Evidence map›Paper›PMID 25928810›Full record

ArticlePloS one2015

A two-gene blood test for methylated DNA sensitive for colorectal cancer.

Susanne K Pedersen, Rohan T Baker, Aidan McEvoy, David H Murray, Melissa Thomas, Peter L Molloy, Sue Mitchell, Trevor Lockett, Graeme P Young, Lawrence C LaPointe

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 41 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
41citing papers in PubMed, 1 pooled it
3.9field-weighted citation impact, top 6% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

41 citing papers in PubMed, 1 synthesis or guideline pooled it, 78 citations in OpenAlex.

  1. Pooled it
  2. Assessment of methylated BCAT1 and IKZF1 circulating tumor DNA as a prognostic biomarker in esophagogastric adenocarcinomas.Diseases of the esophagus : official journal of the International Society for Diseases of the Esophagus · 2026
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 3 institutions in 1 country.

Susanne K PedersenClinical Genomics Proprietary Limited, Sydney, Australia.
Rohan T BakerClinical Genomics Proprietary Limited, Sydney, Australia.
Aidan McEvoyClinical Genomics Proprietary Limited, Sydney, Australia.
David H MurrayClinical Genomics Proprietary Limited, Sydney, Australia.
Melissa ThomasClinical Genomics Proprietary Limited, Sydney, Australia.
Peter L MolloyFood & Nutrition Flagship, Commonwealth Scientific and Industrial Research Organisation, Sydney, Australia.
Sue MitchellFood & Nutrition Flagship, Commonwealth Scientific and Industrial Research Organisation, Sydney, Australia.
Trevor LockettFood & Nutrition Flagship, Commonwealth Scientific and Industrial Research Organisation, Sydney, Australia.
Graeme P YoungFlinders Centre for Innovation in Cancer, Flinders University of South Australia, Adelaide, Australia.
Lawrence C LaPointeClinical Genomics Proprietary Limited, Sydney, Australia.
Health Sciences and Nutrition · AUCommonwealth Scientific and Industrial Research Organisation · AUFlinders University · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSpecific genes are methylated with high frequency in colorectal neoplasia, and may leak into blood. Detection of multiple methylated DNA biomarkers in blood may improve assay sensitivity for colorectal cancer (CRC) relative to a single marker. We undertook a case-control study evaluating the presence of two methylation DNA markers, BCAT1 and IKZF1, in circulation to determine if they were complementary for detection of CRC.

methodsMethylation-specific PCR assays were developed to measure the level of methylated BCAT1 and IKZF1 in DNA extracted from plasma obtained from colonoscopy-confirmed 144 healthy controls and 74 CRC cases.

resultsDNA yields ranged from 2 to 730 ng/mL plasma (mean 18.6ng/mL; 95% CI 11-26 ng/mL) and did not correlate with gender, age or CRC status. Methylated BCAT1 and IKZF1 DNA were detected in respectively 48 (65%) and 50 (68%) of the 74 cancers. In contrast, only 5 (4%) and 7 (5%) controls were positive for BCAT1 and IKZF1 DNA methylation, respectively. A two-gene classifier model ("either or" rule) improved segregation of CRC from controls, with 57 of 74 cancers (77%) compared to only 11 of 144 (7.6%) controls being positive for BCAT1 and/or IKZF1 DNA methylation. Increasing levels of methylated DNA were observed as CRC stage progressed.

conclusionsDetection of methylated BCAT1 and/or IKZF1 DNA in plasma may have clinical application as a novel blood test for CRC. Combining the results from the two methylation-specific PCR assays improved CRC detection with minimal change in specificity. Further validation of this two-gene blood test with a view to application in screening is now indicated.

Indexed as

Biomarkers, TumorColorectal NeoplasmsDNA MethylationFemaleGene Expression Regulation, NeoplasticHumansIkaros Transcription FactorMaleNeoplasm StagingTransaminasesBCAT1 protein, humanBiomarkers, TumorIkaros Transcription FactorIKZF1 protein, humanTransaminases

Identifiers

PMID25928810
PMCPMC4416022
OpenAlexW2063549931

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.