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OpenSampling

The Library

1530 papers on microsampling and monitoring, each with a finding paraphrased to our standard and labelled in one vocabulary. Every entry links to a legitimate copy; nothing is copied from an abstract.

44 papers labelled “metabolome”, newest first.

  1. 2026

    Volumetric absorptive microsampling showed better precision than dried blood spots and a metabolic profile closer to whole blood, with stable signalling lipids for 24 hours at room temperature but significant changes after one week unless stabilised, indicating feasibility for decentralised sampling with the need for storage strategies.

    Volumetric absorptive microsampling for profiling of signaling lipids: a comparative analysis with whole blood and dried blood spotsThangavelu et al., Analytical and bioanalytical chemistry

    • vams
    • volumetric
    • blood
    • dbs
    • metabolome
    • dried
    • validation
    • biomarkers
  2. 2026

    This study validated a low-cost 3D-printed smartphone attachment and paper sensor for measuring glucose, uric acid and cholesterol in saliva, demonstrating high correlation with standard ELISA results in a small clinical cohort. The authors suggest this platform offers a scalable solution for decentralised diabetes management by balancing sensitivity with affordability.

    Nanostructured zinc-coordination supraparticles on cellulose fibers: A 3D-Printed μ-FAD integrated smartphone platform for multiplexed salivary metabolic monitoringYang et al., Biosensors & bioelectronics (paywalled)

    • dct
    • economics
    • metabolome
    • self-collection
    • liquid
    • validation
    • saliva
  3. 2026

    Using a synthetic swab for saliva collection gave results closest to no swab for both resting and stimulated samples, indicating minimal pre-analytical interference. The widest metabolite coverage was achieved with ACN:MeOH at 1:1 v/v and a ZIC-HILIC column for polar metabolites plus a C18 column for non-polar metabolites, and resting versus stimulated saliva yielded distinct metabolic profiles that may provide complementary clinical insights.

    Impact of Selected Pre-Analytical and Analytical Factors on Untargeted Salivary MetabolomicsMichorowska et al., International journal of molecular sciences

    • metabolome
    • self-collection
    • liquid
    • validation
    • saliva
  4. 2026

    The authors developed and optimised a dual LC-MS workflow for non-targeted metabolomics from blood microsamples, comprising a 15-minute HILIC-MS method for polar metabolites and an RPLC-MS method for mid- to non-polar compounds. A 20% water/80% methanol extraction with rehydration offered a practical compromise that detected numerous metabolite features across amino acid, acylcarnitine and bile acid pathways, enabling decentralised metabolomic analysis.

    RPLC- and HILIC-based non-targeted metabolomics workflow for blood microsamplesCouacault & Witting, Metabolomics : Official journal of the Metabolomic Society

    • blood
    • dried
    • vams
    • neoteryx-mitra
    • validation
    • metabolome
  5. 2026

    Untargeted metabolomic profiles from three blood microsampling devices aligned more closely with whole blood than with plasma, and all devices distinguished sex based on amino acids, lipids, and acylcarnitines. This validates that device choice can be tailored to the metabolites of interest for decentralised human biomonitoring.

    An LC-MS untargeted metabolomic comparison between three blood microsampling devices, whole blood, and plasmaAvella et al., Metabolomics : Official journal of the Metabolomic Society

    • blood
    • dried
    • vams
    • neoteryx-mitra
    • validation
    • venous-agreement
    • metabolome
    • biomarkers
  6. 2025

    A comparison of three patient-centric dried blood microsampling devices, paper DBS, Mitra and Tasso-M20, found strong to excellent correlation with traditional venous plasma for measuring branched-chain amino acids and ketoacids. Participants reported high acceptability and expressed a strong willingness to use these devices for decentralised self-collection.

    Quantitation of BCAA and BCKA in plasma and patient-centric dried blood microsamples in a clinical settingTierney et al., Bioanalysis

    • vams
    • venous-agreement
    • acceptability
    • neoteryx-mitra
    • blood
    • dbs
    • metabolome
    • dried
    • validation
    • biomarkers
  7. 2025

    In an untargeted metabolomics study, microsampling devices, particularly the Mitra and Capitainer, yielded metabolic profiles comparable or superior to plasma in feature number and intensity, and in the precision and stability of some metabolites. This supports their potential for large-scale, decentralised metabolic profiling, though the captured metabolite profile was application-dependent.

    LC-MS-Based Global Metabolic Profiles of Alternative Blood Specimens Collected by MicrosamplingThaitumu et al., Metabolites

    • vams
    • neoteryx-mitra
    • blood
    • dbs
    • qdbs
    • metabolome
    • dried
    • validation
    • biomarkers
  8. 2025

    This study found that dried blood microsamples, particularly those collected with the Mitra device, provided metabolic profiles comparable or superior to conventional plasma, supporting their use as a viable alternative for untargeted metabolomics.

    Toward minimally invasive metabolomics: GC-MS metabolic fingerprints of dried blood microsamples in comparison to plasmaMarques de Sá E Silva et al., The Analyst (paywalled)

    • vams
    • venous-agreement
    • neoteryx-mitra
    • blood
    • dbs
    • metabolome
    • dried
    • capillary
    • validation
  9. 2025

    Capillary blood collection using volumetric absorptive microsampling demonstrated equivalent quantification of principal colonic polyphenol metabolites compared with matched venous plasma across a six-hour period following barley biscuit consumption. The technique successfully captured the pharmacokinetic profiles over 48 hours, confirming VAMS as a reliable alternative to venepuncture for dietary biomarker monitoring.

    Finger-prick blood sampling using volumetric absorptive microsampling (VAMS) method for monitoring the main (poly)phenolic metabolites in human blood after barley biscuit intakeCortijo-Alfonso et al., Journal of chromatography. B, Analytical technologies in the biomedical and life sciences (paywalled)

    • blood
    • dried
    • vams
    • neoteryx-mitra
    • validation
    • venous-agreement
    • metabolome
    • biomarkers
  10. 2025

    Capillary blood collected by fingerstick or microblade devices produced metabolite profiles that were virtually identical to venous samples when the same biofluid type was compared. This validation study demonstrates that inexpensive microsampling systems can deliver comparable metabolomics data, supporting their use in decentralised diagnostics.

    Quantitative comparison of whole blood, plasma and serum metabolomes across different blood collection methodsZubkowski et al., Metabolomics : Official journal of the Metabolomic Society (paywalled)

    • blood
    • capillary
    • validation
    • venous-agreement
    • metabolome
  11. 2025

    An optimized 4D-lipidomics UHPLC-HRMS protocol using stable isotope internal standards enabled semi-quantitative profiling of 432 unique lipid features from 10 ̢L dried blood spot samples with high analytical reproducibility. The workflow demonstrates the viability of capillary blood microsampling for large-scale, remote population lipidomics and metabolic profiling.

    Dried blood spot microsampling: A semi-quantitative 4D-lipidomics approach using ultrahigh-performance liquid chromatography - high-resolution mass spectrometry (UHPLC - HRMS)Roberts et al., Talanta (paywalled)

    • blood
    • dried
    • dbs
    • self-collection
    • validation
    • metabolome
    • biomarkers
  12. 2024

    A study found that stool stabilised in 95% ethanol or OMNImet•GUT and OMNIgene•GUT kits maintained metabolome and microbiome profiles comparable to flash freezing for up to seven days at room temperature. Non-stabilised samples showed temperature-dependent changes in bile and short-chain fatty acids, supporting decentralised, patient-centric ambient collection.

    Comparative Metabolomics and Microbiome Analysis of Ethanol versus OMNImet/gene•GUT Fecal StabilizationIsokääntä et al., Analytical chemistry

    • stool
    • stabilised
    • dna-genotek-omnigene
    • microbiome
    • metabolome
  13. 2024

    Microsampling enables less invasive, patient-centric self-collection of capillary blood for remote monitoring of metabolites and lipids, overcoming conventional venipuncture constraints. Recent device innovations address dried blood spot limitations, particularly haematocrit and volume variations, expanding decentralised applications in population health, drug discovery and multi-omics research.

    Revolutionizing Blood Collection: Innovations, Applications, and the Potential of Microsampling Technologies for Monitoring Metabolites and LipidsBossi et al., Metabolites

    • multimodal
    • blood
    • dbs
    • metabolome
    • self-collection
    • haematocrit
    • dried
    • capillary
    • validation
    • biomarkers
    • multi-omics
  14. 2024

    Salivary tryptophan is significantly raised in HER2‑negative breast cancer and falls after tumour removal, correlating with aggressive disease features. This shows saliva can provide a non‑invasive metabolic marker for screening and monitoring breast cancer in decentralised settings.

    Salivary Tryptophan as a Metabolic Marker of HER2-Negative Molecular Subtypes of Breast CancerSarf et al., Metabolites

    • saliva
    • metabolome
    • biomarkers
  15. 2024

    This pilot study of 15 subjects demonstrated that dried fecal spots on quantitative DBS devices yielded bile acid profiles equivalent to frozen samples after four months of ambient storage and shipping. This validates a decentralised stool microsampling method that could enable patient home testing and expand screening in rural or resource-limited settings.

    Repurposing dried blood spot device technology to examine bile acid profiles in human dried fecal spot samplesEngevik et al., American journal of physiology. Gastrointestinal and liver physiology (paywalled)

    • stool
    • dried
    • qdbs
    • self-collection
    • validation
    • metabolome
  16. 2024

    Volumetric absorptive microsampling (VAMS) yielded superior classification of fibromyalgia and long COVID compared with dried blood spots when analysed by surface-enhanced Raman spectroscopy, delivering 100% accuracy, sensitivity and specificity with an area under the curve of 0.86. The method identified discriminatory metabolites from low-molecular-weight blood fractions, showing that VAMS can support decentralised metabolomic diagnostics for syndromes with overlapping clinical features.

    Surface-Enhanced Raman Spectroscopy Combined with Multivariate Analysis for Fingerprinting Clinically Similar Fibromyalgia and Long COVID SyndromesNuguri et al., Biomedicines

    • blood
    • dried
    • vams
    • neoteryx-mitra
    • metabolome
    • biomarkers
  17. 2024

    This review of 2022 to 2023 work surveys dried blood microsampling for targeted and untargeted metabolomic and lipidomic profiling, finding the approach viable across paediatric research, therapeutic drug monitoring, metabolite screening, biomarker discovery, sports supervision, clinical disorder studies and forensic toxicology. The authors note that dried blood spots and VAMS dominate the published literature over other volumetric formats, and argue that harmonising analytical methods would accelerate wider clinical adoption of microsampling as an alternative to conventional plasma or serum profiling.

    Targeted and untargeted metabolomics and lipidomics in dried blood microsampling: Recent applications and perspectivesCouacault et al., Analytical science advances

    • blood
    • dried
    • vams
    • dbs
    • validation
    • pediatric
    • tdm
    • toxicology
    • metabolome
    • biomarkers
  18. 2024

    Dried blood microsamplers (Mitra) and dried blood spots maintained metabolite stability comparable to plasma at minus 80 degrees Celsius, and both dried formats remained stable at minus 20 degrees Celsius while plasma showed reduced stability. At refrigerated temperature, Mitra microsampler profiles were more stable than plasma or dried blood spots, particularly for lipids, suggesting capillary blood microsampling could support sample collection outside clinical settings where ultra-cold storage is unavailable.

    Effects of storage temperature and time on metabolite profiles measured in dried blood spots, dried blood microsamplers, and plasmaPetrick et al., The Science of the total environment (paywalled)

    • blood
    • dried
    • capillary
    • vams
    • dbs
    • neoteryx-mitra
    • validation
    • metabolome
  19. 2024

    Sixty-nine metabolites in dried blood spots remained stable across storage temperatures of 4°C, 25°C and 40°C for 21 days, whereas seventy-eight metabolites showed instability, with phosphatidylcholines and triglycerides most affected. This demonstrates that storage conditions materially alter metabolite integrity, which is critical for biomarker selection and data quality in patient-centric, home-sampling protocols.

    Evaluation of metabolite stability in dried blood spot stored at different temperatures and timesCui et al., Scientific reports

    • blood
    • dried
    • dbs
    • metabolome
    • biomarkers
  20. 2023

    Capillary VAMS blood covered more of the metabolome than plasma, capturing intracellular red-cell metabolites, and correlated moderately-to-well with venous, Spearman 0.66; the honest caveats are higher finger-prick replicate variability and a need for −80 °C storage within six hours.

    VAMS-based blood capillary sampling for mass-spectrometry-based human metabolomics studiesVolani et al., Metabolites

    • vams
    • venous-agreement
    • blood
    • metabolome
    • dried
    • capillary
    • validation
    • biomarkers
  21. 2023

    Dried blood spot microsampling shows that paediatric lipid profiles vary significantly across three age groups, 0-10 days, 2-18 months and 3-13 years, with differences in 16 specific lipid species. The authors caution that paediatric ages remain under-mapped in DBS lipidomics and further investigation is required before establishing reference standards.

    Lipid profile variability in children at different ages measured in dried blood spotsFerreira et al., Molecular omics (paywalled)

    • blood
    • dbs
    • metabolome
    • dried
    • pediatric
    • biomarkers
  22. 2023

    The study optimised a UHPLC-MS/MS method to measure 11 lipids in 2.74 µL blood microsamples collected with hemaPEN® devices directly from athletes on a track. Five analytes, arachidonic acid, sphingosine, lactic acid, and two lysophosphatidylcholines, showed significant exercise-induced changes, demonstrating that capillary microsampling can reliably capture metabolic responses in decentralised settings without specialist staff.

    A targeted UHPLC-MS/MS method to monitor lipidomic changes during a physical effort: Optimization and application to blood microsamples from athletesLaurent et al., Journal of pharmaceutical and biomedical analysis (paywalled)

    • blood
    • capillary
    • validation
    • metabolome
    • biomarkers
  23. 2023

    In adults given EPA or DHA for 12 weeks, first-void urine analysed by MSI-CE-MS showed increased S-carboxypropylcysteamine and other candidate metabolites that correlated with the Omega-3 Index measured in erythrocytes, suggesting urine could support non-invasive monitoring of omega-3 status.

    Urinary Metabolite Profiling to Non-Invasively Monitor the Omega-3 Index: An Exploratory Secondary Analysis of a Randomized Clinical Trial in Young AdultsMacIntyre et al., Metabolites

    • urine
    • first-void
    • metabolome
    • biomarkers
  24. 2023

    The authors validated a UHPLC-MS/MS method for quantifying four ceramide species in 10 μL quantitative dried blood spots. Ceramides remained stable at room temperature, supporting remote self-collection, and concentrations were higher in fingertip whole blood than in plasma or serum, which is relevant for at-home monitoring of cardiovascular and metabolic disease risk.

    Ceramides biomarkers determination in quantitative dried blood spots by UHPLC-MS/MSMeikopoulos et al., Analytica chimica acta (paywalled)

    • blood
    • dried
    • capillary
    • qdbs
    • validation
    • metabolome
    • biomarkers
  25. 2023

    This review surveyed the use of VAMS devices for analysing endogenous metabolites and biomarkers across the full analytical workflow, finding them reliable for biological analysis with improved analyte stability over liquid blood at ambient temperature and a straightforward acquisition model well suited to decentralised diagnostics.

    Volumetric Absorptive Microsampling in the Analysis of Endogenous Metabolitesde Sá E Silva et al., Metabolites

    • blood
    • dried
    • vams
    • validation
    • metabolome
    • biomarkers
  26. 2022

    Women with chlamydial infection show reduced microbial diversity in first-void urine, with depletion of Mycoplasmataceae and Ureaplasma parvum and elevated hippurate and lactulose. This demonstrates that urine microbiome and metabolome analysis can reveal infection signatures, supporting decentralised STI screening approaches.

    First-Void Urine Microbiome in Women with <i>Chlamydia trachomatis</i> InfectionGaspari et al., International journal of molecular sciences

    • urine
    • first-void
    • microbiome
    • metabolome
    • sti
  27. 2022

    Finger-prick dried blood spots from 60 individuals provided sufficient sample for chromatographic determination of 20 amino acids, 5 keto acids and 24 fatty acids, with several analytes showing significant gender and age dependencies. This validates home self-collection for metabolic screening as a viable alternative to venous blood draw in decentralised diagnostics.

    Dried blood spot as an alternative sample for screening of fatty acid, amino acid, and keto acid metabolism in humansLaštovičková et al., Biomedical chromatography : BMC (paywalled)

    • blood
    • dried
    • dbs
    • self-collection
    • validation
    • metabolome
  28. 2021

    Four dried urine spots across a day matched a 24-hour liquid collection for 17 reproductive hormones and metabolites, with intraclass correlations above 0.90.

    Reliability of a dried urine test for comprehensive assessment of urine hormones and metabolitesNewman & Curran, BMC Chemistry

    • metabolome
    • dried
    • steroids
    • fertility
    • hormones
    • liquid
    • urine
    • validation
  29. 2021

    An ambient-temperature DNA Genotek device recovered 94.5% of the metabolites seen in flash-frozen aliquots with strong agreement: room-temperature stabilisation can stand in for immediate freezing.

    An ambient-temperature stabilisation device performs comparably to flash-frozen collection for stool metabolomics in infantsRamamoorthy et al., BMC Microbiology

    • stool
    • stabilised
    • dna-genotek-omnigene
    • metabolome
    • validation
    • pediatric
  30. 2021

    OMNIgene·GUT stabilised stool gave detectable total bile acid concentrations but differed significantly from snap frozen samples; however, relative concentrations of cholanic, chenodeoxycholic, deoxycholic and lithocholic acids correlated well with a 30 per cent acceptability bias, supporting its use for decentralised bile acid profiling.

    Fitness for purpose of stabilized stool samples for bile acid metabolite analysesNeuberger-Castillo et al., Scientific reports

    • stool
    • stabilised
    • dna-genotek-omnigene
    • validation
    • metabolome
  31. 2021

    Comparison of six stool collection methods in healthy volunteers found OMNIgene Gut, FOBT cards, RNAlater and Microlution were reliable for metagenomics, whereas 95% ethanol best preserved metabolite profiles; the authors recommend using separate collection methods for different analytical aims in large population studies.

    Comparison of Fecal Collection Methods on Variation in Gut Metagenomics and Untargeted MetabolomicsGuan et al., mSphere

    • stool
    • stabilised
    • dna-genotek-omnigene
    • validation
    • microbiome
    • metabolome
  32. 2021

    Dried blood spot citrulline measurements gave comparable results to plasma for identifying intestinal damage and monitoring mucosal recovery in coeliac disease. This enables remote monitoring of patients at a distance, supporting decentralised care.

    Evaluation of the Utility of Amino Acid Citrulline as a Surrogate Metabolomic Biomarker for the Diagnosis of Celiac DiseaseLomash et al., Nutrition and metabolic insights

    • blood
    • dried
    • dbs
    • metabolome
    • biomarkers
  33. 2021

    Metabolic phenotyping of dried blood spots showed high analytical reproducibility and detected seasonal differences in household air pollution exposure among rural Chinese women. This demonstrates DBS microsampling is a viable approach for decentralised environmental health research in low-resource settings.

    A feasibility study of metabolic phenotyping of dried blood spot specimens in rural Chinese women exposed to household air pollutionLoo et al., Journal of exposure science & environmental epidemiology (paywalled)

    • blood
    • dried
    • dbs
    • metabolome
    • biomarkers
  34. 2021

    Targeted metabolomics using one‑drop capillary blood microsampling with hemaPEN showed satisfactory stability, precision, trueness and accuracy across five time points around exercise, and detected expected changes in lactic acid, TCA cycle intermediates and several amino acids; samples were quicker and easier to store and process than classical plasma or serum from venepuncture, supporting decentralised fluxomics monitoring.

    Blood Microsampling to Monitor Metabolic Profiles During Physical ExerciseNix et al., Frontiers in molecular biosciences

    • blood
    • capillary
    • validation
    • metabolome
  35. 2020

    A multi-institution workshop made the case for a characterised whole-stool reference material so microbiome measurements can be standardised across labs, addressing the absence of defined faecal inputs.

    Toward a human whole-stool reference material for metabolomic and metagenomic gut-microbiome measurementsMandal et al., Metabolomics

    • standardised-input
    • metabolome
    • standards
    • microbiome
    • metagenomics
    • stool
    • validation
  36. 2020

    A study of three children found that the region of stool sampled did not change microbial alpha diversity, while 22 of 176 metabolites varied; homogenising the stool mattered for metabolomics and short room-temperature storage had little effect, which supports simpler home collection protocols within the limits of so small a study.

    Impact of sampling regions and storage methods on fecal gut microbiome and metabolome profilesLiang et al., mSphere

    • standardised-input
    • metabolome
    • microbiome
    • pediatric
    • stool
    • validation
  37. 2020

    Microbiome profiles remained stable in OMNIgene GUT for 21 days at room temperature and metabolite abundance relationships were preserved, though absolute abundances varied slightly. This supports using a single stool collection procedure with OMNIgene GUT to obtain both microbiome and metabolome data for decentralised diagnostics.

    Changes in microbiome and metabolomic profiles of fecal samples stored with stabilizing solution at room temperature: a pilot studyLim et al., Scientific reports

    • stool
    • stabilised
    • dna-genotek-omnigene
    • microbiome
    • metabolome
  38. 2020

    This review highlights how low-volume, minimally invasive microsampling of matrices such as dried capillary blood, interstitial fluid and saliva can enable untargeted metabolomics and longitudinal exposome studies in children, with the potential for home self-collection to improve convenience and parental support.

    Minimally Invasive Biospecimen Collection for Exposome Research in Children's HealthPetrick et al., Current environmental health reports (paywalled)

    • blood
    • saliva
    • interstitial-fluid
    • dried
    • capillary
    • self-collection
    • validation
    • venous-agreement
    • pediatric
    • metabolome
  39. 2019

    Targeted metabolomics of whole blood using VAMS achieved good recoveries and repeatability (less than 15% RSD) for 36 metabolites, and amino and organic acids remained stable in dried blood for at least four days at room temperature, supporting decentralised microsampling for metabolomics.

    Targeted metabolomics of whole blood using volumetric absorptive microsamplingKok et al., Talanta (paywalled)

    • blood
    • dried
    • vams
    • validation
    • metabolome
  40. 2018

    Metabolomics of TAP capillary blood matched venous draws for most metabolites, amino acids, bile acids and acyl-carnitines at r≥0.95; a small redox/energy subset differed with collection dynamics.

    Quantitative metabolomics comparison of traditional blood draws and TAP capillary blood collectionCatala et al., Metabolomics (paywalled)

    • venous-agreement
    • blood
    • metabolome
    • capillary
    • liquid
    • yourbio
    • validation
  41. 2018

    FTA cards and OMNIgene GUT demonstrated strong concordance with immediate freezing for gut microbiome diversity and short-chain fatty acid measurements, while ethanol preserved the most metabolites overall. These stabilised collection methods enable reliable, decentralised stool sampling for large-scale microbiome and metabolomics studies.

    Comparison of Fecal Collection Methods for Microbiome and Metabolomics StudiesWang et al., Frontiers in cellular and infection microbiology

    • stool
    • stabilised
    • dna-genotek-omnigene
    • validation
    • microbiome
    • metabolome
  42. 2017

    In breast cancer patients, whole blood microsampling by dried matrix on paper discs and volumetric absorptive microsampling detected a similar number of metabolites with comparable reproducibility and group discrimination to the standard protein precipitation method, supporting their use as simpler alternatives in decentralised metabolomics workflows.

    Comparative study on microsampling techniques in metabolic fingerprinting studies applying gas chromatography-MS analysisCala & Meesters, Bioanalysis (paywalled)

    • blood
    • dried
    • vams
    • neoteryx-mitra
    • validation
    • metabolome
  43. 2017

    After 15 years of room-temperature storage, dried blood spots showed substantial degradation of polar metabolites with only one remaining statistically significant, whereas 36 lipids remained stable and correlated with matched serum samples. This indicates DBS may be viable for long-term lipid studies but unreliable for polar metabolite analysis in longitudinal decentralised research.

    Comparing identified and statistically significant lipids and polar metabolites in 15-year old serum and dried blood spot samples for longitudinal studiesKyle et al., Rapid communications in mass spectrometry : RCM (paywalled)

    • blood
    • dried
    • dbs
    • validation
    • metabolome
    • biomarkers
  44. 2015

    The authors developed and validated a chiral GC-MS method to quantify D-amino acid ratios in 1 mL first-void urine samples. In a study of 40 pregnant women, those with gestational diabetes mellitus showed altered urinary D-amino acid profiles compared to controls, suggesting that minimally invasive urine metabolomics could support decentralised screening for pregnancy-related metabolic disorders.

    Optimization and validation of a chiral GC-MS method for the determination of free D-amino acids ratio in human urine: application to a gestational diabetes mellitus studyLorenzo et al., Journal of pharmaceutical and biomedical analysis (paywalled)

    • urine
    • first-void
    • validation
    • metabolome
    • biomarkers

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