Evidence map›Paper›PMID 30498206›Full record

ArticleNature communications2018

Comprehensive human cell-type methylation atlas reveals origins of circulating cell-free DNA in health and disease.

Joshua Moss, Judith Magenheim, Daniel Neiman, Hai Zemmour, Netanel Loyfer, Amit Korach, Yaacov Samet, Myriam Maoz, Henrik Druid, Peter Arner and 13 more

Open access · goldAbstract read
In one paragraph

Article in Nature communications, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 660 papers.

0numbers the graph read from it
0cells of the map it votes in
660citing papers in PubMed
21.1field-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.

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

660 citing papers in PubMed, 1,006 citations in OpenAlex.

  1. Trial
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  5. A multi-analyte blood test for acute spinal cord injury.The Journal of clinical investigation · 2025
    Trial
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  10. Towards liquid biopsy-based analysis of antitumour immunity.Nature reviews. Clinical oncology · 2026
    Review
  11. Article
  12. Review
  13. Epigenetic Liquid Biopsy Enables Universal Mutation-Agnostic Molecular Surveillance for High-Risk Neuroblastoma.Clinical cancer research : an official journal of the American Association for Cancer Research · 2026
    Article
  14. Article
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  16. Review
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600 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

23 authors at 7 institutions in 4 countries.

Joshua MossDepartment of Developmental Biology and Cancer Research, Institute for Medical Research Israel-Canada, The Hebrew University-Hadassah Medical School, Jerusalem, 9112001, Israel.
Judith MagenheimDepartment of Developmental Biology and Cancer Research, Institute for Medical Research Israel-Canada, The Hebrew University-Hadassah Medical School, Jerusalem, 9112001, Israel.
Daniel NeimanDepartment of Developmental Biology and Cancer Research, Institute for Medical Research Israel-Canada, The Hebrew University-Hadassah Medical School, Jerusalem, 9112001, Israel.
Hai ZemmourDepartment of Developmental Biology and Cancer Research, Institute for Medical Research Israel-Canada, The Hebrew University-Hadassah Medical School, Jerusalem, 9112001, Israel.ORCID http://orcid.org/0000-0003-3477-0604
Netanel LoyferSchool of Computer Science and Engineering, The Hebrew University of Jerusalem, Jerusalem, 9190401, Israel.
Amit KorachDepartment of Cardio-Thoracic Surgery, Hadassah-Hebrew University Medical Center, Jerusalem, 9112001, Israel.
Yaacov SametDepartment of Vascular Surgery, Hadassah-Hebrew University Medical Center, Jerusalem, 9112001, Israel.
Myriam MaozDepartment of Oncology, Hadassah-Hebrew University Medical Center, Jerusalem, 9112001, Israel.
Henrik DruidDepartment of Oncology-Pathology, Karolinska Institutet, SE17177, Stockholm, Sweden.ORCID http://orcid.org/0000-0002-9198-023X
Peter ArnerDepartment of Medicine, Karolinska University Hospital, Karolinska Institutet, SE17176, Stockholm, Sweden.
Keng-Yeh FuDepartment of Cell and Molecular Biology, Karolinska Institutet, SE17177, Stockholm, Sweden.
Endre KissDepartment of Cell and Molecular Biology, Karolinska Institutet, SE17177, Stockholm, Sweden.
Kirsty L SpaldingDepartment of Medicine, Karolinska University Hospital, Karolinska Institutet, SE17176, Stockholm, Sweden.
Giora LandesbergDept of Anesthesiology and Critical Care Medicine, Hadassah-Hebrew University Medical Center, 9112001, Jerusalem, Israel.
Aviad ZickDepartment of Oncology, Hadassah-Hebrew University Medical Center, Jerusalem, 9112001, Israel.ORCID http://orcid.org/0000-0002-5077-9249
Albert GrinshpunDepartment of Oncology, Hadassah-Hebrew University Medical Center, Jerusalem, 9112001, Israel.
A M James ShapiroDepartment of Surgery and the Clinical Islet Transplant Program, University of Alberta, Edmonton, AB, T6G 2R3, Canada.
Markus GrompePapé Family Pediatric Research Institute, Oregon Health & Science University, Portland, OR, 97239, USA.ORCID http://orcid.org/0000-0002-6616-4345
Avigail Dreazan WittenbergDepartment of Developmental Biology and Cancer Research, Institute for Medical Research Israel-Canada, The Hebrew University-Hadassah Medical School, Jerusalem, 9112001, Israel.
Benjamin GlaserDept of Endocrinology and Metabolism Service, Hadassah-Hebrew University Medical Center, 9112001, Jerusalem, Israel.ORCID http://orcid.org/0000-0003-4711-5000
Ruth ShemerDepartment of Developmental Biology and Cancer Research, Institute for Medical Research Israel-Canada, The Hebrew University-Hadassah Medical School, Jerusalem, 9112001, Israel. shemer.ru@mail.huji.ac.il.
Tommy KaplanSchool of Computer Science and Engineering, The Hebrew University of Jerusalem, Jerusalem, 9190401, Israel. tommy@cs.huji.ac.il.ORCID http://orcid.org/0000-0002-1892-5461
Yuval DorDepartment of Developmental Biology and Cancer Research, Institute for Medical Research Israel-Canada, The Hebrew University-Hadassah Medical School, Jerusalem, 9112001, Israel. yuvald@ekmd.huji.ac.il.
Hadassah Medical Center · ILHebrew University of Jerusalem · ILKarolinska Institutet · SEKarolinska University Hospital · SEOregon Health & Science University · USSwedish National Board of Forensic Medicine · SEUniversity of Alberta · CA

Funding

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
NCI NIH HHS U01 CA210171NIDDK NIH HHS UC4 DK104216
6 · The paper itself

Abstract

Methylation patterns of circulating cell-free DNA (cfDNA) contain rich information about recent cell death events in the body. Here, we present an approach for unbiased determination of the tissue origins of cfDNA, using a reference methylation atlas of 25 human tissues and cell types. The method is validated using in silico simulations as well as in vitro mixes of DNA from different tissue sources at known proportions. We show that plasma cfDNA of healthy donors originates from white blood cells (55%), erythrocyte progenitors (30%), vascular endothelial cells (10%) and hepatocytes (1%). Deconvolution of cfDNA from patients reveals tissue contributions that agree with clinical findings in sepsis, islet transplantation, cancer of the colon, lung, breast and prostate, and cancer of unknown primary. We propose a procedure which can be easily adapted to study the cellular contributors to cfDNA in many settings, opening a broad window into healthy and pathologic human tissue dynamics.

Indexed as

AlgorithmsBiomarkers, TumorBreast NeoplasmsCell-Free Nucleic AcidsCells, CulturedColonic NeoplasmsCpG IslandsDNA MethylationEndothelial CellsErythrocytesHepatocytesHumansLeukocytesLung NeoplasmsPromoter Regions, GeneticSepsisBiomarkers, TumorCell-Free Nucleic Acids

Identifiers

PMID30498206
PMCPMC6265251
OpenAlexW2952214509

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.