“…Furthermore, the detection of circulating cell-free DNA (ccfDNA) methylation in plasma/serum samples may better represent tumor heterogeneity than tissue biopsy, being also less invasive [16]. Thus, we sought to evaluate the feasibility of using methylation of four gene promoters, previously characterized as hypermethylated in cancer [15,16,17,18,19], to discriminate among the major LCa subtypes in ccfDNA extracted from plasma, by means of quantitative methylation-specific PCR (qMSP). Selection of candidate genes APC , HOXA9 , RARβ2, and RASSF1A was based on published literature [17,20,21,22], including our previous experience [15], since methylation levels disclosed differences among LCa subtypes, suggesting a role as biomarkers.…”