Evidence map›Paper›PMID 39055933›Full record

ArticleiScience2024

Prostate cancer detection through unbiased capture of methylated cell-free DNA.

Ermira Lleshi, Toby Milne-Clark, Henson Lee Yu, Henno W Martin, Robert Hanson, Radoslaw Lach, Sabrina H Rossi, Anja Lisa Riediger, Magdalena Görtz, Holger Sültmann and 5 more

Abstract read
In one paragraph

Article in iScience, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
–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.

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

9 citing papers in PubMed.

  1. Review
  2. Article
  3. Review
  4. Review
  5. Review
  6. Review
  7. Review
  8. Review
  9. 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

15 authors.

Ermira LleshiEarly Cancer Institute, Department of Oncology, University of Cambridge, Cambridge CB2 0XZ, UK.
Toby Milne-ClarkEarly Cancer Institute, Department of Oncology, University of Cambridge, Cambridge CB2 0XZ, UK.
Henson Lee YuEarly Cancer Institute, Department of Oncology, University of Cambridge, Cambridge CB2 0XZ, UK.
Henno W MartinEarly Cancer Institute, Department of Oncology, University of Cambridge, Cambridge CB2 0XZ, UK.
Robert HansonEarly Cancer Institute, Department of Oncology, University of Cambridge, Cambridge CB2 0XZ, UK.
Radoslaw LachEarly Cancer Institute, Department of Oncology, University of Cambridge, Cambridge CB2 0XZ, UK.
Sabrina H RossiEarly Cancer Institute, Department of Oncology, University of Cambridge, Cambridge CB2 0XZ, UK.
Anja Lisa RiedigerUniversity Hospital Heidelberg, 69120 Heidelberg, Germany.
Magdalena GörtzUniversity Hospital Heidelberg, 69120 Heidelberg, Germany.
Holger SültmannDivision of Cancer Genome Research, German Cancer Research Center (DKFZ), National Center for Tumor Diseases (NCT), 69120 Heidelberg, Germany.
Andrew FlewittDepartment of Engineering, University of Cambridge, Cambridge, UK.
Andy G LynchSchool of Mathematics and Statistics, University of St Andrews, St Andrews KY16 9SS, UK.
Vincent J GnanapragasamDepartment of Surgery, University of Cambridge, Addenbrooke's Hospital Site, Cambridge, UK.
Charlie E MassieEarly Cancer Institute, Department of Oncology, University of Cambridge, Cambridge CB2 0XZ, UK.
Harveer S DevEarly Cancer Institute, Department of Oncology, University of Cambridge, Cambridge CB2 0XZ, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Prostate cancer screening using prostate-specific antigen (PSA) has been shown to reduce mortality but with substantial overdiagnosis, leading to unnecessary biopsies. The identification of a highly specific biomarker using liquid biopsies, represents an unmet need in the diagnostic pathway for prostate cancer. In this study, we employed a method that enriches for methylated cell-free DNA fragments coupled with a machine learning algorithm which enabled the detection of metastatic and localized cancers with AUCs of 0.96 and 0.74, respectively. The model also detected 51.8% (14/27) of localized and 88.7% (79/89) of patients with metastatic cancer in an external dataset. Furthermore, we show that the differentially methylated regions reflect epigenetic and transcriptomic changes at the tissue level. Notably, these regions are significantly enriched for biologically relevant pathways associated with the regulation of cellular proliferation and TGF-beta signaling. This demonstrates the potential of circulating tumor DNA methylation for prostate cancer detection and prognostication.

Indexed as

CancerMachine learning

Identifiers

PMID39055933
PMCPMC11269940

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.