2018
DOI: 10.1073/pnas.1814616115
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Preferred end coordinates and somatic variants as signatures of circulating tumor DNA associated with hepatocellular carcinoma

Abstract: SignificanceCell-free DNA fragmentation is a nonrandom process. We showed that cell-free DNA fragments with ends at certain genomic coordinates had higher likelihoods of being derived from hepatocellular carcinoma. Other coordinates were associated with cell-free DNA molecules originating from the liver. Quantitative assessment of cell-free DNA molecules bearing these respective groups of end signatures correlated with the amounts of tumor-derived or liver-derived DNA in plasma. There were millions of tumor-as… Show more

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Cited by 173 publications
(175 citation statements)
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References 26 publications
(65 reference statements)
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“…In pregnancy, fetal-derived plasma DNA (mainly of placental origin) were observed to be linear fragments of DNA that were shorter than the maternal-derived (mainly of hematopoietic origin) DNA (1,5,6). In cancer, tumor-derived cfDNA were detected with smaller sizes and preferred end coordinates from those derived from nonmalignant cells (7)(8)(9). Diagnostic applications had been demonstrated for using the fragmentation patterns of plasma DNA in noninvasive prenatal testing and cancer testing (5,6,(10)(11)(12).…”
mentioning
confidence: 99%
“…In pregnancy, fetal-derived plasma DNA (mainly of placental origin) were observed to be linear fragments of DNA that were shorter than the maternal-derived (mainly of hematopoietic origin) DNA (1,5,6). In cancer, tumor-derived cfDNA were detected with smaller sizes and preferred end coordinates from those derived from nonmalignant cells (7)(8)(9). Diagnostic applications had been demonstrated for using the fragmentation patterns of plasma DNA in noninvasive prenatal testing and cancer testing (5,6,(10)(11)(12).…”
mentioning
confidence: 99%
“…This study provides a new pipeline for finding new molecular markers for cancers from cfDNA by combining SALP-seq and machine learning. In recent years, as a good material for cancer liquid biopsy, plasma cfDNA has been widely analyzed by next generation sequencing (NGS) for finding new molecular markers for cancer diagnosis such as fragment size 43,44 , methylation [45][46][47] , and end coordinate 48,49 . However, the size-based plasma DNA diagnostics still faced some limitations that may challenge its wide application 50 .…”
Section: Discussionmentioning
confidence: 99%
“…(4) Non-random fragmentation: cfDNA fragments have preferred start and end positions [14], so true mutations could cluster at certain positions on the supporting reads. Conventional tools which assume randomly fragmented genomic DNA tend to classify mutation candidates with clustered positions as misalignment artifacts, eliminating them.…”
Section: Cfsnvmentioning
confidence: 99%
“…WES is increasingly popular, but does not permit deep sequencing. (3) They do not exploit two key features of cfDNA, namely short fragment size (~166 bp on average) and non-random fragmentation [14,15]. Therefore, we have developed a revolutionary cfDNA SNV caller named cfSNV.…”
mentioning
confidence: 99%