease 2019 (COVID-19).",
                "journal": "Diagnosis (Berlin, Germany)",
                "authors": "Ciaccio M, Agnello L",
                "date": "2020-06-27",
                "evidence": [],
                "reference": [
                    {
                        "id": "32589600",
                        "type": "Pubmed",
                        "url": "https://pubmed.ncbi.nlm.nih.gov/32589600"
                    }
                ]
            },
            {
                "title": "Covid-19 infection in therapy-naive patients with B-cell chronic lymphocytic leukemia.",
                "journal": "Leukemia research",
                "authors": "Paneesha S, Pratt G, Parry H, Moss P",
                "date": "2020-05-11",
                "evidence": [],
                "reference": [
                    {
                        "id": "32388230",
                        "type": "Pubmed",
                        "url": "https://pubmed.ncbi.nlm.nih.gov/32388230"
                    }
                ]
            }
        ],
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        "biomarker_id": "AN6282-1",
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            {
                "biomarker": "decreased LYMP count",
                "assessed_biomarker_entity": {
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                },
                "assessed_biomarker_entity_id": "CO:CL_0000542",
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                            {
                                "evidence": "Lymphopenia was found in 49/260 (19%) of patients. Ten of these 49 patients had severe hematological toxicity. Lymphopenia was strongly associated with shorter progression-free survival (median 4 vs. 7 months; P = 0.033) and shorter overall survival (median 16 vs. 24 months, P = 0.024). Multivariate analysis revealed that lymphopenia had an independent effect on survival. Lymphopenia in conclusion is proven to be an independent predictive factor for chemotherapy and hematological toxicity in colorectal cancer."
                            }
                        ],
                        "tags": [
                            {
                                "tag": "biomarker"
                            },
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                "url": "http://purl.obolibrary.org/obo/DOID_9256"
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                        "evidence": "Lymphopenia was found in 49/260 (19%) of patients. Ten of these 49 patients had severe hematological toxicity. Lymphopenia was strongly associated with shorter progression-free survival (median 4 vs. 7 months; P = 0.033) and shorter overall survival (median 16 vs. 24 months, P = 0.024). Multivariate analysis revealed that lymphopenia had an independent effect on survival. Lymphopenia in conclusion is proven to be an independent predictive factor for chemotherapy and hematological toxicity in colorectal cancer."
                    }
                ],
                "tags": [
                    {
                        "tag": "best_biomarker_role"
                    },
                    {
                        "tag": "condition"
                    }
                ]
            }
        ],
        "citation": [
            {
                "title": "Pre-treatment lymphopenia as a prognostic biomarker in colorectal cancer patients receiving chemotherapy.",
                "journal": "Cancer chemotherapy and pharmacology",
                "authors": "Cézé N, Thibault G, Goujon G, Viguier J, Watier H, Dorval E, Lecomte T",
                "date": "2011-03-31",
                "evidence": [],
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        "biomarker_id": "AN6282-2",
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            {
                "biomarker": "decreased LYMP count",
                "assessed_biomarker_entity": {
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                        "id": "19549917",
                        "database": "Pubmed",
                        "url": "https://pubmed.ncbi.nlm.nih.gov/19549917",
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                            {
                                "evidence": "In multivariate analysis (Cox model), lymphopenia was an independent prognostic factor for overall survival in metastatic breast cancer (RR: 1.8; 95%CI 1.3-2.4) along with liver metastases and PS; in advanced soft-tissue sarcoma (RR: 1.46; 95%CI 1.0-2.1) along with liver metastases, lung metastases and PS; and in non-Hodgkin‚Äôs lymphoma (RR: 1.48; 95%CI 1.03-2.1) along with IPI. Our findings demonstrate that lymphopenia is an independent prognostic factor for overall and progression-free survival in several cancers."
                            }
                        ],
                        "tags": [
                            {
                                "tag": "biomarker"
                            },
                            {
                                "tag": "assessed_biomarker_entity"
                            },
                            {
                                "tag": "specimen:UBERON:0000178"
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                        ]
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                ]
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        ],
        "best_biomarker_role": [
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                "role": "prognostic"
            }
        ],
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                "description": "A thoracic cancer that originates in the mammary gland.",
                "resource": "Disease Ontology",
                "url": "http://purl.obolibrary.org/obo/DOID_1612"
            },
            "synonyms": [
                {
                    "id": "DOID:1612",
                    "name": "malignant tumor of the breast",
                    "resource": "Disease Ontology",
                    "url": "http://purl.obolibrary.org/obo/DOID_1612"
                },
                {
                    "id": "DOID:1612",
                    "name": "breast tumor",
                    "resource": "Disease Ontology",
                    "url": "http://purl.obolibrary.org/obo/DOID_1612"
                },
                {
                    "id": "DOID:1612",
                    "name": "mammary cancer",
                    "resource": "Disease Ontology",
                    "url": "http://purl.obolibrary.org/obo/DOID_1612"
                },
                {
                    "id": "DOID:1612",
                    "name": "primary breast cancer",
                    "resource": "Disease Ontology",
                    "url": "http://purl.obolibrary.org/obo/DOID_1612"
                },
                {
                    "id": "DOID:1612",
                    "name": "mammary tumor",
                    "resource": "Disease Ontology",
                    "url": "http://purl.obolibrary.org/obo/DOID_1612"
                },
                {
                    "id": "DOID:1612",
                    "name": "malignant neoplasm of breast",
                    "resource": "Disease Ontology",
                    "url": "http://purl.obolibrary.org/obo/DOID_1612"
                }
            ]
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        "evidence_source": [
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                "id": "19549917",
                "database": "Pubmed",
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                "evidence_list": [
                    {
                        "evidence": "In multivariate analysis (Cox model), lymphopenia was an independent prognostic factor for overall survival in metastatic breast cancer (RR: 1.8; 95%CI 1.3-2.4) along with liver metastases and PS; in advanced soft-tissue sarcoma (RR: 1.46; 95%CI 1.0-2.1) along with liver metastases, lung metastases and PS; and in non-Hodgkin‚Äôs lymphoma (RR: 1.48; 95%CI 1.03-2.1) along with IPI. Our findings demonstrate that lymphopenia is an independent prognostic factor for overall and progression-free survival in several cancers."
                    }
                ],
                "tags": [
                    {
                        "tag": "best_biomarker_role"
                    },
                    {
                        "tag": "condition"
                    }
                ]
            }
        ],
        "citation": [
            {
                "title": "Lymphopenia as a prognostic factor for overall survival in advanced carcinomas, sarcomas, and lymphomas.",
                "journal": "Cancer research",
                "authors": "Ray-Coquard I, Cropet C, Van Glabbeke M, Sebban C, Le Cesne A, Judson I, Tredan O, Verweij J, Biron P, Labidi I, Guastalla JP, Bachelot T, Perol D, Chabaud S, Hogendoorn PC, Cassier P, Dufresne A, Blay JY, None None",
                "date": "2009-06-25",
                "evidence": [],
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                },
                {
                    "id": "DOID:0080600",
                    "name": "2019 Novel Coronavirus (2019-nCoV)",
                    "resource": "Disease Ontology",
                    "url": "http://purl.obolibrary.org/obo/DOID_0080600"
                }
            ]
        },
        "evidence_source": [
            {
                "id": "32379887",
                "database": "Pubmed",
                "url": "https://pubmed.ncbi.nlm.nih.gov/32379887",
                "evidence_list": [
                    {
                        "evidence": "Consequently, the counts of CD8+T and CD4+T cells can be used as diagnostic markers of COVID-19 and predictors of disease severity."
                    }
                ],
                "tags": [
                    {
                        "tag": "best_biomarker_role"
                    },
                    {
                        "tag": "condition"
                    }
                ]
            },
            {
                "id": "32283159",
                "database": "Pubmed",
                "url": "https://pubmed.ncbi.nlm.nih.gov/32283159",
                "evidence_list": [
                    {
                        "evidence": "Lymphocyte subset (CD4+, CD8+) counts reflect the severity of infection and predict the clinical outcomes in patients with COVID-19."
                    }
                ],
                "tags": [
                    {
                        "tag": "best_biomarker_role"
                    },
                    {
                        "tag": "condition"
                    }
                ]
            }
        ],
        "citation": [
            {
                "title": "T-Cell Subset Counts in Peripheral Blood Can Be Used as Discriminatory Biomarkers for Diagnosis and Severity Prediction of Coronavirus Disease 2019.",
                "journal": "The Journal of infectious diseases",
                "authors": "Jiang M, Guo Y, Luo Q, Huang Z, Zhao R, Liu S, Le A, Li J, Wan L",
                "date": "2020-05-08",
                "evidence": [],
                "reference": [
                    {
                        "id": "32379887",
                        "type": "Pubmed",
                        "url": "https://pubmed.ncbi.nlm.nih.gov/32379887"
                    }
                ]
            },
            {
                "title": "Lymphocyte subset (CD4+, CD8+) counts reflect the severity of infection and predict the clinical outcomes in patients with COVID-19.",
                "journal": "The Journal of infection",
                "authors": "Liu Z, Long W, Tu M, Chen S, Huang Y, Wang S, Zhou W, Chen D, Zhou L, Wang M, Wu M, Huang Q, Xu H, Zeng W, Guo L",
                "date": "2020-04-14",
                "evidence": [],
                "reference": [
                    {
                        "id": "32283159",
                        "type": "Pubmed",
                        "url": "https://pubmed.ncbi.nlm.nih.gov/32283159"
                    }
                ]
            }
        ],
        "biomarker_canonical_id": "AN6287",
        "score": 2.2,
        "score_info": {
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                    "c": "first_pmid",
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        },
        "collision": 0
    },
    {
        "biomarker_id": "AN6288-1",
        "biomarker_component": [
            {
                "biomarker": "increased CD8+ T count",
                "assessed_biomarker_entity": {
                    "recommended_name": "CD8+ T cell",
                    "synonyms": [
                        {
                            "synonym": "CD8-positive, alpha-beta regulatory T-cell"
                        },
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                            "synonym": "suppressor T cell"
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                            "synonym": "CD8+ Treg"
                        },
                        {
                            "synonym": "CD8+ regulatory T cell"
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                        {
                            "synonym": "suppressor T lymphocyte"
                        },
                        {
                            "synonym": "CD8-positive T(reg)"
                        },
                        {
                            "synonym": "CD8+ T(reg)"
                        },
                        {
                            "synonym": "suppressor T-lymphocyte"
                        },
                        {
                            "synonym": "CD8-positive, alpha-beta regulatory T lymphocyte"
                        },
                        {
                            "synonym": "CD8-positive Treg"
                        },
                        {
                            "synonym": "CD8-positive, alpha-beta Treg"
                        },
                        {
                            "synonym": "CD8-positive, alpha-beta regulatory T-lymphocyte"
                        },
                        {
                            "synonym": "suppressor T-cell"
                        }
                    ]
                },
                "assessed_biomarker_entity_id": "CO:CL_0000795",
                "assessed_entity_type": "cell",
                "specimen": [
                    {
                        "name": "oropharynx",
                        "id": "UBERON:0001729",
                        "name_space": "Uberon",
                        "url": "http://purl.obolibrary.org/obo/UBERON_0001729",
                        "loinc_code": "40899-7"
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                ],
                "evidence_source": [
                    {
                        "id": "26879675",
                        "database": "Pubmed",
                        "url": "https://pubmed.ncbi.nlm.nih.gov/26879675",
                        "evidence_list": [
                            {
                                "evidence": "Higher CD4 and CD8 TIL levels were associated with improved overall (HR 0.77 [0.65 ‚Äì0.93] p=.005 and HR 0.77 [0.64‚Äì0.94] p=.008 respectively), and relapse free survival (p=.03, and .05 respectively). Higher CD4 levels predicted improved overall and disease specific survival (p=.003 and .004 respectively)."
                            }
                        ],
                        "tags": [
                            {
                                "tag": "biomarker"
                            },
                            {
                                "tag": "assessed_biomarker_entity"
                            },
                            {
                                "tag": "specimen:UBERON:0001729"
                            }
                        ]
                    }
                ]
            }
        ],
        "best_biomarker_role": [
            {
                "role": "prognostic"
            }
        ],
        "condition": {
            "id": "DOID:11934",
            "recommended_name": {
                "id": "DOID:11934",
                "name": "head and neck cancer",
                "description": "An organ system cancer that arises in the head or neck region. This region includes the nasal cavity, sinuses, lips, mouth, salivary glands, throat, or larynx.",
                "resource": "Disease Ontology",
                "url": "http://purl.obolibrary.org/obo/DOID_11934"
            },
            "synonyms": [
                {
                    "id": "DOID:11934",
                    "name": "head and neck neoplasm",
                    "resource": "Disease Ontology",
                    "url": "http://purl.obolibrary.org/obo/DOID_11934"
                },
                {
                    "id": "DOID:11934",
                    "name": "head/neck neoplasm",
                    "resource": "Disease Ontology",
                    "url": "http://purl.obolibrary.org/obo/DOID_11934"
                },
                {
                    "id": "DOID:11934",
                    "name": "head and neck tumours",
                    "resource": "Disease Ontology",
                    "url": "http://purl.obolibrary.org/obo/DOID_11934"
                },
                {
                    "id": "DOID:11934",
                    "name": "tumor of head and neck",
                    "resource": "Disease Ontology",
                    "url": "http://purl.obolibrary.org/obo/DOID_11934"
                }
            ]
        },
        "evidence_source": [
            {
                "id": "26879675",
                "database": "Pubmed",
                "url": "https://pubmed.ncbi.nlm.nih.gov/26879675",
                "evidence_list": [
                    {
                        "evidence": "Higher CD4 and CD8 TIL levels were associated with improved overall (HR 0.77 [0.65 ‚Äì0.93] p=.005 and HR 0.77 [0.64‚Äì0.94] p=.008 respectively), and relapse free survival (p=.03, and .05 respectively). Higher CD4 levels predicted improved overall and disease specific survival (p=.003 and .004 respectively)."
                    }
                ],
                "tags": [
                    {
                        "tag": "best_biomarker_role"
                    },
                    {
                        "tag": "condition"
                    }
                ]
            }
        ],
        "citation": [
            {
                "title": "Tumor infiltrating lymphocytes and survival in patients with head and neck squamous cell carcinoma.",
                "journal": "Head & neck",
                "authors": "Nguyen N, Bellile E, Thomas D, McHugh J, Rozek L, Virani S, Peterson L, Carey TE, Walline H, Moyer J, Spector M, Perim D, Prince M, McLean S, Bradford CR, Taylor JM, Wolf GT, None None",
                "date": "2016-02-18",
                "evidence": [],
                "reference": [
                    {
                        "id": "26879675",
                        "type": "Pubmed",
                        "url": "https://pubmed.ncbi.nlm.nih.gov/26879675"
                    }
                ]
            }
        ],
        "biomarker_canonical_id": "AN6288",
        "score": 2,
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                {
                    "c": "first_pmid",
                    "w": 1,
                    "f": 1
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                {
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                    "f": 0
                },
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                    "w": -4,
                    "f": 0
                },
                {
                    "c": "loinc",
                    "w": 1,
                    "f": 1
                }
            ],
            "formula": "sum(w*f)",
            "variables": {
                "c": "condition",
                "f": "frequency",
                "w": "weight"
            }
        },
        "collision": 0
    },
    {
        "biomarker_id": "AN6290-5",
        "biomarker_component": [
            {
                "biomarker": "increased CRP level",
                "assessed_biomarker_entity": {
                    "recommended_name": "C-reactive protein",
                    "synonyms": []
                },
                "assessed_biomarker_entity_id": "UPKB:P02741",
                "assessed_entity_type": "protein",
                "specimen": [
                    {
                        "name": "blood",
                        "id": "UBERON:0000178",
                        "name_space": "Uberon",
                        "url": "http://purl.obolibrary.org/obo/UBERON_0000178",
                        "loinc_code": "71426-1"
                    }
                ],
                "evidence_source": [
                    {
                        "id": "32277967",
                        "database": "Pubmed",
                        "url": "https://pubmed.ncbi.nlm.nih.gov/32277967",
                        "evidence_list": [
                            {
                                "evidence": "SAA/L, CRP, SAA, and L count are valuable in predicting the severity and distinguishing critically ill patients from mild ones."
                            }
                        ],
                        "tags": [
                            {
                                "tag": "biomarker"
                            },
                            {
                                "tag": "assessed_biomarker_entity"
                            },
                            {
                                "tag": "specimen:UBERON:0000178"
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                        ]
                    },
                    {
                        "id": "32677844",
                        "database": "Pubmed",
                        "url": "https://pubmed.ncbi.nlm.nih.gov/32677844",
                        "evidence_list": [
                            {
                                "evidence": "Elevated levels of IL-6, D-dimer, CRP, LDH, and ferritin all had an independent increased risk for the clinical outcomes assessed (ICU admission, invasive ventilatory support and death), which were statistically significant."
                            }
                        ],
                        "tags": [
                            {
                                "tag": "biomarker"
                            },
                            {
                                "tag": "assessed_biomarker_entity"
                            },
                            {
                                "tag": "specimen:UBERON:0000178"
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                        ]
                    },
                    {
                        "id": "32347972",
                        "database": "Pubmed",
                        "url": "https://pubmed.ncbi.nlm.nih.gov/32347972",
                        "evidence_list": [
                            {
                                "evidence": "The positive correlations between CRP and series cancer biomarkers we showed in this study demonstrate that these cancer biomarkers can present the diffuse and acute lung injuries in COVID-19. CRP increased in 95% of all cases; the increases were significant for all groups (mild: 13.5‚Äâ¬±‚Äâ13.1; severe: 35.0‚Äâ¬±‚Äâ39.2; critical: 66.1‚Äâ¬±‚Äâ67.3; in mg/L; P‚Äâ=‚Äâ.002)."
                            }
                        ],
                        "tags": [
                            {
                                "tag": "biomarker"
                            },
                            {
                                "tag": "assessed_biomarker_entity"
                            },
                            {
                                "tag": "specimen:UBERON:0000178"
                            }
                        ]
                    },
                    {
                        "id": "33349241",
                        "database": "Pubmed",
                        "url": "https://pubmed.ncbi.nlm.nih.gov/33349241",
                        "evidence_list": [
                            {
                                "evidence": "Biomarkers that predict the mortality of individual patients more than 10 days in advance with more than 90% accuracy: lactic dehydrogenase (LDH), lymphocyte and high-sensitivity C-reactive protein (hs-CRP). [DOI:10.1038/s42256-020-0180-7] With following parameters such as age >67.5 years, IL2R >793.5U/mL, CRP >30.7ng/mL, ferroprotein >2252ug/L, WBC>9.5x10^9/L or NC >7.305x10^9/L, the progress of COVID-19 to critical stage should be closely observed and possibly prevented."
                            }
                        ],
                        "tags": [
                            {
                                "tag": "biomarker"
                            },
                            {
                                "tag": "assessed_biomarker_entity"
                            },
                            {
                                "tag": "specimen:UBERON:0000178"
                            }
                        ]
                    },
                    {
                        "id": "32161940",
                        "database": "Pubmed",
                        "url": "https://pubmed.ncbi.nlm.nih.gov/32161940",
                        "evidence_list": [
                            {
                                "evidence": "Surveillance of NLR and lymphocyte subsets is helpful in the early screening of critical illness, diagnosis, and treatment of COVID-19."
                            }
                        ],
                        "tags": [
                            {
                                "tag": "biomarker"
                            },
                            {
                                "tag": "assessed_biomarker_entity"
                            },
                            {
                                "tag": "specimen:UBERON:0000178"
                            }
                        ]
                    },
                    {
                        "id": "32425269",
                        "database": "Pubmed",
                        "url": "https://pubmed.ncbi.nlm.nih.gov/32425269",
                        "evidence_list": [
                            {
                                "evidence": "The maximal level of IL-6, followed by CRP level, was highly predictive of the need for mechanical ventilation. This suggests the possibility of using IL-6 or CRP level to guide escalation of treatment in patients with COVID-19-related hyperinflammatory syndrome."
                            }
                        ],
                        "tags": [
                            {
                                "tag": "biomarker"
                            },
                            {
                                "tag": "assessed_biomarker_entity"
                            },
                            {
                                "tag": "specimen:UBERON:0000178"
                            }
                        ]
                    },
                    {
                        "id": "32566572",
                        "database": "Pubmed",
                        "url": "https://pubmed.ncbi.nlm.nih.gov/32566572",
                        "evidence_list": [
                            {
                                "evidence": "NLR and CRP are potential and reliable predictors of COVID-19 prognosis and can triage patients at the time of admission."
                            }
                        ],
                        "tags": [
                            {
                                "tag": "biomarker"
                            },
                            {
                                "tag": "assessed_biomarker_entity"
                            },
                            {
                                "tag": "specimen:UBERON:0000178"
                            }
                        ]
                    },
                    {
                        "id": "32243911",
                        "database": "Pubmed",
                        "url": "https://pubmed.ncbi.nlm.nih.gov/32243911",
                        "evidence_list": [
                            {
                                "evidence": "At the early stage of COVID-19, CRP levels were positively correlated with lung lesions. CRP levels could reflect disease severity and should be used as a key indicator for disease monitoring."
                            }
                        ],
                        "tags": [
                            {
                                "tag": "biomarker"
                            },
                            {
                                "tag": "assessed_biomarker_entity"
                            },
                            {
                                "tag": "specimen:UBERON:0000178"
                            }
                        ]
                    },
                    {
                        "id": "32475810",
                        "database": "Pubmed",
                        "url": "https://pubmed.ncbi.nlm.nih.gov/32475810",
                        "evidence_list": [
                            {
                                "evidence": "C-reactive protein, serum amyloid A, interleukin-6, lactate dehydrogenase, neutrophil-to-lymphocyte ratio, D-dimer, cardiac troponin, and renal biomarkers showed significantly higher levels in patients with severe complications of COVID-19 infection compared to their non-severe counterparts."
                            }
                        ],
                        "tags": [
                            {
                                "tag": "biomarker"
                            },
                            {
                                "tag": "assessed_biomarker_entity"
                            },
                            {
                                "tag": "specimen:UBERON:0000178"
                            }
                        ]
                    },
                    {
                        "id": "32296824",
                        "database": "Pubmed",
                        "url": "https://pubmed.ncbi.nlm.nih.gov/32296824",
                        "evidence_list": [
                            {
                                "evidence": "We found that old age, and higher serum lactate dehydrogenase, C-reactive protein, the coefficient of variation of red blood cell distribution width, blood urea nitrogen, direct bilirubin, lower albumin, are associated with severe COVID-19."
                            }
                        ],
                        "tags": [
                            {
                                "tag": "biomarker"
                            },
                            {
                                "tag": "assessed_biomarker_entity"
                            },
                            {
                                "tag": "specimen:UBERON:0000178"
                            }
                        ]
                    },
                    {
                        "id": "32281668",
                        "database": "Pubmed",
                        "url": "https://pubmed.ncbi.nlm.nih.gov/32281668",
                        "evidence_list": [
                            {
                                "evidence": "CRP changes before other blood parameters and thus may be an effective evaluation index for patients with COVID-19 infection. [DOI:10.1101/2020.03.10.20033613] CRP in severe COVID-19 patients increased significantly at the initial stage, before CT findings. Importantly, CRP, which was associated with disease development, predicted early severe COVID-19."
                            }
                        ],
                        "tags": [
                            {
                                "tag": "biomarker"
                            },
                            {
                                "tag": "assessed_biomarker_entity"
                            },
                            {
                                "tag": "specimen:UBERON:0000178"
                            }
                        ]
                    },
                    {
                        "id": "32368728",
                        "database": "Pubmed",
                        "url": "https://pubmed.ncbi.nlm.nih.gov/32368728",
                        "evidence_list": [
                            {
                                "evidence": "The combination of eosinopenia and elevated hs-CRP can effectively triage suspected COVID-19 patients from other patients attending the fever clinic with COVID-19-like initial symptoms."
                            }
                        ],
                        "tags": [
                            {
                                "tag": "biomarker"
                            },
                            {
                                "tag": "assessed_biomarker_entity"
                            },
                            {
                                "tag": "specimen:UBERON:0000178"
                            }
                        ]
                    },
                    {
                        "id": "32277967",
                        "database": "Pubmed",
                        "url": "https://pubmed.ncbi.nlm.nih.gov/32277967",
                        "evidence_list": [
                            {
                                "evidence": "Patients with higher initial SAA are more likely to have poor CT imaging. Our study indicated that SAA/L. CRP, SAA, and l are valuable in predicting the severity and distinguishing critically ill patients from mild ones."
                            }
                        ],
                        "tags": [
                            {
                                "tag": "biomarker"
                            },
                            {
                                "tag": "assessed_biomarker_entity"
                            },
                            {
                                "tag": "specimen:UBERON:0000178"
                            }
                        ]
                    },
                    {
                        "id": "32475810",
                        "database": "Pubmed",
                        "url": "https://pubmed.ncbi.nlm.nih.gov/32475810",
                        "evidence_list": [
                            {
                                "evidence": "CRP is one of the first biomarkers within blood plasma that changes to reflect physiological complications; if accepted CRP will be the most effective biomarker to predict the progression of COVID-19 infection. CRP values are more reliable for earlier identification of case severity."
                            }
                        ],
                        "tags": [
                            {
                                "tag": "biomarker"
                            },
                            {
                                "tag": "assessed_biomarker_entity"
                            },
                            {
                                "tag": "specimen:UBERON:0000178"
                            }
                        ]
                    },
                    {
                        "id": "32281668",
                        "database": "Pubmed",
                        "url": "https://pubmed.ncbi.nlm.nih.gov/32281668",
                        "evidence_list": [
                            {
                                "evidence": "CRP which was associated with disease development, predicted early severe COVID-19."
                            }
                        ],
                        "tags": [
                            {
                                "tag": "biomarker"
                            },
                            {
                                "tag": "assessed_biomarker_entity"
                            },
                            {
                                "tag": "specimen:UBERON:0000178"
                            }
                        ]
                    },
                    {
                        "id": "32511972",
                        "database": "Pubmed",
                        "url": "https://pubmed.ncbi.nlm.nih.gov/32511972",
                        "evidence_list": [
                            {
                                "evidence": "Biomarkers that predict the mortality of individual patients more than 10 days in advance with more than 90% accuracy: lactic dehydrogenase (LDH), lymphocyte and high-sensitivity C-reactive protein (hs-CRP). [DOI:10.1038/s42256-020-0180-7] Concentrations of CRP remained high in patients who died of COVID-19 infection, and CRP could be a biomarker for assessing disease lethality."
                            }
                        ],
                        "tags": [
                            {
                                "tag": "biomarker"
                            },
                            {
                                "tag": "assessed_biomarker_entity"
                            },
                            {
                                "tag": "specimen:UBERON:0000178"
                            }
                        ]
                    },
                    {
                        "id": "32344321",
                        "database": "Pubmed",
                        "url": "https://pubmed.ncbi.nlm.nih.gov/32344321",
                        "evidence_list": [
                            {
                                "evidence": "The serum levels of IL-6 and CRP can effectively assess disease severity and predict outcome in patients with COVID-19."
                            }
                        ],
                        "tags": [
                            {
                                "tag": "biomarker"
                            },
                            {
                                "tag": "assessed_biomarker_entity"
                            },
                            {
                                "tag": "specimen:UBERON:0000178"
                            }
                        ]
                    },
                    {
                        "id": "32615866",
                        "database": "Pubmed",
                        "url": "https://pubmed.ncbi.nlm.nih.gov/32615866",
                        "evidence_list": [
                            {
                                "evidence": "The serum levels of CRP, PCT and ferritin are markedly increased in very severe compared with severe COVID-19."
                            }
                        ],
                        "tags": [
                            {
                                "tag": "biomarker"
                            },
                            {
                                "tag": "assessed_biomarker_entity"
                            },
                            {
                                "tag": "specimen:UBERON:0000178"
                            }
                        ]
                    },
                    {
                        "id": "32471703",
                        "database": "Pubmed",
                        "url": "https://pubmed.ncbi.nlm.nih.gov/32471703",
                        "evidence_list": [
                            {
                                "evidence": "We propose that a few parameters, such Lymphocytes count, L/N ratio, SaO2 and CRP serum level can be used to assess the severity of COVID-19 in emergency room."
                            }
                        ],
                        "tags": [
                            {
                                "tag": "biomarker"
                            },
                            {
                                "tag": "assessed_biomarker_entity"
                            },
                            {
                                "tag": "specimen:UBERON:0000178"
                            }
                        ]
                    },
                    {
                        "id": "32414383",
                        "database": "Pubmed",
                        "url": "https://pubmed.ncbi.nlm.nih.gov/32414383",
                        "evidence_list": [
                            {
                                "evidence": "The plasma CRP level is positively correlated to the severity of COVID-19 on CT performance, and higher level of CRP showed a longer inpatient duration."
                            }
                        ],
                        "tags": [
                            {
                                "tag": "biomarker"
                            },
                            {
                                "tag": "assessed_biomarker_entity"
                            },
                            {
                                "tag": "specimen:UBERON:0000178"
                            }
                        ]
                    },
                    {
                        "id": "32048163",
                        "database": "Pubmed",
                        "url": "https://pubmed.ncbi.nlm.nih.gov/32048163",
                        "evidence_list": [
                            {
                                "evidence": "The combinations of the hypoalbuminemia, lymphopenia, and high concentrations of CRP and LDH in 2019-nCoV infected patients upon hospital admission may predict more severe acute lung injury."
                            }
                        ],
                        "tags": [
                            {
                                "tag": "biomarker"
                            },
                            {
                                "tag": "assessed_biomarker_entity"
                            },
                            {
                                "tag": "specimen:UBERON:0000178"
                            }
                        ]
                    },
                    {
                        "id": "32243911",
                        "database": "Pubmed",
                        "url": "https://pubmed.ncbi.nlm.nih.gov/32243911",
                        "evidence_list": [
                            {
                                "evidence": "Best baseline predictors of respiratory failure were suPAR with an AUC (95% CI) of 0.88 (0.80-0.95), EWS 0.84 (0.75-0.93), LDH 0.82 (0.71-0.93), and CRP 0.80 (0.70-0.89. [DOI:10.1101/2020.05.27.20114678] At the early stage of COVID-19, CRP levels were positively cor-related with lung lesions. CRP levels could reflect disease severity and should be used as a key indicator for disease monitoring."
                            }
                        ],
                        "tags": [
                            {
                                "tag": "biomarker"
                            },
                            {
                                "tag": "assessed_biomarker_entity"
                            },
                            {
                                "tag": "specimen:UBERON:0000178"
                            }
                        ]
                    },
                    {
                        "id": "32369209",
                        "database": "Pubmed",
                        "url": "https://pubmed.ncbi.nlm.nih.gov/32369209",
                        "evidence_list": [
                            {
                                "evidence": "Our results showed that the laboratory tests of cancer patients had the following characteristics: low lymphocytes, increased IL-6, CRP, PCT, D dimer, and LDH. The increase of these inflammatory indexes indicates that the infected patients were in inflammatory state, which may be closely related to the inflammatory storm."
                            }
                        ],
                        "tags": [
                            {
                                "tag": "biomarker"
                            },
                            {
                                "tag": "assessed_biomarker_entity"
                            },
                            {
                                "tag": "specimen:UBERON:0000178"
                            }
                        ]
                    }
                ]
            }
        ],
        "best_biomarker_role": [
            {
                "role": "monitoring"
            }
        ],
        "condition": {
            "id": "DOID:0080600",
            "recommended_name": {
                "id": "DOID:0080600",
                "name": "COVID-19",
                "description": "A Coronavirus infectious disease that is characterized by fever, cough and shortness of breath and that has_material_basis_in SARS-CoV-2.",
                "resource": "Disease Ontology",
                "url": "http://purl.obolibrary.org/obo/DOID_0080600"
            },
            "synonyms": [
                {
                    "id": "DOID:0080600",
                    "name": "SARS-CoV-2 infection",
                    "resource": "Disease Ontology",
                    "url": "http://purl.obolibrary.org/obo/DOID_0080600"
                },
                {
                    "id": "DOID:0080600",
                    "name": "Wuhan coronavirus infection",
                    "resource": "Disease Ontology",
                    "url": "http://purl.obolibrary.org/obo/DOID_0080600"
                },
                {
                    "id": "DOID:0080600",
                    "name": "COVID19",
                    "resource": "Disease Ontology",
                    "url": "http://purl.obolibrary.org/obo/DOID_0080600"
                },
                {
                    "id": "DOID:0080600",
                    "name": "Wuhan seafood market pneumonia virus infection",
                    "resource": "Disease Ontology",
                    "url": "http://purl.obolibrary.org/obo/DOID_0080600"
                },
                {
                    "id": "DOID:0080600",
                    "name": "2019-nCoV infection",
                    "resource": "Disease Ontology",
                    "url": "http://purl.obolibrary.org/obo/DOID_0080600"
                },
                {
                    "id": "DOID:0080600",
                    "name": "2019 Novel Coronavirus (2019-nCoV)",
                    "resource": "Disease Ontology",
                    "url": "http://purl.obolibrary.org/obo/DOID_0080600"
                }
            ]
        },
        "evidence_source": [
            {
                "id": "32677844",
                "database": "Pubmed",
                "url": "https://pubmed.ncbi.nlm.nih.gov/32677844",
                "evidence_list": [
                    {
                        "evidence": "Elevated levels of IL-6, D-dimer, CRP, LDH, and ferritin all had an independent increased risk for the clinical outcomes assessed (ICU admission, invasive ventilatory support and death), which were statistically significant."
                    }
                ],
                "tags": [
                    {
                        "tag": "best_biomarker_role"
                    },
                    {
                        "tag": "condition"
                    }
                ]
            },
            {
                "id": "32347972",
                "database": "Pubmed",
                "url": "https://pubmed.ncbi.nlm.nih.gov/32347972",
                "evidence_list": [
                    {
                        "evidence": "The positive correlations between CRP and series cancer biomarkers we showed in this study demonstrate that these cancer biomarkers can present the diffuse and acute lung injuries in COVID-19. CRP increased in 95% of all cases; the increases were significant for all groups (mild: 13.5‚Äâ¬±‚Äâ13.1; severe: 35.0‚Äâ¬±‚Äâ39.2; critical: 66.1‚Äâ¬±‚Äâ67.3; in mg/L; P‚Äâ=‚Äâ.002)."
                    }
                ],
                "tags": [
                    {
                        "tag": "best_biomarker_role"
                    },
                    {
                        "tag": "condition"
                    }
                ]
            },
            {
                "id": "33349241",
                "database": "Pubmed",
                "url": "https://pubmed.ncbi.nlm.nih.gov/33349241",
                "evidence_list": [
                    {
                        "evidence": "Biomarkers that predict the mortality of individual patients more than 10 days in advance with more than 90% accuracy: lactic dehydrogenase (LDH), lymphocyte and high-sensitivity C-reactive protein (hs-CRP). [DOI:10.1038/s42256-020-0180-7] With following parameters such as age >67.5 years, IL2R >793.5U/mL, CRP >30.7ng/mL, ferroprotein >2252ug/L, WBC>9.5x10^9/L or NC >7.305x10^9/L, the progress of COVID-19 to critical stage should be closely observed and possibly prevented."
                    }
                ],
                "tags": [
                    {
                        "tag": "best_biomarker_role"
                    },
                    {
                        "tag": "condition"
                    }
                ]
            },
            {
                "id": "32161940",
                "database": "Pubmed",
                "url": "https://pubmed.ncbi.nlm.nih.gov/32161940",
                "evidence_list": [
                    {
                        "evidence": "Surveillance of NLR and lymphocyte subsets is helpful in the early screening of critical illness, diagnosis, and treatment of COVID-19."
                    }
                ],
                "tags": [
                    {
                        "tag": "best_biomarker_role"
                    },
                    {
                        "tag": "condition"
                    }
                ]
            },
            {
                "id": "32425269",
                "database": "Pubmed",
                "url": "https://pubmed.ncbi.nlm.nih.gov/32425269",
                "evidence_list": [
                    {
                        "evidence": "The maximal level of IL-6, followed by CRP level, was highly predictive of the need for mechanical ventilation. This suggests the possibility of using IL-6 or CRP level to guide escalation of treatment in patients with COVID-19-related hyperinflammatory syndrome."
                    }
                ],
                "tags": [
                    {
                        "tag": "best_biomarker_role"
                    },
                    {
                        "tag": "condition"
                    }
                ]
            },
            {
                "id": "32566572",
                "database": "Pubmed",
                "url": "https://pubmed.ncbi.nlm.nih.gov/32566572",
                "evidence_list": [
                    {
                        "evidence": "NLR and CRP are potential and reliable predictors of COVID-19 prognosis and can triage patients at the time of admission."
                    }
                ],
                "tags": [
                    {
                        "tag": "best_biomarker_role"
                    },
                    {
                        "tag": "condition"
                    }
                ]
            },
            {
                "id": "32296824",
                "database": "Pubmed",
                "url": "https://pubmed.ncbi.nlm.nih.gov/32296824",
                "evidence_list": [
                    {
                        "evidence": "We found that old age, and higher serum lactate dehydrogenase, C-reactive protein, the coefficient of variation of red blood cell distribution width, blood urea nitrogen, direct bilirubin, lower albumin, are associated with severe COVID-19."
                    }
                ],
                "tags": [
                    {
                        "tag": "best_biomarker_role"
                    },
                    {
                        "tag": "condition"
                    }
                ]
            },
            {
                "id": "32368728",
                "database": "Pubmed",
                "url": "https://pubmed.ncbi.nlm.nih.gov/32368728",
                "evidence_list": [
                    {
                        "evidence": "The combination of eosinopenia and elevated hs-CRP can effectively triage suspected COVID-19 patients from other patients attending the fever clinic with COVID-19-like initial symptoms."
                    }
                ],
                "tags": [
                    {
                        "tag": "best_biomarker_role"
                    },
                    {
                        "tag": "condition"
                    }
                ]
            },
            {
                "id": "32511972",
                "database": "Pubmed",
                "url": "https://pubmed.ncbi.nlm.nih.gov/32511972",
                "evidence_list": [
                    {
                        "evidence": "Biomarkers that predict the mortality of individual patients more than 10 days in advance with more than 90% accuracy: lactic dehydrogenase (LDH), lymphocyte and high-sensitivity C-reactive protein (hs-CRP). [DOI:10.1038/s42256-020-0180-7] Concentrations of CRP remained high in patients who died of COVID-19 infection, and CRP could be a biomarker for assessing disease lethality."
                    }
                ],
                "tags": [
                    {
                        "tag": "best_biomarker_role"
                    },
                    {
                        "tag": "condition"
                    }
                ]
            },
            {
                "id": "32344321",
                "database": "Pubmed",
                "url": "https://pubmed.ncbi.nlm.nih.gov/32344321",
                "evidence_list": [
                    {
                        "evidence": "The serum levels of IL-6 and CRP can effectively assess disease severity and predict outcome in patients with COVID-19."
                    }
                ],
                "tags": [
                    {
                        "tag": "best_biomarker_role"
                    },
                    {
                        "tag": "condition"
                    }
                ]
            },
            {
                "id": "32615866",
                "database": "Pubmed",
                "url": "https://pubmed.ncbi.nlm.nih.gov/32615866",
                "evidence_list": [
                    {
                        "evidence": "The serum levels of CRP, PCT and ferritin are markedly increased in very severe compared with severe COVID-19."
                    }
                ],
                "tags": [
                    {
                        "tag": "best_biomarker_role"
                    },
                    {
                        "tag": "condition"
                    }
                ]
            },
            {
                "id": "32471703",
                "database": "Pubmed",
                "url": "https://pubmed.ncbi.nlm.nih.gov/32471703",
                "evidence_list": [
                    {
                        "evidence": "We propose that a few parameters, such Lymphocytes count, L/N ratio, SaO2 and CRP serum level can be used to assess the severity of COVID-19 in emergency room."
                    }
                ],
                "tags": [
                    {
                        "tag": "best_biomarker_role"
                    },
                    {
                        "tag": "condition"
                    }
                ]
            },
            {
                "id": "32414383",
                "database": "Pubmed",
                "url": "https://pubmed.ncbi.nlm.nih.gov/32414383",
                "evidence_list": [
                    {
                        "evidence": "The plasma CRP level is positively correlated to the severity of COVID-19 on CT performance, and higher level of CRP showed a longer inpatient duration."
                    }
                ],
                "tags": [
                    {
                        "tag": "best_biomarker_role"
                    },
                    {
                        "tag": "condition"
                    }
                ]
            },
            {
                "id": "32048163",
                "database": "Pubmed",
                "url": "https://pubmed.ncbi.nlm.nih.gov/32048163",
                "evidence_list": [
                    {
                        "evidence": "The combinations of the hypoalbuminemia, lymphopenia, and high concentrations of CRP and LDH in 2019-nCoV infected patients upon hospital admission may predict more severe acute lung injury."
                    }
                ],
                "tags": [
                    {
                        "tag": "best_biomarker_role"
                    },
                    {
                        "tag": "condition"
                    }
                ]
            },
            {
                "id": "32369209",
                "database": "Pubmed",
                "url": "https://pubmed.ncbi.nlm.nih.gov/32369209",
                "evidence_list": [
                    {
                        "evidence": "Our results showed that the laboratory tests of cancer patients had the following characteristics: low lymphocytes, increased IL-6, CRP, PCT, D dimer, and LDH. The increase of these inflammatory indexes indicates that the infected patients were in inflammatory state, which may be closely related to the inflammatory storm."
                    }
                ],
                "tags": [
                    {
                        "tag": "best_biomarker_role"
                    },
                    {
                        "tag": "condition"
                    }
                ]
            },
            {
                "id": "32259132",
                "database": "Pubmed",
                "url": "https://pubmed.ncbi.nlm.nih.gov/32259132",
                "evidence_list": [
                    {
                        "evidence": "Our findings suggest that level of LDH, CRP, ALT and NEU can be used to predict the result of COVID-19 test."
                    }
                ],
                "tags": [
                    {
                        "tag": "condition"
                    },
                    {
                        "tag": "best_biomarker_role"
                    }
                ]
            },
            {
                "id": "32503382",
                "database": "Pubmed",
                "url": "https://pubmed.ncbi.nlm.nih.gov/32503382",
                "evidence_list": [
                    {
                        "evidence": "Erythrocyte sedimentation rate (ESR) (R=0.55, p < .01) was positively associated with CT severity scores. To sum up, we can conclude from the analysis of published studies that hematological (lymphocyte count, neutrophil count, and NLR), inflammatory (CRP, ESR, IL-6), and especially biochemical (D-dimer, Troponins, CK) parameters correlate with severe prognosis or exitus in COVID-19 patients and can therefore be used as predictive biomarkers."
                    }
                ],
                "tags": [
                    {
                        "tag": "condition"
                    },
                    {
                        "tag": "best_biomarker_role"
                    }
                ]
            },
            {
                "id": "32324595",
                "database": "Pubmed",
                "url": "https://pubmed.ncbi.nlm.nih.gov/32324595",
                "evidence_list": [
                    {
                        "evidence": "Inflammatory biomarkers such as CRP and erythrocyte sedimentation rate were increased."
                    }
                ],
                "tags": [
                    {
                        "tag": "condition"
                    },
                    {
                        "tag": "best_biomarker_role"
                    }
                ]
            },
            {
                "id": "32669866",
                "database": "Pubmed",
                "url": "https://pubmed.ncbi.nlm.nih.gov/32669866",
                "evidence_list": [
                    {
                        "evidence": "The measurement of CRP was increased by 79.93% in all patients."
                    }
                ],
                "tags": [
                    {
                        "tag": "condition"
                    },
                    {
                        "tag": "best_biomarker_role"
                    }
                ]
            },
            {
                "id": "32492406",
                "database": "Pubmed",
                "url": "https://pubmed.ncbi.nlm.nih.gov/32492406",
                "evidence_list": [
                    {
                        "evidence": "Compared to non-severe patients, severe patients showed significant suppression of lymphocyte count and monocyte count, as well as increase of CRP and AST."
                    }
                ],
                "tags": [
                    {
                        "tag": "condition"
                    },
                    {
                        "tag": "best_biomarker_role"
                    }
                ]
            },
            {
                "id": "32589600",
                "database": "Pubmed",
                "url": "https://pubmed.ncbi.nlm.nih.gov/32589600",
                "evidence_list": [
                    {
                        "evidence": "Many biomarkers have been associated with poor outcomes and represent a candidate for risk stratification models for predicting severe COVID-19 in order to guide clinical care. Among all, lymphopenia, thrombocytopenia, leucocytosis, CRP, PCT, LDH, AST, ALT, D-dimer, cTn represent the most predictive parameters of severe COVID-19"
                    }
                ],
                "tags": [
                    {
                        "tag": "condition"
                    },
                    {
                        "tag": "best_biomarker_role"
                    }
                ]
            },
            {
                "id": "32766546",
                "database": "Pubmed",
                "url": "https://pubmed.ncbi.nlm.nih.gov/32766546",
                "evidence_list": [
                    {
                        "evidence": "On multivariable analysis, the risk factors found to be significantly associated with admission to intensive care were age above 50 years old, a qSOFA score above 0, smoking, elevated CRP and elevated procalcitonin levels. Asthma, smoking and elevated procalcitonin levels correlated significantly with mortality in our cohort."
                    }
                ],
                "tags": [
                    {
                        "tag": "condition"
                    },
                    {
                        "tag": "best_biomarker_role"
                    }
                ]
            },
            {
                "id": "32388230",
                "database": "Pubmed",
                "url": "https://pubmed.ncbi.nlm.nih.gov/32388230",
                "evidence_list": [
                    {
                        "evidence": "Patient 1: CRP level peaked at 332 mg/L.Patient 2: CRP level was 368 mg/L.Patient 3: CRP level was 396 mg/L."
                    }
                ],
                "tags": [
                    {
                        "tag": "condition"
                    },
                    {
                        "tag": "best_biomarker_role"
                    }
                ]
            }
        ],
        "citation": [
            {
                "title": "Serum Amyloid A is a biomarker of severe Coronavirus Disease and poor prognosis.",
                "journal": "The Journal of infection",
                "authors": "Li H, Xiang X, Ren H, Xu L, Zhao L, Chen X, Long H, Wang Q, Wu Q",
                "date": "2020-04-12",
                "evidence": [],
                "reference": [
                    {
                        "id": "32277967",
                        "type": "Pubmed",
                        "url": "https://pubmed.ncbi.nlm.nih.gov/32277967"
                    }
                ]
            },
            {
                "title": "The association between biomarkers and clinical outcomes in novel coronavirus pneumonia in a US cohort.",
                "journal": "Biomarkers in medicine",
                "authors": "Ayanian S, Reyes J, Lynn L, Teufel K",
                "date": "2020-07-18",
                "evidence": [],
                "reference": [
                    {
                        "id": "32677844",
                        "type": "Pubmed",
                        "url": "https://pubmed.ncbi.nlm.nih.gov/32677844"
                    }
                ]
            },
            {
                "title": "Elevations of serum cancer biomarkers correlate with severity of COVID-19.",
                "journal": "Journal of medical virology",
                "authors": "Wei X, Su J, Yang K, Wei J, Wan H, Cao X, Tan W, Wang H",
                "date": "2020-04-30",
                "evidence": [],
                "reference": [
                    {
                        "id": "32347972",
                        "type": "Pubmed",
                        "url": "https://pubmed.ncbi.nlm.nih.gov/32347972"
                    }
                ]
            },
            {
                "title": "Correlation analysis between disease severity and inflammation-related parameters in patients with COVID-19: a retrospective study.",
                "journal": "BMC infectious diseases",
                "authors": "Gong J, Dong H, Xia QS, Huang ZY, Wang DK, Zhao Y, Liu WH, Tu SH, Zhang MM, Wang Q, Lu FE",
                "date": "2020-12-23",
                "evidence": [],
                "reference": [
                    {
                        "id": "33349241",
                        "type": "Pubmed",
                        "url": "https://pubmed.ncbi.nlm.nih.gov/33349241"
                    }
                ]
            },
            {
                "title": "Dysregulation of Immune Response in Patients With Coronavirus 2019 (COVID-19) in Wuhan, China.",
                "journal": "Clinical infectious diseases : an official publication of the Infectious Diseases Society of America",
                "authors": "Qin C, Zhou L, Hu Z, Zhang S, Yang S, Tao Y, Xie C, Ma K, Shang K, Wang W, Tian DS",
                "date": "2020-03-13",
                "evidence": [],
                "reference": [
                    {
                        "id": "32161940",
                        "type": "Pubmed",
                        "url": "https://pubmed.ncbi.nlm.nih.gov/32161940"
                    }
                ]
            },
            {
                "title": "Elevated levels of IL-6 and CRP predict the need for mechanical ventilation in COVID-19.",
                "journal": "The Journal of allergy and clinical immunology",
                "authors": "Herold T, Jurinovic V, Arnreich C, Lipworth BJ, Hellmuth JC, von Bergwelt-Baildon M, Klein M, Weinberger T",
                "date": "2020-05-20",
                "evidence": [],
                "reference": [
                    {
                        "id": "32425269",
                        "type": "Pubmed",
                        "url": "https://pubmed.ncbi.nlm.nih.gov/32425269"
                    }
                ]
            },
            {
                "title": "Combined use of the neutrophil-to-lymphocyte ratio and CRP to predict 7-day disease severity in 84 hospitalized patients with COVID-19 pneumonia: a retrospective cohort study.",
                "journal": "Annals of translational medicine",
                "authors": "Liu YP, Li GM, He J, Liu Y, Li M, Zhang R, Li YL, Wu YZ, Diao B",
                "date": "2020-06-23",
                "evidence": [],
                "reference": [
                    {
                        "id": "32566572",
                        "type": "Pubmed",
                        "url": "https://pubmed.ncbi.nlm.nih.gov/32566572"
                    }
                ]
            },
            {
                "title": "C-reactive protein levels in the early stage of COVID-19.",
                "journal": "Medecine et maladies infectieuses",
                "authors": "Wang L",
                "date": "2020-04-04",
                "evidence": [],
                "reference": [
                    {
                        "id": "32243911",
                        "type": "Pubmed",
                        "url": "https://pubmed.ncbi.nlm.nih.gov/32243911"
                    }
                ]
            },
            {
                "title": "The role of biomarkers in diagnosis of COVID-19 - A systematic review.",
                "journal": "Life sciences",
                "authors": "Kermali M, Khalsa RK, Pillai K, Ismail Z, Harky A",
                "date": "2020-06-02",
                "evidence": [],
                "reference": [
                    {
                        "id": "32475810",
                        "type": "Pubmed",
                        "url": "https://pubmed.ncbi.nlm.nih.gov/32475810"
                    }
                ]
            },
            {
                "title": "A Tool for Early Prediction of Severe Coronavirus Disease 2019 (COVID-19): A Multicenter Study Using the Risk Nomogram in Wuhan and Guangdong, China.",
                "journal": "Clinical infectious diseases : an official publication of the Infectious Diseases Society of America",
                "authors": "Gong J, Ou J, Qiu X, Jie Y, Chen Y, Yuan L, Cao J, Tan M, Xu W, Zheng F, Shi Y, Hu B",
                "date": "2020-04-17",
                "evidence": [],
                "reference": [
                    {
                        "id": "32296824",
                        "type": "Pubmed",
                        "url": "https://pubmed.ncbi.nlm.nih.gov/32296824"
                    }
                ]
            },
            {
                "title": "C-reactive protein correlates with computed tomographic findings and predicts severe COVID-19 early.",
                "journal": "Journal of medical virology",
                "authors": "Tan C, Huang Y, Shi F, Tan K, Ma Q, Chen Y, Jiang X, Li X",
                "date": "2020-04-14",
                "evidence": [],
                "reference": [
                    {
                        "id": "32281668",
                        "type": "Pubmed",
                        "url": "https://pubmed.ncbi.nlm.nih.gov/32281668"
                    }
                ]
            },
            {
                "title": "Eosinopenia and elevated C-reactive protein facilitate triage of COVID-19 patients in fever clinic: A retrospective case-control study.",
                "journal": "EClinicalMedicine",
                "authors": "Li Q, Ding X, Xia G, Chen HG, Chen F, Geng Z, Xu L, Lei S, Pan A, Wang L, Wang Z",
                "date": "2020-05-06",
                "evidence": [],
                "reference": [
                    {
                        "id": "32368728",
                        "type": "Pubmed",
                        "url": "https://pubmed.ncbi.nlm.nih.gov/32368728"
                    }
                ]
            },
            {
                "title": "C-reactive protein: A promising biomarker for poor prognosis in COVID-19 infection.",
                "journal": "Clinica chimica acta; international journal of clinical chemistry",
                "authors": "Sahu BR, Kampa RK, Padhi A, Panda AK",
                "date": "2020-06-09",
                "evidence": [],
                "reference": [
                    {
                        "id": "32511972",
                        "type": "Pubmed",
                        "url": "https://pubmed.ncbi.nlm.nih.gov/32511972"
                    }
                ]
            },
            {
                "title": "Prognostic value of interleukin-6, C-reactive protein, and procalcitonin in patients with COVID-19.",
                "journal": "Journal of clinical virology : the official publication of the Pan American Society for Clinical Virology",
                "authors": "Liu F, Li L, Xu M, Wu J, Luo D, Zhu Y, Li B, Song X, Zhou X",
                "date": "2020-04-29",
                "evidence": [],
                "reference": [
                    {
                        "id": "32344321",
                        "type": "Pubmed",
                        "url": "https://pubmed.ncbi.nlm.nih.gov/32344321"
                    }
                ]
            },
            {
                "title": "C-reactive protein, procalcitonin, D-dimer, and ferritin in severe coronavirus disease-2019: a meta-analysis.",
                "journal": "Therapeutic advances in respiratory disease",
                "authors": "Huang I, Pranata R, Lim MA, Oehadian A, Alisjahbana B",
                "date": "2020-07-04",
                "evidence": [],
                "reference": [
                    {
                        "id": "32615866",
                        "type": "Pubmed",
                        "url": "https://pubmed.ncbi.nlm.nih.gov/32615866"
                    }
                ]
            },
            {
                "title": "Laboratory Biomarkers Predicting COVID-19 Severity in the Emergency Room.",
                "journal": "Archives of medical research",
                "authors": "Assandri R, Buscarini E, Canetta C, Scartabellati A, Viganò G, Montanelli A",
                "date": "2020-05-31",
                "evidence": [],
                "reference": [
                    {
                        "id": "32471703",
                        "type": "Pubmed",
                        "url": "https://pubmed.ncbi.nlm.nih.gov/32471703"
                    }
                ]
            },
            {
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                                "tag": "specimen:UBERON:0000178"
                            }
                        ]
                    },
                    {
                        "id": "32171076",
                        "database": "Pubmed",
                        "url": "https://pubmed.ncbi.nlm.nih.gov/32171076",
                        "evidence_list": [
                            {
                                "evidence": "Age, comorbidities, lymphocytopenia and elevated alanine aminotransferase, d-dimer, creatine kinase, high-sensitivity cardiac troponin I, prothrombin time, and disease severity were reported to be associated with intensive care unit admission."
                            }
                        ],
                        "tags": [
                            {
                                "tag": "biomarker"
                            },
                            {
                                "tag": "assessed_biomarker_entity"
                            },
                            {
                                "tag": "specimen:UBERON:0000178"
                            }
                        ]
                    },
                    {
                        "id": "32306492",
                        "database": "Pubmed",
                        "url": "https://pubmed.ncbi.nlm.nih.gov/32306492",
                        "evidence_list": [
                            {
                                "evidence": "Patients with D-dimer levels >/=2.0 ¬µg/mL had a higher incidence of mortality when comparing with those who with D-dimer levels <2.0 ¬µg/mL (12/67 vs 1/267, P < .001; hazard ratio, 51.5; 95% confidence interval, 12.9-206.7)."
                            }
                        ],
                        "tags": [
                            {
                                "tag": "biomarker"
                            },
                            {
                                "tag": "assessed_biomarker_entity"
                            },
                            {
                                "tag": "specimen:UBERON:0000178"
                            }
                        ]
                    },
                    {
                        "id": "32665858",
                        "database": "Pubmed",
                        "url": "https://pubmed.ncbi.nlm.nih.gov/32665858",
                        "evidence_list": [
                            {
                                "evidence": "D-dimer is commonly elevated in patients with COVID-19. D-dimer levels correlate with disease severity and is a reliable prognostic marker for in-hospital mortality in patients admitted for COVID-19."
                            }
                        ],
                        "tags": [
                            {
                                "tag": "biomarker"
                            },
                            {
                                "tag": "assessed_biomarker_entity"
                            },
                            {
                                "tag": "specimen:UBERON:0000178"
                            }
                        ]
                    },
                    {
                        "id": "32620118",
                        "database": "Pubmed",
                        "url": "https://pubmed.ncbi.nlm.nih.gov/32620118",
                        "evidence_list": [
                            {
                                "evidence": "The rising trend in D-Dimer and NLR, or the test results higher than the critical values may indicate a risk of death for participants with COVID-19."
                            }
                        ],
                        "tags": [
                            {
                                "tag": "biomarker"
                            },
                            {
                                "tag": "assessed_biomarker_entity"
                            },
                            {
                                "tag": "specimen:UBERON:0000178"
                            }
                        ]
                    },
                    {
                        "id": "32475810",
                        "database": "Pubmed",
                        "url": "https://pubmed.ncbi.nlm.nih.gov/32475810",
                        "evidence_list": [
                            {
                                "evidence": "This, along with the previous study, suggests that D-dimer levels can be used as a prognostic marker and help clinicians monitor those who are likely to deteriorate earlier."
                            }
                        ],
                        "tags": [
                            {
                                "tag": "biomarker"
                            },
                            {
                                "tag": "assessed_biomarker_entity"
                            },
                            {
                                "tag": "specimen:UBERON:0000178"
                            }
                        ]
                    },
                    {
                        "id": "32172226",
                        "database": "Pubmed",
                        "url": "https://pubmed.ncbi.nlm.nih.gov/32172226",
                        "evidence_list": [
                            {
                                "evidence": "D-dimer (10.36 vs. 0.26 ng/L; p<0.001) were higher in patients with SARS-CoV-2 than those in controls."
                            }
                        ],
                        "tags": [
                            {
                                "tag": "biomarker"
                            },
                            {
                                "tag": "assessed_biomarker_entity"
                            },
                            {
                                "tag": "specimen:UBERON:0000178"
                            }
                        ]
                    },
                    {
                        "id": "32367765",
                        "database": "Pubmed",
                        "url": "https://pubmed.ncbi.nlm.nih.gov/32367765",
                        "evidence_list": [
                            {
                                "evidence": "The most important finding was that FAR and PLT count were independent risk factors to predict the development of severe illness in COVID-19. Patients with FAR<0.0883 and PLT count>135*10^9/L were unlikely to develop into severe disease."
                            }
                        ],
                        "tags": [
                            {
                                "tag": "biomarker"
                            },
                            {
                                "tag": "assessed_biomarker_entity"
                            },
                            {
                                "tag": "specimen:UBERON:0000178"
                            }
                        ]
                    },
                    {
                        "id": "32073213",
                        "database": "Pubmed",
                        "url": "https://pubmed.ncbi.nlm.nih.gov/32073213",
                        "evidence_list": [
                            {
                                "evidence": "Non-survivors revealed significantly higher D-dimer and fibrin degradation product (FDP) levels, longer prothrombin time and activated partial thromboplastin time."
                            }
                        ],
                        "tags": [
                            {
                                "tag": "biomarker"
                            },
                            {
                                "tag": "assessed_biomarker_entity"
                            },
                            {
                                "tag": "specimen:UBERON:0000178"
                            }
                        ]
                    },
                    {
                        "id": "32181911",
                        "database": "Pubmed",
                        "url": "https://pubmed.ncbi.nlm.nih.gov/32181911",
                        "evidence_list": [
                            {
                                "evidence": "IL-6 and D-dimer were closely related to the occurrence of severe COVID-19 in the adult patients, and their combined detection had the highest specificity and sensitivity for early prediction of the severity of COVID-19 patients, which has important clinical value."
                            }
                        ],
                        "tags": [
                            {
                                "tag": "biomarker"
                            },
                            {
                                "tag": "assessed_biomarker_entity"
                            },
                            {
                                "tag": "specimen:UBERON:0000178"
                            }
                        ]
                    },
                    {
                        "id": "32430456",
                        "database": "Pubmed",
                        "url": "https://pubmed.ncbi.nlm.nih.gov/32430456",
                        "evidence_list": [
                            {
                                "evidence": "The mean of glycemia during hospitalization was 10.65 ¬± 0.84 mmol/L in the no insulin infusion group and 7.69 ¬± 1.85 mmol/L in the insulin infusion group. At baseline, IL-6 and D-dimer levels were significantly higher in the hyperglycemic group than in the normoglycemic group (P < 0.001). Even though all patients were on standard treatment for COVID-19 infection, IL-6 and D-dimer levels persisted higher in patients with hyperglycemia during hospitalization."
                            }
                        ],
                        "tags": [
                            {
                                "tag": "biomarker"
                            },
                            {
                                "tag": "assessed_biomarker_entity"
                            },
                            {
                                "tag": "specimen:UBERON:0000178"
                            }
                        ]
                    },
                    {
                        "id": "32623030",
                        "database": "Pubmed",
                        "url": "https://pubmed.ncbi.nlm.nih.gov/32623030",
                        "evidence_list": [
                            {
                                "evidence": "In COVID-19 patients with diabetes, poorly-controlled blood glucose (>11 mmol/L) may be associated with poor outcomes. Admission hyperglycemia, elevated d-dimer and high HRCT score are potential risk factors for adverse outcomes and death."
                            }
                        ],
                        "tags": [
                            {
                                "tag": "biomarker"
                            },
                            {
                                "tag": "assessed_biomarker_entity"
                            },
                            {
                                "tag": "specimen:UBERON:0000178"
                            }
                        ]
                    },
                    {
                        "id": "32357994",
                        "database": "Pubmed",
                        "url": "https://pubmed.ncbi.nlm.nih.gov/32357994",
                        "evidence_list": [
                            {
                                "evidence": "Post-COVID-19 infection, lower hemoglobin levels, higher total white blood cell (WBC) counts, and higher absolute neutrophil counts were associated with increased mortality. Analysis of other serologic biomarkers demonstrated that elevated D-dimer, lactate, and lactate dehydrogenase (LDH) in patients were significantly correlated with dying."
                            }
                        ],
                        "tags": [
                            {
                                "tag": "biomarker"
                            },
                            {
                                "tag": "assessed_biomarker_entity"
                            },
                            {
                                "tag": "specimen:UBERON:0000178"
                            }
                        ]
                    },
                    {
                        "id": "32369209",
                        "database": "Pubmed",
                        "url": "https://pubmed.ncbi.nlm.nih.gov/32369209",
                        "evidence_list": [
                            {
                                "evidence": "Low lymphocytes, increased IL-6, CRP, PCT, D dimer, and LDH indicates that the infected patients were in inflammatory state, which may be closely related to the inflammatory storm. The increase of the cancer biomarkers in patients with COVID-19, especially in severe and critical patients, suggests that inflammation is closely related to the development of COVID-19."
                            }
                        ],
                        "tags": [
                            {
                                "tag": "biomarker"
                            },
                            {
                                "tag": "assessed_biomarker_entity"
                            },
                            {
                                "tag": "specimen:UBERON:0000178"
                            }
                        ]
                    },
                    {
                        "id": "32369209",
                        "database": "Pubmed",
                        "url": "https://pubmed.ncbi.nlm.nih.gov/32369209",
                        "evidence_list": [
                            {
                                "evidence": "Our results showed that the laboratory tests of cancer patients had the following characteristics: low lymphocytes, increased IL-6, CRP, PCT, D dimer, and LDH. The increase of these inflammatory indexes indicates that the infected patients were in inflammatory state, which may be closely related to the inflammatory storm."
                            }
                        ],
                        "tags": [
                            {
                                "tag": "biomarker"
                            },
                            {
                                "tag": "assessed_biomarker_entity"
                            },
                            {
                                "tag": "specimen:UBERON:0000178"
                            }
                        ]
                    },
                    {
                        "id": "32503382",
                        "database": "Pubmed",
                        "url": "https://pubmed.ncbi.nlm.nih.gov/32503382",
                        "evidence_list": [
                            {
                                "evidence": "Erythrocyte sedimentation rate (ESR) (R=0.55, p < .01) was positively associated with CT severity scores. To sum up, we can conclude from the analysis of published studies that hematological (lymphocyte count, neutrophil count, and NLR), inflammatory (CRP, ESR, IL-6), and especially biochemical (D-dimer, Troponins, CK) parameters correlate with severe prognosis or exitus in COVID-19 patients and can therefore be used as predictive biomarkers."
                            }
                        ],
                        "tags": [
                            {
                                "tag": "biomarker"
                            },
                            {
                                "tag": "assessed_biomarker_entity"
                            },
                            {
                                "tag": "specimen:UBERON:0000178"
                            }
                        ]
                    }
                ]
            }
        ],
        "best_biomarker_role": [
            {
                "role": "monitoring"
            }
        ],
        "condition": {
            "id": "DOID:0080600",
            "recommended_name": {
                "id": "DOID:0080600",
                "name": "COVID-19",
                "description": "A Coronavirus infectious disease that is characterized by fever, cough and shortness of breath and that has_material_basis_in SARS-CoV-2.",
                "resource": "Disease Ontology",
                "url": "http://purl.obolibrary.org/obo/DOID_0080600"
            },
            "synonyms": [
                {
                    "id": "DOID:0080600",
                    "name": "SARS-CoV-2 infection",
                    "resource": "Disease Ontology",
                    "url": "http://purl.obolibrary.org/obo/DOID_0080600"
                },
                {
                    "id": "DOID:0080600",
                    "name": "Wuhan coronavirus infection",
                    "resource": "Disease Ontology",
                    "url": "http://purl.obolibrary.org/obo/DOID_0080600"
                },
                {
                    "id": "DOID:0080600",
                    "name": "COVID19",
                    "resource": "Disease Ontology",
                    "url": "http://purl.obolibrary.org/obo/DOID_0080600"
                },
                {
                    "id": "DOID:0080600",
                    "name": "Wuhan seafood market pneumonia virus infection",
                    "resource": "Disease Ontology",
                    "url": "http://purl.obolibrary.org/obo/DOID_0080600"
                },
                {
                    "id": "DOID:0080600",
                    "name": "2019-nCoV infection",
                    "resource": "Disease Ontology",
                    "url": "http://purl.obolibrary.org/obo/DOID_0080600"
                },
                {
                    "id": "DOID:0080600",
                    "name": "2019 Novel Coronavirus (2019-nCoV)",
                    "resource": "Disease Ontology",
                    "url": "http://purl.obolibrary.org/obo/DOID_0080600"
                }
            ]
        },
        "evidence_source": [
            {
                "id": "32677844",
                "database": "Pubmed",
                "url": "https://pubmed.ncbi.nlm.nih.gov/32677844",
                "evidence_list": [
                    {
                        "evidence": "Elevated levels of IL-6, D-dimer, CRP, LDH, and ferritin all had an independent increased risk for the clinical outcomes assessed (ICU admission, invasive ventilatory support and death), which were statistically significant."
                    }
                ],
                "tags": [
                    {
                        "tag": "best_biomarker_role"
                    },
                    {
                        "tag": "condition"
                    }
                ]
            },
            {
                "id": "32442528",
                "database": "Pubmed",
                "url": "https://pubmed.ncbi.nlm.nih.gov/32442528",
                "evidence_list": [
                    {
                        "evidence": "Findings in this study include determining independent associations between biomarkers for inflammation (interleukin-6) and thrombosis (D-dimer) and mortality."
                    }
                ],
                "tags": [
                    {
                        "tag": "best_biomarker_role"
                    },
                    {
                        "tag": "condition"
                    }
                ]
            },
            {
                "id": "32220650",
                "database": "Pubmed",
                "url": "https://pubmed.ncbi.nlm.nih.gov/32220650",
                "evidence_list": [
                    {
                        "evidence": "Besides radiographic presentations, variables that were associated significantly with severity of COVID-19 were decreased lymphocytes, elevated body temperature, and high levels of procalcitonin, D-dimer, and creatine kinase MB."
                    }
                ],
                "tags": [
                    {
                        "tag": "best_biomarker_role"
                    },
                    {
                        "tag": "condition"
                    }
                ]
            },
            {
                "id": "32171076",
                "database": "Pubmed",
                "url": "https://pubmed.ncbi.nlm.nih.gov/32171076",
                "evidence_list": [
                    {
                        "evidence": "Age, comorbidities, lymphocytopenia and elevated alanine aminotransferase, d-dimer, creatine kinase, high-sensitivity cardiac troponin I, prothrombin time, and disease severity were reported to be associated with intensive care unit admission."
                    }
                ],
                "tags": [
                    {
                        "tag": "best_biomarker_role"
                    },
                    {
                        "tag": "condition"
                    }
                ]
            },
            {
                "id": "32306492",
                "database": "Pubmed",
                "url": "https://pubmed.ncbi.nlm.nih.gov/32306492",
                "evidence_list": [
                    {
                        "evidence": "Patients with D-dimer levels >/=2.0 ¬µg/mL had a higher incidence of mortality when comparing with those who with D-dimer levels <2.0 ¬µg/mL (12/67 vs 1/267, P < .001; hazard ratio, 51.5; 95% confidence interval, 12.9-206.7)."
                    }
                ],
                "tags": [
                    {
                        "tag": "best_biomarker_role"
                    },
                    {
                        "tag": "condition"
                    }
                ]
            },
            {
                "id": "32665858",
                "database": "Pubmed",
                "url": "https://pubmed.ncbi.nlm.nih.gov/32665858",
                "evidence_list": [
                    {
                        "evidence": "D-dimer is commonly elevated in patients with COVID-19. D-dimer levels correlate with disease severity and is a reliable prognostic marker for in-hospital mortality in patients admitted for COVID-19."
                    }
                ],
                "tags": [
                    {
                        "tag": "best_biomarker_role"
                    },
                    {
                        "tag": "condition"
                    }
                ]
            },
            {
                "id": "32620118",
                "database": "Pubmed",
                "url": "https://pubmed.ncbi.nlm.nih.gov/32620118",
                "evidence_list": [
                    {
                        "evidence": "The rising trend in D-Dimer and NLR, or the test results higher than the critical values may indicate a risk of death for participants with COVID-19."
                    }
                ],
                "tags": [
                    {
                        "tag": "best_biomarker_role"
                    },
                    {
                        "tag": "condition"
                    }
                ]
            },
            {
                "id": "32172226",
                "database": "Pubmed",
                "url": "https://pubmed.ncbi.nlm.nih.gov/32172226",
                "evidence_list": [
                    {
                        "evidence": "D-dimer (10.36 vs. 0.26 ng/L; p<0.001) were higher in patients with SARS-CoV-2 than those in controls."
                    }
                ],
                "tags": [
                    {
                        "tag": "best_biomarker_role"
                    },
                    {
                        "tag": "condition"
                    }
                ]
            },
            {
                "id": "32367765",
                "database": "Pubmed",
                "url": "https://pubmed.ncbi.nlm.nih.gov/32367765",
                "evidence_list": [
                    {
                        "evidence": "The most important finding was that FAR and PLT count were independent risk factors to predict the development of severe illness in COVID-19. Patients with FAR<0.0883 and PLT count>135*10^9/L were unlikely to develop into severe disease."
                    }
                ],
                "tags": [
                    {
                        "tag": "best_biomarker_role"
                    },
                    {
                        "tag": "condition"
                    }
                ]
            },
            {
                "id": "32073213",
                "database": "Pubmed",
                "url": "https://pubmed.ncbi.nlm.nih.gov/32073213",
                "evidence_list": [
                    {
                        "evidence": "Non-survivors revealed significantly higher D-dimer and fibrin degradation product (FDP) levels, longer prothrombin time and activated partial thromboplastin time."
                    }
                ],
                "tags": [
                    {
                        "tag": "best_biomarker_role"
                    },
                    {
                        "tag": "condition"
                    }
                ]
            },
            {
                "id": "32181911",
                "database": "Pubmed",
                "url": "https://pubmed.ncbi.nlm.nih.gov/32181911",
                "evidence_list": [
                    {
                        "evidence": "IL-6 and D-dimer were closely related to the occurrence of severe COVID-19 in the adult patients, and their combined detection had the highest specificity and sensitivity for early prediction of the severity of COVID-19 patients, which has important clinical value."
                    }
                ],
                "tags": [
                    {
                        "tag": "best_biomarker_role"
                    },
                    {
                        "tag": "condition"
                    }
                ]
            },
            {
                "id": "32430456",
                "database": "Pubmed",
                "url": "https://pubmed.ncbi.nlm.nih.gov/32430456",
                "evidence_list": [
                    {
                        "evidence": "The mean of glycemia during hospitalization was 10.65 ¬± 0.84 mmol/L in the no insulin infusion group and 7.69 ¬± 1.85 mmol/L in the insulin infusion group. At baseline, IL-6 and D-dimer levels were significantly higher in the hyperglycemic group than in the normoglycemic group (P < 0.001). Even though all patients were on standard treatment for COVID-19 infection, IL-6 and D-dimer levels persisted higher in patients with hyperglycemia during hospitalization."
                    }
                ],
                "tags": [
                    {
                        "tag": "best_biomarker_role"
                    },
                    {
                        "tag": "condition"
                    }
                ]
            },
            {
                "id": "32623030",
                "database": "Pubmed",
                "url": "https://pubmed.ncbi.nlm.nih.gov/32623030",
                "evidence_list": [
                    {
                        "evidence": "In COVID-19 patients with diabetes, poorly-controlled blood glucose (>11 mmol/L) may be associated with poor outcomes. Admission hyperglycemia, elevated d-dimer and high HRCT score are potential risk factors for adverse outcomes and death."
                    }
                ],
                "tags": [
                    {
                        "tag": "best_biomarker_role"
                    },
                    {
                        "tag": "condition"
                    }
                ]
            },
            {
                "id": "32357994",
                "database": "Pubmed",
                "url": "https://pubmed.ncbi.nlm.nih.gov/32357994",
                "evidence_list": [
                    {
                        "evidence": "Post-COVID-19 infection, lower hemoglobin levels, higher total white blood cell (WBC) counts, and higher absolute neutrophil counts were associated with increased mortality. Analysis of other serologic biomarkers demonstrated that elevated D-dimer, lactate, and lactate dehydrogenase (LDH) in patients were significantly correlated with dying."
                    }
                ],
                "tags": [
                    {
                        "tag": "best_biomarker_role"
                    },
                    {
                        "tag": "condition"
                    }
                ]
            },
            {
                "id": "32369209",
                "database": "Pubmed",
                "url": "https://pubmed.ncbi.nlm.nih.gov/32369209",
                "evidence_list": [
                    {
                        "evidence": "Low lymphocytes, increased IL-6, CRP, PCT, D dimer, and LDH indicates that the infected patients were in inflammatory state, which may be closely related to the inflammatory storm. The increase of the cancer biomarkers in patients with COVID-19, especially in severe and critical patients, suggests that inflammation is closely related to the development of COVID-19."
                    },
                    {
                        "evidence": "Our results showed that the laboratory tests of cancer patients had the following characteristics: low lymphocytes, increased IL-6, CRP, PCT, D dimer, and LDH. The increase of these inflammatory indexes indicates that the infected patients were in inflammatory state, which may be closely related to the inflammatory storm."
                    }
                ],
                "tags": [
                    {
                        "tag": "best_biomarker_role"
                    },
                    {
                        "tag": "condition"
                    }
                ]
            },
            {
                "id": "32503382",
                "database": "Pubmed",
                "url": "https://pubmed.ncbi.nlm.nih.gov/32503382",
                "evidence_list": [
                    {
                        "evidence": "Erythrocyte sedimentation rate (ESR) (R=0.55, p < .01) was positively associated with CT severity scores. To sum up, we can conclude from the analysis of published studies that hematological (lymphocyte count, neutrophil count, and NLR), inflammatory (CRP, ESR, IL-6), and especially biochemical (D-dimer, Troponins, CK) parameters correlate with severe prognosis or exitus in COVID-19 patients and can therefore be used as predictive biomarkers."
                    }
                ],
                "tags": [
                    {
                        "tag": "best_biomarker_role"
                    },
                    {
                        "tag": "condition"
                    }
                ]
            },
            {
                "id": "32475810",
                "database": "Pubmed",
                "url": "https://pubmed.ncbi.nlm.nih.gov/32475810",
                "evidence_list": [
                    {
                        "evidence": "C-reactive protein, serum amyloid A, interleukin-6, lactate dehydrogenase, neutrophil-to-lymphocyte ratio, D-dimer, cardiac troponin, and renal biomarkers showed significantly higher levels in patients with severe complications of COVID-19 infection compared to their non-severe counterparts."
                    },
                    {
                        "evidence": "This, along with the previous study, suggests that D-dimer levels can be used as a prognostic marker and help clinicians monitor those who are likely to deteriorate earlier."
                    }
                ],
                "tags": [
                    {
                        "tag": "condition"
                    },
                    {
                        "tag": "best_biomarker_role"
                    }
                ]
            },
            {
                "id": "32589600",
                "database": "Pubmed",
                "url": "https://pubmed.ncbi.nlm.nih.gov/32589600",
                "evidence_list": [
                    {
                        "evidence": "Many biomarkers have been associated with poor outcomes and represent a candidate for risk stratification models for predicting severe COVID-19 in order to guide clinical care. Among all, lymphopenia, thrombocytopenia, leucocytosis, CRP, PCT, LDH, AST, ALT, D-dimer, cTn represent the most predictive parameters of severe COVID-19"
                    }
                ],
                "tags": [
                    {
                        "tag": "condition"
                    },
                    {
                        "tag": "best_biomarker_role"
                    }
                ]
            }
        ],
        "citation": [
            {
                "title": "The association between biomarkers and clinical outcomes in novel coronavirus pneumonia in a US cohort.",
                "journal": "Biomarkers in medicine",
                "authors": "Ayanian S, Reyes J, Lynn L, Teufel K",
                "date": "2020-07-18",
                "evidence": [],
                "reference": [
                    {
                        "id": "32677844",
                        "type": "Pubmed",
                        "url": "https://pubmed.ncbi.nlm.nih.gov/32677844"
                    }
                ]
            },
            {
                "title": "The role of biomarkers in diagnosis of COVID-19 - A systematic review.",
                "journal": "Life sciences",
                "authors": "Kermali M, Khalsa RK, Pillai K, Ismail Z, Harky A",
                "date": "2020-06-02",
                "evidence": [],
                "reference": [
                    {
                        "id": "32475810",
                        "type": "Pubmed",
                        "url": "https://pubmed.ncbi.nlm.nih.gov/32475810"
                    }
                ]
            },
            {
                "title": "Epidemiology, clinical course, and outcomes of critically ill adults with COVID-19 in New York City: a prospective cohort study.",
                "journal": "Lancet (London, England)",
                "authors": "Cummings MJ, Baldwin MR, Abrams D, Jacobson SD, Meyer BJ, Balough EM, Aaron JG, Claassen J, Rabbani LE, Hastie J, Hochman BR, Salazar-Schicchi J, Yip NH, Brodie D, O'Donnell MR",
                "date": "2020-05-23",
                "evidence": [],
                "reference": [
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                        "loinc_code": "14804-9"
                    }
                ],
                "evidence_source": [
                    {
                        "id": "32677844",
                        "database": "Pubmed",
                        "url": "https://pubmed.ncbi.nlm.nih.gov/32677844",
                        "evidence_list": [
                            {
                                "evidence": "Elevated levels of IL-6, D-dimer, CRP, LDH, and ferritin all had an independent increased risk for the clinical outcomes assessed (ICU admission, invasive ventilatory support and death), which were statistically significant."
                            }
                        ],
                        "tags": [
                            {
                                "tag": "biomarker"
                            },
                            {
                                "tag": "assessed_biomarker_entity"
                            },
                            {
                                "tag": "specimen:UBERON:0000178"
                            }
                        ]
                    },
                    {
                        "id": "32475810",
                        "database": "Pubmed",
                        "url": "https://pubmed.ncbi.nlm.nih.gov/32475810",
                        "evidence_list": [
                            {
                                "evidence": "Serum urea, CREA, CysC, DBIL, CHE and LDH could be used to distinguish severe COVID-19 cases from mild COVID-19 cases. [DOI:10.1101/2020.03.19.20034447] Biomarkers that predict the mortality of individual patients more than 10 days in advance with more than 90% accuracy: lactic dehydrogenase (LDH), lymphocyte and high-sensitivity C-reactive protein (hs-CRP). [DOI:10.1038/s42256-020-0180-7] Since high levels of LDH continued in the ICU patients number of days post-admission, LDH may be a predictive biomarker of severe disease. There is increasing confidence in using LDH as a biomarker to measure severity of COVID-19 infection."
                            }
                        ],
                        "tags": [
                            {
                                "tag": "biomarker"
                            },
                            {
                                "tag": "assessed_biomarker_entity"
                            },
                            {
                                "tag": "specimen:UBERON:0000178"
                            }
                        ]
                    },
                    {
                        "id": "32296824",
                        "database": "Pubmed",
                        "url": "https://pubmed.ncbi.nlm.nih.gov/32296824",
                        "evidence_list": [
                            {
                                "evidence": "We found that old age, and higher serum lactate dehydrogenase, C-reactive protein, the coefficient of variation of red blood cell distribution width, blood urea nitrogen, direct bilirubin, lower albumin, are associated with severe COVID-19."
                            }
                        ],
                        "tags": [
                            {
                                "tag": "biomarker"
                            },
                            {
                                "tag": "assessed_biomarker_entity"
                            },
                            {
                                "tag": "specimen:UBERON:0000178"
                            }
                        ]
                    },
                    {
                        "id": "32161968",
                        "database": "Pubmed",
                        "url": "https://pubmed.ncbi.nlm.nih.gov/32161968",
                        "evidence_list": [
                            {
                                "evidence": "LDH and alpha-HBDH may be considerable markers for evaluation of NCOVID-19."
                            }
                        ],
                        "tags": [
                            {
                                "tag": "biomarker"
                            },
                            {
                                "tag": "assessed_biomarker_entity"
                            },
                            {
                                "tag": "specimen:UBERON:0000178"
                            }
                        ]
                    },
                    {
                        "id": "32475810",
                        "database": "Pubmed",
                        "url": "https://pubmed.ncbi.nlm.nih.gov/32475810",
                        "evidence_list": [
                            {
                                "evidence": "C-reactive protein, serum amyloid A, interleukin-6, lactate dehydrogenase, neutrophil-to-lymphocyte ratio, D-dimer, cardiac troponin, and renal biomarkers showed significantly higher levels in patients with severe complications of COVID-19 infection compared to their non-severe counterparts."
                            }
                        ],
                        "tags": [
                            {
                                "tag": "biomarker"
                            },
                            {
                                "tag": "assessed_biomarker_entity"
                            },
                            {
                                "tag": "specimen:UBERON:0000178"
                            }
                        ]
                    },
                    {
                        "id": "32311826",
                        "database": "Pubmed",
                        "url": "https://pubmed.ncbi.nlm.nih.gov/32311826",
                        "evidence_list": [
                            {
                                "evidence": "As would be anticipated, elevation is LDH is common in COVID-19 patients in the ICU setting and indicates a poor outcome."
                            }
                        ],
                        "tags": [
                            {
                                "tag": "biomarker"
                            },
                            {
                                "tag": "assessed_biomarker_entity"
                            },
                            {
                                "tag": "specimen:UBERON:0000178"
                            }
                        ]
                    },
                    {
                        "id": "32048163",
                        "database": "Pubmed",
                        "url": "https://pubmed.ncbi.nlm.nih.gov/32048163",
                        "evidence_list": [
                            {
                                "evidence": "Biomarkers that predict the mortality of individual patients more than 10 days in advance with more than 90% accuracy: lactic dehydrogenase (LDH), lymphocyte and high-sensitivity C-reactive protein (hs-CRP). [DOI:10.1038/s42256-020-0180-7] The combinations of the hypoalbuminemia, lymphopenia, and high concentrations of CRP and LDH in 2019-nCoV infected patients upon hospital admission may predict more severe acute lung injury."
                            }
                        ],
                        "tags": [
                            {
                                "tag": "biomarker"
                            },
                            {
                                "tag": "assessed_biomarker_entity"
                            },
                            {
                                "tag": "specimen:UBERON:0000178"
                            }
                        ]
                    },
                    {
                        "id": "32738466",
                        "database": "Pubmed",
                        "url": "https://pubmed.ncbi.nlm.nih.gov/32738466",
                        "evidence_list": [
                            {
                                "evidence": "Elevated LDH levels were associated with a ~6-fold increase in odds of developing severe disease and a ~16-fold increase in odds of mortality in patients with COVID-19."
                            }
                        ],
                        "tags": [
                            {
                                "tag": "biomarker"
                            },
                            {
                                "tag": "assessed_biomarker_entity"
                            },
                            {
                                "tag": "specimen:UBERON:0000178"
                            }
                        ]
                    },
                    {
                        "id": "32369209",
                        "database": "Pubmed",
                        "url": "https://pubmed.ncbi.nlm.nih.gov/32369209",
                        "evidence_list": [
                            {
                                "evidence": "Our results showed that the laboratory tests of cancer patients had the following characteristics: low lymphocytes, increased IL-6, CRP, PCT, D dimer, and LDH. The increase of these inflammatory indexes indicates that the infected patients were in inflammatory state, which may be closely related to the inflammatory storm."
                            }
                        ],
                        "tags": [
                            {
                                "tag": "biomarker"
                            },
                            {
                                "tag": "assessed_biomarker_entity"
                            },
                            {
                                "tag": "specimen:UBERON:0000178"
                            }
                        ]
                    },
                    {
                        "id": "32357994",
                        "database": "Pubmed",
                        "url": "https://pubmed.ncbi.nlm.nih.gov/32357994",
                        "evidence_list": [
                            {
                                "evidence": "Post-COVID-19 infection, lower hemoglobin levels, higher total white blood cell (WBC) counts, and higher absolute neutrophil counts were associated with increased mortality. Analysis of other serologic biomarkers demonstrated that elevated D-dimer, lactate, and lactate dehydrogenase (LDH) in patients were significantly correlated with dying."
                            }
                        ],
                        "tags": [
                            {
                                "tag": "biomarker"
                            },
                            {
                                "tag": "assessed_biomarker_entity"
                            },
                            {
                                "tag": "specimen:UBERON:0000178"
                            }
                        ]
                    },
                    {
                        "id": "32259132",
                        "database": "Pubmed",
                        "url": "https://pubmed.ncbi.nlm.nih.gov/32259132",
                        "evidence_list": [
                            {
                                "evidence": "Our findings suggest that level of LDH, CRP, ALT and NEU can be used to predict the result of COVID-19 test."
                            }
                        ],
                        "tags": [
                            {
                                "tag": "biomarker"
                            },
                            {
                                "tag": "assessed_biomarker_entity"
                            },
                            {
                                "tag": "specimen:UBERON:0000178"
                            }
                        ]
                    },
                    {
                        "id": "32369209",
                        "database": "Pubmed",
                        "url": "https://pubmed.ncbi.nlm.nih.gov/32369209",
                        "evidence_list": [
                            {
                                "evidence": "Low lymphocytes, increased IL-6, CRP, PCT, D dimer, and LDH indicates that the infected patients were in inflammatory state, which may be closely related to the inflammatory storm. The increase of the cancer biomarkers in patients with COVID-19, especially in severe and critical patients, suggests that inflammation is closely related to the development of COVID-19."
                            }
                        ],
                        "tags": [
                            {
                                "tag": "biomarker"
                            },
                            {
                                "tag": "assessed_biomarker_entity"
                            },
                            {
                                "tag": "specimen:UBERON:0000178"
                            }
                        ]
                    }
                ]
            }
        ],
        "best_biomarker_role": [
            {
                "role": "monitoring"
            }
        ],
        "condition": {
            "id": "DOID:0080600",
            "recommended_name": {
                "id": "DOID:0080600",
                "name": "COVID-19",
                "description": "A Coronavirus infectious disease that is characterized by fever, cough and shortness of breath and that has_material_basis_in SARS-CoV-2.",
                "resource": "Disease Ontology",
                "url": "http://purl.obolibrary.org/obo/DOID_0080600"
            },
            "synonyms": [
                {
                    "id": "DOID:0080600",
                    "name": "SARS-CoV-2 infection",
                    "resource": "Disease Ontology",
                    "url": "http://purl.obolibrary.org/obo/DOID_0080600"
                },
                {
                    "id": "DOID:0080600",
                    "name": "Wuhan coronavirus infection",
                    "resource": "Disease Ontology",
                    "url": "http://purl.obolibrary.org/obo/DOID_0080600"
                },
                {
                    "id": "DOID:0080600",
                    "name": "COVID19",
                    "resource": "Disease Ontology",
                    "url": "http://purl.obolibrary.org/obo/DOID_0080600"
                },
                {
                    "id": "DOID:0080600",
                    "name": "Wuhan seafood market pneumonia virus infection",
                    "resource": "Disease Ontology",
                    "url": "http://purl.obolibrary.org/obo/DOID_0080600"
                },
                {
                    "id": "DOID:0080600",
                    "name": "2019-nCoV infection",
                    "resource": "Disease Ontology",
                    "url": "http://purl.obolibrary.org/obo/DOID_0080600"
                },
                {
                    "id": "DOID:0080600",
                    "name": "2019 Novel Coronavirus (2019-nCoV)",
                    "resource": "Disease Ontology",
                    "url": "http://purl.obolibrary.org/obo/DOID_0080600"
                }
            ]
        },
        "evidence_source": [
            {
                "id": "32677844",
                "database": "Pubmed",
                "url": "https://pubmed.ncbi.nlm.nih.gov/32677844",
                "evidence_list": [
                    {
                        "evidence": "Elevated levels of IL-6, D-dimer, CRP, LDH, and ferritin all had an independent increased risk for the clinical outcomes assessed (ICU admission, invasive ventilatory support and death), which were statistically significant."
                    }
                ],
                "tags": [
                    {
                        "tag": "best_biomarker_role"
                    },
                    {
                        "tag": "condition"
                    }
                ]
            },
            {
                "id": "32296824",
                "database": "Pubmed",
                "url": "https://pubmed.ncbi.nlm.nih.gov/32296824",
                "evidence_list": [
                    {
                        "evidence": "We found that old age, and higher serum lactate dehydrogenase, C-reactive protein, the coefficient of variation of red blood cell distribution width, blood urea nitrogen, direct bilirubin, lower albumin, are associated with severe COVID-19."
                    }
                ],
                "tags": [
                    {
                        "tag": "best_biomarker_role"
                    },
                    {
                        "tag": "condition"
                    }
                ]
            },
            {
                "id": "32161968",
                "database": "Pubmed",
                "url": "https://pubmed.ncbi.nlm.nih.gov/32161968",
                "evidence_list": [
                    {
                        "evidence": "LDH and alpha-HBDH may be considerable markers for evaluation of NCOVID-19."
                    }
                ],
                "tags": [
                    {
                        "tag": "best_biomarker_role"
                    },
                    {
                        "tag": "condition"
                    }
                ]
            },
            {
                "id": "32311826",
                "database": "Pubmed",
                "url": "https://pubmed.ncbi.nlm.nih.gov/32311826",
                "evidence_list": [
                    {
                        "evidence": "As would be anticipated, elevation is LDH is common in COVID-19 patients in the ICU setting and indicates a poor outcome."
                    }
                ],
                "tags": [
                    {
                        "tag": "best_biomarker_role"
                    },
                    {
                        "tag": "condition"
                    }
                ]
            },
            {
                "id": "32048163",
                "database": "Pubmed",
                "url": "https://pubmed.ncbi.nlm.nih.gov/32048163",
                "evidence_list": [
                    {
                        "evidence": "Biomarkers that predict the mortality of individual patients more than 10 days in advance with more than 90% accuracy: lactic dehydrogenase (LDH), lymphocyte and high-sensitivity C-reactive protein (hs-CRP). [DOI:10.1038/s42256-020-0180-7] The combinations of the hypoalbuminemia, lymphopenia, and high concentrations of CRP and LDH in 2019-nCoV infected patients upon hospital admission may predict more severe acute lung injury."
                    }
                ],
                "tags": [
                    {
                        "tag": "best_biomarker_role"
                    },
                    {
                        "tag": "condition"
                    }
                ]
            },
            {
                "id": "32738466",
                "database": "Pubmed",
                "url": "https://pubmed.ncbi.nlm.nih.gov/32738466",
                "evidence_list": [
                    {
                        "evidence": "Elevated LDH levels were associated with a ~6-fold increase in odds of developing severe disease and a ~16-fold increase in odds of mortality in patients with COVID-19."
                    }
                ],
                "tags": [
                    {
                        "tag": "best_biomarker_role"
                    },
                    {
                        "tag": "condition"
                    }
                ]
            },
            {
                "id": "32357994",
                "database": "Pubmed",
                "url": "https://pubmed.ncbi.nlm.nih.gov/32357994",
                "evidence_list": [
                    {
                        "evidence": "Post-COVID-19 infection, lower hemoglobin levels, higher total white blood cell (WBC) counts, and higher absolute neutrophil counts were associated with increased mortality. Analysis of other serologic biomarkers demonstrated that elevated D-dimer, lactate, and lactate dehydrogenase (LDH) in patients were significantly correlated with dying."
                    }
                ],
                "tags": [
                    {
                        "tag": "best_biomarker_role"
                    },
                    {
                        "tag": "condition"
                    }
                ]
            },
            {
                "id": "32259132",
                "database": "Pubmed",
                "url": "https://pubmed.ncbi.nlm.nih.gov/32259132",
                "evidence_list": [
                    {
                        "evidence": "Our findings suggest that level of LDH, CRP, ALT and NEU can be used to predict the result of COVID-19 test."
                    }
                ],
                "tags": [
                    {
                        "tag": "best_biomarker_role"
                    },
                    {
                        "tag": "condition"
                    }
                ]
            },
            {
                "id": "32475810",
                "database": "Pubmed",
                "url": "https://pubmed.ncbi.nlm.nih.gov/32475810",
                "evidence_list": [
                    {
                        "evidence": "Serum urea, CREA, CysC, DBIL, CHE and LDH could be used to distinguish severe COVID-19 cases from mild COVID-19 cases. [DOI:10.1101/2020.03.19.20034447] Biomarkers that predict the mortality of individual patients more than 10 days in advance with more than 90% accuracy: lactic dehydrogenase (LDH), lymphocyte and high-sensitivity C-reactive protein (hs-CRP). [DOI:10.1038/s42256-020-0180-7] Since high levels of LDH continued in the ICU patients number of days post-admission, LDH may be a predictive biomarker of severe disease. There is increasing confidence in using LDH as a biomarker to measure severity of COVID-19 infection."
                    },
                    {
                        "evidence": "C-reactive protein, serum amyloid A, interleukin-6, lactate dehydrogenase, neutrophil-to-lymphocyte ratio, D-dimer, cardiac troponin, and renal biomarkers showed significantly higher levels in patients with severe complications of COVID-19 infection compared to their non-severe counterparts."
                    }
                ],
                "tags": [
                    {
                        "tag": "condition"
                    },
                    {
                        "tag": "best_biomarker_role"
                    }
                ]
            },
            {
                "id": "32589600",
                "database": "Pubmed",
                "url": "https://pubmed.ncbi.nlm.nih.gov/32589600",
                "evidence_list": [
                    {
                        "evidence": "Many biomarkers have been associated with poor outcomes and represent a candidate for risk stratification models for predicting severe COVID-19 in order to guide clinical care. Among all, lymphopenia, thrombocytopenia, leucocytosis, CRP, PCT, LDH, AST, ALT, D-dimer, cTn represent the most predictive parameters of severe COVID-19"
                    }
                ],
                "tags": [
                    {
                        "tag": "condition"
                    },
                    {
                        "tag": "best_biomarker_role"
                    }
                ]
            },
            {
                "id": "32596365",
                "database": "Pubmed",
                "url": "https://pubmed.ncbi.nlm.nih.gov/32596365",
                "evidence_list": [
                    {
                        "evidence": "The levels of laboratory cardiac markers, lactose dehydrogenase (LDH), creatine kinase (CK), creatinine kinase-muscle/brain activity (CK-MB), myoglobin (Mb), cardiac troponin I (cTnI), alpha-hydroxybutyrate dehydrogenase (α-HBDH), aspartate aminotransferase (AST), and N-terminal of the prohormone brain natriuretic peptide (NT-proBNP) increase in different proportions in patients with COVID-19 (see Table 1)."
                    }
                ],
                "tags": [
                    {
                        "tag": "condition"
                    },
                    {
                        "tag": "best_biomarker_role"
                    }
                ]
            },
            {
                "id": "32209382",
                "database": "Pubmed",
                "url": "https://pubmed.ncbi.nlm.nih.gov/32209382",
                "evidence_list": [
                    {
                        "evidence": "This study reveals that the heart is also a major target of COVID-19 infection, and myocardial enzyme spectrum assays could help the diagnosis, prognosis and guide the treatments to prevent heart failure in COVID-19 patients. [DOI:https://doi.org/10.21203/rs.3.rs-23849/v1] We noted significantly increased cTnI, CK, HBDB and LDH levels in very severe group as compare to severe."
                    }
                ],
                "tags": [
                    {
                        "tag": "condition"
                    },
                    {
                        "tag": "best_biomarker_role"
                    }
                ]
            }
        ],
        "citation": [
            {
                "title": "The association between biomarkers and clinical outcomes in novel coronavirus pneumonia in a US cohort.",
                "journal": "Biomarkers in medicine",
                "authors": "Ayanian S, Reyes J, Lynn L, Teufel K",
                "date": "2020-07-18",
                "evidence": [],
                "reference": [
                    {
                        "id": "32677844",
                        "type": "Pubmed",
                        "url": "https://pubmed.ncbi.nlm.nih.gov/32677844"
                    }
                ]
            },
            {
                "title": "The role of biomarkers in diagnosis of COVID-19 - A systematic review.",
                "journal": "Life sciences",
                "authors": "Kermali M, Khalsa RK, Pillai K, Ismail Z, Harky A",
                "date": "2020-06-02",
                "evidence": [],
                "reference": [
                    {
                        "id": "32475810",
                        "type": "Pubmed",
                        "url": "https://pubmed.ncbi.nlm.nih.gov/32475810"
                    }
                ]
            },
            {
                "title": "A Tool for Early Prediction of Severe Coronavirus Disease 2019 (COVID-19): A Multicenter Study Using the Risk Nomogram in Wuhan and Guangdong, China.",
                "journal": "Clinical infectious diseases : an official publication of the Infectious Diseases Society of America",
                "authors": "Gong J, Ou J, Qiu X, Jie Y, Chen Y, Yuan L, Cao J, Tan M, Xu W, Zheng F, Shi Y, Hu B",
                "date": "2020-04-17",
                "evidence": [],
                "reference": [
                    {
                        "id": "32296824",
                        "type": "Pubmed",
                        "url": "https://pubmed.ncbi.nlm.nih.gov/32296824"
                    }
                ]
            },
            {
                "title": "A Comparative Study on the Clinical Features of Coronavirus 2019 (COVID-19) Pneumonia With Other Pneumonias.",
                "journal": "Clinical infectious diseases : an official publication of the Infectious Diseases Society of America",
                "authors": "Zhao D, Yao F, Wang L, Zheng L, Gao Y, Ye J, Guo F, Zhao H, Gao R",
                "date": "2020-03-13",
                "evidence": [],
                "reference": [
                    {
                        "id": "32161968",
                        "type": "Pubmed",
                        "url": "https://pubmed.ncbi.nlm.nih.gov/32161968"
                    }
                ]
            },
            {
                "title": "COVID-19 and the clinical hematology laboratory.",
                "journal": "International journal of laboratory hematology",
                "authors": "Frater JL, Zini G, d'Onofrio G, Rogers HJ",
                "date": "2020-04-21",
                "evidence": [],
                "reference": [
                    {
                        "id": "32311826",
                        "type": "Pubmed",
                        "url": "https://pubmed.ncbi.nlm.nih.gov/32311826"
                    }
                ]
            },
            {
                "title": "Clinical and biochemical indexes from 2019-nCoV infected patients linked to viral loads and lung injury.",
                "journal": "Science China. Life sciences",
                "authors": "Liu Y, Yang Y, Zhang C, Huang F, Wang F, Yuan J, Wang Z, Li J, Li J, Feng C, Zhang Z, Wang L, Peng L, Chen L, Qin Y, Zhao D, Tan S, Yin L, Xu J, Zhou C, Jiang C, Liu L",
                "date": "2020-02-13",
                "evidence": [],
                "reference": [
                    {
                        "id": "32048163",
                        "type": "Pubmed",
                        "url": "https://pubmed.ncbi.nlm.nih.gov/32048163"
                    }
                ]
            },
            {
                "title": "Lactate dehydrogenase levels predict coronavirus disease 2019 (COVID-19) severity and mortality: A pooled analysis.",
                "journal": "The American journal of emergency medicine",
                "authors": "Henry BM, Aggarwal G, Wong J, Benoit S, Vikse J, Plebani M, Lippi G",
                "date": "2020-08-02",
                "evidence": [],
                "reference": [
                    {
                        "id": "32738466",
                        "type": "Pubmed",
                        "url": "https://pubmed.ncbi.nlm.nih.gov/32738466"
                    }
                ]
            },
            {
                "title": "Clinical characteristics and outcomes of cancer patients with COVID-19.",
                "journal": "Journal of medical virology",
                "authors": "Yang F, Shi S, Zhu J, Shi J, Dai K, Chen X",
                "date": "2020-05-06",
                "evidence": [],
                "reference": [
                    {
                        "id": "32369209",
                        "type": "Pubmed",
                        "url": "https://pubmed.ncbi.nlm.nih.gov/32369209"
                    }
                ]
            },
            {
                "title": "Case Fatality Rate of Cancer Patients with COVID-19 in a New York Hospital System.",
                "journal": "Cancer discovery",
                "authors": "Mehta V, Goel S, Kabarriti R, Cole D, Goldfinger M, Acuna-Villaorduna A, Pradhan K, Thota R, Reissman S, Sparano JA, Gartrell BA, Smith RV, Ohri N, Garg M, Racine AD, Kalnicki S, Perez-Soler R, Halmos B, Verma A",
                "date": "2020-05-03",
                "evidence": [],
                "reference": [
                    {
                        "id": "32357994",
                        "type": "Pubmed",
                        "url": "https://pubmed.ncbi.nlm.nih.gov/32357994"
                    }
                ]
            },
            {
                "title": "Laboratory Parameters in Detection of COVID-19 Patients with Positive RT-PCR; a Diagnostic Accuracy Study.",
                "journal": "Archives of academic emergency medicine",
                "authors": "Mardani R, Ahmadi Vasmehjani A, Zali F, Gholami A, Mousavi Nasab SD, Kaghazian H, Kaviani M, Ahmadi N",
                "date": "2020-04-08",
                "evidence": [],
                "reference": [
                    {
                        "id": "32259132",
                        "type": "Pubmed",
                        "url": "https://pubmed.ncbi.nlm.nih.gov/32259132"
                    }
                ]
            },
            {
                "title": "Biochemical biomarkers alterations in Coronavirus Disease 2019 (COVID-19).",
                "journal": "Diagnosis (Berlin, Germany)",
                "authors": "Ciaccio M, Agnello L",
                "date": "2020-06-27",
                "evidence": [],
                "reference": [
                    {
                        "id": "32589600",
                        "type": "Pubmed",
                        "url": "https://pubmed.ncbi.nlm.nih.gov/32589600"
                    }
                ]
            },
            {
                "title": "Changes of Laboratory Cardiac Markers and Mechanisms of Cardiac Injury in Coronavirus Disease 2019.",
                "journal": "BioMed research international",
                "authors": "Li L, Zhou Q, Xu J",
                "date": "2020-07-01",
                "evidence": [],
                "reference": [
                    {
                        "id": "32596365",
                        "type": "Pubmed",
                        "url": "https://pubmed.ncbi.nlm.nih.gov/32596365"
                    }
                ]
            },
            {
                "title": "The clinical characteristics of myocardial injury in severe and very severe patients with 2019 novel coronavirus disease.",
                "journal": "The Journal of infection",
                "authors": "Zhou B, She J, Wang Y, Ma X",
                "date": "2020-03-27",
                "evidence": [],
                "reference": [
                    {
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                    },
                    {
                        "evidence": "Increases in levels of Human epididymis protein 4 (HE4), Cytokeratin-19 fragment (CYFRA21-1) Carcinoembryonic antigen (CEA), Carbohydrate antigen 125 (CA125), Carbohydrate antigen 153 (CA153), Squamous cell carcinoma antigen (SCC), Carbohydrate antigen 199 (CA199). There were positive associations between levels of C-reactive protein and levels of HE4 (R= 0.631, p<0.001), CYFRA21-1 (R= 0.431, p<0.001), CEA (R= 0.316, p<0.001), SCC (R= 0.351, p<0.001), CA153 (R= 0.359, p<0.001) and CA125 (R= 0.223, p=0.031). We concluded that elevations of serum cancer biomarkers positively correlated with the pathological progressions of COVID-19, demonstrating diffuse and acute lung injuries."
                    },
                    {
                        "evidence": "Significant increases in levels of human epididymis protein 4 (HE4), cytokeratin-19 fragment (CYFRA21-1), carcinoembryonic antigen (CEA), carbohydrate antigens (CA) 125 , and 153. Squamous cell carcinoma antigen (SCC) and CA199 increased significantly."
                    },
                    {
                        "evidence": "Presence of elevated HE4 levels shown as predictor of COVID-19 severity."
                    }
                ],
                "tags": [
                    {
                        "tag": "condition"
                    },
                    {
                        "tag": "best_biomarker_role"
                    }
                ]
            }
        ],
        "citation": [
            {
                "title": "Elevations of serum cancer biomarkers correlate with severity of COVID-19.",
                "journal": "Journal of medical virology",
                "authors": "Wei X, Su J, Yang K, Wei J, Wan H, Cao X, Tan W, Wang H",
                "date": "2020-04-30",
                "evidence": [],
                "reference": [
                    {
                        "id": "32347972",
                        "type": "Pubmed",
                        "url": "https://pubmed.ncbi.nlm.nih.gov/32347972"
                    }
                ]
            }
        ],
        "biomarker_canonical_id": "AN6314",
        "score": 2,
        "score_info": {
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                {
                    "c": "first_pmid",
                    "w": 1,
                    "f": 1
                },
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                {
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                    "f": 1
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            ],
            "formula": "sum(w*f)",
            "variables": {
                "f": "frequency",
                "c": "condition",
                "w": "weight"
            }
        },
        "collision": 0
    },
    {
        "biomarker_id": "AN6314-3",
        "biomarker_component": [
            {
                "biomarker": "increased WFDC2 level",
                "assessed_biomarker_entity": {
                    "recommended_name": "WAP four-disulfide core domain protein 2",
                    "synonyms": [
                        {
                            "synonym": "Epididymal secretory protein E4"
                        },
                        {
                            "synonym": "Major epididymis-specific protein E4"
                        },
                        {
                            "synonym": "Putative protease inhibitor WAP5"
                        }
                    ]
                },
                "assessed_biomarker_entity_id": "UPKB:Q14508",
                "assessed_entity_type": "protein",
                "specimen": [
                    {
                        "name": "blood",
                        "id": "UBERON:0000178",
                        "name_space": "Uberon",
                        "url": "http://purl.obolibrary.org/obo/UBERON_0000178",
                        "loinc_code": "55180-4"
                    }
                ],
                "evidence_source": [
                    {
                        "id": "27446579",
                        "database": "Pubmed",
                        "url": "https://pubmed.ncbi.nlm.nih.gov/27446579",
                        "evidence_list": [
                            {
                                "evidence": "There was a significant difference in the median serum levels of HE4 in breast cancer patients, ovarian cancer patients and healthy volunteers (14.63, 16.47 and 11.52 pmol/l, respectively; P=0.013). No significant differences between the breast cancer and ovarian cancer patient groups was observed, the median serum levels of HE4 in these groups were significantly higher than those in the healthy volunteer group (P=0.006 and P=0.017, respectively).The cutoff value for the prediction of breast cancer was determined at >13.24 pmol/l for HE4 with a sensitivity of 61.11%, specificity of 68.75%, positive predictive value of 81.48%, negative predictive value of 44.0% and accuracy of 63.46% [AUC, 0.740 (95% CI, 0.604‚Äì0.875), P=0.006] A significant elevation of serum HE4 levels in patients with breast cancer compared with that in healthy controls was identified. HE4 may serve as a novel biomarker for the diagnosis of breast cancer."
                            }
                        ],
                        "tags": [
                            {
                                "tag": "biomarker"
                            },
                            {
                                "tag": "assessed_biomarker_entity"
                            },
                            {
                                "tag": "specimen:UBERON:0000178"
                            }
                        ]
                    }
                ]
            }
        ],
        "best_biomarker_role": [
            {
                "role": "diagnostic"
            }
        ],
        "condition": {
            "id": "DOID:1612",
            "recommended_name": {
                "id": "DOID:1612",
                "name": "breast cancer",
                "description": "A thoracic cancer that originates in the mammary gland.",
                "resource": "Disease Ontology",
                "url": "http://purl.obolibrary.org/obo/DOID_1612"
            },
            "synonyms": [
                {
                    "id": "DOID:1612",
                    "name": "malignant tumor of the breast",
                    "resource": "Disease Ontology",
                    "url": "http://purl.obolibrary.org/obo/DOID_1612"
                },
                {
                    "id": "DOID:1612",
                    "name": "breast tumor",
                    "resource": "Disease Ontology",
                    "url": "http://purl.obolibrary.org/obo/DOID_1612"
                },
                {
                    "id": "DOID:1612",
                    "name": "mammary cancer",
                    "resource": "Disease Ontology",
                    "url": "http://purl.obolibrary.org/obo/DOID_1612"
                },
                {
                    "id": "DOID:1612",
                    "name": "primary breast cancer",
                    "resource": "Disease Ontology",
                    "url": "http://purl.obolibrary.org/obo/DOID_1612"
                },
                {
                    "id": "DOID:1612",
                    "name": "mammary tumor",
                    "resource": "Disease Ontology",
                    "url": "http://purl.obolibrary.org/obo/DOID_1612"
                },
                {
                    "id": "DOID:1612",
                    "name": "malignant neoplasm of breast",
                    "resource": "Disease Ontology",
                    "url": "http://purl.obolibrary.org/obo/DOID_1612"
                }
            ]
        },
        "evidence_source": [
            {
                "id": "27446579",
                "database": "Pubmed",
                "url": "https://pubmed.ncbi.nlm.nih.gov/27446579",
                "evidence_list": [
                    {
                        "evidence": "There was a significant difference in the median serum levels of HE4 in breast cancer patients, ovarian cancer patients and healthy volunteers (14.63, 16.47 and 11.52 pmol/l, respectively; P=0.013). No significant differences between the breast cancer and ovarian cancer patient groups was observed, the median serum levels of HE4 in these groups were significantly higher than those in the healthy volunteer group (P=0.006 and P=0.017, respectively).The cutoff value for the prediction of breast cancer was determined at >13.24 pmol/l for HE4 with a sensitivity of 61.11%, specificity of 68.75%, positive predictive value of 81.48%, negative predictive value of 44.0% and accuracy of 63.46% [AUC, 0.740 (95% CI, 0.604‚Äì0.875), P=0.006] A significant elevation of serum HE4 levels in patients with breast cancer compared with that in healthy controls was identified. HE4 may serve as a novel biomarker for the diagnosis of breast cancer."
                    }
                ],
                "tags": [
                    {
                        "tag": "best_biomarker_role"
                    },
                    {
                        "tag": "condition"
                    }
                ]
            }
        ],
        "citation": [
            {
                "title": "A new marker for breast cancer diagnosis, human epididymis protein 4: A preliminary study.",
                "journal": "Molecular and clinical oncology",
                "authors": "Gündüz UR, Gunaldi M, Isiksacan N, Gündüz S, Okuturlar Y, Kocoglu H",
                "date": "2016-07-23",
                "evidence": [],
                "reference": [
                    {
                        "id": "27446579",
                        "type": "Pubmed",
                        "url": "https://pubmed.ncbi.nlm.nih.gov/27446579"
                    }
                ]
            }
        ],
        "biomarker_canonical_id": "AN6314",
        "score": 2,
        "score_info": {
            "contributions": [
                {
                    "c": "first_pmid",
                    "w": 1,
                    "f": 1
                },
                {
                    "c": "other_pmid",
                    "w": 0.2,
                    "f": 0
                },
                {
                    "c": "first_source",
                    "w": 1,
                    "f": 0
                },
                {
                    "c": "other_source",
                    "w": 0.1,
                    "f": 0
                },
                {
                    "c": "generic_condition_pen",
                    "w": -4,
                    "f": 0
                },
                {
                    "c": "loinc",
                    "w": 1,
                    "f": 1
                }
            ],
            "formula": "sum(w*f)",
            "variables": {
                "w": "weight",
                "f": "frequency",
                "c": "condition"
            }
        },
        "collision": 0
    },
    {
        "biomarker_id": "AN6315-1",
        "biomarker_component": [
            {
                "biomarker": "increased KRT19 level",
                "assessed_biomarker_entity": {
                    "recommended_name": "Cytokeratin-19 fragment",
                    "synonyms": [
                        {
                            "synonym": "Cytokeratin-19"
                        },
                        {
                            "synonym": "CK-19"
                        },
                        {
                            "synonym": "Keratin-19"
                        },
                        {
                            "synonym": "K19"
                        }
                    ]
                },
                "assessed_biomarker_entity_id": "UPKB:P08727",
                "assessed_entity_type": "protein",
                "specimen": [
                    {
                        "name": "blood",
                        "id": "UBERON:0000178",
                        "name_space": "Uberon",
                        "url": "http://purl.obolibrary.org/obo/UBERON_0000178",
                        "loinc_code": ""
                    }
                ],
                "evidence_source": [
                    {
                        "id": "16033098",
                        "database": "Pubmed",
                        "url": "https://pubmed.ncbi.nlm.nih.gov/16033098",
                        "evidence_list": [
                            {
                                "evidence": "Tumor marker serum levels were related to histological type and tumor extension, with ProGRP being the most sensitive marker in SCLC, CEA in adenocarcinomas and CYFRA 21-1 in squamous tumors. The most sensitive combinations of tumor markers were ProGRP and NSE in SCLC (88%), and CEA plus CYFRA in NSCLC (82%). In summary, ProGRP is the tumor marker of choice in SCLC and NSE is a complementary tumor marker in this histological type."
                            }
                        ],
                        "tags": [
                            {
                                "tag": "biomarker"
                            },
                            {
                                "tag": "assessed_biomarker_entity"
                            },
                            {
                                "tag": "specimen:UBERON:0000178"
                            }
                        ]
                    },
                    {
                        "id": "7541742",
                        "database": "Pubmed",
                        "url": "https://pubmed.ncbi.nlm.nih.gov/7541742",
                        "evidence_list": [
                            {
                                "evidence": "Cyfra 21-1 levels were significantly higher in advanced NSCLC than in early-stage disease. All 29 patients with serum concentrations > 32 ng/mL had stage IIIB-IV and only one of 14 patients with stage I-II disease had Cyfra 21-1 level > 18 ng/mL. In the multivariate analysis of survival, Cyfra 21-1 was an independent prognostic factor along with performance status and disease stage in NSCLC. Cyfra 21-1 is a sensitive and specific tumor marker of NSCLC, especially of squamous cell subtype. It also reflects the extent of the disease and has an independent prognostic role along with performance status and disease stage in NSCLC. Cyfra 21-1 was an independent prognostic factor along with performance status and disease stage in NSCLC."
                            }
                        ],
                        "tags": [
                            {
                                "tag": "biomarker"
                            },
                            {
                                "tag": "assessed_biomarker_entity"
                            },
                            {
                                "tag": "specimen:UBERON:0000178"
                            }
                        ]
                    }
                ]
            }
        ],
        "best_biomarker_role": [
            {
                "role": "prognostic"
            }
        ],
        "condition": {
            "id": "DOID:1324",
            "recommended_name": {
                "id": "DOID:1324",
                "name": "lung cancer",
                "description": "A respiratory system cancer that is located_in the lung.",
                "resource": "Disease Ontology",
                "url": "http://purl.obolibrary.org/obo/DOID_1324"
            },
            "synonyms": []
        },
        "evidence_source": [
            {
                "id": "16033098",
                "database": "Pubmed",
                "url": "https://pubmed.ncbi.nlm.nih.gov/16033098",
                "evidence_list": [
                    {
                        "evidence": "Tumor marker serum levels were related to histological type and tumor extension, with ProGRP being the most sensitive marker in SCLC, CEA in adenocarcinomas and CYFRA 21-1 in squamous tumors. The most sensitive combinations of tumor markers were ProGRP and NSE in SCLC (88%), and CEA plus CYFRA in NSCLC (82%). In summary, ProGRP is the tumor marker of choice in SCLC and NSE is a complementary tumor marker in this histological type."
                    }
                ],
                "tags": [
                    {
                        "tag": "best_biomarker_role"
                    },
                    {
                        "tag": "condition"
                    }
                ]
            },
            {
                "id": "7541742",
                "database": "Pubmed",
                "url": "https://pubmed.ncbi.nlm.nih.gov/7541742",
                "evidence_list": [
                    {
                        "evidence": "Cyfra 21-1 levels were significantly higher in advanced NSCLC than in early-stage disease. All 29 patients with serum concentrations > 32 ng/mL had stage IIIB-IV and only one of 14 patients with stage I-II disease had Cyfra 21-1 level > 18 ng/mL. In the multivariate analysis of survival, Cyfra 21-1 was an independent prognostic factor along with performance status and disease stage in NSCLC. Cyfra 21-1 is a sensitive and specific tumor marker of NSCLC, especially of squamous cell subtype. It also reflects the extent of the disease and has an independent prognostic role along with performance status and disease stage in NSCLC. Cyfra 21-1 was an independent prognostic factor along with performance status and disease stage in NSCLC."
                    }
                ],
                "tags": [
                    {
                        "tag": "best_biomarker_role"
                    },
                    {
                        "tag": "condition"
                    }
                ]
            }
        ],
        "citation": [
            {
                "title": "Pro-gastrin-releasing peptide (proGRP) in patients with benign and malignant diseases: comparison with CEA, SCC, CYFRA 21-1 and NSE in patients with lung cancer.",
                "journal": "Anticancer research",
                "authors": "Molina R, Auge JM, Filella X, Viñolas N, Alicarte J, Domingo JM, Ballesta AM",
                "date": "2005-07-22",
                "evidence": [],
                "reference": [
                    {
                        "id": "16033098",
                        "type": "Pubmed",
                        "url": "https://pubmed.ncbi.nlm.nih.gov/16033098"
                    }
                ]
            },
            {
                "title": "Cyfra 21-1 as a biologic marker of non-small cell lung cancer. Evaluation of sensitivity, specificity, and prognostic role.",
                "journal": "Chest",
                "authors": "Wieskopf B, Demangeat C, Purohit A, Stenger R, Gries P, Kreisman H, Quoix E",
                "date": "1995-07-01",
                "evidence": [],
                "reference": [
                    {
                        "id": "7541742",
                        "type": "Pubmed",
                        "url": "https://pubmed.ncbi.nlm.nih.gov/7541742"
                    }
                ]
            }
        ],
        "biomarker_canonical_id": "AN6315",
        "score": 1.4,
        "score_info": {
            "contributions": [
                {
                    "c": "first_pmid",
                    "w": 1,
                    "f": 1
                },
                {
                    "c": "other_pmid",
                    "w": 0.2,
                    "f": 2
                },
                {
                    "c": "first_source",
                    "w": 1,
                    "f": 0
                },
                {
                    "c": "other_source",
                    "w": 0.1,
                    "f": 0
                },
                {
                    "c": "generic_condition_pen",
                    "w": -4,
                    "f": 0
                },
                {
                    "c": "loinc",
                    "w": 1,
                    "f": 0
                }
            ],
            "formula": "sum(w*f)",
            "variables": {
                "f": "frequency",
                "c": "condition",
                "w": "weight"
            }
        },
        "collision": 0
    },
    {
        "biomarker_id": "AN6315-2",
        "biomarker_component": [
            {
                "biomarker": "increased KRT19 level",
                "assessed_biomarker_entity": {
                    "recommended_name": "Cytokeratin-19 fragment",
                    "synonyms": [
                        {
                            "synonym": "Cytokeratin-19"
                        },
                        {
                            "synonym": "CK-19"
                        },
                        {
                            "synonym": "Keratin-19"
                        },
                        {
                            "synonym": "K19"
                        }
                    ]
                },
                "assessed_biomarker_entity_id": "UPKB:P08727",
                "assessed_entity_type": "protein",
                "specimen": [
                    {
                        "name": "blood",
                        "id": "UBERON:0000178",
                        "name_space": "Uberon",
                        "url": "http://purl.obolibrary.org/obo/UBERON_0000178",
                        "loinc_code": ""
                    }
                ],
                "evidence_source": [
                    {
                        "id": "32347972",
                        "database": "Pubmed",
                        "url": "https://pubmed.ncbi.nlm.nih.gov/32347972",
                        "evidence_list": [
                            {
                                "evidence": "This is the first report with such a substantial evaluation of cancer biomarkers on a large patient population of COVID-19. Our data demonstrate that levels of serum HE4, CYFRA21-1, CEA, CA125, CA153, SCC, and NSE are positively associated with CRP, a crucial factor in correlation with the severity of the disease. We concluded that elevations of serum cancer biomarkers positively correlated with the pathological progressions of COVID-19, demonstrating diffuse and acute pathophysiological injuries in COVID-19."
                            }
                        ],
                        "tags": [
                            {
                                "tag": "biomarker"
                            },
                            {
                                "tag": "assessed_biomarker_entity"
                            },
                            {
                                "tag": "specimen:UBERON:0000178"
                            }
                        ]
                    },
                    {
                        "id": "32347972",
                        "database": "Pubmed",
                        "url": "https://pubmed.ncbi.nlm.nih.gov/32347972",
                        "evidence_list": [
                            {
                                "evidence": "Increases in levels of Human epididymis protein 4 (HE4), Cytokeratin-19 fragment (CYFRA21-1) Carcinoembryonic antigen (CEA), Carbohydrate antigen 125 (CA125), Carbohydrate antigen 153 (CA153), Squamous cell carcinoma antigen (SCC), Carbohydrate antigen 199 (CA199). There were positive associations between levels of C-reactive protein and levels of HE4 (R= 0.631, p<0.001), CYFRA21-1 (R= 0.431, p<0.001), CEA (R= 0.316, p<0.001), SCC (R= 0.351, p<0.001), CA153 (R= 0.359, p<0.001) and CA125 (R= 0.223, p=0.031). We concluded that elevations of serum cancer biomarkers positively correlated with the pathological progressions of COVID-19, demonstrating diffuse and acute lung injuries."
                            }
                        ],
                        "tags": [
                            {
                                "tag": "biomarker"
                            },
                            {
                                "tag": "assessed_biomarker_entity"
                            },
                            {
                                "tag": "specimen:UBERON:0000178"
                            }
                        ]
                    },
                    {
                        "id": "32504736",
                        "database": "Pubmed",
                        "url": "https://pubmed.ncbi.nlm.nih.gov/32504736",
                        "evidence_list": [
                            {
                                "evidence": "In short, we concluded that the concentrations of tumor biomarkers of CEA, CYFRA21-1, NSE, SCCA, ProGRP were elevated in COVID-19 patients, and that CEA, CYFRA21-1, SCCA could predict the clinical outcome of COVID-19 patients."
                            }
                        ],
                        "tags": [
                            {
                                "tag": "biomarker"
                            },
                            {
                                "tag": "assessed_biomarker_entity"
                            },
                            {
                                "tag": "specimen:UBERON:0000178"
                            }
                        ]
                    },
                    {
                        "id": "32347972",
                        "database": "Pubmed",
                        "url": "https://pubmed.ncbi.nlm.nih.gov/32347972",
                        "evidence_list": [
                            {
                                "evidence": "Significant increases in levels of human epididymis protein 4 (HE4), cytokeratin-19 fragment (CYFRA21-1), carcinoembryonic antigen (CEA), carbohydrate antigens (CA) 125 , and 153 Squamous cell carcinoma antigen (SCC) and CA199 increased significantly."
                            }
                        ],
                        "tags": [
                            {
                                "tag": "biomarker"
                            },
                            {
                                "tag": "assessed_biomarker_entity"
                            },
                            {
                                "tag": "specimen:UBERON:0000178"
                            }
                        ]
                    },
                    {
                        "id": "32347972",
                        "database": "Pubmed",
                        "url": "https://pubmed.ncbi.nlm.nih.gov/32347972",
                        "evidence_list": [
                            {
                                "evidence": "Presence of elevated CYFRA21 levels shown as predictor of COVID-19 severity."
                            }
                        ],
                        "tags": [
                            {
                                "tag": "biomarker"
                            },
                            {
                                "tag": "assessed_biomarker_entity"
                            },
                            {
                                "tag": "specimen:UBERON:0000178"
                            }
                        ]
                    },
                    {
                        "id": "32504736",
                        "database": "Pubmed",
                        "url": "https://pubmed.ncbi.nlm.nih.gov/32504736",
                        "evidence_list": [
                            {
                                "evidence": "Increased levels of CYFRA21-1 were observed in COVID-19 patients, and could predict the clinical outcome of patients."
                            }
                        ],
                        "tags": [
                            {
                                "tag": "biomarker"
                            },
                            {
                                "tag": "assessed_biomarker_entity"
                            },
                            {
                                "tag": "specimen:UBERON:0000178"
                            }
                        ]
                    },
                    {
                        "id": "32347972",
                        "database": "Pubmed",
                        "url": "https://pubmed.ncbi.nlm.nih.gov/32347972",
                        "evidence_list": [
                            {
                                "evidence": "Additional cancer biomarkers such as carcinoembryonic antigen (CEA), carbohydrate antigens 125 and 153, squamous cell carcinoma antigen (SCC) and neuron-specific enolase (NSE) increased significantly in many critical cases. [DOI:10.2139/ssrn.3552854] Increases in levels of Human epididymis protein 4 (HE4), Cytokeratin-19 fragment (CYFRA21-1) Carcinoembryonic antigen (CEA), Carbohydrate antigen 125 (CA125), Carbohydrate antigen 153 (CA153), Squamous cell carcinoma antigen (SCC), Carbohydrate antigen 199 (CA199). There were positive associations between levels of C-reactive protein and levels of HE4 (R= 0.631, p<0.001), CYFRA21-1(R= 0.431, p<0.001), CEA (R= 0.316, p<0.001), SCC (R= 0.351, p<0.001), CA153 (R= 0.359, p<0.001) and CA125 (R= 0.223, p=0.031). We concluded that elevations of serum cancer biomarkers positively correlated with the pathological progressions of COVID-19, demonstrating diffuse and acute lung injuries."
                            }
                        ],
                        "tags": [
                            {
                                "tag": "biomarker"
                            },
                            {
                                "tag": "assessed_biomarker_entity"
                            },
                            {
                                "tag": "specimen:UBERON:0000178"
                            }
                        ]
                    }
                ]
            }
        ],
        "best_biomarker_role": [
            {
                "role": "prognostic"
            }
        ],
        "condition": {
            "id": "DOID:0080600",
            "recommended_name": {
                "id": "DOID:0080600",
                "name": "COVID-19",
                "description": "A Coronavirus infectious disease that is characterized by fever, cough and shortness of breath and that has_material_basis_in SARS-CoV-2.",
                "resource": "Disease Ontology",
                "url": "http://purl.obolibrary.org/obo/DOID_0080600"
            },
            "synonyms": [
                {
                    "id": "DOID:0080600",
                    "name": "SARS-CoV-2 infection",
                    "resource": "Disease Ontology",
                    "url": "http://purl.obolibrary.org/obo/DOID_0080600"
                },
                {
                    "id": "DOID:0080600",
                    "name": "Wuhan coronavirus infection",
                    "resource": "Disease Ontology",
                    "url": "http://purl.obolibrary.org/obo/DOID_0080600"
                },
                {
                    "id": "DOID:0080600",
                    "name": "COVID19",
                    "resource": "Disease Ontology",
                    "url": "http://purl.obolibrary.org/obo/DOID_0080600"
                },
                {
                    "id": "DOID:0080600",
                    "name": "Wuhan seafood market pneumonia virus infection",
                    "resource": "Disease Ontology",
                    "url": "http://purl.obolibrary.org/obo/DOID_0080600"
                },
                {
                    "id": "DOID:0080600",
                    "name": "2019-nCoV infection",
                    "resource": "Disease Ontology",
                    "url": "http://purl.obolibrary.org/obo/DOID_0080600"
                },
                {
                    "id": "DOID:0080600",
                    "name": "2019 Novel Coronavirus (2019-nCoV)",
                    "resource": "Disease Ontology",
                    "url": "http://purl.obolibrary.org/obo/DOID_0080600"
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                "id": "32347972",
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                        "evidence": "This is the first report with such a substantial evaluation of cancer biomarkers on a large patient population of COVID-19. Our data demonstrate that levels of serum HE4, CYFRA21-1, CEA, CA125, CA153, SCC, and NSE are positively associated with CRP, a crucial factor in correlation with the severity of the disease. We concluded that elevations of serum cancer biomarkers positively correlated with the pathological progressions of COVID-19, demonstrating diffuse and acute pathophysiological injuries in COVID-19."
                    },
                    {
                        "evidence": "Increases in levels of Human epididymis protein 4 (HE4), Cytokeratin-19 fragment (CYFRA21-1) Carcinoembryonic antigen (CEA), Carbohydrate antigen 125 (CA125), Carbohydrate antigen 153 (CA153), Squamous cell carcinoma antigen (SCC), Carbohydrate antigen 199 (CA199). There were positive associations between levels of C-reactive protein and levels of HE4 (R= 0.631, p<0.001), CYFRA21-1 (R= 0.431, p<0.001), CEA (R= 0.316, p<0.001), SCC (R= 0.351, p<0.001), CA153 (R= 0.359, p<0.001) and CA125 (R= 0.223, p=0.031). We concluded that elevations of serum cancer biomarkers positively correlated with the pathological progressions of COVID-19, demonstrating diffuse and acute lung injuries."
                    },
                    {
                        "evidence": "Significant increases in levels of human epididymis protein 4 (HE4), cytokeratin-19 fragment (CYFRA21-1), carcinoembryonic antigen (CEA), carbohydrate antigens (CA) 125 , and 153 Squamous cell carcinoma antigen (SCC) and CA199 increased significantly."
                    },
                    {
                        "evidence": "Presence of elevated CYFRA21 levels shown as predictor of COVID-19 severity."
                    }
                ],
                "tags": [
                    {
                        "tag": "condition"
                    },
                    {
                        "tag": "best_biomarker_role"
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                ]
            },
            {
                "id": "32504736",
                "database": "Pubmed",
                "url": "https://pubmed.ncbi.nlm.nih.gov/32504736",
                "evidence_list": [
                    {
                        "evidence": "In short, we concluded that the concentrations of tumor biomarkers of CEA, CYFRA21-1, NSE, SCCA, ProGRP were elevated in COVID-19 patients, and that CEA, CYFRA21-1, SCCA could predict the clinical outcome of COVID-19 patients."
                    },
                    {
                        "evidence": "Increased levels of CYFRA21-1 were observed in COVID-19 patients, and could predict the clinical outcome of patients."
                    }
                ],
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                    {
                        "tag": "condition"
                    },
                    {
                        "tag": "best_biomarker_role"
                    }
                ]
            }
        ],
        "citation": [
            {
                "title": "Elevations of serum cancer biomarkers correlate with severity of COVID-19.",
                "journal": "Journal of medical virology",
                "authors": "Wei X, Su J, Yang K, Wei J, Wan H, Cao X, Tan W, Wang H",
                "date": "2020-04-30",
                "evidence": [],
                "reference": [
                    {
                        "id": "32347972",
                        "type": "Pubmed",
                        "url": "https://pubmed.ncbi.nlm.nih.gov/32347972"
                    }
                ]
            },
            {
                "title": "Tumor biomarkers predict clinical outcome of COVID-19 patients.",
                "journal": "The Journal of infection",
                "authors": "He B, Zhong A, Wu Q, Liu X, Lin J, Chen C, He Y, Guo Y, Zhang M, Zhu P, Wu J, Wang C, Wang S, Xia X",
                "date": "2020-06-07",
                "evidence": [],
                "reference": [
                    {
                        "id": "32504736",
                        "type": "Pubmed",
                        "url": "https://pubmed.ncbi.nlm.nih.gov/32504736"
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        },
        "collision": 0
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    {
        "biomarker_id": "AN6315-3",
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            {
                "biomarker": "increased KRT19 level",
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                            "synonym": "Keratin-19"
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                },
                "assessed_biomarker_entity_id": "UPKB:P08727",
                "assessed_entity_type": "protein",
                "specimen": [
                    {
                        "name": "urine",
                        "id": "UBERON:0001088",
                        "name_space": "Uberon",
                        "url": "http://purl.obolibrary.org/obo/UBERON_0001088",
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                    {
                        "id": "25966163",
                        "database": "Pubmed",
                        "url": "https://pubmed.ncbi.nlm.nih.gov/25966163",
                        "evidence_list": [
                            {
                                "evidence": "In all studies considered, patients with bladder cancer had a higher CYFRA21-1 level than healthy subjects. Based on our results, CYFRA21-1 level may be a diagnostic biomarker for diagnosing bladder cancer as well as a possible biomarker for differentiation between local and metastatic bladder cancer."
                            }
                        ],
                        "tags": [
                            {
                                "tag": "biomarker"
                            },
                            {
                                "tag": "assessed_biomarker_entity"
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                            {
                                "tag": "specimen:UBERON:0001088"
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        ],
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                    "resource": "Disease Ontology",
                    "url": "http://purl.obolibrary.org/obo/DOID_11054"
                },
                {
                    "id": "DOID:11054",
                    "name": "bladder cancer",
                    "resource": "Disease Ontology",
                    "url": "http://purl.obolibrary.org/obo/DOID_11054"
                }
            ]
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            {
                "id": "25966163",
                "database": "Pubmed",
                "url": "https://pubmed.ncbi.nlm.nih.gov/25966163",
                "evidence_list": [
                    {
                        "evidence": "In all studies considered, patients with bladder cancer had a higher CYFRA21-1 level than healthy subjects. Based on our results, CYFRA21-1 level may be a diagnostic biomarker for diagnosing bladder cancer as well as a possible biomarker for differentiation between local and metastatic bladder cancer."
                    }
                ],
                "tags": [
                    {
                        "tag": "best_biomarker_role"
                    },
                    {
                        "tag": "condition"
                    }
                ]
            }
        ],
        "citation": [
            {
                "title": "CYFRA21-1 levels could be a biomarker for bladder cancer: a meta-analysis.",
                "journal": "Genetics and molecular research : GMR",
                "authors": "Kuang LI, Song WJ, Qing HM, Yan S, Song FL",
                "date": "2015-05-13",
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                    {
                        "id": "25966163",
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        },
        "collision": 0
    },
    {
        "biomarker_id": "AN6316-1",
        "biomarker_component": [
            {
                "biomarker": "decreased CEACAM5 level",
                "assessed_biomarker_entity": {
                    "recommended_name": "Carcinoembryonic antigen",
                    "synonyms": [
                        {
                            "synonym": "Carcinoembryonic antigen"
                        },
                        {
                            "synonym": "CEA"
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                        {
                            "synonym": "Meconium antigen 100"
                        }
                    ]
                },
                "assessed_biomarker_entity_id": "UPKB:P06731",
                "assessed_entity_type": "protein",
                "specimen": [
                    {
                        "name": "blood",
                        "id": "UBERON:0000178",
                        "name_space": "Uberon",
                        "url": "http://purl.obolibrary.org/obo/UBERON_0000178",
                        "loinc_code": "19166-8"
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                ],
                "evidence_source": [
                    {
                        "id": "11953875",
                        "database": "Pubmed",
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                                "evidence": "In those patients where marker levels of carcinoembryonic antigen decreased more than 33%, a significantly higher risk for relapse and death from disease (both P=0.0001) in univariate analyses was observed. In multivariate analysis this decrease of carcinoembryonic antigen proved to be an independent prognostic factor."
                            }
                        ],
                        "tags": [
                            {
                                "tag": "biomarker"
                            },
                            {
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                            {
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        ],
        "best_biomarker_role": [
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        ],
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                "description": "A thoracic cancer that originates in the mammary gland.",
                "resource": "Disease Ontology",
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                    "resource": "Disease Ontology",
                    "url": "http://purl.obolibrary.org/obo/DOID_1612"
                },
                {
                    "id": "DOID:1612",
                    "name": "mammary cancer",
                    "resource": "Disease Ontology",
                    "url": "http://purl.obolibrary.org/obo/DOID_1612"
                },
                {
                    "id": "DOID:1612",
                    "name": "primary breast cancer",
                    "resource": "Disease Ontology",
                    "url": "http://purl.obolibrary.org/obo/DOID_1612"
                },
                {
                    "id": "DOID:1612",
                    "name": "mammary tumor",
                    "resource": "Disease Ontology",
                    "url": "http://purl.obolibrary.org/obo/DOID_1612"
                },
                {
                    "id": "DOID:1612",
                    "name": "malignant neoplasm of breast",
                    "resource": "Disease Ontology",
                    "url": "http://purl.obolibrary.org/obo/DOID_1612"
                }
            ]
        },
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            {
                "id": "11953875",
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                    {
                        "evidence": "In those patients where marker levels of carcinoembryonic antigen decreased more than 33%, a significantly higher risk for relapse and death from disease (both P=0.0001) in univariate analyses was observed. In multivariate analysis this decrease of carcinoembryonic antigen proved to be an independent prognostic factor."
                    }
                ],
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                    {
                        "tag": "best_biomarker_role"
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                        "tag": "condition"
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        ],
        "citation": [
            {
                "title": "Serum CEA and CA 15-3 as prognostic factors in primary breast cancer.",
                "journal": "British journal of cancer",
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                                "evidence": "In patients with colorectal cancer, CEA was most frequently elevated (54%), followed by CA 242 (46%), CA 19-9 (36%) and CA 72-4 (25%)."
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                        "evidence": "Elevated TBIL, DBIL, and CEA were significantly associated with poor 5-year OS in stage IV CRC patients. Moreover, DBIL could be considered as an independent prognostic biomarker for OS."
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                "authors": "Yang L, Ge LY, Yu T, Liang Y, Yin Y, Chen H",
                "date": "2017-11-24",
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                },
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                    "id": "DOID:2394",
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                    "resource": "Disease Ontology",
                    "url": "http://purl.obolibrary.org/obo/DOID_2394"
                },
                {
                    "id": "DOID:2394",
                    "name": "malignant Ovarian tumor",
                    "resource": "Disease Ontology",
                    "url": "http://purl.obolibrary.org/obo/DOID_2394"
                },
                {
                    "id": "DOID:2394",
                    "name": "ovarian neoplasm",
                    "resource": "Disease Ontology",
                    "url": "http://purl.obolibrary.org/obo/DOID_2394"
                }
            ]
        },
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                        "evidence": "Our results demonstrated that an elevated serum HE4 level was related to the advanced stage of epithelial ovarian cancer. An elevated serum level of HE4 is a poor prognostic factor for PFS in patients with epithelial ovarian cancer who were treated with debulking surgery and adjuvant taxane and platinum-based chemotherapy."
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                "biomarker": "increased PROGRP level",
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                        ],
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                        "evidence": "Tumor biomarkers, such as carcinoembryonic antigen (CEA), cytokeratin 19 fragment (CYFRA21-1), neuron-specific enolase (NSE), squamous cell carcinoma antigen (SCCA) and Pro-Gastrin Releasing Peptide (ProGRP), were elevated in cases than those in controls (pall<0.01."
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        },
        "collision": 0
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    {
        "biomarker_id": "AN6324-1",
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            {
                "biomarker": "increased MUC1 level",
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                        {
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                            "synonym": "Cancer antigen 15-3"
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                            "synonym": "CA 15-3"
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                            "synonym": "Carcinoma-associated mucin"
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                            "synonym": "Episialin"
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                            "synonym": "H23AG"
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                            "synonym": "KL-6"
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                            "synonym": "PEMT"
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                            "synonym": "Peanut-reactive urinary mucin"
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                            "synonym": "PUM"
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                            "synonym": "Polymorphic epithelial mucin"
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                            "synonym": "PEM"
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                        {
                            "synonym": "Tumor-associated epithelial membrane antigen"
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                            "synonym": "EMA"
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                        {
                            "synonym": "Tumor-associated mucin"
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                    ]
                },
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                "assessed_entity_type": "protein",
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                    {
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                                "evidence": "The results indicate an increased level of CA15-3 in breast cancer patients (29.02+/-1.79 IU/ml) as compared to both women with benign tumor and healthy controls (13.78+/-1.24 and 8.92+/-0.48 IU/ml, respectively), and that this increase is associated to advanced stages. Patients with HER2/neu positive malignancies show elevated serum CA15-3 (37.09+/-2.55 IU/ml), as well as patients who developed recurrence (40.75+/-2.11 IU/ml). Study suggests that higher levels of CA 15-3 would be a reliable prognostic marker as they were directly related to advanced stages and recurrence. In addition, persistent elevation of CA 15-3 was associated to HER2/neu positivity in breast cancer patients."
                            }
                        ],
                        "tags": [
                            {
                                "tag": "biomarker"
                            },
                            {
                                "tag": "assessed_biomarker_entity"
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                            {
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            "id": "DOID:1612",
            "recommended_name": {
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                "description": "A thoracic cancer that originates in the mammary gland.",
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                {
                    "id": "DOID:1612",
                    "name": "primary breast cancer",
                    "resource": "Disease Ontology",
                    "url": "http://purl.obolibrary.org/obo/DOID_1612"
                },
                {
                    "id": "DOID:1612",
                    "name": "mammary tumor",
                    "resource": "Disease Ontology",
                    "url": "http://purl.obolibrary.org/obo/DOID_1612"
                },
                {
                    "id": "DOID:1612",
                    "name": "malignant neoplasm of breast",
                    "resource": "Disease Ontology",
                    "url": "http://purl.obolibrary.org/obo/DOID_1612"
                }
            ]
        },
        "evidence_source": [
            {
                "id": "24674678",
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                "evidence_list": [
                    {
                        "evidence": "The results indicate an increased level of CA15-3 in breast cancer patients (29.02+/-1.79 IU/ml) as compared to both women with benign tumor and healthy controls (13.78+/-1.24 and 8.92+/-0.48 IU/ml, respectively), and that this increase is associated to advanced stages. Patients with HER2/neu positive malignancies show elevated serum CA15-3 (37.09+/-2.55 IU/ml), as well as patients who developed recurrence (40.75+/-2.11 IU/ml). Study suggests that higher levels of CA 15-3 would be a reliable prognostic marker as they were directly related to advanced stages and recurrence. In addition, persistent elevation of CA 15-3 was associated to HER2/neu positivity in breast cancer patients."
                    }
                ],
                "tags": [
                    {
                        "tag": "best_biomarker_role"
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                        "tag": "condition"
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                ]
            }
        ],
        "citation": [
            {
                "title": "The significance of CA15-3 in breast cancer patients and its relationship to HER-2 receptor status.",
                "journal": "International journal of immunopathology and pharmacology",
                "authors": "Hashim ZM",
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                        "id": "24674678",
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    {
        "biomarker_id": "AN6325-1",
        "biomarker_component": [
            {
                "biomarker": "elevated KL-6 levels",
                "assessed_biomarker_entity": {
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                        {
                            "synonym": "MUC-1"
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                            "synonym": "Breast carcinoma-associated antigen DF3"
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                            "synonym": "Cancer antigen 15-3"
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                            "synonym": "CA 15-3"
                        },
                        {
                            "synonym": "Carcinoma-associated mucin"
                        },
                        {
                            "synonym": "Episialin"
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                            "synonym": "H23AG"
                        },
                        {
                            "synonym": "Krebs von den Lungen-6"
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                        {
                            "synonym": "KL-6"
                        },
                        {
                            "synonym": "PEMT"
                        },
                        {
                            "synonym": "Peanut-reactive urinary mucin"
                        },
                        {
                            "synonym": "PUM"
                        },
                        {
                            "synonym": "Polymorphic epithelial mucin"
                        },
                        {
                            "synonym": "PEM"
                        },
                        {
                            "synonym": "Tumor-associated epithelial membrane antigen"
                        },
                        {
                            "synonym": "EMA"
                        },
                        {
                            "synonym": "Tumor-associated mucin"
                        }
                    ]
                },
                "assessed_biomarker_entity_id": "UPKB:P15941",
                "assessed_entity_type": "protein",
                "specimen": [
                    {
                        "name": "blood",
                        "id": "UBERON:0000178",
                        "name_space": "Uberon",
                        "url": "http://purl.obolibrary.org/obo/UBERON_0000178",
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                ],
                "evidence_source": [
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                        "id": "32470148",
                        "database": "Pubmed",
                        "url": "https://pubmed.ncbi.nlm.nih.gov/32470148",
                        "evidence_list": [
                            {
                                "evidence": "Increased KL-6 serum concentrations were observed in patients with severe pulmonary involvement, suggesting potential usefulness of KL-6 measurement to evaluate COVID-19 patients prognosis."
                            }
                        ],
                        "tags": [
                            {
                                "tag": "biomarker"
                            },
                            {
                                "tag": "assessed_biomarker_entity"
                            },
                            {
                                "tag": "specimen:UBERON:0000178"
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                        ]
                    }
                ]
            }
        ],
        "best_biomarker_role": [
            {
                "role": "monitoring"
            }
        ],
        "condition": {
            "id": "DOID:0080600",
            "recommended_name": {
                "id": "DOID:0080600",
                "name": "COVID-19",
                "description": "A Coronavirus infectious disease that is characterized by fever, cough and shortness of breath and that has_material_basis_in SARS-CoV-2.",
                "resource": "Disease Ontology",
                "url": "http://purl.obolibrary.org/obo/DOID_0080600"
            },
            "synonyms": [
                {
                    "id": "DOID:0080600",
                    "name": "SARS-CoV-2 infection",
                    "resource": "Disease Ontology",
                    "url": "http://purl.obolibrary.org/obo/DOID_0080600"
                },
                {
                    "id": "DOID:0080600",
                    "name": "Wuhan coronavirus infection",
                    "resource": "Disease Ontology",
                    "url": "http://purl.obolibrary.org/obo/DOID_0080600"
                },
                {
                    "id": "DOID:0080600",
                    "name": "COVID19",
                    "resource": "Disease Ontology",
                    "url": "http://purl.obolibrary.org/obo/DOID_0080600"
                },
                {
                    "id": "DOID:0080600",
                    "name": "Wuhan seafood market pneumonia virus infection",
                    "resource": "Disease Ontology",
                    "url": "http://purl.obolibrary.org/obo/DOID_0080600"
                },
                {
                    "id": "DOID:0080600",
                    "name": "2019-nCoV infection",
                    "resource": "Disease Ontology",
                    "url": "http://purl.obolibrary.org/obo/DOID_0080600"
                },
                {
                    "id": "DOID:0080600",
                    "name": "2019 Novel Coronavirus (2019-nCoV)",
                    "resource": "Disease Ontology",
                    "url": "http://purl.obolibrary.org/obo/DOID_0080600"
                }
            ]
        },
        "evidence_source": [
            {
                "id": "32470148",
                "database": "Pubmed",
                "url": "https://pubmed.ncbi.nlm.nih.gov/32470148",
                "evidence_list": [
                    {
                        "evidence": "Increased KL-6 serum concentrations were observed in patients with severe pulmonary involvement, suggesting potential usefulness of KL-6 measurement to evaluate COVID-19 patients prognosis."
                    }
                ],
                "tags": [
                    {
                        "tag": "best_biomarker_role"
                    },
                    {
                        "tag": "condition"
                    }
                ]
            }
        ],
        "citation": [
            {
                "title": "Serum KL-6 concentrations as a novel biomarker of severe COVID-19.",
                "journal": "Journal of medical virology",
                "authors": "d'Alessandro M, Cameli P, Refini RM, Bergantini L, Alonzi V, Lanzarone N, Bennett D, Rana GD, Montagnani F, Scolletta S, Franchi F, Frediani B, Valente S, Mazzei MA, Bonella F, Bargagli E",
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                        "id": "32470148",
                        "type": "Pubmed",
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                {
                    "c": "loinc",
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            ],
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            "variables": {
                "f": "frequency",
                "c": "condition",
                "w": "weight"
            }
        },
        "collision": 0
    },
    {
        "biomarker_id": "AN6326-1",
        "biomarker_component": [
            {
                "biomarker": "increased SART3 level",
                "assessed_biomarker_entity": {
                    "recommended_name": "Squamous cell carcinoma antigen",
                    "synonyms": [
                        {
                            "synonym": "SART-3"
                        },
                        {
                            "synonym": "Tat-interacting protein of 110 kDa"
                        },
                        {
                            "synonym": "Tip110"
                        },
                        {
                            "synonym": "p110 nuclear RNA-binding protein"
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                    ]
                },
                "assessed_biomarker_entity_id": "UPKB:Q15020",
                "assessed_entity_type": "protein",
                "specimen": [
                    {
                        "name": "blood",
                        "id": "UBERON:0000178",
                        "name_space": "Uberon",
                        "url": "http://purl.obolibrary.org/obo/UBERON_0000178",
                        "loinc_code": "19207-0"
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                ],
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                        "id": "32504736",
                        "database": "Pubmed",
                        "url": "https://pubmed.ncbi.nlm.nih.gov/32504736",
                        "evidence_list": [
                            {
                                "evidence": "In addition, the significant differences of plasma level of CEA, CYFRA21- 1 and SCCA were observed among the subgroups of severity of disease and clinical outcome (Table 1) and plasma level of CEA, CYFRA21-1, SCCA were significantly increased with the advance serverity of disease."
                            }
                        ],
                        "tags": [
                            {
                                "tag": "biomarker"
                            },
                            {
                                "tag": "assessed_biomarker_entity"
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                        "database": "Pubmed",
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                        "evidence_list": [
                            {
                                "evidence": "Additional cancer biomarkers such as carcinoembryonic antigen (CEA), carbohydrate antigens 125 and 153, squamous cell carcinoma antigen (SCC) and neuron-specific enolase (NSE) increased significantly in many critical cases. [DOI:10.2139/ssrn.3552854] Increases in levels of Human epididymis protein 4 (HE4), Cytokeratin-19 fragment (CYFRA21-1) Carcinoembryonic antigen (CEA), Carbohydrate antigen 125 (CA125), Carbohydrate antigen 153 (CA153), Squamous cell carcinoma antigen (SCC), Carbohydrate antigen 199 (CA199). There were positive associations between levels of C-reactive protein and levels of HE4 (R= 0.631, p<0.001), CYFRA21-1(R= 0.431, p<0.001), CEA (R= 0.316, p<0.001), SCC (R= 0.351, p<0.001), CA153 (R= 0.359, p<0.001) and CA125 (R= 0.223, p=0.031). We concluded that elevations of serum cancer biomarkers positively correlated with the pathological progressions of COVID-19, demonstrating diffuse and acute lung injuries."
                            }
                        ],
                        "tags": [
                            {
                                "tag": "biomarker"
                            },
                            {
                                "tag": "assessed_biomarker_entity"
                            },
                            {
                                "tag": "specimen:UBERON:0000178"
                            }
                        ]
                    },
                    {
                        "id": "32504736",
                        "database": "Pubmed",
                        "url": "https://pubmed.ncbi.nlm.nih.gov/32504736",
                        "evidence_list": [
                            {
                                "evidence": "In short, we concluded that the concentrations of tumor biomarkers of CEA, CYFRA21-1, NSE, SCCA, ProGRP were elevated in COVID-19 patients, and that CEA, CYFRA21-1, SCCA could predict the clinical outcome of COVID-19 patients."
                            }
                        ],
                        "tags": [
                            {
                                "tag": "biomarker"
                            },
                            {
                                "tag": "assessed_biomarker_entity"
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                    {
                        "id": "32347972",
                        "database": "Pubmed",
                        "url": "https://pubmed.ncbi.nlm.nih.gov/32347972",
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                            {
                                "evidence": "Significant increases in levels of human epididymis protein 4 (HE4), cytokeratin-19 fragment (CYFRA21-1), carcinoembryonic antigen (CEA), carbohydrate antigens (CA) 125 , and 153 Squamous cell carcinoma antigen (SCC) and CA199 increased significantly."
                            }
                        ],
                        "tags": [
                            {
                                "tag": "biomarker"
                            },
                            {
                                "tag": "assessed_biomarker_entity"
                            },
                            {
                                "tag": "specimen:UBERON:0000178"
                            }
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                    },
                    {
                        "id": "32347972",
                        "database": "Pubmed",
                        "url": "https://pubmed.ncbi.nlm.nih.gov/32347972",
                        "evidence_list": [
                            {
                                "evidence": "Presence of elevated CYFRA21 levels shown as predictor of COVID-19 severity:|Presence of elevated SCC levels shown as predictor of COVID-19 severity."
                            }
                        ],
                        "tags": [
                            {
                                "tag": "biomarker"
                            },
                            {
                                "tag": "assessed_biomarker_entity"
                            },
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                                "tag": "specimen:UBERON:0000178"
                            }
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                    },
                    {
                        "id": "32504736",
                        "database": "Pubmed",
                        "url": "https://pubmed.ncbi.nlm.nih.gov/32504736",
                        "evidence_list": [
                            {
                                "evidence": "Increased levels of CYFRA21-1 were observed in COVID-19 patients, and could predict the clinical outcome of patients."
                            }
                        ],
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                                "tag": "biomarker"
                            },
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                        ]
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                    {
                        "id": "32347972",
                        "database": "Pubmed",
                        "url": "https://pubmed.ncbi.nlm.nih.gov/32347972",
                        "evidence_list": [
                            {
                                "evidence": "Squamous cell carcinoma antigen (SCC) and CA199 increased significantly only in critical cases of COVID-19 as compared with mild and severe cases and normal controls."
                            }
                        ],
                        "tags": [
                            {
                                "tag": "biomarker"
                            },
                            {
                                "tag": "assessed_biomarker_entity"
                            },
                            {
                                "tag": "specimen:UBERON:0000178"
                            }
                        ]
                    }
                ]
            }
        ],
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                "role": "monitoring"
            }
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            "id": "DOID:0080600",
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                "id": "DOID:0080600",
                "name": "COVID-19",
                "description": "A Coronavirus infectious disease that is characterized by fever, cough and shortness of breath and that has_material_basis_in SARS-CoV-2.",
                "resource": "Disease Ontology",
                "url": "http://purl.obolibrary.org/obo/DOID_0080600"
            },
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                    "id": "DOID:0080600",
                    "name": "SARS-CoV-2 infection",
                    "resource": "Disease Ontology",
                    "url": "http://purl.obolibrary.org/obo/DOID_0080600"
                },
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                    "id": "DOID:0080600",
                    "name": "Wuhan coronavirus infection",
                    "resource": "Disease Ontology",
                    "url": "http://purl.obolibrary.org/obo/DOID_0080600"
                },
                {
                    "id": "DOID:0080600",
                    "name": "COVID19",
                    "resource": "Disease Ontology",
                    "url": "http://purl.obolibrary.org/obo/DOID_0080600"
                },
                {
                    "id": "DOID:0080600",
                    "name": "Wuhan seafood market pneumonia virus infection",
                    "resource": "Disease Ontology",
                    "url": "http://purl.obolibrary.org/obo/DOID_0080600"
                },
                {
                    "id": "DOID:0080600",
                    "name": "2019-nCoV infection",
                    "resource": "Disease Ontology",
                    "url": "http://purl.obolibrary.org/obo/DOID_0080600"
                },
                {
                    "id": "DOID:0080600",
                    "name": "2019 Novel Coronavirus (2019-nCoV)",
                    "resource": "Disease Ontology",
                    "url": "http://purl.obolibrary.org/obo/DOID_0080600"
                }
            ]
        },
        "evidence_source": [
            {
                "id": "32347972",
                "database": "Pubmed",
                "url": "https://pubmed.ncbi.nlm.nih.gov/32347972",
                "evidence_list": [
                    {
                        "evidence": "Additional cancer biomarkers such as carcinoembryonic antigen (CEA), carbohydrate antigens 125 and 153, squamous cell carcinoma antigen (SCC) and neuron-specific enolase (NSE) increased significantly in many critical cases. [DOI:10.2139/ssrn.3552854] Increases in levels of Human epididymis protein 4 (HE4), Cytokeratin-19 fragment (CYFRA21-1) Carcinoembryonic antigen (CEA), Carbohydrate antigen 125 (CA125), Carbohydrate antigen 153 (CA153), Squamous cell carcinoma antigen (SCC), Carbohydrate antigen 199 (CA199). There were positive associations between levels of C-reactive protein and levels of HE4 (R= 0.631, p<0.001), CYFRA21-1(R= 0.431, p<0.001), CEA (R= 0.316, p<0.001), SCC (R= 0.351, p<0.001), CA153 (R= 0.359, p<0.001) and CA125 (R= 0.223, p=0.031). We concluded that elevations of serum cancer biomarkers positively correlated with the pathological progressions of COVID-19, demonstrating diffuse and acute lung injuries."
                    },
                    {
                        "evidence": "Squamous cell carcinoma antigen (SCC) and CA199 increased significantly only in critical cases of COVID-19 as compared with mild and severe cases and normal controls."
                    },
                    {
                        "evidence": "Significant increases in levels of human epididymis protein 4 (HE4), cytokeratin-19 fragment (CYFRA21-1), carcinoembryonic antigen (CEA), carbohydrate antigens (CA) 125 , and 153 Squamous cell carcinoma antigen (SCC) and CA199 increased significantly."
                    },
                    {
                        "evidence": "Presence of elevated CYFRA21 levels shown as predictor of COVID-19 severity:|Presence of elevated SCC levels shown as predictor of COVID-19 severity."
                    }
                ],
                "tags": [
                    {
                        "tag": "best_biomarker_role"
                    },
                    {
                        "tag": "condition"
                    }
                ]
            },
            {
                "id": "32504736",
                "database": "Pubmed",
                "url": "https://pubmed.ncbi.nlm.nih.gov/32504736",
                "evidence_list": [
                    {
                        "evidence": "In addition, the significant differences of plasma level of CEA, CYFRA21- 1 and SCCA were observed among the subgroups of severity of disease and clinical outcome (Table 1) and plasma level of CEA, CYFRA21-1, SCCA were significantly increased with the advance serverity of disease."
                    },
                    {
                        "evidence": "In short, we concluded that the concentrations of tumor biomarkers of CEA, CYFRA21-1, NSE, SCCA, ProGRP were elevated in COVID-19 patients, and that CEA, CYFRA21-1, SCCA could predict the clinical outcome of COVID-19 patients."
                    },
                    {
                        "evidence": "Increased levels of CYFRA21-1 were observed in COVID-19 patients, and could predict the clinical outcome of patients."
                    }
                ],
                "tags": [
                    {
                        "tag": "condition"
                    },
                    {
                        "tag": "best_biomarker_role"
                    }
                ]
            }
        ],
        "citation": [
            {
                "title": "Tumor biomarkers predict clinical outcome of COVID-19 patients.",
                "journal": "The Journal of infection",
                "authors": "He B, Zhong A, Wu Q, Liu X, Lin J, Chen C, He Y, Guo Y, Zhang M, Zhu P, Wu J, Wang C, Wang S, Xia X",
                "date": "2020-06-07",
                "evidence": [],
                "reference": [
                    {
                        "id": "32504736",
                        "type": "Pubmed",
                        "url": "https://pubmed.ncbi.nlm.nih.gov/32504736"
                    }
                ]
            },
            {
                "title": "Elevations of serum cancer biomarkers correlate with severity of COVID-19.",
                "journal": "Journal of medical virology",
                "authors": "Wei X, Su J, Yang K, Wei J, Wan H, Cao X, Tan W, Wang H",
                "date": "2020-04-30",
                "evidence": [],
                "reference": [
                    {
                        "id": "32347972",
                        "type": "Pubmed",
                        "url": "https://pubmed.ncbi.nlm.nih.gov/32347972"
                    }
                ]
            }
        ],
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        "score": 2.2,
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        },
        "collision": 0
    },
    {
        "biomarker_id": "AN6326-2",
        "biomarker_component": [
            {
                "biomarker": "increased SART3 level",
                "assessed_biomarker_entity": {
                    "recommended_name": "Squamous cell carcinoma antigen",
                    "synonyms": [
                        {
                            "synonym": "SART-3"
                        },
                        {
                            "synonym": "Tat-interacting protein of 110 kDa"
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                        {
                            "synonym": "Tip110"
                        },
                        {
                            "synonym": "p110 nuclear RNA-binding protein"
                        }
                    ]
                },
                "assessed_biomarker_entity_id": "UPKB:Q15020",
                "assessed_entity_type": "protein",
                "specimen": [
                    {
                        "name": "blood",
                        "id": "UBERON:0000178",
                        "name_space": "Uberon",
                        "url": "http://purl.obolibrary.org/obo/UBERON_0000178",
                        "loinc_code": "19207-0"
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                ],
                "evidence_source": [
                    {
                        "id": "30479085",
                        "database": "Pubmed",
                        "url": "https://pubmed.ncbi.nlm.nih.gov/30479085",
                        "evidence_list": [
                            {
                                "evidence": "Pre-treatment SCC-Ag level higher than 4 ng/mL may be a useful predictor of tumor recurrence in patients with squamous-cell carcinoma of uterine cervix treated with definitive CRT and ICR."
                            }
                        ],
                        "tags": [
                            {
                                "tag": "biomarker"
                            },
                            {
                                "tag": "assessed_biomarker_entity"
                            },
                            {
                                "tag": "specimen:UBERON:0000178"
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                        ]
                    }
                ]
            }
        ],
        "best_biomarker_role": [
            {
                "role": "predictive"
            }
        ],
        "condition": {
            "id": "DOID:4362",
            "recommended_name": {
                "id": "DOID:4362",
                "name": "cervical cancer",
                "description": "A female reproductive organ cancer that is located_in the cervix.",
                "resource": "Disease Ontology",
                "url": "http://purl.obolibrary.org/obo/DOID_4362"
            },
            "synonyms": [
                {
                    "id": "DOID:4362",
                    "name": "tumor of the Cervix Uteri",
                    "resource": "Disease Ontology",
                    "url": "http://purl.obolibrary.org/obo/DOID_4362"
                },
                {
                    "id": "DOID:4362",
                    "name": "cervical neoplasm",
                    "resource": "Disease Ontology",
                    "url": "http://purl.obolibrary.org/obo/DOID_4362"
                },
                {
                    "id": "DOID:4362",
                    "name": "cervix uteri cancer",
                    "resource": "Disease Ontology",
                    "url": "http://purl.obolibrary.org/obo/DOID_4362"
                },
                {
                    "id": "DOID:4362",
                    "name": "cervix cancer",
                    "resource": "Disease Ontology",
                    "url": "http://purl.obolibrary.org/obo/DOID_4362"
                },
                {
                    "id": "DOID:4362",
                    "name": "neoplasm of uterine cervix",
                    "resource": "Disease Ontology",
                    "url": "http://purl.obolibrary.org/obo/DOID_4362"
                },
                {
                    "id": "DOID:4362",
                    "name": "uterine cervical neoplasm",
                    "resource": "Disease Ontology",
                    "url": "http://purl.obolibrary.org/obo/DOID_4362"
                }
            ]
        },
        "evidence_source": [
            {
                "id": "30479085",
                "database": "Pubmed",
                "url": "https://pubmed.ncbi.nlm.nih.gov/30479085",
                "evidence_list": [
                    {
                        "evidence": "Pre-treatment SCC-Ag level higher than 4 ng/mL may be a useful predictor of tumor recurrence in patients with squamous-cell carcinoma of uterine cervix treated with definitive CRT and ICR."
                    }
                ],
                "tags": [
                    {
                        "tag": "best_biomarker_role"
                    },
                    {
                        "tag": "condition"
                    }
                ]
            }
        ],
        "citation": [
            {
                "title": "Significance of elevated SCC-Ag level on tumor recurrence and patient survival in patients with squamous-cell carcinoma of uterine cervix following definitive chemoradiotherapy: a multi-institutional analysis.",
                "journal": "Journal of gynecologic oncology",
                "authors": "Choi KH, Lee SW, Yu M, Jeong S, Lee JW, Lee JH",
                "date": "2018-11-28",
                "evidence": [],
                "reference": [
                    {
                        "id": "30479085",
                        "type": "Pubmed",
                        "url": "https://pubmed.ncbi.nlm.nih.gov/30479085"
                    }
                ]
            }
        ],
        "biomarker_canonical_id": "AN6326",
        "score": 2,
        "score_info": {
            "contributions": [
                {
                    "c": "first_pmid",
                    "w": 1,
                    "f": 1
                },
                {
                    "c": "other_pmid",
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                    "f": 0
                },
                {
                    "c": "first_source",
                    "w": 1,
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                },
                {
                    "c": "other_source",
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                    "f": 0
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                    "c": "generic_condition_pen",
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                    "f": 0
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                {
                    "c": "loinc",
                    "w": 1,
                    "f": 1
                }
            ],
            "formula": "sum(w*f)",
            "variables": {
                "c": "condition",
                "w": "weight",
                "f": "frequency"
            }
        },
        "collision": 0
    },
    {
        "biomarker_id": "AN6328-1",
        "biomarker_component": [
            {
                "biomarker": "increased CA199 level",
                "assessed_biomarker_entity": {
                    "recommended_name": "Carbohydrate antigen 199",
                    "synonyms": []
                },
                "assessed_biomarker_entity_id": "CHEBI:61793",
                "assessed_entity_type": "carbohydrate",
                "specimen": [
                    {
                        "name": "blood",
                        "id": "UBERON:0000178",
                        "name_space": "Uberon",
                        "url": "http://purl.obolibrary.org/obo/UBERON_0000178",
                        "loinc_code": ""
                    }
                ],
                "evidence_source": [
                    {
                        "id": "32347972",
                        "database": "Pubmed",
                        "url": "https://pubmed.ncbi.nlm.nih.gov/32347972",
                        "evidence_list": [
                            {
                                "evidence": "Increases in levels of Human epididymis protein 4 (HE4), Cytokeratin-19 fragment (CYFRA21-1) Carcinoembryonic antigen (CEA), Carbohydrate antigen 125 (CA125), Carbohydrate antigen 153 (CA153), Squamous cell carcinoma antigen (SCC), Carbohydrate antigen 199 (CA199). There were positive associations between levels of C-reactive protein and levels of HE4 (R= 0.631, p<0.001), CYFRA21-1(R= 0.431, p<0.001), CEA (R= 0.316, p<0.001), SCC (R= 0.351, p<0.001), CA153 (R= 0.359, p<0.001) and CA125 (R= 0.223, p=0.031). We concluded that elevations of serum cancer biomarkers positively correlated with the pathological progressions of COVID-19, demonstrating diffuse and acute lung injuries."
                            }
                        ],
                        "tags": [
                            {
                                "tag": "biomarker"
                            },
                            {
                                "tag": "assessed_biomarker_entity"
                            },
                            {
                                "tag": "specimen:UBERON:0000178"
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                        ]
                    },
                    {
                        "id": "32347972",
                        "database": "Pubmed",
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                        "evidence_list": [
                            {
                                "evidence": "Significant increases in levels of human epididymis protein 4 (HE4), cytokeratin-19 fragment (CYFRA21-1), carcinoembryonic antigen (CEA), carbohydrate antigens (CA) 125 , and 153. Squamous cell carcinoma antigen (SCC) and CA199 increased significantly."
                            }
                        ],
                        "tags": [
                            {
                                "tag": "biomarker"
                            },
                            {
                                "tag": "assessed_biomarker_entity"
                            },
                            {
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                        ]
                    }
                ]
            }
        ],
        "best_biomarker_role": [
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        ],
        "condition": {
            "id": "DOID:0080600",
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                "id": "DOID:0080600",
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                "description": "A Coronavirus infectious disease that is characterized by fever, cough and shortness of breath and that has_material_basis_in SARS-CoV-2.",
                "resource": "Disease Ontology",
                "url": "http://purl.obolibrary.org/obo/DOID_0080600"
            },
            "synonyms": [
                {
                    "id": "DOID:0080600",
                    "name": "SARS-CoV-2 infection",
                    "resource": "Disease Ontology",
                    "url": "http://purl.obolibrary.org/obo/DOID_0080600"
                },
                {
                    "id": "DOID:0080600",
                    "name": "Wuhan coronavirus infection",
                    "resource": "Disease Ontology",
                    "url": "http://purl.obolibrary.org/obo/DOID_0080600"
                },
                {
                    "id": "DOID:0080600",
                    "name": "COVID19",
                    "resource": "Disease Ontology",
                    "url": "http://purl.obolibrary.org/obo/DOID_0080600"
                },
                {
                    "id": "DOID:0080600",
                    "name": "Wuhan seafood market pneumonia virus infection",
                    "resource": "Disease Ontology",
                    "url": "http://purl.obolibrary.org/obo/DOID_0080600"
                },
                {
                    "id": "DOID:0080600",
                    "name": "2019-nCoV infection",
                    "resource": "Disease Ontology",
                    "url": "http://purl.obolibrary.org/obo/DOID_0080600"
                },
                {
                    "id": "DOID:0080600",
                    "name": "2019 Novel Coronavirus (2019-nCoV)",
                    "resource": "Disease Ontology",
                    "url": "http://purl.obolibrary.org/obo/DOID_0080600"
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            {
                "id": "32347972",
                "database": "Pubmed",
                "url": "https://pubmed.ncbi.nlm.nih.gov/32347972",
                "evidence_list": [
                    {
                        "evidence": "Increases in levels of Human epididymis protein 4 (HE4), Cytokeratin-19 fragment (CYFRA21-1) Carcinoembryonic antigen (CEA), Carbohydrate antigen 125 (CA125), Carbohydrate antigen 153 (CA153), Squamous cell carcinoma antigen (SCC), Carbohydrate antigen 199 (CA199). There were positive associations between levels of C-reactive protein and levels of HE4 (R= 0.631, p<0.001), CYFRA21-1(R= 0.431, p<0.001), CEA (R= 0.316, p<0.001), SCC (R= 0.351, p<0.001), CA153 (R= 0.359, p<0.001) and CA125 (R= 0.223, p=0.031). We concluded that elevations of serum cancer biomarkers positively correlated with the pathological progressions of COVID-19, demonstrating diffuse and acute lung injuries."
                    },
                    {
                        "evidence": "Significant increases in levels of human epididymis protein 4 (HE4), cytokeratin-19 fragment (CYFRA21-1), carcinoembryonic antigen (CEA), carbohydrate antigens (CA) 125 , and 153. Squamous cell carcinoma antigen (SCC) and CA199 increased significantly."
                    }
                ],
                "tags": [
                    {
                        "tag": "condition"
                    },
                    {
                        "tag": "best_biomarker_role"
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                ]
            }
        ],
        "citation": [
            {
                "title": "Elevations of serum cancer biomarkers correlate with severity of COVID-19.",
                "journal": "Journal of medical virology",
                "authors": "Wei X, Su J, Yang K, Wei J, Wan H, Cao X, Tan W, Wang H",
                "date": "2020-04-30",
                "evidence": [],
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                    {
                        "id": "32347972",
                        "type": "Pubmed",
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        },
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    {
        "biomarker_id": "AN6329-1",
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                "biomarker": "increased CA199 level",
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                },
                "assessed_biomarker_entity_id": "PCCID:643993",
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                            {
                                "evidence": "Squamous cell carcinoma antigen (SCC) and CA199 increased significantly only in critical cases of COVID-19 as compared with mild and severe cases and normal controls."
                            }
                        ],
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                            {
                                "tag": "biomarker"
                            },
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                "resource": "Disease Ontology",
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        "citation": [
            {
                "title": "Elevations of serum cancer biomarkers correlate with severity of COVID-19.",
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                        "id": "32347972",
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    {
        "biomarker_id": "AN6330-1",
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                "biomarker": "increased IFNG level",
                "assessed_biomarker_entity": {
                    "recommended_name": "Interferon gamma",
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                            "synonym": "IFN-gamma"
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                        {
                            "synonym": "Immune interferon"
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                "assessed_biomarker_entity_id": "UPKB:P01579",
                "assessed_entity_type": "protein",
                "specimen": [
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                        "url": "http://purl.obolibrary.org/obo/UBERON_0000178",
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                "evidence_source": [
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                        "id": "31986264",
                        "database": "Pubmed",
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                            {
                                "evidence": "We noted that patients infected with 2019-nCoV also had high amounts of IL1B, IFN gamma, IP10, and MCP1, probably leading to activated T-helper-1 (Th1) cell responses. Initial plasma IL1B concentrations were higher in both ICU patients and non-ICU patients than in healthy adults."
                            }
                        ],
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                                "tag": "biomarker"
                            },
                            {
                                "tag": "assessed_biomarker_entity"
                            },
                            {
                                "tag": "specimen:UBERON:0000178"
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                        ]
                    },
                    {
                        "id": "32576222",
                        "database": "Pubmed",
                        "url": "https://pubmed.ncbi.nlm.nih.gov/32576222",
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                                "evidence": "Levels of VEGF-D, TNF-alpha, SCF, LIF, IL-2, IL-4, IL-6, IL-8, IL-10, IL-15, IL-17A, IL-18, IL-1 beta, and IFN-gamma were significantly higher in the critical group than in the severe group (Table 1)."
                            }
                        ],
                        "tags": [
                            {
                                "tag": "biomarker"
                            },
                            {
                                "tag": "assessed_biomarker_entity"
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        ],
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                "name": "COVID-19",
                "description": "A Coronavirus infectious disease that is characterized by fever, cough and shortness of breath and that has_material_basis_in SARS-CoV-2.",
                "resource": "Disease Ontology",
                "url": "http://purl.obolibrary.org/obo/DOID_0080600"
            },
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                    "id": "DOID:0080600",
                    "name": "SARS-CoV-2 infection",
                    "resource": "Disease Ontology",
                    "url": "http://purl.obolibrary.org/obo/DOID_0080600"
                },
                {
                    "id": "DOID:0080600",
                    "name": "Wuhan coronavirus infection",
                    "resource": "Disease Ontology",
                    "url": "http://purl.obolibrary.org/obo/DOID_0080600"
                },
                {
                    "id": "DOID:0080600",
                    "name": "COVID19",
                    "resource": "Disease Ontology",
                    "url": "http://purl.obolibrary.org/obo/DOID_0080600"
                },
                {
                    "id": "DOID:0080600",
                    "name": "Wuhan seafood market pneumonia virus infection",
                    "resource": "Disease Ontology",
                    "url": "http://purl.obolibrary.org/obo/DOID_0080600"
                },
                {
                    "id": "DOID:0080600",
                    "name": "2019-nCoV infection",
                    "resource": "Disease Ontology",
                    "url": "http://purl.obolibrary.org/obo/DOID_0080600"
                },
                {
                    "id": "DOID:0080600",
                    "name": "2019 Novel Coronavirus (2019-nCoV)",
                    "resource": "Disease Ontology",
                    "url": "http://purl.obolibrary.org/obo/DOID_0080600"
                }
            ]
        },
        "evidence_source": [
            {
                "id": "31986264",
                "database": "Pubmed",
                "url": "https://pubmed.ncbi.nlm.nih.gov/31986264",
                "evidence_list": [
                    {
                        "evidence": "We noted that patients infected with 2019-nCoV also had high amounts of IL1B, IFN gamma, IP10, and MCP1, probably leading to activated T-helper-1 (Th1) cell responses. Initial plasma IL1B concentrations were higher in both ICU patients and non-ICU patients than in healthy adults."
                    }
                ],
                "tags": [
                    {
                        "tag": "best_biomarker_role"
                    },
                    {
                        "tag": "condition"
                    }
                ]
            },
            {
                "id": "32576222",
                "database": "Pubmed",
                "url": "https://pubmed.ncbi.nlm.nih.gov/32576222",
                "evidence_list": [
                    {
                        "evidence": "Levels of VEGF-D, TNF-alpha, SCF, LIF, IL-2, IL-4, IL-6, IL-8, IL-10, IL-15, IL-17A, IL-18, IL-1 beta, and IFN-gamma were significantly higher in the critical group than in the severe group (Table 1)."
                    }
                ],
                "tags": [
                    {
                        "tag": "best_biomarker_role"
                    },
                    {
                        "tag": "condition"
                    }
                ]
            }
        ],
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                        "evidence": "2019-nCoV infection also initiated increased secretion of T-helper-2 (Th2) cytokines (eg, IL4 and IL10) that suppress inflammation, which differs from SARS-CoV infection."
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                "title": "The use of anti-inflammatory drugs in the treatment of people with severe coronavirus disease 2019 (COVID-19): The Perspectives of clinical immunologists from China.",
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                "title": "Clinical investigation of the role of interleukin-4 and interleukin-13 in the evolution of prostate cancer.",
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                            "synonym": "Interferon beta-2"
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                "title": "Serum levels of IL-6, IL-8, and IL-10 are indicators of prognosis in pancreatic cancer.",
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            {
                "title": "[Clinical and prognostic significance of tumor markers cytokeratin 19 fragment, carcinoembryonic antigen, and neuron-specific enolase in lung cancer].",
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                "title": "New and old biomarkers in the differential diagnosis of lung cancer: Pro-gastrin-releasing peptide in comparison with neuron-specific enolase, carcinoembryonic antigen, and CYFRA 21-1.",
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                                "tag": "biomarker"
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            {
                "title": "Thrombomodulin mediates the progression of epithelial ovarian cancer cells.",
                "journal": "Tumour biology : the journal of the International Society for Oncodevelopmental Biology and Medicine",
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        "citation": [
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                "title": "Endotheliopathy in COVID-19-associated coagulopathy: evidence from a single-centre, cross-sectional study.",
                "journal": "The Lancet. Haematology",
                "authors": "Goshua G, Pine AB, Meizlish ML, Chang CH, Zhang H, Bahel P, Baluha A, Bar N, Bona RD, Burns AJ, Dela Cruz CS, Dumont A, Halene S, Hwa J, Koff J, Menninger H, Neparidze N, Price C, Siner JM, Tormey C, Rinder HM, Chun HJ, Lee AI",
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                    "url": "http://purl.obolibrary.org/obo/DOID_3571"
                }
            ]
        },
        "evidence_source": [
            {
                "id": "20012107",
                "database": "Pubmed",
                "url": "https://pubmed.ncbi.nlm.nih.gov/20012107",
                "evidence_list": [
                    {
                        "evidence": "A combined analysis of the C3a fragment, AFP and DCP led to a 98% positive identification rate. In addition, the measurable C3a fragment in some HCC patients was not only significantly higher in the year of HCC onset compared to the pre-onset year, but also decreased after treatment."
                    }
                ],
                "tags": [
                    {
                        "tag": "best_biomarker_role"
                    },
                    {
                        "tag": "condition"
                    }
                ]
            },
            {
                "id": "17522429",
                "database": "Pubmed",
                "url": "https://pubmed.ncbi.nlm.nih.gov/17522429",
                "evidence_list": [
                    {
                        "evidence": "DCP was significantly better than total AFP and AFP-L3 in differentiating HCC from cirrhosis, with a sensitivity of 86% and specificity of 93%. All 3 markers had a lower area under the ROC curve and lower sensitivity in the group with high versus that with low risk for HCC. DCP has the best performance characteristics of all 3 serum markers for the diagnosis of HCC. Performance of all 3 biomarkers is lower in patients with high risk for HCC. Each marker had higher levels in patients with HCC compared to cirrhotic controls."
                    }
                ],
                "tags": [
                    {
                        "tag": "best_biomarker_role"
                    },
                    {
                        "tag": "condition"
                    }
                ]
            },
            {
                "id": "19362088",
                "database": "Pubmed",
                "url": "https://pubmed.ncbi.nlm.nih.gov/19362088",
                "evidence_list": [
                    {
                        "evidence": "AFP was more sensitive than DCP and AFP-L3 for the diagnosis of early and very early stage HCC."
                    }
                ],
                "tags": [
                    {
                        "tag": "best_biomarker_role"
                    },
                    {
                        "tag": "condition"
                    }
                ]
            },
            {
                "id": "16534867",
                "database": "Pubmed",
                "url": "https://pubmed.ncbi.nlm.nih.gov/16534867",
                "evidence_list": [
                    {
                        "evidence": "AFP mRNA has been shown to correlate with the metastasis and recurrence of HCC, and it may be the most useful marker to prefigure the prognosis."
                    }
                ],
                "tags": [
                    {
                        "tag": "best_biomarker_role"
                    },
                    {
                        "tag": "condition"
                    }
                ]
            },
            {
                "id": "18422961",
                "database": "Pubmed",
                "url": "https://pubmed.ncbi.nlm.nih.gov/18422961",
                "evidence_list": [
                    {
                        "evidence": "Levels of DCP, AFP and AFP L-3 were significantly higher in patients with HCC than in those without HCC."
                    }
                ],
                "tags": [
                    {
                        "tag": "best_biomarker_role"
                    },
                    {
                        "tag": "condition"
                    }
                ]
            },
            {
                "id": "12717392",
                "database": "Pubmed",
                "url": "https://pubmed.ncbi.nlm.nih.gov/12717392",
                "evidence_list": [
                    {
                        "evidence": "DCP was more sensitive and specific than AFP for differentiating HCC from nonmalignant chronic liver disease."
                    }
                ],
                "tags": [
                    {
                        "tag": "best_biomarker_role"
                    },
                    {
                        "tag": "condition"
                    }
                ]
            },
            {
                "id": "25382443",
                "database": "Pubmed",
                "url": "https://pubmed.ncbi.nlm.nih.gov/25382443",
                "evidence_list": [
                    {
                        "evidence": "This study aimed to investigate the clinical utility of simultaneous measurement of des-gamma-carboxy prothrombin (DCP) for hepatocellular carcinoma (HCC) diagnosis caused by hepatitis B virus infection. Subjects were 1,153 individuals had serum levels of DCP that were measured and clinicopathological features were determined for all subjects. Results showed that the levels of DCP and AFP were significantly higher in hepatocellular carcinoma group (550 patients, 74.18% with HBV infection) than that in other four groups (P < 0.001). Receiver operating curves (ROC) indicated the optimal cut-off value was 86 mAU/mL for DCP with a sensitivity of 71.50% and specificity of 86.30%. The area under ROC curve was 0.846 for AFP."
                    }
                ],
                "tags": [
                    {
                        "tag": "best_biomarker_role"
                    },
                    {
                        "tag": "condition"
                    }
                ]
            }
        ],
        "citation": [
            {
                "title": "The complement component C3a fragment is a potential biomarker for hepatitis C virus-related hepatocellular carcinoma.",
                "journal": "Journal of gastroenterology",
                "authors": "Kanmura S, Uto H, Sato Y, Kumagai K, Sasaki F, Moriuchi A, Oketani M, Ido A, Nagata K, Hayashi K, Stuver SO, Tsubouchi H",
                "date": "2009-12-17",
                "evidence": [],
                "reference": [
                    {
                        "id": "20012107",
                        "type": "Pubmed",
                        "url": "https://pubmed.ncbi.nlm.nih.gov/20012107"
                    }
                ]
            },
            {
                "title": "Risk factors for hepatocellular carcinoma may impair the performance of biomarkers: a comparison of AFP, DCP, and AFP-L3.",
                "journal": "Cancer biomarkers : section A of Disease markers",
                "authors": "Volk ML, Hernandez JC, Su GL, Lok AS, Marrero JA",
                "date": "2007-05-25",
                "evidence": [],
                "reference": [
                    {
                        "id": "17522429",
                        "type": "Pubmed",
                        "url": "https://pubmed.ncbi.nlm.nih.gov/17522429"
                    }
                ]
            },
            {
                "title": "Alpha-fetoprotein, des-gamma carboxyprothrombin, and lectin-bound alpha-fetoprotein in early hepatocellular carcinoma.",
                "journal": "Gastroenterology",
                "authors": "Marrero JA, Feng Z, Wang Y, Nguyen MH, Befeler AS, Roberts LR, Reddy KR, Harnois D, Llovet JM, Normolle D, Dalhgren J, Chia D, Lok AS, Wagner PD, Srivastava S, Schwartz M",
                "date": "2009-04-14",
                "evidence": [],
                "reference": [
                    {
                        "id": "19362088",
                        "type": "Pubmed",
                        "url": "https://pubmed.ncbi.nlm.nih.gov/19362088"
                    }
                ]
            },
            {
                "title": "Serum tumor markers for detection of hepatocellular carcinoma.",
                "journal": "World journal of gastroenterology",
                "authors": "Zhou L, Liu J, Luo F",
                "date": "2006-03-15",
                "evidence": [],
                "reference": [
                    {
                        "id": "16534867",
                        "type": "Pubmed",
                        "url": "https://pubmed.ncbi.nlm.nih.gov/16534867"
                    }
                ]
            },
            {
                "title": "Des-gamma-carboxyprothrombin, alpha-fetoprotein and AFP-L3 in patients with chronic hepatitis, cirrhosis and hepatocellular carcinoma.",
                "journal": "Journal of gastroenterology and hepatology",
                "authors": "Durazo FA, Blatt LM, Corey WG, Lin JH, Han S, Saab S, Busuttil RW, Tong MJ",
                "date": "2008-04-22",
                "evidence": [],
                "reference": [
                    {
                        "id": "18422961",
                        "type": "Pubmed",
                        "url": "https://pubmed.ncbi.nlm.nih.gov/18422961"
                    }
                ]
            },
            {
                "title": "Des-gamma carboxyprothrombin can differentiate hepatocellular carcinoma from nonmalignant chronic liver disease in american patients.",
                "journal": "Hepatology (Baltimore, Md.)",
                "authors": "Marrero JA, Su GL, Wei W, Emick D, Conjeevaram HS, Fontana RJ, Lok AS",
                "date": "2003-04-30",
                "evidence": [],
                "reference": [
                    {
                        "id": "12717392",
                        "type": "Pubmed",
                        "url": "https://pubmed.ncbi.nlm.nih.gov/12717392"
                    }
                ]
            },
            {
                "title": "Clinical utility of simultaneous measurement of alpha-fetoprotein and des-γ-carboxy prothrombin for diagnosis of patients with hepatocellular carcinoma in China: A multi-center case-controlled study of 1,153 subjects.",
                "journal": "Bioscience trends",
                "authors": "Song P, Feng X, Inagaki Y, Song T, Zhang K, Wang Z, Zheng S, Ma K, Li Q, Kong D, Wu Q, Zhang T, Zhao X, Hasegawa K, Sugawara Y, Kokudo N, Tang W, None None",
                "date": "2014-11-11",
                "evidence": [],
                "reference": [
                    {
                        "id": "25382443",
                        "type": "Pubmed",
                        "url": "https://pubmed.ncbi.nlm.nih.gov/25382443"
                    }
                ]
            }
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        "score_info": {
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            ],
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        },
        "collision": 0
    },
    {
        "biomarker_id": "AN6457-2",
        "biomarker_component": [
            {
                "biomarker": "increased C3 level",
                "assessed_biomarker_entity": {
                    "recommended_name": "Complement 3A",
                    "synonyms": [
                        {
                            "synonym": "C3 and PZP-like alpha-2-macroglobulin domain-containing protein 1"
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                    ]
                },
                "assessed_biomarker_entity_id": "UPKB:P01024",
                "assessed_entity_type": "protein",
                "specimen": [
                    {
                        "name": "blood",
                        "id": "UBERON:0000178",
                        "name_space": "Uberon",
                        "url": "http://purl.obolibrary.org/obo/UBERON_0000178",
                        "loinc_code": ""
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                ],
                "evidence_source": [
                    {
                        "id": "20012107",
                        "database": "Pubmed",
                        "url": "https://pubmed.ncbi.nlm.nih.gov/20012107",
                        "evidence_list": [
                            {
                                "evidence": "C3a fragment is a potential marker for the early detection of HCV-related HCC."
                            }
                        ],
                        "tags": [
                            {
                                "tag": "biomarker"
                            },
                            {
                                "tag": "assessed_biomarker_entity"
                            },
                            {
                                "tag": "specimen:UBERON:0000178"
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                    }
                ]
            }
        ],
        "best_biomarker_role": [
            {
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        ],
        "condition": {
            "id": "DOID:3571",
            "recommended_name": {
                "id": "DOID:3571",
                "name": "liver cancer",
                "description": "A hepatobiliary system cancer that is located_in the liver.",
                "resource": "Disease Ontology",
                "url": "http://purl.obolibrary.org/obo/DOID_3571"
            },
            "synonyms": [
                {
                    "id": "DOID:3571",
                    "name": "resectable malignant neoplasm of the liver",
                    "resource": "Disease Ontology",
                    "url": "http://purl.obolibrary.org/obo/DOID_3571"
                },
                {
                    "id": "DOID:3571",
                    "name": "primary liver cancer",
                    "resource": "Disease Ontology",
                    "url": "http://purl.obolibrary.org/obo/DOID_3571"
                },
                {
                    "id": "DOID:3571",
                    "name": "malignant neoplasm of liver, not specified as primary or secondary",
                    "resource": "Disease Ontology",
                    "url": "http://purl.obolibrary.org/obo/DOID_3571"
                },
                {
                    "id": "DOID:3571",
                    "name": "Resectable malignant neoplasm of Liver",
                    "resource": "Disease Ontology",
                    "url": "http://purl.obolibrary.org/obo/DOID_3571"
                },
                {
                    "id": "DOID:3571",
                    "name": "neoplasm of liver",
                    "resource": "Disease Ontology",
                    "url": "http://purl.obolibrary.org/obo/DOID_3571"
                },
                {
                    "id": "DOID:3571",
                    "name": "non-resectable primary hepatic malignant neoplasm",
                    "resource": "Disease Ontology",
                    "url": "http://purl.obolibrary.org/obo/DOID_3571"
                },
                {
                    "id": "DOID:3571",
                    "name": "malignant tumor of liver",
                    "resource": "Disease Ontology",
                    "url": "http://purl.obolibrary.org/obo/DOID_3571"
                },
                {
                    "id": "DOID:3571",
                    "name": "malignant neoplasm of liver, primary",
                    "resource": "Disease Ontology",
                    "url": "http://purl.obolibrary.org/obo/DOID_3571"
                },
                {
                    "id": "DOID:3571",
                    "name": "Ca liver - primary",
                    "resource": "Disease Ontology",
                    "url": "http://purl.obolibrary.org/obo/DOID_3571"
                },
                {
                    "id": "DOID:3571",
                    "name": "primary malignant neoplasm of liver",
                    "resource": "Disease Ontology",
                    "url": "http://purl.obolibrary.org/obo/DOID_3571"
                },
                {
                    "id": "DOID:3571",
                    "name": "hepatic neoplasm",
                    "resource": "Disease Ontology",
                    "url": "http://purl.obolibrary.org/obo/DOID_3571"
                },
                {
                    "id": "DOID:3571",
                    "name": "hepatic cancer",
                    "resource": "Disease Ontology",
                    "url": "http://purl.obolibrary.org/obo/DOID_3571"
                },
                {
                    "id": "DOID:3571",
                    "name": "malignant hepato-biliary neoplasm",
                    "resource": "Disease Ontology",
                    "url": "http://purl.obolibrary.org/obo/DOID_3571"
                },
                {
                    "id": "DOID:3571",
                    "name": "malignant neoplasm of liver",
                    "resource": "Disease Ontology",
                    "url": "http://purl.obolibrary.org/obo/DOID_3571"
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            {
                "id": "20012107",
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                "url": "https://pubmed.ncbi.nlm.nih.gov/20012107",
                "evidence_list": [
                    {
                        "evidence": "C3a fragment is a potential marker for the early detection of HCV-related HCC."
                    }
                ],
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                    {
                        "tag": "best_biomarker_role"
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                    {
                        "tag": "condition"
                    }
                ]
            }
        ],
        "citation": [
            {
                "title": "The complement component C3a fragment is a potential biomarker for hepatitis C virus-related hepatocellular carcinoma.",
                "journal": "Journal of gastroenterology",
                "authors": "Kanmura S, Uto H, Sato Y, Kumagai K, Sasaki F, Moriuchi A, Oketani M, Ido A, Nagata K, Hayashi K, Stuver SO, Tsubouchi H",
                "date": "2009-12-17",
                "evidence": [],
                "reference": [
                    {
                        "id": "20012107",
                        "type": "Pubmed",
                        "url": "https://pubmed.ncbi.nlm.nih.gov/20012107"
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                ]
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        },
        "collision": 0
    },
    {
        "biomarker_id": "AN6460-1",
        "biomarker_component": [
            {
                "biomarker": "increased CX3CL1 level",
                "assessed_biomarker_entity": {
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                    "synonyms": [
                        {
                            "synonym": "C-X3-C motif chemokine 1"
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                        {
                            "synonym": "CX3C membrane-anchored chemokine"
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                        {
                            "synonym": "Neurotactin"
                        },
                        {
                            "synonym": "Small-inducible cytokine D1"
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                },
                "assessed_biomarker_entity_id": "UPKB:P78423",
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                        "name_space": "Uberon",
                        "url": "http://purl.obolibrary.org/obo/UBERON_0000178",
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                "evidence_source": [
                    {
                        "id": "32582936",
                        "database": "Pubmed",
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                        "evidence_list": [
                            {
                                "evidence": "Serum levels of fractalkine, vascular cell adhesion molecule-1 (VCAM-1), intercellular adhesion molecule 1 (ICAM-1), and vascular adhesion protein-1 (VAP-1) were elevated in patients with mild disease, dramatically elevated in severe cases, and decreased in the convalescence phase."
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                        ],
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                                "tag": "biomarker"
                            },
                            {
                                "tag": "assessed_biomarker_entity"
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        "condition": {
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                "description": "A Coronavirus infectious disease that is characterized by fever, cough and shortness of breath and that has_material_basis_in SARS-CoV-2.",
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                    "url": "http://purl.obolibrary.org/obo/DOID_0080600"
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                    "name": "Wuhan coronavirus infection",
                    "resource": "Disease Ontology",
                    "url": "http://purl.obolibrary.org/obo/DOID_0080600"
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                    "resource": "Disease Ontology",
                    "url": "http://purl.obolibrary.org/obo/DOID_0080600"
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                    "url": "http://purl.obolibrary.org/obo/DOID_0080600"
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                {
                    "id": "DOID:0080600",
                    "name": "2019-nCoV infection",
                    "resource": "Disease Ontology",
                    "url": "http://purl.obolibrary.org/obo/DOID_0080600"
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                    "id": "DOID:0080600",
                    "name": "2019 Novel Coronavirus (2019-nCoV)",
                    "resource": "Disease Ontology",
                    "url": "http://purl.obolibrary.org/obo/DOID_0080600"
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            {
                "id": "32582936",
                "database": "Pubmed",
                "url": "https://pubmed.ncbi.nlm.nih.gov/32582936",
                "evidence_list": [
                    {
                        "evidence": "Serum levels of fractalkine, vascular cell adhesion molecule-1 (VCAM-1), intercellular adhesion molecule 1 (ICAM-1), and vascular adhesion protein-1 (VAP-1) were elevated in patients with mild disease, dramatically elevated in severe cases, and decreased in the convalescence phase."
                    }
                ],
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                        "tag": "best_biomarker_role"
                    },
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        ],
        "citation": [
            {
                "title": "Elevated Expression of Serum Endothelial Cell Adhesion Molecules in COVID-19 Patients.",
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                "authors": "Tong M, Jiang Y, Xia D, Xiong Y, Zheng Q, Chen F, Zou L, Xiao W, Zhu Y",
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    {
        "biomarker_id": "AN6461-1",
        "biomarker_component": [
            {
                "biomarker": "Increased NF-κB/p65 level",
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                        "id": "28845524",
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                                "evidence": "The expression of fractalkine/CX3CR1 was detected by immunohistochemistry and western blotting. The levels of AKT/p-AKT, BCL-xl, and BCL-2 were detected by western blotting."
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                                "tag": "biomarker"
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                },
                {
                    "id": "DOID:1793",
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                        ],
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                            {
                                "tag": "biomarker"
                            },
                            {
                                "tag": "assessed_biomarker_entity"
                            },
                            {
                                "tag": "specimen:UBERON:0000178"
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                        ]
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                ]
            }
        ],
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            {
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        ],
        "condition": {
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            "recommended_name": {
                "id": "DOID:1324",
                "name": "lung cancer",
                "description": "A respiratory system cancer that is located_in the lung.",
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                "database": "Pubmed",
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                "evidence_list": [
                    {
                        "evidence": "Improved prognosis was associated with ‚Ä¶ decreased Intercellular adhesion molecule 1 (ICAM1) mRNA expression in lung cancer patients."
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                ],
                "tags": [
                    {
                        "tag": "best_biomarker_role"
                    },
                    {
                        "tag": "condition"
                    }
                ]
            }
        ],
        "citation": [
            {
                "title": "Identification and validation of HELLS (Helicase, Lymphoid-Specific) and ICAM1 (Intercellular adhesion molecule 1) as potential diagnostic biomarkers of lung cancer.",
                "journal": "PeerJ",
                "authors": "Zhu W, Li LL, Songyang Y, Shi Z, Li D",
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        },
        "collision": 0
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    {
        "biomarker_id": "AN6469-1",
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            {
                "biomarker": "increased AOC3 level",
                "assessed_biomarker_entity": {
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                            "synonym": "Copper amine oxidase"
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                            "synonym": "HPAO"
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                            "synonym": "SSAO"
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                            "synonym": "Vascular adhesion protein 1"
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                        {
                            "synonym": "VAP-1"
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                },
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                                "evidence": "Serum levels of fractalkine, vascular cell adhesion molecule-1 (VCAM-1), intercellular adhesion molecule 1 (ICAM-1), and vascular adhesion protein-1 (VAP-1) were elevated in patients with mild disease, dramatically elevated in severe cases, and decreased in the convalescence phase."
                            }
                        ],
                        "tags": [
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                                "tag": "biomarker"
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                            {
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            }
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        ],
        "condition": {
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                "url": "http://purl.obolibrary.org/obo/DOID_0080600"
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            "synonyms": [
                {
                    "id": "DOID:0080600",
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                    "resource": "Disease Ontology",
                    "url": "http://purl.obolibrary.org/obo/DOID_0080600"
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                    "id": "DOID:0080600",
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                {
                    "id": "DOID:0080600",
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                    "resource": "Disease Ontology",
                    "url": "http://purl.obolibrary.org/obo/DOID_0080600"
                },
                {
                    "id": "DOID:0080600",
                    "name": "Wuhan seafood market pneumonia virus infection",
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                    "url": "http://purl.obolibrary.org/obo/DOID_0080600"
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                {
                    "id": "DOID:0080600",
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                    "url": "http://purl.obolibrary.org/obo/DOID_0080600"
                },
                {
                    "id": "DOID:0080600",
                    "name": "2019 Novel Coronavirus (2019-nCoV)",
                    "resource": "Disease Ontology",
                    "url": "http://purl.obolibrary.org/obo/DOID_0080600"
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                "evidence_list": [
                    {
                        "evidence": "Serum levels of fractalkine, vascular cell adhesion molecule-1 (VCAM-1), intercellular adhesion molecule 1 (ICAM-1), and vascular adhesion protein-1 (VAP-1) were elevated in patients with mild disease, dramatically elevated in severe cases, and decreased in the convalescence phase."
                    }
                ],
                "tags": [
                    {
                        "tag": "best_biomarker_role"
                    },
                    {
                        "tag": "condition"
                    }
                ]
            }
        ],
        "citation": [
            {
                "title": "Elevated Expression of Serum Endothelial Cell Adhesion Molecules in COVID-19 Patients.",
                "journal": "The Journal of infectious diseases",
                "authors": "Tong M, Jiang Y, Xia D, Xiong Y, Zheng Q, Chen F, Zou L, Xiao W, Zhu Y",
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    {
        "biomarker_id": "AN6469-2",
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            {
                "biomarker": "increased AOC3 level",
                "assessed_biomarker_entity": {
                    "recommended_name": "Vascular adhesion protein-1",
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                            "synonym": "Copper amine oxidase"
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                        {
                            "synonym": "HPAO"
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                        {
                            "synonym": "Semicarbazide-sensitive amine oxidase"
                        },
                        {
                            "synonym": "SSAO"
                        },
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                            "synonym": "Vascular adhesion protein 1"
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                        {
                            "synonym": "VAP-1"
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                    ]
                },
                "assessed_biomarker_entity_id": "UPKB:Q16853",
                "assessed_entity_type": "protein",
                "specimen": [
                    {
                        "name": "blood",
                        "id": "UBERON:0000178",
                        "name_space": "Uberon",
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                        "id": "30160019",
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                            {
                                "evidence": "VAP-1 is shown to be a biomarker that can predict invasive potential and clinical outcome in breast cancer."
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                        ],
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                            {
                                "tag": "biomarker"
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                            {
                                "tag": "assessed_biomarker_entity"
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                            {
                                "tag": "specimen:UBERON:0000178"
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                    "name": "mammary cancer",
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                    "id": "DOID:1612",
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                {
                    "id": "DOID:1612",
                    "name": "mammary tumor",
                    "resource": "Disease Ontology",
                    "url": "http://purl.obolibrary.org/obo/DOID_1612"
                },
                {
                    "id": "DOID:1612",
                    "name": "malignant neoplasm of breast",
                    "resource": "Disease Ontology",
                    "url": "http://purl.obolibrary.org/obo/DOID_1612"
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            ]
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        "evidence_source": [
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                "id": "30160019",
                "database": "Pubmed",
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                        "evidence": "VAP-1 is shown to be a biomarker that can predict invasive potential and clinical outcome in breast cancer."
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                ],
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                        "tag": "best_biomarker_role"
                    },
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                        "tag": "condition"
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                ]
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        ],
        "citation": [
            {
                "title": "Vascular adhesion protein-1 as indicator of breast cancer tumor aggressiveness and invasiveness.",
                "journal": "APMIS : acta pathologica, microbiologica, et immunologica Scandinavica",
                "authors": "Lai YC, Chang SJ, Kostoro J, Kwan AL, Chai CY",
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                        "id": "30160019",
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        },
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        "biomarker_id": "AN6470-1",
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            {
                "biomarker": "decreased SELENOP level",
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                    "recommended_name": "Selenoprotein P",
                    "synonyms": [
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                            "synonym": "SeP"
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                },
                "assessed_biomarker_entity_id": "UPKB:P49908",
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                            {
                                "evidence": "The Se status was significantly higher in samples from surviving COVID patients as compared with non-survivors (Se; 53.3 ¬± 16.2 vs. 40.8 ¬± 8.1 ¬µg/L, SELENOP; 3.3 ¬± 1.3 vs. 2.1 ¬± 0.9 mg/L), recovering with time in survivors while remaining low or even declining in non-survivors. We conclude that Se status analysis in COVID patients provides diagnostic information patients suffering from COVID-19 display a deficiency in the essential trace element Se in blood, along with low concentrations of the Se transporter SELENOP and low enzymatic activity of the secreted GPx3."
                            }
                        ],
                        "tags": [
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                                "tag": "biomarker"
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                                "tag": "assessed_biomarker_entity"
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                "id": "DOID:0080600",
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                "description": "A Coronavirus infectious disease that is characterized by fever, cough and shortness of breath and that has_material_basis_in SARS-CoV-2.",
                "resource": "Disease Ontology",
                "url": "http://purl.obolibrary.org/obo/DOID_0080600"
            },
            "synonyms": [
                {
                    "id": "DOID:0080600",
                    "name": "SARS-CoV-2 infection",
                    "resource": "Disease Ontology",
                    "url": "http://purl.obolibrary.org/obo/DOID_0080600"
                },
                {
                    "id": "DOID:0080600",
                    "name": "Wuhan coronavirus infection",
                    "resource": "Disease Ontology",
                    "url": "http://purl.obolibrary.org/obo/DOID_0080600"
                },
                {
                    "id": "DOID:0080600",
                    "name": "COVID19",
                    "resource": "Disease Ontology",
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                    "id": "DOID:0080600",
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                    "resource": "Disease Ontology",
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                },
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                    "id": "DOID:0080600",
                    "name": "2019-nCoV infection",
                    "resource": "Disease Ontology",
                    "url": "http://purl.obolibrary.org/obo/DOID_0080600"
                },
                {
                    "id": "DOID:0080600",
                    "name": "2019 Novel Coronavirus (2019-nCoV)",
                    "resource": "Disease Ontology",
                    "url": "http://purl.obolibrary.org/obo/DOID_0080600"
                }
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        "evidence_source": [
            {
                "id": "32708526",
                "database": "Pubmed",
                "url": "https://pubmed.ncbi.nlm.nih.gov/32708526",
                "evidence_list": [
                    {
                        "evidence": "The Se status was significantly higher in samples from surviving COVID patients as compared with non-survivors (Se; 53.3 ¬± 16.2 vs. 40.8 ¬± 8.1 ¬µg/L, SELENOP; 3.3 ¬± 1.3 vs. 2.1 ¬± 0.9 mg/L), recovering with time in survivors while remaining low or even declining in non-survivors. We conclude that Se status analysis in COVID patients provides diagnostic information patients suffering from COVID-19 display a deficiency in the essential trace element Se in blood, along with low concentrations of the Se transporter SELENOP and low enzymatic activity of the secreted GPx3."
                    }
                ],
                "tags": [
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                        "tag": "best_biomarker_role"
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                    }
                ]
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        ],
        "citation": [
            {
                "title": "Selenium Deficiency Is Associated with Mortality Risk from COVID-19.",
                "journal": "Nutrients",
                "authors": "Moghaddam A, Heller RA, Sun Q, Seelig J, Cherkezov A, Seibert L, Hackler J, Seemann P, Diegmann J, Pilz M, Bachmann M, Minich WB, Schomburg L",
                "date": "2020-07-28",
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                "reference": [
                    {
                        "id": "32708526",
                        "type": "Pubmed",
                        "url": "https://pubmed.ncbi.nlm.nih.gov/32708526"
                    }
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                },
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            ],
            "formula": "sum(w*f)",
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        },
        "collision": 0
    },
    {
        "biomarker_id": "AN6471-1",
        "biomarker_component": [
            {
                "biomarker": "increased IL17A level",
                "assessed_biomarker_entity": {
                    "recommended_name": "Interleukin-17A",
                    "synonyms": [
                        {
                            "synonym": "IL-17"
                        },
                        {
                            "synonym": "IL-17A"
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                        {
                            "synonym": "Cytotoxic T-lymphocyte-associated antigen 8"
                        },
                        {
                            "synonym": "CTLA-8"
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                    ]
                },
                "assessed_biomarker_entity_id": "UPKB:Q16552",
                "assessed_entity_type": "protein",
                "specimen": [
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                        "name": "blood",
                        "id": "UBERON:0000178",
                        "name_space": "Uberon",
                        "url": "http://purl.obolibrary.org/obo/UBERON_0000178",
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                "evidence_source": [
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                        "id": "32576222",
                        "database": "Pubmed",
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                        "evidence_list": [
                            {
                                "evidence": "Levels of VEGF-D, TNF-alpha, SCF, LIF, IL-2, IL-4, IL-6, IL-8, IL-10, IL-15, IL-17A, IL-18, IL-1 beta, and IFN-gamma were significantly higher in the critical group than in the severe group (Table 1)."
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                        ],
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                                "tag": "biomarker"
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                            {
                                "tag": "assessed_biomarker_entity"
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        ],
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                "resource": "Disease Ontology",
                "url": "http://purl.obolibrary.org/obo/DOID_0080600"
            },
            "synonyms": [
                {
                    "id": "DOID:0080600",
                    "name": "SARS-CoV-2 infection",
                    "resource": "Disease Ontology",
                    "url": "http://purl.obolibrary.org/obo/DOID_0080600"
                },
                {
                    "id": "DOID:0080600",
                    "name": "Wuhan coronavirus infection",
                    "resource": "Disease Ontology",
                    "url": "http://purl.obolibrary.org/obo/DOID_0080600"
                },
                {
                    "id": "DOID:0080600",
                    "name": "COVID19",
                    "resource": "Disease Ontology",
                    "url": "http://purl.obolibrary.org/obo/DOID_0080600"
                },
                {
                    "id": "DOID:0080600",
                    "name": "Wuhan seafood market pneumonia virus infection",
                    "resource": "Disease Ontology",
                    "url": "http://purl.obolibrary.org/obo/DOID_0080600"
                },
                {
                    "id": "DOID:0080600",
                    "name": "2019-nCoV infection",
                    "resource": "Disease Ontology",
                    "url": "http://purl.obolibrary.org/obo/DOID_0080600"
                },
                {
                    "id": "DOID:0080600",
                    "name": "2019 Novel Coronavirus (2019-nCoV)",
                    "resource": "Disease Ontology",
                    "url": "http://purl.obolibrary.org/obo/DOID_0080600"
                }
            ]
        },
        "evidence_source": [
            {
                "id": "32576222",
                "database": "Pubmed",
                "url": "https://pubmed.ncbi.nlm.nih.gov/32576222",
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                        "evidence": "HP may be a potential serological biomarker for lung adenocarcinoma diagnostics, especially in male subjects. We found that HP levels were significantly higher and APOA1 levels were significantly lower in lung cancer patients. However, after the participants were stratified by gender, the expression trends of HP and APOA1 in lung cancer patients existed only in men, which is gender specific phenomenon. HP, APOA1 and carcinoembryonic antigen (CEA), used for distinguishing lung adenocarcinoma, had a sensitivity of 64%, 64% and 79%, respectively. Area under the ROC curve (AUC) of HP, APOA1 and CEA were 0.768, 0.761 and 0.884, respectively. When restricted to male subjects, HP, APOA1 and CEA showed sensitivity of 89%, 73% and 100%, respectively. AUC of HP, APOA1 and CEA were 0.929, 0.840 and 0.877, respectively."
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                "title": "Haptoglobin is a serological biomarker for adenocarcinoma lung cancer by using the ProteomeLab PF2D combined with mass spectrometry.",
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                "authors": "Chang YK, Lai YH, Chu Y, Lee MC, Huang CY, Wu S",
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                "title": "Prognostic significance of ALCAM (CD166/MEMD) expression in cutaneous melanoma patients.",
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                "title": "Prognostic significance of BRMS1 expression in human melanoma and its role in tumor angiogenesis.",
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                {
                    "id": "DOID:5041",
                    "name": "malignant tumor of the middle Third of the esophagus",
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                    "id": "DOID:5041",
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                    "id": "DOID:5041",
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                {
                    "id": "DOID:5041",
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                ],
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            {
                "title": "Evaluation of Ficolin-3 as a Potential Prognostic Serum Biomarker in Chinese Patients with Esophageal Cancer.",
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                "authors": "Li Q, Lin Y",
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                {
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            {
                "title": "Serum markers in patients with resectable pancreatic adenocarcinoma: macrophage inhibitory cytokine 1 versus CA19-9.",
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                "title": "BNIP3L Is a New Autophagy Related Prognostic Biomarker for Melanoma Patients Treated With AGI-101H.",
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                "authors": "Kazimierczak U, Kolenda T, Kowalczyk D, Mackiewicz J, Mackiewicz A",
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                                "evidence": "GPC6 expression was up-regulated in a melanoma cell line compared to normal melanocytes and in metastatic melanoma compared to primary melanoma. Together, our findings identified GPC6 as an early biomarker for melanoma metastatic progression, one that can be regulated by miR-509-3p."
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                        ],
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                                "tag": "biomarker"
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                        "evidence": "GPC6 expression was up-regulated in a melanoma cell line compared to normal melanocytes and in metastatic melanoma compared to primary melanoma. Together, our findings identified GPC6 as an early biomarker for melanoma metastatic progression, one that can be regulated by miR-509-3p."
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                "title": "Glypican 6 is a putative biomarker for metastatic progression of cutaneous melanoma.",
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                "authors": "Li Y, Li M, Shats I, Krahn JM, Flake GP, Umbach DM, Li X, Li L",
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        "biomarker_id": "AN6506-1",
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                                "evidence": "miR-125a-5p downregulation was associated with recurrent disease in a panel of high-risk HNSCC and then confirmed poor survival associated with low expression in HNSCC via the Cancer Genome Atlas, suggesting that miR-125a-5p acts as a tumor suppressor miRNA. results reveal that in patients who developed a local recurrence, there was an associated decreased in miR-125a-5p expression, compared to patients who did not have evidence of disease (P = .0036), out of a total of 77 evaluable patient samples analyzed. patients with low levels of miR-125a-5p is associated with a worse overall survival than patients with high levels of miR-125a-5p (P = .006)."
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                        "evidence": "miR-125a-5p downregulation was associated with recurrent disease in a panel of high-risk HNSCC and then confirmed poor survival associated with low expression in HNSCC via the Cancer Genome Atlas, suggesting that miR-125a-5p acts as a tumor suppressor miRNA. results reveal that in patients who developed a local recurrence, there was an associated decreased in miR-125a-5p expression, compared to patients who did not have evidence of disease (P = .0036), out of a total of 77 evaluable patient samples analyzed. patients with low levels of miR-125a-5p is associated with a worse overall survival than patients with high levels of miR-125a-5p (P = .006)."
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                "title": "miR-125a-5p Functions as Tumor Suppressor microRNA And Is a Marker of Locoregional Recurrence And Poor prognosis in Head And Neck Cancer.",
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                ],
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            {
                "title": "GLT8D1 overexpression as a novel prognostic biomarker in human cutaneous melanoma.",
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                "authors": "Hu H, Li Z, Zhou Y, Zhang Y, Zhao L, Zhao W, Huang Y, Song X",
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                    "id": "DOID:10283",
                    "name": "hereditary prostate cancer",
                    "resource": "Disease Ontology",
                    "url": "http://purl.obolibrary.org/obo/DOID_10283"
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                {
                    "id": "DOID:10283",
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                        "evidence": "miR-1231 expression was downregulated in both prostate cancer tissues and cell lines. Downregulation of miR-1231 was significantly associated with lymph node metastasis, higher TNM stage, higher clinical stage, and shorter overall survival. The expression of miR-1231 was predicted as a prognostic factor for prostate cancer patients."
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                ],
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            {
                "title": "miR-1231 Is Downregulated in Prostate Cancer with Prognostic and Functional Implications.",
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                "authors": "Wang Y, Zhang Q, Guo B, Feng J, Zhao D",
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                                "evidence": "Mass spectrometry based proteomics showed that YAP1 is the top upregulated protein in pancreatic cancer tissue when compared to normal controls (log2 fold change 6.4; p = 5E-06). Prognostic analysis of YAP1 demonstrated a significant correlation between mRNA expression level data and reduced overall survival (p = 0.001). In addition, TMA and immunohistochemistry analysis suggested that YAP1 protein expression is an independent predictor of poor overall survival [hazard ratio (HR) 1.870, 95% confidence interval (CI) 1.224‚Äì2.855, p = 0.004], as well as reduced disease-free survival (HR 1.950, 95% CI 1.299‚Äì2.927, p = 0.001). Bioinformatic analyses coupled with in vitro assays indicated that YAP1 is involved in the transcriptional control of target genes, associated with extracellular matrix remodeling, which could be modified by selected substances disrupting the YAP1-TEAD interaction. We demonstrate that YAP1 is an independent prognostic marker associated with recurrence and unfavorable survival in pancreatic cancer. We also show that inhibition of YAP1/TEAD interaction interferes with the expression of AREG, CTGF, CYR61, and MSLN suggesting that YAP1 transcriptional activity may affect the development and persistence of a fibrotic tumor microenvironment. YAP1 is thus considered as a clinically and biologically relevant biomarker derived from pancreatic cancer tissue."
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                    "id": "DOID:1793",
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                        "evidence": "Mass spectrometry based proteomics showed that YAP1 is the top upregulated protein in pancreatic cancer tissue when compared to normal controls (log2 fold change 6.4; p = 5E-06). Prognostic analysis of YAP1 demonstrated a significant correlation between mRNA expression level data and reduced overall survival (p = 0.001). In addition, TMA and immunohistochemistry analysis suggested that YAP1 protein expression is an independent predictor of poor overall survival [hazard ratio (HR) 1.870, 95% confidence interval (CI) 1.224‚Äì2.855, p = 0.004], as well as reduced disease-free survival (HR 1.950, 95% CI 1.299‚Äì2.927, p = 0.001). Bioinformatic analyses coupled with in vitro assays indicated that YAP1 is involved in the transcriptional control of target genes, associated with extracellular matrix remodeling, which could be modified by selected substances disrupting the YAP1-TEAD interaction. We demonstrate that YAP1 is an independent prognostic marker associated with recurrence and unfavorable survival in pancreatic cancer. We also show that inhibition of YAP1/TEAD interaction interferes with the expression of AREG, CTGF, CYR61, and MSLN suggesting that YAP1 transcriptional activity may affect the development and persistence of a fibrotic tumor microenvironment. YAP1 is thus considered as a clinically and biologically relevant biomarker derived from pancreatic cancer tissue."
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                "title": "YAP1 is an independent prognostic marker in pancreatic cancer and associated with extracellular matrix remodeling.",
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                        "evidence": "The upregulation of ASPM expression and the downregulation of TEF expression were observed in bladder cancer tissues compared to adjacent normal tissues, and these levels were correlated with high-grade tumors, advanced stage disease and the presence of metastasis. Both genes had the ability to predict metastatic association with sensitivity (84.62%) and specificity (68.42%; *P < 0.001) for the ASPM gene and for the TEF gene with sensitivity (80.77%) and specificity (78.95%; *P < 0.001). Additionally, Kaplan‚ÄìMeier survival analysis indicated that elevated ASPM expression levels and reduced TEF expression levels significantly correlated with decreased overall survival and progression-free survival. The current analysis concludes that ASPM and TEF expressions might be used as potential biomarkers in bladder cancer patients."
                    }
                ],
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            {
                "title": "Evaluation of ASPM and TEF Gene Expressions as Potential Biomarkers for Bladder Cancer.",
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                "authors": "Saleh AA, Gohar SF, Hemida AS, Elgharbawy M, Soliman SE",
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                        "evidence": "The upregulation of ASPM expression and the downregulation of TEF expression were observed in bladder cancer tissues compared to adjacent normal tissues, and these levels were correlated with high-grade tumors, advanced stage disease and the presence of metastasis. Both genes had the ability to predict metastatic association with sensitivity (84.62%) and specificity (68.42%; *P < 0.001) for the ASPM gene and for the TEF gene with sensitivity (80.77%) and specificity (78.95%; *P < 0.001). Additionally, Kaplan‚ÄìMeier survival analysis indicated that elevated ASPM expression levels and reduced TEF expression levels significantly correlated with decreased overall survival and progression-free survival. The current analysis concludes that ASPM and TEF expressions might be used as potential biomarkers in bladder cancer patients."
                    }
                ],
                "tags": [
                    {
                        "tag": "best_biomarker_role"
                    },
                    {
                        "tag": "condition"
                    }
                ]
            }
        ],
        "citation": [
            {
                "title": "Evaluation of ASPM and TEF Gene Expressions as Potential Biomarkers for Bladder Cancer.",
                "journal": "Biochemical genetics",
                "authors": "Saleh AA, Gohar SF, Hemida AS, Elgharbawy M, Soliman SE",
                "date": "2020-04-11",
                "evidence": [],
                "reference": [
                    {
                        "id": "32274607",
                        "type": "Pubmed",
                        "url": "https://pubmed.ncbi.nlm.nih.gov/32274607"
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        },
        "collision": 0
    },
    {
        "biomarker_id": "AN6512-1",
        "biomarker_component": [
            {
                "biomarker": "increased A1AT level",
                "assessed_biomarker_entity": {
                    "recommended_name": "Alpha-1-antitrypsin",
                    "synonyms": [
                        {
                            "synonym": "Alpha-1 protease inhibitor"
                        },
                        {
                            "synonym": "Alpha-1-antiproteinase"
                        },
                        {
                            "synonym": "Serpin A1"
                        }
                    ]
                },
                "assessed_biomarker_entity_id": "UPKB:P01009",
                "assessed_entity_type": "protein",
                "specimen": [
                    {
                        "name": "urine",
                        "id": "UBERON:0001088",
                        "name_space": "Uberon",
                        "url": "http://purl.obolibrary.org/obo/UBERON_0001088",
                        "loinc_code": ""
                    }
                ],
                "evidence_source": [
                    {
                        "id": "21459797",
                        "database": "Pubmed",
                        "url": "https://pubmed.ncbi.nlm.nih.gov/21459797",
                        "evidence_list": [
                            {
                                "evidence": "Increased levels of urinary A1AT glycoprotein were indicative of the presence of bladder cancer (P < 0.0001) and augmented voided urine cytology results. Application of glycoprotein enrichment provided novel candidates for further investigation as biomarkers for the noninvasive detection of bladder cancer."
                            }
                        ],
                        "tags": [
                            {
                                "tag": "biomarker"
                            },
                            {
                                "tag": "assessed_biomarker_entity"
                            },
                            {
                                "tag": "specimen:UBERON:0001088"
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                    }
                ]
            }
        ],
        "best_biomarker_role": [
            {
                "role": "diagnostic"
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        ],
        "condition": {
            "id": "DOID:11054",
            "recommended_name": {
                "id": "DOID:11054",
                "name": "urinary bladder cancer",
                "description": "An urinary system cancer that results_in malignant growth located_in the urinary bladder.",
                "resource": "Disease Ontology",
                "url": "http://purl.obolibrary.org/obo/DOID_11054"
            },
            "synonyms": [
                {
                    "id": "DOID:11054",
                    "name": "tumor of the bladder",
                    "resource": "Disease Ontology",
                    "url": "http://purl.obolibrary.org/obo/DOID_11054"
                },
                {
                    "id": "DOID:11054",
                    "name": "bladder cancer",
                    "resource": "Disease Ontology",
                    "url": "http://purl.obolibrary.org/obo/DOID_11054"
                }
            ]
        },
        "evidence_source": [
            {
                "id": "21459797",
                "database": "Pubmed",
                "url": "https://pubmed.ncbi.nlm.nih.gov/21459797",
                "evidence_list": [
                    {
                        "evidence": "Increased levels of urinary A1AT glycoprotein were indicative of the presence of bladder cancer (P < 0.0001) and augmented voided urine cytology results. Application of glycoprotein enrichment provided novel candidates for further investigation as biomarkers for the noninvasive detection of bladder cancer."
                    }
                ],
                "tags": [
                    {
                        "tag": "best_biomarker_role"
                    },
                    {
                        "tag": "condition"
                    }
                ]
            }
        ],
        "citation": [
            {
                "title": "Urinary glycoprotein biomarker discovery for bladder cancer detection using LC/MS-MS and label-free quantification.",
                "journal": "Clinical cancer research : an official journal of the American Association for Cancer Research",
                "authors": "Yang N, Feng S, Shedden K, Xie X, Liu Y, Rosser CJ, Lubman DM, Goodison S",
                "date": "2011-04-05",
                "evidence": [],
                "reference": [
                    {
                        "id": "21459797",
                        "type": "Pubmed",
                        "url": "https://pubmed.ncbi.nlm.nih.gov/21459797"
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        },
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    },
    {
        "biomarker_id": "AN6513-1",
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            {
                "biomarker": "increased OPN level",
                "assessed_biomarker_entity": {
                    "recommended_name": "Osteopontin",
                    "synonyms": [
                        {
                            "synonym": "Bone sialoprotein 1"
                        },
                        {
                            "synonym": "Nephropontin"
                        },
                        {
                            "synonym": "Secreted phosphoprotein 1"
                        },
                        {
                            "synonym": "SPP-1"
                        },
                        {
                            "synonym": "Urinary stone protein"
                        },
                        {
                            "synonym": "Uropontin"
                        }
                    ]
                },
                "assessed_biomarker_entity_id": "UPKB:P10451",
                "assessed_entity_type": "protein",
                "specimen": [
                    {
                        "name": "blood",
                        "id": "UBERON:0000178",
                        "name_space": "Uberon",
                        "url": "http://purl.obolibrary.org/obo/UBERON_0000178",
                        "loinc_code": ""
                    }
                ],
                "evidence_source": [
                    {
                        "id": "15006928",
                        "database": "Pubmed",
                        "url": "https://pubmed.ncbi.nlm.nih.gov/15006928",
                        "evidence_list": [
                            {
                                "evidence": "Serum OPN levels, as measured by ELISA, were elevated in the sera of 50 patients with resectable pancreatic adenocarcinoma compared to 22 healthy control individuals (mean +/- SD for OPN was 482 +/- 170 ng/ml and 204 +/- 65 ng/ml, respectively; P < 0.001). Serum OPN may have utility as a diagnostic marker in patients with pancreatic cancer."
                            }
                        ],
                        "tags": [
                            {
                                "tag": "biomarker"
                            },
                            {
                                "tag": "assessed_biomarker_entity"
                            },
                            {
                                "tag": "specimen:UBERON:0000178"
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                        ]
                    }
                ]
            }
        ],
        "best_biomarker_role": [
            {
                "role": "diagnostic"
            }
        ],
        "condition": {
            "id": "DOID:1793",
            "recommended_name": {
                "id": "DOID:1793",
                "name": "pancreatic cancer",
                "description": "An endocrine gland cancer located_in the pancreas.",
                "resource": "Disease Ontology",
                "url": "http://purl.obolibrary.org/obo/DOID_1793"
            },
            "synonyms": [
                {
                    "id": "DOID:1793",
                    "name": "Ca head of pancreas",
                    "resource": "Disease Ontology",
                    "url": "http://purl.obolibrary.org/obo/DOID_1793"
                },
                {
                    "id": "DOID:1793",
                    "name": "Ca body of pancreas",
                    "resource": "Disease Ontology",
                    "url": "http://purl.obolibrary.org/obo/DOID_1793"
                },
                {
                    "id": "DOID:1793",
                    "name": "pancreatic tumor",
                    "resource": "Disease Ontology",
                    "url": "http://purl.obolibrary.org/obo/DOID_1793"
                },
                {
                    "id": "DOID:1793",
                    "name": "malignant neoplasm of tail of pancreas",
                    "resource": "Disease Ontology",
                    "url": "http://purl.obolibrary.org/obo/DOID_1793"
                },
                {
                    "id": "DOID:1793",
                    "name": "malignant neoplasm of head of pancreas",
                    "resource": "Disease Ontology",
                    "url": "http://purl.obolibrary.org/obo/DOID_1793"
                },
                {
                    "id": "DOID:1793",
                    "name": "pancreatic neoplasm",
                    "resource": "Disease Ontology",
                    "url": "http://purl.obolibrary.org/obo/DOID_1793"
                },
                {
                    "id": "DOID:1793",
                    "name": "Ca tail of pancreas",
                    "resource": "Disease Ontology",
                    "url": "http://purl.obolibrary.org/obo/DOID_1793"
                },
                {
                    "id": "DOID:1793",
                    "name": "pancreas neoplasm",
                    "resource": "Disease Ontology",
                    "url": "http://purl.obolibrary.org/obo/DOID_1793"
                },
                {
                    "id": "DOID:1793",
                    "name": "malignant neoplasm of body of pancreas",
                    "resource": "Disease Ontology",
                    "url": "http://purl.obolibrary.org/obo/DOID_1793"
                }
            ]
        },
        "evidence_source": [
            {
                "id": "15006928",
                "database": "Pubmed",
                "url": "https://pubmed.ncbi.nlm.nih.gov/15006928",
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                    {
                        "evidence": "Serum OPN levels, as measured by ELISA, were elevated in the sera of 50 patients with resectable pancreatic adenocarcinoma compared to 22 healthy control individuals (mean +/- SD for OPN was 482 +/- 170 ng/ml and 204 +/- 65 ng/ml, respectively; P < 0.001). Serum OPN may have utility as a diagnostic marker in patients with pancreatic cancer."
                    }
                ],
                "tags": [
                    {
                        "tag": "best_biomarker_role"
                    },
                    {
                        "tag": "condition"
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                ]
            }
        ],
        "citation": [
            {
                "title": "Evaluation of osteopontin as biomarker for pancreatic adenocarcinoma.",
                "journal": "Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology",
                "authors": "Koopmann J, Fedarko NS, Jain A, Maitra A, Iacobuzio-Donahue C, Rahman A, Hruban RH, Yeo CJ, Goggins M",
                "date": "2004-03-10",
                "evidence": [],
                "reference": [
                    {
                        "id": "15006928",
                        "type": "Pubmed",
                        "url": "https://pubmed.ncbi.nlm.nih.gov/15006928"
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        },
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    {
        "biomarker_id": "AN6513-2",
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            {
                "biomarker": "increased OPN level",
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                        {
                            "synonym": "Bone sialoprotein 1"
                        },
                        {
                            "synonym": "Nephropontin"
                        },
                        {
                            "synonym": "Secreted phosphoprotein 1"
                        },
                        {
                            "synonym": "SPP-1"
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                            "synonym": "Urinary stone protein"
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                                "evidence": "Osteopontin levels in plasma were significantly higher (P<.001) in 51 patients with epithelial ovarian cancer (486.5 ng/mL) compared with those of 107 healthy controls (147.1 ng/mL), 46 patients with benign ovarian disease (254.4 ng/mL), and 47 patients with other gynecologic cancers (260.9 ng/mL)."
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                        ],
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        "best_biomarker_role": [
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                "description": "A female reproductive organ cancer that is located_in the ovary.",
                "resource": "Disease Ontology",
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                {
                    "id": "DOID:2394",
                    "name": "tumor of the Ovary",
                    "resource": "Disease Ontology",
                    "url": "http://purl.obolibrary.org/obo/DOID_2394"
                },
                {
                    "id": "DOID:2394",
                    "name": "ovary neoplasm",
                    "resource": "Disease Ontology",
                    "url": "http://purl.obolibrary.org/obo/DOID_2394"
                },
                {
                    "id": "DOID:2394",
                    "name": "malignant tumour of ovary",
                    "resource": "Disease Ontology",
                    "url": "http://purl.obolibrary.org/obo/DOID_2394"
                },
                {
                    "id": "DOID:2394",
                    "name": "malignant Ovarian tumor",
                    "resource": "Disease Ontology",
                    "url": "http://purl.obolibrary.org/obo/DOID_2394"
                },
                {
                    "id": "DOID:2394",
                    "name": "ovarian neoplasm",
                    "resource": "Disease Ontology",
                    "url": "http://purl.obolibrary.org/obo/DOID_2394"
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            ]
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            {
                "id": "11926891",
                "database": "Pubmed",
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                "evidence_list": [
                    {
                        "evidence": "Osteopontin levels in plasma were significantly higher (P<.001) in 51 patients with epithelial ovarian cancer (486.5 ng/mL) compared with those of 107 healthy controls (147.1 ng/mL), 46 patients with benign ovarian disease (254.4 ng/mL), and 47 patients with other gynecologic cancers (260.9 ng/mL)."
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                ],
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        ],
        "citation": [
            {
                "title": "Osteopontin as a potential diagnostic biomarker for ovarian cancer.",
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                "authors": "Kim JH, Skates SJ, Uede T, Wong KK, Schorge JO, Feltmate CM, Berkowitz RS, Cramer DW, Mok SC",
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        },
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    {
        "biomarker_id": "AN6514-1",
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                            "synonym": "4-1BB-L"
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                        "id": "32077004",
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                                "evidence": "TNFSF9 mRNA expression level was remarkably increased in pancreatic cancer than that in normal tissues (both P < 0.05). In addition, high TNFSF9 expression was significantly related to poor overall survival (OS) and relapse-free survival (RFS) in pancreatic cancer (OS HR = 2.02, P = 0.0012; RFS HR = 2.63, P = 0.022). These findings indicate that TNFSF9 can be serves as a prognostic biomarker in determining the prognosis of pancreatic cancer and is associated with different types of phenotypes of immune cell infiltration."
                            }
                        ],
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                "description": "An endocrine gland cancer located_in the pancreas.",
                "resource": "Disease Ontology",
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                    "id": "DOID:1793",
                    "name": "Ca head of pancreas",
                    "resource": "Disease Ontology",
                    "url": "http://purl.obolibrary.org/obo/DOID_1793"
                },
                {
                    "id": "DOID:1793",
                    "name": "Ca body of pancreas",
                    "resource": "Disease Ontology",
                    "url": "http://purl.obolibrary.org/obo/DOID_1793"
                },
                {
                    "id": "DOID:1793",
                    "name": "pancreatic tumor",
                    "resource": "Disease Ontology",
                    "url": "http://purl.obolibrary.org/obo/DOID_1793"
                },
                {
                    "id": "DOID:1793",
                    "name": "malignant neoplasm of tail of pancreas",
                    "resource": "Disease Ontology",
                    "url": "http://purl.obolibrary.org/obo/DOID_1793"
                },
                {
                    "id": "DOID:1793",
                    "name": "malignant neoplasm of head of pancreas",
                    "resource": "Disease Ontology",
                    "url": "http://purl.obolibrary.org/obo/DOID_1793"
                },
                {
                    "id": "DOID:1793",
                    "name": "pancreatic neoplasm",
                    "resource": "Disease Ontology",
                    "url": "http://purl.obolibrary.org/obo/DOID_1793"
                },
                {
                    "id": "DOID:1793",
                    "name": "Ca tail of pancreas",
                    "resource": "Disease Ontology",
                    "url": "http://purl.obolibrary.org/obo/DOID_1793"
                },
                {
                    "id": "DOID:1793",
                    "name": "pancreas neoplasm",
                    "resource": "Disease Ontology",
                    "url": "http://purl.obolibrary.org/obo/DOID_1793"
                },
                {
                    "id": "DOID:1793",
                    "name": "malignant neoplasm of body of pancreas",
                    "resource": "Disease Ontology",
                    "url": "http://purl.obolibrary.org/obo/DOID_1793"
                }
            ]
        },
        "evidence_source": [
            {
                "id": "32077004",
                "database": "Pubmed",
                "url": "https://pubmed.ncbi.nlm.nih.gov/32077004",
                "evidence_list": [
                    {
                        "evidence": "TNFSF9 mRNA expression level was remarkably increased in pancreatic cancer than that in normal tissues (both P < 0.05). In addition, high TNFSF9 expression was significantly related to poor overall survival (OS) and relapse-free survival (RFS) in pancreatic cancer (OS HR = 2.02, P = 0.0012; RFS HR = 2.63, P = 0.022). These findings indicate that TNFSF9 can be serves as a prognostic biomarker in determining the prognosis of pancreatic cancer and is associated with different types of phenotypes of immune cell infiltration."
                    }
                ],
                "tags": [
                    {
                        "tag": "best_biomarker_role"
                    },
                    {
                        "tag": "condition"
                    }
                ]
            }
        ],
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                {
                    "id": "DOID:1793",
                    "name": "malignant neoplasm of body of pancreas",
                    "resource": "Disease Ontology",
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                        "evidence": "This exploratory study, using SWATH-MS analysis, identified potential prognostic biomarkers for PDAC in plasma (PTPRM and PTPRB) and plasma derived microparticles (PSMD11). Protein tyrosine phosphatases, PTPRM and PTPRB, were decreased in plasma of patients with poor PDAC prognosis, while proteasomal subunit PSMD11 was increased in microparticles of patients with poor prognosis."
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                ],
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                        "tag": "best_biomarker_role"
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                    {
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        "citation": [
            {
                "title": "PSMD11, PTPRM and PTPRB as novel biomarkers of pancreatic cancer progression.",
                "journal": "Biochimica et biophysica acta. General subjects",
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            {
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                {
                    "id": "DOID:1793",
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                {
                    "id": "DOID:1793",
                    "name": "pancreatic tumor",
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                {
                    "id": "DOID:1793",
                    "name": "malignant neoplasm of tail of pancreas",
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                {
                    "id": "DOID:1793",
                    "name": "malignant neoplasm of head of pancreas",
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                {
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                {
                    "id": "DOID:1793",
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                {
                    "id": "DOID:1793",
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                    {
                        "evidence": "Upregulation of TYMS was associated with poor RFS in patients with pancreatic cancer (P = .021). Subgroup analysis revealed that TYMS upregulation was associated with poor RFS in clinical stage I/II (P = .0038). Higher TYMS expression was associated with worse OS (P = .014) (Fig. 3). Subgroup analysis further indicated that high TYMS expression significantly affected the OS of patients in histologic grades G1/G2 (P = .025) and clinical stages I/II (P = .023). patients with pancreatic cancer, higher TYMS expression is associated with advanced clinical stages and undesirable prognosis, and that TYMS could be used as a biomarker for diagnostic and prognostic evaluation in patients with pancreatic cancer."
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                ],
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            {
                "title": "TYMS presents a novel biomarker for diagnosis and prognosis in patients with pancreatic cancer.",
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                {
                    "id": "DOID:1793",
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                {
                    "id": "DOID:1793",
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                        "evidence": "In patients with pancreatic cancer, 8.4% of subjects were Lewis (-), but only 41.9% of Lewis (-) subjects had CA19-9 values </= 2 U/mL. CA19-9 was even elevated (>37 U/mL) in 27.4% of Lewis (-) patients. CA19-9 can retain its utility as a biomarker in these patients in spite of Lewis (-) genotype. The area under the receiver operating characteristic (ROC) curve for CA19-9 as a diagnostic biomarker was 0.842 in Lewis (-) patients with pancreatic cancer."
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                "title": "New observations on the utility of CA19-9 as a biomarker in Lewis negative patients with pancreatic cancer.",
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            {
                "title": "Systematic investigation of biomarker-like role of ARHGDIB in breast cancer.",
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                                "evidence": "We observed the expression of ARHGDIB is significantly higher in human breast cancer tissues compared with the benign tissues. ARHGDIB expression was positively correlated with tumor size, lymph node metastasis and TNM stage in breast cancer patients. Hence, our results suggested the significance and predictive role of ARHGDIB in breast cancer. High expression of ARHGDIB indicated the poor prognosis for breast cancer patients."
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                    "id": "DOID:1612",
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                        "evidence": "We observed the expression of ARHGDIB is significantly higher in human breast cancer tissues compared with the benign tissues. ARHGDIB expression was positively correlated with tumor size, lymph node metastasis and TNM stage in breast cancer patients. Hence, our results suggested the significance and predictive role of ARHGDIB in breast cancer. High expression of ARHGDIB indicated the poor prognosis for breast cancer patients."
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                ],
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            {
                "title": "Systematic investigation of biomarker-like role of ARHGDIB in breast cancer.",
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                "authors": "Wang X, Bi X, Huang X, Wang B, Guo Q, Wu Z",
                "date": "2020-03-17",
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                {
                    "id": "DOID:2394",
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                {
                    "id": "DOID:2394",
                    "name": "malignant Ovarian tumor",
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                    "url": "http://purl.obolibrary.org/obo/DOID_2394"
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                {
                    "id": "DOID:2394",
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                        "evidence": "The levels of ASM were reducing with the development of ovarian cancer. ASM is higher expressed in normal cell than that in ovarian cancer, and can be a negative biomarker for the diagnosis of ovarian cancer. ASM can be developed a new drug for the ovarian cancer therapy."
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                ],
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        ],
        "citation": [
            {
                "title": "Acid sphingomyelinase, a novel negative biomarker of ovarian cancer.",
                "journal": "European review for medical and pharmacological sciences",
                "authors": "Dai SY, Liu JJ, Sun XF, Wang N",
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        "biomarker_id": "AN6524-1",
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                "biomarker": "increased NFE2L2 level",
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                            "synonym": "IMDDHH"
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                            "synonym": "NRF2"
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                            "synonym": "Nrf-2"
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                "assessed_biomarker_entity_id": "NCBI: 4780",
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                                "evidence": "High NRF2 was associated with worse disease free survival (DFS) and/or overall survival (OS) in all datasets. NRF2 is shown to be a consistent, robust prognostic biomarker across all stages of colorectal cancer with additional clinical value to current known prognostic biomarkers."
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                        ],
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                                "tag": "biomarker"
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                            {
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                            {
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                "description": "A large intestine cancer that is located_in the colon and/or located_in the rectum.",
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                    {
                        "evidence": "High NRF2 was associated with worse disease free survival (DFS) and/or overall survival (OS) in all datasets. NRF2 is shown to be a consistent, robust prognostic biomarker across all stages of colorectal cancer with additional clinical value to current known prognostic biomarkers."
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                ],
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        "citation": [
            {
                "title": "NRF2 metagene signature is a novel prognostic biomarker in colorectal cancer.",
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                "authors": "O'Cathail SM, Wu CH, Lewis A, Holmes C, Hawkins MA, Maughan T",
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        "biomarker_id": "AN6525-1",
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            {
                "biomarker": "increased KRT15 level",
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                            "synonym": "CK15"
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                            "synonym": "K15"
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                            "synonym": "K1CO"
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                                "evidence": "QRT-PCR results revealed that the mRNA levels of KRT15 in colorectal cancer tissues were significantly higher compared with those in normal tissues (p<0.0001). The rates of KRT15 high-expression in colorectal cancer and normal tissues were 57.1% and 8.9%, respectively, and the difference was statistically significant (p<0.0001). KRT15 high-expression correlated with differentiation, T stage, lymph node metastasis and clinical stage in colorectal cancer (p<0.05). KRT15 overexpression predicted poor prognosis and could be used as an independent prognostic factor. These data indicate KRT15 is highly expressed in colorectal cancer and may serve as a prognostic biomarker."
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                        "evidence": "QRT-PCR results revealed that the mRNA levels of KRT15 in colorectal cancer tissues were significantly higher compared with those in normal tissues (p<0.0001). The rates of KRT15 high-expression in colorectal cancer and normal tissues were 57.1% and 8.9%, respectively, and the difference was statistically significant (p<0.0001). KRT15 high-expression correlated with differentiation, T stage, lymph node metastasis and clinical stage in colorectal cancer (p<0.05). KRT15 overexpression predicted poor prognosis and could be used as an independent prognostic factor. These data indicate KRT15 is highly expressed in colorectal cancer and may serve as a prognostic biomarker."
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            {
                "title": "KRT15 overexpression predicts poor prognosis in colorectal cancer.",
                "journal": "Neoplasma",
                "authors": "Rao X, Wang J, Song HM, Deng B, Li JG",
                "date": "2019-12-31",
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        "biomarker_id": "AN6526-1",
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                "biomarker": "increased MIR-135A-5P level",
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                    "recommended_name": "miRNA-135a-5p",
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                                "evidence": "Serum miR-135a-5p expression in colorectal cancer patients was higher than that in patients with colorectal polyps and healthy controls, suggesting that serum miR-135a-5p may prove to be an important biomarker for auxiliary diagnosis of colorectal cancer. The relative expression level of serum miR-135a-5p in colorectal cancer patients, colorectal polyps patients and healthy controls was 2.451 (1.107, 4.413), 0.946 (0.401, 1.942) and 0.949 (0.194, 1.415), respectively, indicating that it was significantly higher in colorectal cancer patients than that in the other two groups (U = 351.0, 313.0, both P < 0.001). Additionally, it was significantly correlated with different degrees of tumour differentiation (U = 215.0, P = 0.029) and different tumour stages (U = 202.0, P = 0.013)."
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                "id": "27126269",
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                "evidence_list": [
                    {
                        "evidence": "Serum miR-135a-5p expression in colorectal cancer patients was higher than that in patients with colorectal polyps and healthy controls, suggesting that serum miR-135a-5p may prove to be an important biomarker for auxiliary diagnosis of colorectal cancer. The relative expression level of serum miR-135a-5p in colorectal cancer patients, colorectal polyps patients and healthy controls was 2.451 (1.107, 4.413), 0.946 (0.401, 1.942) and 0.949 (0.194, 1.415), respectively, indicating that it was significantly higher in colorectal cancer patients than that in the other two groups (U = 351.0, 313.0, both P < 0.001). Additionally, it was significantly correlated with different degrees of tumour differentiation (U = 215.0, P = 0.029) and different tumour stages (U = 202.0, P = 0.013)."
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                ],
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                "title": "Serum microRNA-135a-5p as an auxiliary diagnostic biomarker for colorectal cancer.",
                "journal": "Annals of clinical biochemistry",
                "authors": "Wang Q, Zhang H, Shen X, Ju S",
                "date": "2016-04-30",
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                        "id": "27126269",
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    {
        "biomarker_id": "AN6527-1",
        "biomarker_component": [
            {
                "biomarker": "decreased B3GALT5-AS1 level",
                "assessed_biomarker_entity": {
                    "recommended_name": "Putative uncharacterized protein B3GALT5-AS1",
                    "synonyms": [
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                            "synonym": "B3GALT5 antisense RNA 1"
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                        {
                            "synonym": "B3GALT5 antisense gene protein 1"
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                "assessed_biomarker_entity_id": "UPKB:P59052",
                "assessed_entity_type": "protein",
                "specimen": [
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                        "name": "blood",
                        "id": "UBERON:0000178",
                        "name_space": "Uberon",
                        "url": "http://purl.obolibrary.org/obo/UBERON_0000178",
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                        "id": "32207329",
                        "database": "Pubmed",
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                            {
                                "evidence": "The level of B3GALT5-AS1 in CRC patients was significantly lower than that of healthy patients (p < 0.0001). B3GALT5-AS1 may be served as a diagnostic marker for distinguishing CRC patients from healthy people. Further exploration validated that high serum B3GALT5-AS1 level was related to tumor node metastasis (TNM) stage (p = 0.008) and histological differentiation (p = 0.027). Compared with the healthy control group, AUCROC of serum B3GALT5-AS1 in the CRC group was 0.762 with 95% CI: 0.698‚Äì0.826 (p < 0.0001)."
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                "title": "Analysis of polyamines as carbamoyl derivatives in urine and serum by liquid chromatography-tandem mass spectrometry.",
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                        ],
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                    "id": "DOID:10283",
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                {
                    "id": "DOID:10283",
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                },
                {
                    "id": "DOID:10283",
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                ],
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                    {
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        ],
        "citation": [
            {
                "title": "Golgi protein GOLM1 is a tissue and urine biomarker of prostate cancer.",
                "journal": "Neoplasia (New York, N.Y.)",
                "authors": "Varambally S, Laxman B, Mehra R, Cao Q, Dhanasekaran SM, Tomlins SA, Granger J, Vellaichamy A, Sreekumar A, Yu J, Gu W, Shen R, Ghosh D, Wright LM, Kladney RD, Kuefer R, Rubin MA, Fimmel CJ, Chinnaiyan AM",
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                        "evidence": "C1GALT1 expression is upregulated in HNSCC tumors and is associated with adverse clinicopathologic features. Moreover, high C1GALT1 expression predicts poor disease-free and overall survivals. For Kaplan‚ÄìMeier analysis, we further classified C1GALT1 scores 0‚Äì1 and scores 2‚Äì3 as low and high expression, respectively. Results showed that high C1GALT1 expression was significantly associated with poor disease-free survival and overall survival."
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                "title": "C1GALT1 predicts poor prognosis and is a potential therapeutic target in head and neck cancer.",
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                "biomarker": "increased TM256 level",
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                "assessed_biomarker_entity_id": "UPKB:Q8N2U0",
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                            {
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                    "id": "DOID:10283",
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                {
                    "id": "DOID:10283",
                    "name": "hereditary prostate cancer",
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                {
                    "id": "DOID:10283",
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                ],
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                    {
                        "tag": "best_biomarker_role"
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                        "tag": "condition"
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        ],
        "citation": [
            {
                "title": "Identification of prostate cancer biomarkers in urinary exosomes.",
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                "authors": "Øverbye A, Skotland T, Koehler CJ, Thiede B, Seierstad T, Berge V, Sandvig K, Llorente A",
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                            "synonym": "PPIase FKBP4"
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                            "synonym": "51 kDa FK506-binding protein"
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                            "synonym": "FKBP51"
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                            "synonym": "52 kDa FK506-binding protein"
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                            "synonym": "52 kDa FKBP"
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                            "synonym": "FKBP-52"
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                            "synonym": "59 kDa immunophilin"
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                            "synonym": "p59"
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                            "synonym": "FK506-binding protein 4"
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                            "synonym": "FKBP-4"
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                            "synonym": "FKBP59"
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                        {
                            "synonym": "HSP-binding immunophilin"
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                            "synonym": "HBI"
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                        {
                            "synonym": "Immunophilin FKBP52"
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                        {
                            "synonym": "Rotamase"
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                {
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                "title": "Identification of candidate prostate cancer biomarkers in prostate needle biopsy specimens using proteomic analysis.",
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                            "synonym": "Endothelial actin-binding protein"
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                "biomarker": "increased MYO5A level",
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                "assessed_biomarker_entity_id": "UPKB:Q9Y4I1",
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                ],
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        "citation": [
            {
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            {
                "title": "Identification of tumor-educated platelet biomarkers of non-small-cell lung cancer.",
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                                "evidence": "However, after FDR adjustment at 5% was applied, only methylation of PITX2 remained significant (p = 0.005) for predicting PCa related death and is interpreted as the following: for each 10% increase in methylation of PITX2, the risk of PCa-related death increased by a factor of 1.56."
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                        "evidence": "However, after FDR adjustment at 5% was applied, only methylation of PITX2 remained significant (p = 0.005) for predicting PCa related death and is interpreted as the following: for each 10% increase in methylation of PITX2, the risk of PCa-related death increased by a factor of 1.56."
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                "title": "DNA methylation of PITX2 predicts poor survival in men with prostate cancer.",
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                "title": "Prostate cancer detection on urinalysis for alpha methylacyl coenzyme a racemase protein.",
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                "title": "Comprehensive transcriptomic analysis of papillary thyroid cancer: potential biomarkers associated with tumor progression.",
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        "citation": [
            {
                "title": "",
                "journal": "Aging",
                "authors": "Wen J, Lin B, Lin L, Chen Y, Wang O",
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                "title": "8-Hydroxy-2'-deoxyguanosine as a Discriminatory Biomarker for Early Detection of Breast Cancer.",
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                "title": "Receptor activator of nuclear factor kB ligand, osteoprotegerin, and risk of death following a breast cancer diagnosis: results from the EPIC cohort.",
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                "authors": "Sarink D, Schock H, Johnson T, Chang-Claude J, Overvad K, Olsen A, Tjønneland A, Arveux P, Fournier A, Kvaskoff M, Boeing H, Karakatsani A, Trichopoulou A, La Vecchia C, Masala G, Agnoli C, Panico S, Tumino R, Sacerdote C, van Gils CH, Peeters PHM, Weiderpass E, Agudo A, Rodríguez-Barranco M, Huerta JM, Ardanaz E, Gil L, Kaw KT, Schmidt JA, Dossus L, His M, Aune D, Riboli E, Kaaks R, Fortner RT",
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                    "id": "DOID:1612",
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                    "id": "DOID:1612",
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            {
                "biomarker": "increased REG4 level",
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                    "recommended_name": "Regenerating islet-derived protein 4",
                    "synonyms": [
                        {
                            "synonym": "REG-4"
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                        {
                            "synonym": "Gastrointestinal secretory protein"
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                        {
                            "synonym": "REG-like protein"
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                            "synonym": "Reg IV"
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                {
                    "id": "DOID:10534",
                    "name": "gastric cancer",
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                ],
                "tags": [
                    {
                        "tag": "best_biomarker_role"
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                    {
                        "tag": "condition"
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                ]
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        ],
        "citation": [
            {
                "title": "REG4 promotes peritoneal metastasis of gastric cancer through GPR37.",
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                "authors": "Wang H, Hu L, Zang M, Zhang B, Duan Y, Fan Z, Li J, Su L, Yan M, Zhu Z, Liu B, Yang Q",
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                "biomarker": "increased HOTAIR level",
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                    "recommended_name": "HOX transcript antisense RNA",
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                "assessed_biomarker_entity_id": "RNAC:URS0000759B00",
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                                "evidence": "We measured the HOTAIR and GAPDH DNA in 24 randomly selected patients and 24 age-matched healthy individuals using the direct serum qPCR assay, and found that the relative concentration of HOTAIR DNA was significantly higher in the breast cancer patients than in healthy individuals, corresponding to an average fold change of 2.01 (P = 0.0008)."
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        ],
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                    "id": "DOID:1612",
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        "citation": [
            {
                "title": "Circulating DNA of HOTAIR in serum is a novel biomarker for breast cancer.",
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        "biomarker_id": "AN6629-1",
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            {
                "biomarker": "increased LNCRNA H19 level",
                "assessed_biomarker_entity": {
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                                "evidence": "The results revealed that the expression of H19 was significantly increased in BC tissues and plasma compared with healthy controls (P< 0.05)."
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        ],
        "citation": [
            {
                "title": "Circulating lncRNA H19 in plasma as a novel biomarker for breast cancer.",
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                "authors": "Zhang K, Luo Z, Zhang Y, Zhang L, Wu L, Liu L, Yang J, Song X, Liu J",
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        "biomarker_id": "AN6630-1",
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                "biomarker": "increased SREBP1 level",
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                },
                "assessed_biomarker_entity_id": "UPKB:P36956",
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                    "id": "DOID:1781",
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                    "id": "DOID:1781",
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                "title": "SREBP1 as a potential biomarker predicts levothyroxine efficacy of differentiated thyroid cancer.",
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                {
                    "id": "DOID:10283",
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                {
                    "id": "DOID:10283",
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                {
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                "title": "SAMD5 mRNA was overexpressed in prostate cancer and can predict biochemical recurrence after radical prostatectomy.",
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                "description": "An urinary system cancer that results_in malignant growth located_in the urinary bladder.",
                "resource": "Disease Ontology",
                "url": "http://purl.obolibrary.org/obo/DOID_11054"
            },
            "synonyms": [
                {
                    "id": "DOID:11054",
                    "name": "tumor of the bladder",
                    "resource": "Disease Ontology",
                    "url": "http://purl.obolibrary.org/obo/DOID_11054"
                },
                {
                    "id": "DOID:11054",
                    "name": "bladder cancer",
                    "resource": "Disease Ontology",
                    "url": "http://purl.obolibrary.org/obo/DOID_11054"
                }
            ]
        },
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                "id": "18339581",
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                "url": "https://pubmed.ncbi.nlm.nih.gov/18339581",
                "evidence_list": [
                    {
                        "evidence": "We have shown in a large case‚Äìcontrol study that leucocyte DNA hypomethylation is associated with increased risk of developing bladder cancer, and this association is independent of smoking and the other assessed risk factors."
                    }
                ],
                "tags": [
                    {
                        "tag": "best_biomarker_role"
                    },
                    {
                        "tag": "condition"
                    }
                ]
            }
        ],
        "citation": [
            {
                "title": "Genomic DNA hypomethylation as a biomarker for bladder cancer susceptibility in the Spanish Bladder Cancer Study: a case-control study.",
                "journal": "The Lancet. Oncology",
                "authors": "Moore LE, Pfeiffer RM, Poscablo C, Real FX, Kogevinas M, Silverman D, García-Closas R, Chanock S, Tardón A, Serra C, Carrato A, Dosemeci M, García-Closas M, Esteller M, Fraga M, Rothman N, Malats N",
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                    {
                        "id": "18339581",
                        "type": "Pubmed",
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                ]
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        ],
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        "biomarker_id": "AN6652-1",
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            {
                "biomarker": "increased DKK-1 level",
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                        {
                            "synonym": "Dickkopf-1"
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                            "synonym": "hDkk-1"
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                        {
                            "synonym": "SK"
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                },
                "assessed_biomarker_entity_id": "UPKB:O94907",
                "assessed_entity_type": "protein",
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                    {
                        "name": "prostate gland",
                        "id": "UBERON:0002367",
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                            {
                                "evidence": "DKK-1 expression index (EI) was found to increase in PIN and primary lesions compared to non-neoplastic tissue (106¬±10 vs. 19¬±6, respectively, where the EI is the product of the percent expression and staining intensity). DKK-1 expression was also found to be higher in all PCa metastatic lesions (56¬±21 EI) compared to non-neoplastic tissues but was significantly decreased vs. primary PCa lesions (p<0.008). The decline in DKK-1 correlated with a shift of beta-catenin staining from the nucleus to the cytoplasm suggesting possible mechanism for the observed decrease in DKK-1 levels during PCa progression. Within metastatic lesions, DKK-1 expression was least abundant in PCa bone metastases relative to all soft tissue PCa metastatic lesions except lymph node metastases. High DKK-1 expression within PCa metastases was further associated with shorter over-all patient survival."
                            }
                        ],
                        "tags": [
                            {
                                "tag": "biomarker"
                            },
                            {
                                "tag": "assessed_biomarker_entity"
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                            {
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        ],
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                "description": "A male reproductive organ cancer that is located_in the prostate.",
                "resource": "Disease Ontology",
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                {
                    "id": "DOID:10283",
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                    "resource": "Disease Ontology",
                    "url": "http://purl.obolibrary.org/obo/DOID_10283"
                },
                {
                    "id": "DOID:10283",
                    "name": "NGP - new growth of prostate",
                    "resource": "Disease Ontology",
                    "url": "http://purl.obolibrary.org/obo/DOID_10283"
                },
                {
                    "id": "DOID:10283",
                    "name": "tumor of the prostate",
                    "resource": "Disease Ontology",
                    "url": "http://purl.obolibrary.org/obo/DOID_10283"
                },
                {
                    "id": "DOID:10283",
                    "name": "prostate cancer, familial",
                    "resource": "Disease Ontology",
                    "url": "http://purl.obolibrary.org/obo/DOID_10283"
                },
                {
                    "id": "DOID:10283",
                    "name": "prostatic neoplasm",
                    "resource": "Disease Ontology",
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                },
                {
                    "id": "DOID:10283",
                    "name": "malignant tumor of the prostate",
                    "resource": "Disease Ontology",
                    "url": "http://purl.obolibrary.org/obo/DOID_10283"
                },
                {
                    "id": "DOID:10283",
                    "name": "hereditary prostate cancer",
                    "resource": "Disease Ontology",
                    "url": "http://purl.obolibrary.org/obo/DOID_10283"
                },
                {
                    "id": "DOID:10283",
                    "name": "prostatic cancer",
                    "resource": "Disease Ontology",
                    "url": "http://purl.obolibrary.org/obo/DOID_10283"
                }
            ]
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            {
                "id": "18561248",
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                "evidence_list": [
                    {
                        "evidence": "DKK-1 expression index (EI) was found to increase in PIN and primary lesions compared to non-neoplastic tissue (106¬±10 vs. 19¬±6, respectively, where the EI is the product of the percent expression and staining intensity). DKK-1 expression was also found to be higher in all PCa metastatic lesions (56¬±21 EI) compared to non-neoplastic tissues but was significantly decreased vs. primary PCa lesions (p<0.008). The decline in DKK-1 correlated with a shift of beta-catenin staining from the nucleus to the cytoplasm suggesting possible mechanism for the observed decrease in DKK-1 levels during PCa progression. Within metastatic lesions, DKK-1 expression was least abundant in PCa bone metastases relative to all soft tissue PCa metastatic lesions except lymph node metastases. High DKK-1 expression within PCa metastases was further associated with shorter over-all patient survival."
                    }
                ],
                "tags": [
                    {
                        "tag": "best_biomarker_role"
                    },
                    {
                        "tag": "condition"
                    }
                ]
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        ],
        "citation": [
            {
                "title": "Dickkopf-1 expression increases early in prostate cancer development and decreases during progression from primary tumor to metastasis.",
                "journal": "The Prostate",
                "authors": "Hall CL, Daignault SD, Shah RB, Pienta KJ, Keller ET",
                "date": "2008-06-19",
                "evidence": [],
                "reference": [
                    {
                        "id": "18561248",
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                        "url": "https://pubmed.ncbi.nlm.nih.gov/18561248"
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    {
        "biomarker_id": "AN6653-1",
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            {
                "biomarker": "increased DPP-4 level",
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                            "synonym": "ADABP"
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                            "synonym": "Adenosine deaminase complexing protein 2"
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                            "synonym": "ADCP-2"
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                        {
                            "synonym": "Dipeptidyl peptidase IV"
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                            "synonym": "DPP IV"
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                            "synonym": "T-cell activation antigen CD26"
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                            "synonym": "TP103"
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                },
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                                "evidence": "The serum DPP-IV concentration was measured in 171 male patients with PTC, 81 male patients with a benign thyroid nodule (BTN), and 52 male healthy controls (HCs). he ROC curve indicated a good performance of DPP-IV for discriminating PTC from BTN, with an area under the curve (AUC) of 0.881 (95% CI, 0.840-0.922). Serum DPP-IV demonstrated a modest performance in predicting nonstructurally persistent disease/recurrent disease (NSPRD) survival."
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                        ],
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                                "tag": "biomarker"
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            "recommended_name": {
                "id": "DOID:1781",
                "name": "thyroid gland cancer",
                "description": "An endocrine gland cancer located in the thryoid gland located in the neck below the thyroid cartilage.",
                "resource": "Disease Ontology",
                "url": "http://purl.obolibrary.org/obo/DOID_1781"
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            "synonyms": [
                {
                    "id": "DOID:1781",
                    "name": "neoplasm of thyroid gland",
                    "resource": "Disease Ontology",
                    "url": "http://purl.obolibrary.org/obo/DOID_1781"
                },
                {
                    "id": "DOID:1781",
                    "name": "thyroid neoplasm",
                    "resource": "Disease Ontology",
                    "url": "http://purl.obolibrary.org/obo/DOID_1781"
                },
                {
                    "id": "DOID:1781",
                    "name": "thyroid gland cancer",
                    "resource": "Disease Ontology",
                    "url": "http://purl.obolibrary.org/obo/DOID_1781"
                },
                {
                    "id": "DOID:1781",
                    "name": "malignant tumour of thyroid gland",
                    "resource": "Disease Ontology",
                    "url": "http://purl.obolibrary.org/obo/DOID_1781"
                },
                {
                    "id": "DOID:1781",
                    "name": "Thyroid gland neoplasm",
                    "resource": "Disease Ontology",
                    "url": "http://purl.obolibrary.org/obo/DOID_1781"
                },
                {
                    "id": "DOID:1781",
                    "name": "malignant neoplasm of thyroid gland",
                    "resource": "Disease Ontology",
                    "url": "http://purl.obolibrary.org/obo/DOID_1781"
                }
            ]
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                "evidence_list": [
                    {
                        "evidence": "The serum DPP-IV concentration was measured in 171 male patients with PTC, 81 male patients with a benign thyroid nodule (BTN), and 52 male healthy controls (HCs). he ROC curve indicated a good performance of DPP-IV for discriminating PTC from BTN, with an area under the curve (AUC) of 0.881 (95% CI, 0.840-0.922). Serum DPP-IV demonstrated a modest performance in predicting nonstructurally persistent disease/recurrent disease (NSPRD) survival."
                    }
                ],
                "tags": [
                    {
                        "tag": "best_biomarker_role"
                    },
                    {
                        "tag": "condition"
                    }
                ]
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        ],
        "citation": [
            {
                "title": "Predictive significance of serum dipeptidyl peptidase-IV in papillary thyroid carcinoma.",
                "journal": "Cancer biomarkers : section A of Disease markers",
                "authors": "Zhang N, Cong X, Zhou D, Guo L, Yuan C, Xu D, Su C",
                "date": "2018-12-31",
                "evidence": [],
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    {
        "biomarker_id": "AN6654-1",
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            {
                "biomarker": "increased CHL1 level",
                "assessed_biomarker_entity": {
                    "recommended_name": "Close homolog of L1",
                    "synonyms": [
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                            "synonym": "Close homolog of L1"
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                                "evidence": "CHL1 was found to have greater than 15-fold higher expression in fragments per kilobase million in HCC compared with benign Hurthle cell tumors. This was confirmed by qRT-PCR. Moreover, the immunoreactivity score of the CHL1 protein was significantly higher in HCC compared with benign H√ºrthle cell nodules. Moreover, the immunoreactivity score of the CHL1 protein was significantly higher in HCC compared with benign H√ºrthle cell nodules. CHL1 expression may represent a novel and useful prognostic biomarker to distinguish HCC from benign H√ºrthle cell disease."
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                        ],
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                                "tag": "biomarker"
                            },
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                "name": "thyroid gland cancer",
                "description": "An endocrine gland cancer located in the thryoid gland located in the neck below the thyroid cartilage.",
                "resource": "Disease Ontology",
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                    "resource": "Disease Ontology",
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                {
                    "id": "DOID:1781",
                    "name": "thyroid neoplasm",
                    "resource": "Disease Ontology",
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                {
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                    "name": "thyroid gland cancer",
                    "resource": "Disease Ontology",
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                    "name": "malignant tumour of thyroid gland",
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                    "url": "http://purl.obolibrary.org/obo/DOID_1781"
                },
                {
                    "id": "DOID:1781",
                    "name": "Thyroid gland neoplasm",
                    "resource": "Disease Ontology",
                    "url": "http://purl.obolibrary.org/obo/DOID_1781"
                },
                {
                    "id": "DOID:1781",
                    "name": "malignant neoplasm of thyroid gland",
                    "resource": "Disease Ontology",
                    "url": "http://purl.obolibrary.org/obo/DOID_1781"
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            ]
        },
        "evidence_source": [
            {
                "id": "30311656",
                "database": "Pubmed",
                "url": "https://pubmed.ncbi.nlm.nih.gov/30311656",
                "evidence_list": [
                    {
                        "evidence": "CHL1 was found to have greater than 15-fold higher expression in fragments per kilobase million in HCC compared with benign Hurthle cell tumors. This was confirmed by qRT-PCR. Moreover, the immunoreactivity score of the CHL1 protein was significantly higher in HCC compared with benign H√ºrthle cell nodules. Moreover, the immunoreactivity score of the CHL1 protein was significantly higher in HCC compared with benign H√ºrthle cell nodules. CHL1 expression may represent a novel and useful prognostic biomarker to distinguish HCC from benign H√ºrthle cell disease."
                    }
                ],
                "tags": [
                    {
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                    },
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                        "tag": "condition"
                    }
                ]
            }
        ],
        "citation": [
            {
                "title": "CHL1 expression differentiates Hürthle cell carcinoma from benign Hürthle cell nodules.",
                "journal": "Journal of surgical oncology",
                "authors": "Li W, Xia S, Aronova A, Min IM, Verma A, Scognamiglio T, Gray KD, Ullmann TM, Liang H, Moore MD, Elemento O, Zarnegar R, Fahey TJ",
                "date": "2018-10-13",
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                    {
                        "id": "30311656",
                        "type": "Pubmed",
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        },
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    {
        "biomarker_id": "AN6655-1",
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            {
                "biomarker": "increased NPM level",
                "assessed_biomarker_entity": {
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                    "synonyms": [
                        {
                            "synonym": "NPM"
                        },
                        {
                            "synonym": "Nucleolar phosphoprotein B23"
                        },
                        {
                            "synonym": "Nucleolar protein NO38"
                        },
                        {
                            "synonym": "Numatrin"
                        }
                    ]
                },
                "assessed_biomarker_entity_id": "UPKB:P06748",
                "assessed_entity_type": "protein",
                "specimen": [
                    {
                        "name": "thyroid gland",
                        "id": "UBERON:0002046",
                        "name_space": "Uberon",
                        "url": "http://purl.obolibrary.org/obo/UBERON_0002046",
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                            {
                                "evidence": "In these cells, a positive correlation between NPM protein levels, but not mRNA, and proliferation state was detected. By using thyroid tumor cell lines, we demonstrated that such a post-mRNA regulation may depend on NPM binding to p-Akt, whose levels were found to be increased in the tumor cells, in parallel with reduction of PTEN. In conclusion, our present data demonstrate for the first time that nucleophosmin is overexpressed in thyroid tumors, as an early event of thyroid tumorigenesis."
                            }
                        ],
                        "tags": [
                            {
                                "tag": "biomarker"
                            },
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                "name": "thyroid gland cancer",
                "description": "An endocrine gland cancer located in the thryoid gland located in the neck below the thyroid cartilage.",
                "resource": "Disease Ontology",
                "url": "http://purl.obolibrary.org/obo/DOID_1781"
            },
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                    "name": "neoplasm of thyroid gland",
                    "resource": "Disease Ontology",
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                },
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                "title": "Quantitative analysis of BTF3, HINT1, NDRG1 and ODC1 protein over-expression in human prostate cancer tissue.",
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                "title": "Transgelin is a novel marker of smooth muscle differentiation that improves diagnostic accuracy of leiomyosarcomas: a comparative immunohistochemical reappraisal of myogenic markers in 900 soft tissue tumors.",
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                "title": "BARHL2 Methylation Using Gastric Wash DNA or Gastric Juice Exosomal DNA is a Useful Marker For Early Detection of Gastric Cancer in an H. pylori-Independent Manner.",
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        "biomarker_id": "AN6705-1",
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            {
                "biomarker": "increased methylation in GFRA3",
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                        "evidence": "The different DNA methylation clusters of the tumors and normal tissue indicate that aberrant DNA methylation is a distinct feature of gastric cancer, although there is little difference in the overall, and low, methylation levels between the two tissue types. The GFRA3 promoter region showed marked hypermethylation in almost all tumors, and its correlation with survival and other clinicopathological parameters may have important prognostic significance."
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                "title": "GFRA3 promoter methylation may be associated with decreased postoperative survival in gastric cancer.",
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                                "evidence": "Downregulation or silencing of GPX3 was detected in 8 of 9 cancer cell lines, 83% (90/108) gastric cancers samples, as compared to non-tumor adjacent normal gastric samples (P<0.0001). Examination of GPX3 promoter demonstrated DNA hypermethylation (= 10% methylation level determined by Bisulfite Pyrosequencing) in 6 of 9 cancer cell lines and 60% of gastric cancer samples (P = 0.007). We also detected a significant loss of DNA copy number of GPX3 in gastric cancers (P<0.001)."
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                        ],
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                                "tag": "biomarker"
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            {
                "title": "Silencing of glutathione peroxidase 3 through DNA hypermethylation is associated with lymph node metastasis in gastric carcinomas.",
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                "title": "The lncRNA SNHG5-mediated miR-205-5p downregulation contributes to the progression of clear cell renal cell carcinoma by targeting ZEB1.",
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                "title": "Detection of Chemotherapy-resistant Pancreatic Cancer Using a Glycan Biomarker, sTRA.",
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                "biomarker": "increased N-glycan level",
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                        ],
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        "citation": [
            {
                "title": "A strategy to reveal potential glycan markers from serum glycoproteins associated with breast cancer progression.",
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                        ],
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                    "resource": "Disease Ontology",
                    "url": "http://purl.obolibrary.org/obo/DOID_11934"
                },
                {
                    "id": "DOID:11934",
                    "name": "tumor of head and neck",
                    "resource": "Disease Ontology",
                    "url": "http://purl.obolibrary.org/obo/DOID_11934"
                }
            ]
        },
        "evidence_source": [
            {
                "id": "21109482",
                "database": "Pubmed",
                "url": "https://pubmed.ncbi.nlm.nih.gov/21109482",
                "evidence_list": [
                    {
                        "evidence": "Four transcriptome (IL8, IL1B, SAT1, and S100P) and all proteome biomarkers were significantly elevated (p<0.05) in OSCC patients. The combination of markers yielded an AUC of 0.86, 0.85 and 0.88 for OSCC total, T1-T2, and T3-T4, respectively."
                    }
                ],
                "tags": [
                    {
                        "tag": "best_biomarker_role"
                    },
                    {
                        "tag": "condition"
                    }
                ]
            }
        ],
        "citation": [
            {
                "title": "Oral squamous cell carcinoma detection by salivary biomarkers in a Serbian population.",
                "journal": "Oral oncology",
                "authors": "Brinkmann O, Kastratovic DA, Dimitrijevic MV, Konstantinovic VS, Jelovac DB, Antic J, Nesic VS, Markovic SZ, Martinovic ZR, Akin D, Spielmann N, Zhou H, Wong DT",
                "date": "2010-11-27",
                "evidence": [],
                "reference": [
                    {
                        "id": "21109482",
                        "type": "Pubmed",
                        "url": "https://pubmed.ncbi.nlm.nih.gov/21109482"
                    }
                ]
            }
        ],
        "biomarker_canonical_id": "AN6372",
        "score": 1,
        "score_info": {
            "contributions": [
                {
                    "c": "first_pmid",
                    "w": 1,
                    "f": 1
                },
                {
                    "c": "other_pmid",
                    "w": 0.2,
                    "f": 0
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                {
                    "c": "first_source",
                    "w": 1,
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                {
                    "c": "other_source",
                    "w": 0.1,
                    "f": 0
                },
                {
                    "c": "generic_condition_pen",
                    "w": -4,
                    "f": 0
                },
                {
                    "c": "loinc",
                    "w": 1,
                    "f": 0
                }
            ],
            "formula": "sum(w*f)",
            "variables": {
                "w": "weight",
                "f": "frequency",
                "c": "condition"
            }
        },
        "collision": 0
    },
    {
        "biomarker_id": "AN6718-2",
        "biomarker_component": [
            {
                "biomarker": "increased IL1B level",
                "assessed_biomarker_entity": {
                    "recommended_name": "Interleukin-1 beta protein",
                    "synonyms": [
                        {
                            "synonym": "IL-1 beta"
                        },
                        {
                            "synonym": "Catabolin"
                        }
                    ]
                },
                "assessed_biomarker_entity_id": "UPKB:P01584",
                "assessed_entity_type": "protein",
                "specimen": [
                    {
                        "name": "saliva",
                        "id": "UBERON:0001836",
                        "name_space": "Uberon",
                        "url": "http://purl.obolibrary.org/obo/UBERON_0001836",
                        "loinc_code": "13629-1"
                    }
                ],
                "evidence_source": [
                    {
                        "id": "21109482",
                        "database": "Pubmed",
                        "url": "https://pubmed.ncbi.nlm.nih.gov/21109482",
                        "evidence_list": [
                            {
                                "evidence": "IL1B protein and IL8 protein as well as S100P mRNA were increased the most between all OSCC patients and controls with a fold change of 3.96, 3.09, and 3.24 respectively. Combined markers proved to be the strongest discriminator of OSCC with an AUC of 0.86 for all cancer patients (IL1B protein + SAT1 mRNA + DUSP1 mRNA), 0.85 for T1-T2 (IL1B mRNA + SAT1 mRNA + DUSP1 mRNA), and 0.88 for T3-T4 (IL1B protein + DUSP1 mRNA) (Figure 1¬†and¬†Table 3). The sensitivity/specificity for these groups were 0.89/0.78, 0.67/0.96, and 0.82/0.84 respectively."
                            }
                        ],
                        "tags": [
                            {
                                "tag": "biomarker"
                            },
                            {
                                "tag": "assessed_biomarker_entity"
                            },
                            {
                                "tag": "specimen:UBERON:0001836"
                            }
                        ]
                    }
                ]
            }
        ],
        "best_biomarker_role": [
            {
                "role": "diagnostic"
            }
        ],
        "condition": {
            "id": "DOID:11934",
            "recommended_name": {
                "id": "DOID:11934",
                "name": "head and neck cancer",
                "description": "An organ system cancer that arises in the head or neck region. This region includes the nasal cavity, sinuses, lips, mouth, salivary glands, throat, or larynx.",
                "resource": "Disease Ontology",
                "url": "http://purl.obolibrary.org/obo/DOID_11934"
            },
            "synonyms": [
                {
                    "id": "DOID:11934",
                    "name": "head and neck neoplasm",
                    "resource": "Disease Ontology",
                    "url": "http://purl.obolibrary.org/obo/DOID_11934"
                },
                {
                    "id": "DOID:11934",
                    "name": "head/neck neoplasm",
                    "resource": "Disease Ontology",
                    "url": "http://purl.obolibrary.org/obo/DOID_11934"
                },
                {
                    "id": "DOID:11934",
                    "name": "head and neck tumours",
                    "resource": "Disease Ontology",
                    "url": "http://purl.obolibrary.org/obo/DOID_11934"
                },
                {
                    "id": "DOID:11934",
                    "name": "tumor of head and neck",
                    "resource": "Disease Ontology",
                    "url": "http://purl.obolibrary.org/obo/DOID_11934"
                }
            ]
        },
        "evidence_source": [
            {
                "id": "21109482",
                "database": "Pubmed",
                "url": "https://pubmed.ncbi.nlm.nih.gov/21109482",
                "evidence_list": [
                    {
                        "evidence": "IL1B protein and IL8 protein as well as S100P mRNA were increased the most between all OSCC patients and controls with a fold change of 3.96, 3.09, and 3.24 respectively. Combined markers proved to be the strongest discriminator of OSCC with an AUC of 0.86 for all cancer patients (IL1B protein + SAT1 mRNA + DUSP1 mRNA), 0.85 for T1-T2 (IL1B mRNA + SAT1 mRNA + DUSP1 mRNA), and 0.88 for T3-T4 (IL1B protein + DUSP1 mRNA) (Figure 1¬†and¬†Table 3). The sensitivity/specificity for these groups were 0.89/0.78, 0.67/0.96, and 0.82/0.84 respectively."
                    }
                ],
                "tags": [
                    {
                        "tag": "best_biomarker_role"
                    },
                    {
                        "tag": "condition"
                    }
                ]
            }
        ],
        "citation": [
            {
                "title": "Oral squamous cell carcinoma detection by salivary biomarkers in a Serbian population.",
                "journal": "Oral oncology",
                "authors": "Brinkmann O, Kastratovic DA, Dimitrijevic MV, Konstantinovic VS, Jelovac DB, Antic J, Nesic VS, Markovic SZ, Martinovic ZR, Akin D, Spielmann N, Zhou H, Wong DT",
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                "evidence": [],
                "reference": [
                    {
                        "id": "21109482",
                        "type": "Pubmed",
                        "url": "https://pubmed.ncbi.nlm.nih.gov/21109482"
                    }
                ]
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        ],
        "biomarker_canonical_id": "AN6718",
        "score": 2,
        "score_info": {
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                {
                    "c": "first_pmid",
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                    "c": "loinc",
                    "w": 1,
                    "f": 1
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            ],
            "formula": "sum(w*f)",
            "variables": {
                "f": "frequency",
                "c": "condition",
                "w": "weight"
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        },
        "collision": 0
    },
    {
        "biomarker_id": "AN6721-1",
        "biomarker_component": [
            {
                "biomarker": "decreased IL1B level",
                "assessed_biomarker_entity": {
                    "recommended_name": "Interleukin-1 beta protein",
                    "synonyms": [
                        {
                            "synonym": "IL-1"
                        },
                        {
                            "synonym": "IL1-BETA"
                        },
                        {
                            "synonym": "IL1F2"
                        },
                        {
                            "synonym": "IL1beta"
                        }
                    ]
                },
                "assessed_biomarker_entity_id": "NCBI: 3553",
                "assessed_entity_type": "gene",
                "specimen": [
                    {
                        "name": "blood",
                        "id": "UBERON:0000178",
                        "name_space": "Uberon",
                        "url": "http://purl.obolibrary.org/obo/UBERON_0000178",
                        "loinc_code": "13629-1"
                    }
                ],
                "evidence_source": [
                    {
                        "id": "17595242",
                        "database": "Pubmed",
                        "url": "https://pubmed.ncbi.nlm.nih.gov/17595242",
                        "evidence_list": [
                            {
                                "evidence": "Changes in expression of IL1B, early growth response gene 3, and prostaglandin-endoperoxide synthase 2 resolved within 4 months of insulin therapy and were also observed in T2D, suggesting that they resulted from hyperglycemia. With use of a knowledge base, 81 of 282 genes could be placed within a network of interrelated genes with predicted functions including apoptosis and cell proliferation. IL1B and the MYC oncogene were the most highly connected genes in the network. IL1B was highly overexpressed in both T1D and T2D, whereas MYC was dysregulated only in T1D."
                            }
                        ],
                        "tags": [
                            {
                                "tag": "biomarker"
                            },
                            {
                                "tag": "assessed_biomarker_entity"
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                            {
                                "tag": "specimen:UBERON:0000178"
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                ]
            }
        ],
        "best_biomarker_role": [
            {
                "role": "monitoring"
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        ],
        "condition": {
            "id": "DOID:9351",
            "recommended_name": {
                "id": "DOID:9351",
                "name": "diabetes mellitus",
                "description": "A glucose metabolism disease that is characterized by chronic hyperglycaemia with disturbances of carbohydrate, fat and protein metabolism resulting from defects in insulin secretion, insulin action, or both.",
                "resource": "Disease Ontology",
                "url": "http://purl.obolibrary.org/obo/DOID_9351"
            },
            "synonyms": [
                {
                    "id": "DOID:9351",
                    "name": "diabetes",
                    "resource": "Disease Ontology",
                    "url": "http://purl.obolibrary.org/obo/DOID_9351"
                }
            ]
        },
        "evidence_source": [
            {
                "id": "17595242",
                "database": "Pubmed",
                "url": "https://pubmed.ncbi.nlm.nih.gov/17595242",
                "evidence_list": [
                    {
                        "evidence": "Changes in expression of IL1B, early growth response gene 3, and prostaglandin-endoperoxide synthase 2 resolved within 4 months of insulin therapy and were also observed in T2D, suggesting that they resulted from hyperglycemia. With use of a knowledge base, 81 of 282 genes could be placed within a network of interrelated genes with predicted functions including apoptosis and cell proliferation. IL1B and the MYC oncogene were the most highly connected genes in the network. IL1B was highly overexpressed in both T1D and T2D, whereas MYC was dysregulated only in T1D."
                    }
                ],
                "tags": [
                    {
                        "tag": "best_biomarker_role"
                    },
                    {
                        "tag": "condition"
                    }
                ]
            }
        ],
        "citation": [
            {
                "title": "Gene expression in peripheral blood mononuclear cells from children with diabetes.",
                "journal": "The Journal of clinical endocrinology and metabolism",
                "authors": "Kaizer EC, Glaser CL, Chaussabel D, Banchereau J, Pascual V, White PC",
                "date": "2007-06-28",
                "evidence": [],
                "reference": [
                    {
                        "id": "17595242",
                        "type": "Pubmed",
                        "url": "https://pubmed.ncbi.nlm.nih.gov/17595242"
                    }
                ]
            }
        ],
        "biomarker_canonical_id": "AN6721",
        "score": 2,
        "score_info": {
            "contributions": [
                {
                    "c": "first_pmid",
                    "w": 1,
                    "f": 1
                },
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                    "c": "other_pmid",
                    "w": 0.2,
                    "f": 0
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                {
                    "c": "first_source",
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                {
                    "c": "other_source",
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                {
                    "c": "generic_condition_pen",
                    "w": -4,
                    "f": 0
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                {
                    "c": "loinc",
                    "w": 1,
                    "f": 1
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            ],
            "formula": "sum(w*f)",
            "variables": {
                "c": "condition",
                "w": "weight",
                "f": "frequency"
            }
        },
        "collision": 0
    },
    {
        "biomarker_id": "AN6722-1",
        "biomarker_component": [
            {
                "biomarker": "methylation in RASSF1",
                "assessed_biomarker_entity": {
                    "recommended_name": "Ras association domain-containing protein 1 gene",
                    "synonyms": [
                        {
                            "synonym": "123F2"
                        },
                        {
                            "synonym": "NORE2A"
                        },
                        {
                            "synonym": "RASSF1A"
                        },
                        {
                            "synonym": "RDA32"
                        },
                        {
                            "synonym": "REH3P21"
                        }
                    ]
                },
                "assessed_biomarker_entity_id": "NCBI: 11186",
                "assessed_entity_type": "gene",
                "specimen": [
                    {
                        "name": "urine",
                        "id": "UBERON:0001088",
                        "name_space": "Uberon",
                        "url": "http://purl.obolibrary.org/obo/UBERON_0001088",
                        "loinc_code": ""
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                ],
                "evidence_source": [
                    {
                        "id": "24980613",
                        "database": "Pubmed",
                        "url": "https://pubmed.ncbi.nlm.nih.gov/24980613",
                        "evidence_list": [
                            {
                                "evidence": "RASSF1 was methylated in 45% of prostate cancer urine samples with methylation intensity significantly higher in prostate cancer than in benign prostatic hyperplasia cases (p = 0.018). In a univariate model RASSF1 methylation and the total number of methylated genes in prostate cancer tissue were predictive of time to biochemical recurrence (p = 0.019 and 0.043, respectively). On multivariate analysis RASSF1 methylation together with pathological stage was the most significant predictor of biochemical recurrence in patients with Gleason score 6 tumors when analyzed in tissue and urine (p ‚â§0.001)."
                            }
                        ],
                        "tags": [
                            {
                                "tag": "biomarker"
                            },
                            {
                                "tag": "assessed_biomarker_entity"
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                            {
                                "tag": "specimen:UBERON:0001088"
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                        ]
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                ]
            }
        ],
        "best_biomarker_role": [
            {
                "role": "prognostic"
            }
        ],
        "condition": {
            "id": "DOID:10283",
            "recommended_name": {
                "id": "DOID:10283",
                "name": "prostate cancer",
                "description": "A male reproductive organ cancer that is located_in the prostate.",
                "resource": "Disease Ontology",
                "url": "http://purl.obolibrary.org/obo/DOID_10283"
            },
            "synonyms": [
                {
                    "id": "DOID:10283",
                    "name": "prostate neoplasm",
                    "resource": "Disease Ontology",
                    "url": "http://purl.obolibrary.org/obo/DOID_10283"
                },
                {
                    "id": "DOID:10283",
                    "name": "NGP - new growth of prostate",
                    "resource": "Disease Ontology",
                    "url": "http://purl.obolibrary.org/obo/DOID_10283"
                },
                {
                    "id": "DOID:10283",
                    "name": "tumor of the prostate",
                    "resource": "Disease Ontology",
                    "url": "http://purl.obolibrary.org/obo/DOID_10283"
                },
                {
                    "id": "DOID:10283",
                    "name": "prostate cancer, familial",
                    "resource": "Disease Ontology",
                    "url": "http://purl.obolibrary.org/obo/DOID_10283"
                },
                {
                    "id": "DOID:10283",
                    "name": "prostatic neoplasm",
                    "resource": "Disease Ontology",
                    "url": "http://purl.obolibrary.org/obo/DOID_10283"
                },
                {
                    "id": "DOID:10283",
                    "name": "malignant tumor of the prostate",
                    "resource": "Disease Ontology",
                    "url": "http://purl.obolibrary.org/obo/DOID_10283"
                },
                {
                    "id": "DOID:10283",
                    "name": "hereditary prostate cancer",
                    "resource": "Disease Ontology",
                    "url": "http://purl.obolibrary.org/obo/DOID_10283"
                },
                {
                    "id": "DOID:10283",
                    "name": "prostatic cancer",
                    "resource": "Disease Ontology",
                    "url": "http://purl.obolibrary.org/obo/DOID_10283"
                }
            ]
        },
        "evidence_source": [
            {
                "id": "24980613",
                "database": "Pubmed",
                "url": "https://pubmed.ncbi.nlm.nih.gov/24980613",
                "evidence_list": [
                    {
                        "evidence": "RASSF1 was methylated in 45% of prostate cancer urine samples with methylation intensity significantly higher in prostate cancer than in benign prostatic hyperplasia cases (p = 0.018). In a univariate model RASSF1 methylation and the total number of methylated genes in prostate cancer tissue were predictive of time to biochemical recurrence (p = 0.019 and 0.043, respectively). On multivariate analysis RASSF1 methylation together with pathological stage was the most significant predictor of biochemical recurrence in patients with Gleason score 6 tumors when analyzed in tissue and urine (p ‚â§0.001)."
                    }
                ],
                "tags": [
                    {
                        "tag": "best_biomarker_role"
                    },
                    {
                        "tag": "condition"
                    }
                ]
            }
        ],
        "citation": [
            {
                "title": "Prognostic value of RASSF1 promoter methylation in prostate cancer.",
                "journal": "The Journal of urology",
                "authors": "Daniunaite K, Jarmalaite S, Kalinauskaite N, Petroska D, Laurinavicius A, Lazutka JR, Jankevicius F",
                "date": "2014-07-02",
                "evidence": [],
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                    {
                        "id": "24980613",
                        "type": "Pubmed",
                        "url": "https://pubmed.ncbi.nlm.nih.gov/24980613"
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        "biomarker_canonical_id": "AN6722",
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        "score_info": {
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                    "c": "first_pmid",
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        },
        "collision": 0
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    {
        "biomarker_id": "AN6723-1",
        "biomarker_component": [
            {
                "biomarker": "increased PLAT aggregation",
                "assessed_biomarker_entity": {
                    "recommended_name": "Platelet aggregation",
                    "synonyms": [
                        {
                            "synonym": "anucleate thrombocyte"
                        },
                        {
                            "synonym": "blood platelet"
                        },
                        {
                            "synonym": "enucleate thrombocyte"
                        }
                    ]
                },
                "assessed_biomarker_entity_id": "CO:CL_0000233",
                "assessed_entity_type": "cell",
                "specimen": [
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                        "name": "blood",
                        "id": "UBERON:0000178",
                        "name_space": "Uberon",
                        "url": "http://purl.obolibrary.org/obo/UBERON_0000178",
                        "loinc_code": "11125-2"
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                ],
                "evidence_source": [
                    {
                        "id": "7829253",
                        "database": "Pubmed",
                        "url": "https://pubmed.ncbi.nlm.nih.gov/7829253",
                        "evidence_list": [
                            {
                                "evidence": "Platelets significantly increased the invasiveness of the 3 types of mammalian tumor cell tested (MDA-MB231, MCF-7 and ZR-51). This increased invasiveness is due, at least partially, to an increase in gelatinase secretion. This was shown in the case of MDA-MB231 where the basal level of gelatinase was greatly stimulated by platelets."
                            }
                        ],
                        "tags": [
                            {
                                "tag": "biomarker"
                            },
                            {
                                "tag": "assessed_biomarker_entity"
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                                "tag": "specimen:UBERON:0000178"
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        ],
        "best_biomarker_role": [
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                "role": "risk"
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        ],
        "condition": {
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                "name": "breast cancer",
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                "resource": "Disease Ontology",
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                    "resource": "Disease Ontology",
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                },
                {
                    "id": "DOID:1612",
                    "name": "breast tumor",
                    "resource": "Disease Ontology",
                    "url": "http://purl.obolibrary.org/obo/DOID_1612"
                },
                {
                    "id": "DOID:1612",
                    "name": "mammary cancer",
                    "resource": "Disease Ontology",
                    "url": "http://purl.obolibrary.org/obo/DOID_1612"
                },
                {
                    "id": "DOID:1612",
                    "name": "primary breast cancer",
                    "resource": "Disease Ontology",
                    "url": "http://purl.obolibrary.org/obo/DOID_1612"
                },
                {
                    "id": "DOID:1612",
                    "name": "mammary tumor",
                    "resource": "Disease Ontology",
                    "url": "http://purl.obolibrary.org/obo/DOID_1612"
                },
                {
                    "id": "DOID:1612",
                    "name": "malignant neoplasm of breast",
                    "resource": "Disease Ontology",
                    "url": "http://purl.obolibrary.org/obo/DOID_1612"
                }
            ]
        },
        "evidence_source": [
            {
                "id": "7829253",
                "database": "Pubmed",
                "url": "https://pubmed.ncbi.nlm.nih.gov/7829253",
                "evidence_list": [
                    {
                        "evidence": "Platelets significantly increased the invasiveness of the 3 types of mammalian tumor cell tested (MDA-MB231, MCF-7 and ZR-51). This increased invasiveness is due, at least partially, to an increase in gelatinase secretion. This was shown in the case of MDA-MB231 where the basal level of gelatinase was greatly stimulated by platelets."
                    }
                ],
                "tags": [
                    {
                        "tag": "best_biomarker_role"
                    },
                    {
                        "tag": "condition"
                    }
                ]
            }
        ],
        "citation": [
            {
                "title": "The effect of platelets on invasiveness and protease production of human mammary tumor cells.",
                "journal": "International journal of cancer",
                "authors": "Belloc C, Lu H, Soria C, Fridman R, Legrand Y, Menashi S",
                "date": "1995-01-27",
                "evidence": [],
                "reference": [
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                "title": "Five Hypermethylated MicroRNA Genes as Potential Markers of Ovarian Cancer.",
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                "title": "Prognostic value of RASSF1 promoter methylation in prostate cancer.",
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