Thinking... We need to read the methods section where pathway enrichment analysis is described. The methods section contains "4.4. Statistical Analysis" and within it mentions "Metabolite enrichment was log transformed before being subjected to pathway analysis in MetaboAnalyst version 4.0 (Xia Lab, McGill University, Montreal, QC, Canada)". Also earlier in the article it said "Metabolite enrichment was log transformed before being subjected to pathway analysis in MetaboAnalyst version 4.0 (Xia Lab, McGill University, Montreal, QC, Canada) [[131]60]." Thus the tool: MetaboAnalyst. Version: 4.0. Gene set libraries: they used MetaboAnalyst's "MetaboAnalyst" which uses KEGG, HMDB, maybe? Let's check. In the methods they say "Metabolite enrichment was log transformed before being subjected to pathway analysis in MetaboAnalyst version 4.0 (Xia Lab, McGill University, Montreal, QC, Canada)". But they didn't explicitly mention which libraries. However, they mention that the pathway analysis used MetaboAnalyst, which uses KEGG pathway database by default? In the results they mention "Pathway analysis using MetaboAnalyst (MetPA) identified altered metabolic pathways (Figures 2 and S4)". In Results: "We identified 16 significant altered metabolic pathways ... using the pathway analysis tool MetaboAnalyst." But the exact gene set libraries used: "Pathway analysis was performed using the pathway analysis tool MetaboAnalyst. We constructed the altered metabolic pathways with the pathway analysis tool MetaboAnalyst and the pathway analysis was performed using the pathway analysis tool MetaboAnalyst." The article does not specify which gene set libraries were used; but maybe they used KEGG (as they mention KEGG in the introduction). But to answer explicitly: In the methods, they mention "MetaboAnalyst version 4.0" as the tool. They did not describe using a custom background gene list. The statistical test: They used "MetaboAnalyst" which uses the "hypergeometric test" or "Overrepresentation analysis" with "p-values" and FDR. But the article says "MetaboAnalyst version 4.0 (Xia Lab, McGill University, Montreal, QC, Canada) [[131]60]." The article does not explicitly mention which statistical test is used in MetaboAnalyst, but typical underlying test is "hypergeometric test" or "Fisher's exact test." But the article does not say "hypergeometric" or "Fisher's exact" explicitly. But in the results they mention "false discovery rate (FDR)" for metabolite analysis. But for pathway analysis, they mention "false discovery rate (FDR)". They mention "FDR was set at 5%" for some part: "Not described" for the actual enrichment test. Check: In Results, "Pathway enrichment analysis using MetaboAnalyst identified 15 altered metabolic pathways (p<0.05, FDR<0.05)." But we need to see if the article describes "multiple testing correction / FDR applied to enrichment analysis" with named method. In the article: In the statistical analysis section: "Metabolite enrichment was log transformed before being subjected to pathway analysis in MetaboAnalyst version 4.0 (Xia Lab, McGill University, Montreal, QC, Canada) [[131]60]." It doesn't mention FDR. But in results: "We performed pathway enrichment analysis with MetaboAnalyst, and identified 15 altered metabolic pathways (p<0.05, FDR<0.05)." Wait: "not described" is used for missing info. But we need to check the results section for any mention of multiple testing correction: The results section might mention "FDR<0.05" for the pathways. Let's search: In the results snippet: "Metabolite enrichment was log transformed before being subjected to pathway analysis in MetaboAnalyst version 4.0." Did they mention FDR? In the earlier text: "Metabolite enrichment was log transformed before being subjected to pathway analysis in MetaboAnalyst version 4.0 (Xia Lab, McGill University, Montreal, QC, Canada) [[131]60]." In the results, they talk about "Pathway enrichment analysis was conducted using MetaboAnalyst version 4.0". But no mention of FDR. The question: "Was multiple testing correction / FDR applied to enrichment analysis?" Only answer "Yes" if the article explicitly mentions FDR, false discovery rate, Benjamini-Hochberg, or a named correction method for the enrichment analysis. We need to check the article for any mention of FDR or multiple testing correction in the context of pathway enrichment. I need to search the text: Search for "FDR" in the article. I see "FDR" appears in the methods: "Metabolite enrichment was log transformed before being subjected to pathway analysis in MetaboAnalyst version 4.0". But that's not the same as FDR. In the results: "Metabolite enrichment was log transformed before being subjected to pathway analysis in MetaboAnalyst version 4.0 (Xia Lab, McGill University, Montreal, QC, Canada) [[131]60]." Actually, I recall they used "FDR" to correct for multiple testing in some earlier part: "p-values were adjusted for multiple testing by Benjamini-Hochberg method". But that might be for the metabolite analysis, not for enrichment. We need to find if they mention FDR for enrichment analysis. Search "false discovery rate" in the text: I see "p<0.05, FDR<0.05" maybe in the results of metabolite analysis? Let's scroll: In the results of the "Targeted Metabolite Quantification" section, they mention "Log2-transformed" and "p-values" but not FDR. In the "Metabolite enrichment" part: "Metabolite enrichment was log transformed before being subjected to pathway analysis in MetaboAnalyst version 4.0 (Xia Lab, McGill University, Montreal, QC, Canada) [[131]60]." Thus we might say: Not described if they used multiple testing correction. But maybe they mention "False discovery rate (FDR) at 5%." I need to check the text: "Not described" for multiple testing correction if not present. Let's search for "Benjamini" "Hochberg" "FDR" in the text: I see "Not described" earlier: "Not described" for "Which gene set libraries were used?" They used "KEGG" maybe? Wait, let's re-read the methods again carefully for the relevant section: "4.4. Statistical Analysis A multivariate statistical analysis was performed using SIMCA-P+ version 12.0 (Umetrics, Umeå, Sweden). PCA using an unsupervised method was applied to obtain an overview of the metabolic data. All of the metabolite variables obtained from the UPLC-QTOF-MS datasets were scaled to unit-variances prior to conducting the PCA. The model validity was evaluated from model parameters R^2 and Q^2, which provide information for the interpretability and predictability, respectively, of the model. The differences between groups were compared using Kruskal–Wallis test for continuous variables and chi-square test for categorical variables. The metabolites obtained from global analysis were subjected to Kruskal–Wallis analysis, HCA, and AUC analysis [[128]57,[129]58]. Afterwards, seven metabolites were selected on the basis of the HCA and AUC values. Post-hoc multiple comparisons using the Bonfferoni method were applied to identify significant inter-group differences in the targeted metabolites [[130]59]. An AUC analysis also was performed on the targeted metabolites. Metabolite enrichment was log transformed before being subjected to pathway analysis in MetaboAnalyst version 4.0 (Xia Lab, McGill University, Montreal, QC, Canada) [[131]60]. Unconditional logistic regression was conducted to estimate the ORs and the correspondent CIs (95%), which were adjusted for age, BMI, marital status, education, menopause status, pregnancy, and smoking status. To categorize the metabolites, the median value in the normal group was calculated and used as the cutoff point for dichotomization into high- and low-risk groups. The combined effects of HPV status with metabolites were calculated using unconditional logistic regression analysis, and the estimated ORs and CIs (95%) after the variables were log2-transformed. All of the statistical tests were 2-sided, with the significance set at p < 0.05. All of the other statistical analyses and visualizations were performed using the ggplot2 packages in the R platform [[132]58,[133]61]. The overall scheme of the metabolomic analysis for the discovery of novel biomarkers for cervical carcinogenesis is presented in [134]Figure 4." So the only enrichment tool mentioned is MetaboAnalyst version 4.0. They used "MetaboAnalyst" as the tool. Did they mention any gene set libraries? They mention "Metabolite enrichment was log transformed before being subjected to pathway analysis in MetaboAnalyst version 4.0". But they did not mention which libraries, but maybe the default is "KEGG" or "HMDB" in the supplement: "Figure S4: Construction of altered metabolic pathways using MetPA analysis for targeted metabolites". Wait, MetPA stands for Metabolite Pathway Analysis tool. In the results they mention "Pathway enrichment analysis was conducted using MetaboAnalyst version 4.0". They did not mention other tools. In the introduction: "The use of metabolomics for detection of cervical cancer biomarkers has been shown by previous studies as well as the present one to be quite promising." No. In the supplementary materials: "Figure S2: Construction of the altered metabolism pathways using MetPA" That is a separate figure. The text: "The altered metabolic pathways were identified using MetaboAnalyst." But maybe the article used two tools: "MetaboAnalyst" and "MetPA". Actually, MetPA is a component of MetaboAnalyst that uses the "Metabolite Set Enrichment Analysis" approach. So the tool "MetaboAnalyst" includes "MetPA" as a function. Thus, we have tool: MetaboAnalyst. Version: 4.0. Gene set libraries: They used "KEGG" maybe, but we need to check the article for mention: They used "KEGG" for the pathway analysis of the metabolic features? They didn't mention the specific library. But in the figure S2: "Construction of the altered metabolism pathways using MetPA". MetPA uses the KEGG database of metabolic pathways. But is that explicitly mentioned? Let's search: "KEGG" in the text. In the article, I recall they mention "Metabolite enrichment was log transformed before being subjected to pathway analysis in MetaboAnalyst version 4.0". But they might not mention which library. But they might refer to "KEGG" in the figure caption: "Figure S4: Construction of altered metabolic pathways using MetPA analysis for targeted metabolites". The description might not mention the library. In the supplementary materials, there is "Figure S4: Construction of altered metabolic pathways using MetPA analysis for targeted metabolites". It might say something like "KEGG". But we need to only extract what is explicitly reported. The article text does not mention "KEGG" explicitly in the methods. It might be in supplementary figure S4. Let's check: In the supplementary materials: "Figure S4: Construction of altered metabolic pathways using MetPA analysis for targeted metabolites" and maybe "Figure S5: Alanine, aspartate, and glutamate metabolism ([139]C00049: Asparate, [140]C00025: Glutamate)". Those references to KEGG IDs (C00049, C00025) might indicate KEGG. But do they say "KEGG" in the text? Let's search: I see "C00049" is KEGG ID for aspartate. They mention "Figure S5: Alanine, aspartate, and glutamate metabolism ([139]C00049: Asparate, [140]C00025: Glutamate)". So they used KEGG IDs. But do they mention KEGG as the library? In the article, they say: "MetaboAnalyst version 4.0". They did not mention "KEGG" in the methods, but the IDs are from KEGG. But the question: "Which gene set libraries were used?" We need to identify all gene set libraries or databases the authors queried. They might have used KEGG for pathway analysis. But it's not explicitly stated. It might be inferred from the IDs, but we should not infer. So if the article doesn't explicitly mention the gene set library, we should say "Not described". The article does not explicitly mention "KEGG". They just say "MetaboAnalyst version 4.0" for pathway analysis. So gene set libraries not described. Now: Did the article describe using a custom or specific background gene list for enrichment analysis? The article doesn't mention this. So answer: Not described. Statistical test used: The article might not mention the test. It just says "MetaboAnalyst". MetaboAnalyst uses an over-representation analysis (Fisher's exact test). But we should not assume. The article does not mention which test. So "Not described". Multiple testing correction / FDR applied: The article does not mention "FDR" for enrichment analysis. So answer: No. We should produce a table with columns: - Tool: MetaboAnalyst - Version: 4.0 - Gene set libraries: Not described (maybe KEGG but not stated) - Custom background: Not described - Statistical test: Not described - Multiple testing correction: No But the question: "Which gene set libraries were used?: Identify all gene set libraries or databases the authors queried (e.g., GO, KEGG, Reactome, MSigDB, etc.). Only include what's actually stated in the article." They didn't mention any gene set libraries. So "Not described". Thus table: Tool | Version | Gene set libraries | Custom background | Statistical test(s) | FDR applied MetaboAnalyst | 4.0 | Not described | Not described | Not described | No But we should fill each column with content. Let's verify the article text: The only tool mentioned for enrichment is "MetaboAnalyst" (the tool). The version 4.0 is reported. The article does not mention gene set libraries. So "Not described". Custom background: Not described. Statistical test: Not described. FDR applied: No. Thus the table. ...done thinking. | Question | Answer | |---|---| | What tool was used for pathway enrichment analysis? | MetaboAnalyst | | Were enrichment tool version(s) described? | 4.0 | | Which gene set libraries were used? | Not described | | Did the article describe using a custom or specific background gene list for enrichment analysis? | Not described | | What statistical test(s) were used in enrichment analysis? | Not described | | Was multiple testing correction / FDR applied to enrichment analysis? | No |