Sensitive and specific multi-cancer detection and localization using methylation signatures in cell-free DNA

M.C. Liu,G.R. Oxnard,E.A. Klein,C. Swanton,M.V. Seiden,Minetta C. Liu,Geoffrey R. Oxnard,Eric A. Klein,David Smith,Donald Richards,Timothy J. Yeatman,Allen L. Cohn,Rosanna Lapham,Jessica Clement,Alexander S. Parker,Mohan K. Tummala,Kristi McIntyre,Mikkael A. Sekeres,Alan H. Bryce, Robert Siegel, Xuezhong Wang,David P. Cosgrove,Nadeem R. Abu-Rustum,Jonathan Trent,David D. Thiel, Carlos Becerra, Manish Agrawal,Lawrence E. Garbo,Jeffrey K. Giguere, Ross M. Michels, Ronald P. Harris, Stephen L. Richey, Timothy A. McCarthy,David M. Waterhouse,Fergus J. Couch, Sharon T. Wilks, Amy K. Krie, Rama Balaraman, Alvaro Restrepo, Michael W. Meshad,Kimberly Rieger-Christ,Travis Sullivan,Christine M. Lee, Daniel R. Greenwald,William Oh,Che-Kai Tsao,Neil Fleshner, Hagen F. Kennecke,Maged F. Khalil,David R. Spigel, Atisha P. Manhas, Brian K. Ulrich, Philip A. Kovoor, Christopher Stokoe, Jay G. Courtright, Habte A. Yimer,Timothy G. Larson,Charles Swanton,Michael V. Seiden,Steven R. Cummings, Farnaz Absalan,Gregory Alexander,Brian Allen,Hamed Amini,Alexander M. Aravanis,Siddhartha Bagaria, Leila Bazargan,John F. Beausang, Jennifer Berman,Craig Betts,Alexander Blocker,Joerg Bredno,Robert Calef,Gordon Cann, Jeremy Carter,Christopher Chang, Hemanshi Chawla,Xiaoji Chen, Tom C. Chien,Daniel Civello,Konstantin Davydov,Vasiliki Demas, Mohini Desai,Zhao Dong, Saniya Fayzullina,Alexander P. Fields,Darya Filippova, Peter Freese,Eric T. Fung,Sante Gnerre,Samuel Gross,Meredith Halks-Miller,Megan P. Hall,Anne-Renee Hartman,Chenlu Hou,Earl Hubbell,Nathan Hunkapiller,Karthik Jagadeesh,Arash Jamshidi, Roger Jiang,Byoungsok Jung, TaeHyung Kim, Richard D. Klausner,Kathryn N. Kurtzman,Mark Lee,Wendy Lin,Jafi Lipson,Hai Liu,Qinwen Liu,Margarita Lopatin,Tara Maddala,M. Cyrus Maher,Collin Melton, Andrea Mich,Shivani Nautiyal, Jonathan Newman,Joshua Newman, Virgil Nicula, Cosmos Nicolaou, Ongjen Nikolic,Wenying Pan, Shilpen Patel, Sarah A. Prins,Richard Rava,Neda Ronaghi,Onur Sakarya,Ravi Vijaya Satya,Jan Schellenberger,Eric Scott,Amy J. Sehnert,Rita Shaknovich,Avinash Shanmugam,K.C. Shashidhar,Ling Shen,Archana Shenoy,Seyedmehdi Shojaee,Pranav Singh, Kristan K. Steffen, Susan Tang, Jonathan M. Toung, Anton Valouev,Oliver Venn, Richard T. Williams,Tony Wu,Hui H. Xu,Christopher Yakym,Xiao Yang, Jessica Yecies, Alexander S. Yip, Jack Youngren,Jeanne Yue, Jingyang Zhang, Lily Zhang, Lori (Quan) Zhang,Nan Zhang,Christina Curtis,Donald A. Berry

Annals of Oncology(2020)

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摘要
•Targeted methylation analysis of cfDNA simultaneously detected and localized >50 cancer types, including high-mortality cancers that lack screening paradigms.•Cancers were detected across all stages (stage I–III sensitivity: 43.9%; stage I–IV sensitivity: 54.9%) at a specificity of >99% and a single false positive rate of <1%.•This targeted methylation approach localized the tissue of origin with >90% accuracy, which will be critical for directing follow-up care.•This supports the continued investigation of this test with the goal of population-scale early multi-cancer detection.
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关键词
cell-free DNA,next-generation sequencing,methylation,cancer
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