Evidence map›Paper›PMID 26976580›Full record

ArticleProceedings of the National Academy of Sciences of the United States of America2016

Identification of tissue-specific cell death using methylation patterns of circulating DNA.

Roni Lehmann-Werman, Daniel Neiman, Hai Zemmour, Joshua Moss, Judith Magenheim, Adi Vaknin-Dembinsky, Sten Rubertsson, Bengt Nellgård, Kaj Blennow, Henrik Zetterberg and 21 more

2 registry-linked trialsOpen access · bronzeAbstract read
In one paragraph

Article in Proceedings of the National Academy of Sciences of the United States of America, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 367 papers.

0numbers the graph read from it
0cells of the map it votes in
367citing papers in PubMed
37.4field-weighted citation impact, top 1% 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.

NCT04139369 completednot on this map

Study of DNA Methylation in Children and Adolescents With Type 1 Diabetes Mellitus

TypeobservationalSponsorAristotle University Of ThessalonikiRan2012 to 2018Enrolled40ConditionsType 1 Diabetes Mellitus
NCT07647549 not yet recruitingnot on this mapstarted 2026, after this paper: background citation

Pulmonary Hypertension (PH) Biorepository for Translational Research

TypeobservationalSponsorNational Institutes of Health Clinical Center (CC)Ran2026 to 2036Enrolled1,000ConditionsPulmonary Hypertension
3 · Its place in the literature

Who cites it

367 citing papers in PubMed, 614 citations in OpenAlex.

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  7. Towards liquid biopsy-based analysis of antitumour immunity.Nature reviews. Clinical oncology · 2026
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  15. Toward the simultaneous detection of multiple diseases with a highly cost-effective cell-free DNA methylome test.Proceedings of the National Academy of Sciences of the United States of America · 2026
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  18. Life science alliance · 2026
    Article
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307 more citing papers are in PubMed but not listed here.

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

31 authors at 13 institutions in 6 countries.

Roni Lehmann-WermanDepartment of Developmental Biology and Cancer Research, Institute for Medical Research Israel-Canada, The Hebrew University-Hadassah Medical School, Jerusalem 91120, Israel;
Daniel NeimanDepartment of Developmental Biology and Cancer Research, Institute for Medical Research Israel-Canada, The Hebrew University-Hadassah Medical School, Jerusalem 91120, Israel;
Hai ZemmourDepartment of Developmental Biology and Cancer Research, Institute for Medical Research Israel-Canada, The Hebrew University-Hadassah Medical School, Jerusalem 91120, Israel;
Joshua MossDepartment of Developmental Biology and Cancer Research, Institute for Medical Research Israel-Canada, The Hebrew University-Hadassah Medical School, Jerusalem 91120, Israel;
Judith MagenheimDepartment of Developmental Biology and Cancer Research, Institute for Medical Research Israel-Canada, The Hebrew University-Hadassah Medical School, Jerusalem 91120, Israel;
Adi Vaknin-DembinskyDepartment of Neurology, Hadassah-Hebrew University Medical Center, Jerusalem 91120, Israel;
Sten RubertssonDepartment of Surgical Sciences/Anesthesiology and Intensive Care, Uppsala University Hospital, SE-751 85 Uppsala, Sweden;
Bengt NellgårdSahlgrenska University Hospital, S-431 80 Molndal, Sweden;
Kaj BlennowClinical Neurochemistry Laboratory, Institute of Neuroscience and Physiology, Department of Psychiatry and Neurochemistry, The Sahlgrenska Academy, University of Gothenburg, S-431 80 Molndal, Sweden;
Henrik ZetterbergClinical Neurochemistry Laboratory, Institute of Neuroscience and Physiology, Department of Psychiatry and Neurochemistry, The Sahlgrenska Academy, University of Gothenburg, S-431 80 Molndal, Sweden; Institute of Neurology, University College London, London WC1N 3BG, United Kingdom;
Kirsty SpaldingDepartment of Cell and Molecular Biology, Karolinska Institute, Stockholm 171-77, Sweden;
Michael J HallerDivision of Endocrinology, University of Florida College of Medicine, Gainesville, FL 32610;
Clive H WasserfallDivision of Endocrinology, University of Florida College of Medicine, Gainesville, FL 32610;
Desmond A SchatzDivision of Endocrinology, University of Florida College of Medicine, Gainesville, FL 32610;
Carla J GreenbaumBenaroya Research Institute, Seattle, WA 98101;
Craig DorrellPapé Family Pediatric Research Institute, Oregon Health & Science University, Portland OR 97239;
Markus GrompePapé Family Pediatric Research Institute, Oregon Health & Science University, Portland OR 97239;
Aviad ZickDepartment of Oncology, Hadassah-Hebrew University Medical Center, Jerusalem 91120, Israel;
Ayala HubertDepartment of Oncology, Hadassah-Hebrew University Medical Center, Jerusalem 91120, Israel;
Myriam MaozDepartment of Oncology, Hadassah-Hebrew University Medical Center, Jerusalem 91120, Israel;
Volker FendrichDepartment of Surgery, Marburg University, 35037 Marburg, Germany;
Detlef K BartschDepartment of Surgery, Marburg University, 35037 Marburg, Germany;
Talia GolanDepartment of Oncology, Chaim Sheba Medical Center, Tel Hashomer, Israel;
Shmuel A Ben SassonDepartment of Developmental Biology and Cancer Research, Institute for Medical Research Israel-Canada, The Hebrew University-Hadassah Medical School, Jerusalem 91120, Israel;
Gideon ZamirDepartment of Experimental Surgery, Hadassah-Hebrew University Medical Center, Jerusalem 91120, Israel;
Aharon RazinDepartment of Developmental Biology and Cancer Research, Institute for Medical Research Israel-Canada, The Hebrew University-Hadassah Medical School, Jerusalem 91120, Israel;
Howard CedarDepartment of Developmental Biology and Cancer Research, Institute for Medical Research Israel-Canada, The Hebrew University-Hadassah Medical School, Jerusalem 91120, Israel;
A M James ShapiroDepartment of Surgery and the Clinical Islet Transplant Program, University of Alberta, Edmonton, AB T6G 2R3, Canada;
Benjamin GlaserEndocrinology and Metabolism Service, Hadassah-Hebrew University Medical Center, Jerusalem 91120, Israel beng@cc.huji.ac.il shemer.ru@mail.huji.ac.il yuvald@ekmd.huji.ac.il.
Ruth ShemerDepartment of Developmental Biology and Cancer Research, Institute for Medical Research Israel-Canada, The Hebrew University-Hadassah Medical School, Jerusalem 91120, Israel; beng@cc.huji.ac.il shemer.ru@mail.huji.ac.il yuvald@ekmd.huji.ac.il.
Yuval DorDepartment of Developmental Biology and Cancer Research, Institute for Medical Research Israel-Canada, The Hebrew University-Hadassah Medical School, Jerusalem 91120, Israel; beng@cc.huji.ac.il shemer.ru@mail.huji.ac.il yuvald@ekmd.huji.ac.il.
Hadassah Medical Center · ILOregon Health & Science University · USPhilipps University of Marburg · DEUniversity of Florida · USBenaroya Research InstituteFlorida College · USKarolinska Institutet · SESahlgrenska University Hospital · SESheba Medical Center · ILUniversity College London · GBUniversity of Alberta · CAUniversity of Gothenburg · SEUppsala University Hospital · SE

Funding

Using social networks to map and evaluate team science across CTSA hubsUL1TR001427 · NCATS · UNIVERSITY OF FLORIDA · PI MITCHELL, DUANE A. · 2015 to 2024
$37.2M
Circulating Biomarker Consortium for Pancreatic Cancer Early DetectionU01CA210171 · NCI · DANA-FARBER CANCER INST · PI Michael H. Rosenthal, Brian Matthew Wolpin · 2016 to 2026
$8.7M
Non-Invasive Diagnosis of Human Beta Cell Damage and DeathUC4DK104216 · NIDDK · UNIVERSITY OF FLORIDA · PI SCHATZ, DESMOND ARTHUR · 2014 to 2014
$1.4M
NCATS NIH HHS UL1 TR001427NCI NIH HHS U01 CA210171NIDDK NIH HHS DK104216NIDDK NIH HHS UC4 DK104216
6 · The paper itself

Abstract

Minimally invasive detection of cell death could prove an invaluable resource in many physiologic and pathologic situations. Cell-free circulating DNA (cfDNA) released from dying cells is emerging as a diagnostic tool for monitoring cancer dynamics and graft failure. However, existing methods rely on differences in DNA sequences in source tissues, so that cell death cannot be identified in tissues with a normal genome. We developed a method of detecting tissue-specific cell death in humans based on tissue-specific methylation patterns in cfDNA. We interrogated tissue-specific methylome databases to identify cell type-specific DNA methylation signatures and developed a method to detect these signatures in mixed DNA samples. We isolated cfDNA from plasma or serum of donors, treated the cfDNA with bisulfite, PCR-amplified the cfDNA, and sequenced it to quantify cfDNA carrying the methylation markers of the cell type of interest. Pancreatic β-cell DNA was identified in the circulation of patients with recently diagnosed type-1 diabetes and islet-graft recipients; oligodendrocyte DNA was identified in patients with relapsing multiple sclerosis; neuronal/glial DNA was identified in patients after traumatic brain injury or cardiac arrest; and exocrine pancreas DNA was identified in patients with pancreatic cancer or pancreatitis. This proof-of-concept study demonstrates that the tissue origins of cfDNA and thus the rate of death of specific cell types can be determined in humans. The approach can be adapted to identify cfDNA derived from any cell type in the body, offering a minimally invasive window for diagnosing and monitoring a broad spectrum of human pathologies as well as providing a better understanding of normal tissue dynamics.

Indexed as

DNA MethylationAdolescentAdultAgedBrain IschemiaCase-Control StudiesCell DeathChildChild, PreschoolDiabetes Mellitus, Type 1DNAFemaleGenetic MarkersHumansInsulin-Secreting CellsMaleDNAGenetic Markerscirculating DNAdiagnosismethylation

Identifiers

PMID26976580
PMCPMC4822610
OpenAlexW2298824325

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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.