“…Studies have estimated the half-life of cfDNA in circulation between 16 min and 2.5 h [ [69] , [70] , [71] ], but this requires further confirmation in various settings (e.g., healthy vs diseased; before surgery vs after surgery; at rest vs after exercise). Although the mechanisms by which cfDNA is cleared from blood remains poorly understood, it may be achieved by DNase I activity [ 72 , 73 ], renal excretion into the urine [ [74] , [75] , [76] ], and uptake by the liver and spleen followed by macrophagic degradation [ 77 , 78 ]. Clearance by these mechanisms may be further influenced by the association of cfDNA with protein complexes, extracellular vesicles, and the binding of individual cfDNA fragments to several serum proteins (e.g., Albumin, transferrin, fibrin, fibrinogen, prothrombin, globulins, C-reactive protein, HDL, Ago2, and SAA) (reviewed in [ 67 ]).…”