Evidence map›Paper›PMID 32252771›Full record

ArticleBMC medical genomics2020

Absolute measurement of the tissue origins of cell-free DNA in the healthy state and following paracetamol overdose.

Danny Laurent, Fiona Semple, Philip J Starkey Lewis, Elaine Rose, Holly A Black, Jennifer Coe, Stuart J Forbes, Mark J Arends, James W Dear, Timothy J Aitman

Open access · goldAbstract read
In one paragraph

Article in BMC medical genomics, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
0.8field-weighted citation impact, top 34% 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

11 citing papers in PubMed, 15 citations in OpenAlex.

  1. Review
  2. Article
  3. Review
  4. The Role of Mechanistic Biomarkers in Understanding Acetaminophen Hepatotoxicity in Humans.Drug metabolism and disposition: the biological fate of chemicals · 2024
    Review
  5. Article
  6. Article
  7. Review
  8. Article
  9. Article
  10. DNA Methylation in Nonalcoholic Fatty Liver Disease.International journal of molecular sciences · 2020
    Review
  11. Review
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 4 institutions in 1 country.

Danny LaurentCentre for Genomic and Experimental Medicine, Medical Research Council Institute of Genetics & Molecular Medicine, University of Edinburgh, Edinburgh, UK.
Fiona SempleCentre for Genomic and Experimental Medicine, Medical Research Council Institute of Genetics & Molecular Medicine, University of Edinburgh, Edinburgh, UK.
Philip J Starkey LewisMedical Research Council Centre for Regenerative Medicine, University of Edinburgh, Edinburgh, UK.
Elaine RoseCentre for Genomic and Experimental Medicine, Medical Research Council Institute of Genetics & Molecular Medicine, University of Edinburgh, Edinburgh, UK.
Holly A BlackCentre for Genomic and Experimental Medicine, Medical Research Council Institute of Genetics & Molecular Medicine, University of Edinburgh, Edinburgh, UK.
Jennifer CoeCentre for Genomic and Experimental Medicine, Medical Research Council Institute of Genetics & Molecular Medicine, University of Edinburgh, Edinburgh, UK.
Stuart J ForbesMedical Research Council Centre for Regenerative Medicine, University of Edinburgh, Edinburgh, UK.
Mark J ArendsDivision of Pathology, Cancer Research UK Edinburgh Centre, Medical Research Council Institute of Genetics & Molecular Medicine, University of Edinburgh, Edinburgh, UK.
James W DearPharmacology, Toxicology and Therapeutics, Centre for Cardiovascular Science, University of Edinburgh, Edinburgh, UK.
Timothy J AitmanCentre for Genomic and Experimental Medicine, Medical Research Council Institute of Genetics & Molecular Medicine, University of Edinburgh, Edinburgh, UK. tim.aitman@ed.ac.uk.
Medical Research Council · GBUniversity of Edinburgh · GBMRC Institute of Genetics and Molecular Medicine · GBMRC Centre for Regenerative Medicine · GB

Funding

Cancer Research UK C157/A25140Cancer Research UK C22524/A26254Medical Research Council MR/K017047/1Medical Research Council MR/M007588/1Medical Research Council MR/N005902/1Medical Research Council MR/P016839/1
6 · The paper itself

Abstract

backgroundDespite the emergence of cell-free DNA (cfDNA) as a clinical biomarker in cancer, the tissue origins of cfDNA in healthy individuals have to date been inferred only by indirect and relative measurement methods, such as tissue-specific methylation and nucleosomal profiling.

methodsWe performed the first direct, absolute measurement of the tissue origins of cfDNA, using tissue-specific knockout mouse strains, in both healthy mice and following paracetamol (APAP) overdose. We then investigated the utility of total cfDNA and the percentage of liver-specific cfDNA as clinical biomarkers in patients presenting with APAP overdose.

resultsAnalysis of cfDNA from healthy tissue-specific knockout mice showed that cfDNA originates predominantly from white and red blood cell lineages, with minor contribution from hepatocytes, and no detectable contribution from skeletal and cardiac muscle. Following APAP overdose in mice, total plasma cfDNA and the percentage fraction originating from hepatocytes increased by ~ 100 and ~ 19-fold respectively. Total cfDNA increased by an average of more than 236-fold in clinical samples from APAP overdose patients with biochemical evidence of liver injury, and 18-fold in patients without biochemically apparent liver injury. Measurement of liver-specific cfDNA, using droplet digital PCR and methylation analysis, revealed that the contribution of liver to cfDNA was increased by an average of 175-fold in APAP overdose patients with biochemically apparent liver injury compared to healthy subjects, but was not increased in overdose patients with normal liver function tests.

conclusionsWe present a novel method for measurement of the tissue origins of cfDNA in healthy and disease states and demonstrate the potential of cfDNA as a clinical biomarker in APAP overdose.

Indexed as

AcetaminophenAnalgesics, Non-NarcoticAnimalsCase-Control StudiesCell-Free Nucleic AcidsChemical and Drug Induced Liver InjuryDrug OverdoseHumansLiverMaleMiceMice, Inbred C57BLMice, KnockoutPrognosisAcetaminophenAnalgesics, Non-NarcoticCell-Free Nucleic AcidsAbsoluteAPAPCell-free DNAOrigin

Identifiers

PMID32252771
PMCPMC7133021
OpenAlexW3014209051

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.