Evidence map›Paper›PMID 28652331›Full record

ArticleProceedings of the National Academy of Sciences of the United States of America2017

DNA methylation markers for diagnosis and prognosis of common cancers.

Xiaoke Hao, Huiyan Luo, Michal Krawczyk, Wei Wei, Wenqiu Wang, Juan Wang, Ken Flagg, Jiayi Hou, Heng Zhang, Shaohua Yi and 18 more

Registry-linked trialAbstract read
In one paragraph

Article in Proceedings of the National Academy of Sciences of the United States of America, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06778317 (Evaluation of the Circulating Epigenetic Biomarker mSEPT9 for Predicting the Occurrence of Hepatocellular Carcinoma in Patients With Cirrhosis), which is not on this map. Cited by 277 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
277citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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.

NCT06778317 recruitingnot on this mapstarted 2025, after this paper: background citation

Evaluation of the Circulating Epigenetic Biomarker mSEPT9 for Predicting the Occurrence of Hepatocellular Carcinoma in Patients With Cirrhosis: A Prospective Multicenter Trial (SEPT9_SuRV)

TypeobservationalSponsorCentral Hospital, Nancy, FranceRan2025 to 2033Enrolled400ConditionsHepatocellular Carcinoma (HCC), Cirrhosis, Risk Prediction for Liver Cancer, EpigenomicsArmsCirculating mSEPT9 Biomarker Testing
3 · Its place in the literature

Who cites it

277 citing papers in PubMed, 1 synthesis or guideline pooled it.

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  16. BenchmarkingInternational journal of molecular sciences · 2026
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217 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

28 authors.

Xiaoke HaoDepartment of Clinical Laboratory Medicine, Xijing Hospital, Fourth Military Medical University, Xi'an 710032, China; haoxkg@fmmu.edu.cn mkarin@ucsd.edu xurh@sysucc.org.cn kang.zhang@gmail.com.
Huiyan LuoState Key Laboratory of Oncology, Sun Yat-sen University Cancer Center, Guangzhou 510060, China.
Michal KrawczykInstitute for Genomic Medicine, University of California, San Diego, La Jolla, CA 92093.
Wei WeiState Key Laboratory of Oncology, Sun Yat-sen University Cancer Center, Guangzhou 510060, China.
Wenqiu WangInstitute for Genomic Medicine, University of California, San Diego, La Jolla, CA 92093.
Juan WangDepartment of Clinical Laboratory Medicine, Xijing Hospital, Fourth Military Medical University, Xi'an 710032, China.
Ken FlaggInstitute for Genomic Medicine, University of California, San Diego, La Jolla, CA 92093.
Jiayi HouInstitute for Genomic Medicine, University of California, San Diego, La Jolla, CA 92093.
Heng ZhangShanghai Center for Plant Stress Biology, Shanghai Institute for Biological Sciences, Chinese Academy of Sciences, Shanghai 210602, China.
Shaohua YiInstitute for Genomic Medicine, University of California, San Diego, La Jolla, CA 92093.
Maryam JafariInstitute for Genomic Medicine, University of California, San Diego, La Jolla, CA 92093.
Danni LinInstitute for Genomic Medicine, University of California, San Diego, La Jolla, CA 92093.
Christopher ChungInstitute for Genomic Medicine, University of California, San Diego, La Jolla, CA 92093.
Bennett A CaugheyInstitute for Genomic Medicine, University of California, San Diego, La Jolla, CA 92093.
Gen LiGuangzhou Youze Biological Pharmaceutical Technology Company Ltd., Guangzhou 510005, China.
Debanjan DharDepartment of Pharmacology, University of California, San Diego, La Jolla, CA 92328.
William ShiInstitute for Genomic Medicine, University of California, San Diego, La Jolla, CA 92093.
Lianghong ZhengGuangzhou Youze Biological Pharmaceutical Technology Company Ltd., Guangzhou 510005, China.
Rui HouGuangzhou Youze Biological Pharmaceutical Technology Company Ltd., Guangzhou 510005, China.
Jie ZhuInstitute for Genomic Medicine, University of California, San Diego, La Jolla, CA 92093.
Liang ZhaoGuangzhou Youze Biological Pharmaceutical Technology Company Ltd., Guangzhou 510005, China.
Xin FuInstitute for Genomic Medicine, University of California, San Diego, La Jolla, CA 92093.
Edward ZhangInstitute for Genomic Medicine, University of California, San Diego, La Jolla, CA 92093.
Charlotte ZhangInstitute for Genomic Medicine, University of California, San Diego, La Jolla, CA 92093.
Jian-Kang ZhuShanghai Center for Plant Stress Biology, Shanghai Institute for Biological Sciences, Chinese Academy of Sciences, Shanghai 210602, China.
Michael KarinDepartment of Pharmacology, University of California, San Diego, La Jolla, CA 92328; haoxkg@fmmu.edu.cn mkarin@ucsd.edu xurh@sysucc.org.cn kang.zhang@gmail.com.
Rui-Hua XuState Key Laboratory of Oncology, Sun Yat-sen University Cancer Center, Guangzhou 510060, China; haoxkg@fmmu.edu.cn mkarin@ucsd.edu xurh@sysucc.org.cn kang.zhang@gmail.com.
Kang ZhangInstitute for Genomic Medicine, University of California, San Diego, La Jolla, CA 92093; haoxkg@fmmu.edu.cn mkarin@ucsd.edu xurh@sysucc.org.cn kang.zhang@gmail.com.

Funding

Tumor Assessment CoreP01CA128814 · NCI · SANFORD BURNHAM PREBYS MEDICAL DISCOVERY INSTITUTE · PI SMITH, JEFFREY W · 2009 to 2020
$19.1M
NCI NIH HHS P01 CA128814
6 · The paper itself

Abstract

The ability to identify a specific cancer using minimally invasive biopsy holds great promise for improving the diagnosis, treatment selection, and prediction of prognosis in cancer. Using whole-genome methylation data from The Cancer Genome Atlas (TCGA) and machine learning methods, we evaluated the utility of DNA methylation for differentiating tumor tissue and normal tissue for four common cancers (breast, colon, liver, and lung). We identified cancer markers in a training cohort of 1,619 tumor samples and 173 matched adjacent normal tissue samples. We replicated our findings in a separate TCGA cohort of 791 tumor samples and 93 matched adjacent normal tissue samples, as well as an independent Chinese cohort of 394 tumor samples and 324 matched adjacent normal tissue samples. The DNA methylation analysis could predict cancer versus normal tissue with more than 95% accuracy in these three cohorts, demonstrating accuracy comparable to typical diagnostic methods. This analysis also correctly identified 29 of 30 colorectal cancer metastases to the liver and 32 of 34 colorectal cancer metastases to the lung. We also found that methylation patterns can predict prognosis and survival. We correlated differential methylation of CpG sites predictive of cancer with expression of associated genes known to be important in cancer biology, showing decreased expression with increased methylation, as expected. We verified gene expression profiles in a mouse model of hepatocellular carcinoma. Taken together, these findings demonstrate the utility of methylation biomarkers for the molecular characterization of cancer, with implications for diagnosis and prognosis.

Indexed as

DNA MethylationAllelesBreast NeoplasmsCase-Control StudiesCohort StudiesColonic NeoplasmsCpG IslandsFemaleHumansKaplan-Meier EstimateLiver NeoplasmsLung NeoplasmsMaleNeoplasm MetastasisNeoplasmsPrognosiscancer diagnosiscancer prognosisDNA methylationgene expressionsurvival analysis

Identifiers

PMID28652331
PMCPMC5514741

What OpenQuestion holds

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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.