Evidence map›Paper›PMID 39779727›Full record

ArticleNature communications2025

Multimodal cell-free DNA whole-genome TAPS is sensitive and reveals specific cancer signals.

Dimitrios V Vavoulis, Anthony Cutts, Nishita Thota, Jordan Brown, Robert Sugar, Antonio Rueda, Arman Ardalan, Kieran Howard, Flavia Matos Santo, Thippesh Sannasiddappa and 8 more

Abstract read
In one paragraph

Article in Nature communications, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing 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.

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

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

  1. Pooled it
  2. Applications of circulating tumor DNA in unresectable and advanced non-small cell lung cancer immunotherapy: from stratification to therapeutic guidance.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2026
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  8. Article
  9. Review
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  12. Cell-Free DNA-Based Theranostics for Inflammatory Disorders.Advanced science (Weinheim, Baden-Wurttemberg, Germany) · 2026
    Review
  13. Article
  14. Article
  15. Early screening for liver cancer must be performed.World journal of hepatology · 2025
    Review
  16. Article
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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

18 authors.

Dimitrios V VavoulisOxford Molecular Diagnostics Centre, Department of Oncology, University of Oxford, Oxford, UK. dimitris.vavoulis@oncology.ox.ac.uk.ORCID http://orcid.org/0000-0002-3984-1507
Anthony CuttsOxford Molecular Diagnostics Centre, Department of Oncology, University of Oxford, Oxford, UK.
Nishita ThotaExact Sciences Innovation LTD, The Sherard Bldg, Edmund Halley Rd, Littlemore, Oxford, UK.
Jordan BrownExact Sciences Innovation LTD, The Sherard Bldg, Edmund Halley Rd, Littlemore, Oxford, UK.ORCID http://orcid.org/0009-0007-3119-9701
Robert SugarExact Sciences Innovation LTD, The Sherard Bldg, Edmund Halley Rd, Littlemore, Oxford, UK.
Antonio RuedaExact Sciences Innovation LTD, The Sherard Bldg, Edmund Halley Rd, Littlemore, Oxford, UK.
Arman ArdalanOxford Molecular Diagnostics Centre, Department of Oncology, University of Oxford, Oxford, UK.
Kieran HowardOxford Molecular Diagnostics Centre, Department of Oncology, University of Oxford, Oxford, UK.ORCID http://orcid.org/0000-0003-3335-4940
Flavia Matos SantoOxford Molecular Diagnostics Centre, Department of Oncology, University of Oxford, Oxford, UK.ORCID http://orcid.org/0009-0000-4961-5450
Thippesh SannasiddappaExact Sciences Innovation LTD, The Sherard Bldg, Edmund Halley Rd, Littlemore, Oxford, UK.
Bronwen MillerExact Sciences Innovation LTD, The Sherard Bldg, Edmund Halley Rd, Littlemore, Oxford, UK.
Stephen AshLudwig Institute for Cancer Research, Nuffield Department of Medicine, University of Oxford, Oxford, UK.
Yibin LiuCollege of Chemistry and Molecular Sciences, Wuhan University, Wuhan, China.ORCID http://orcid.org/0000-0003-3451-0212
Chun-Xiao SongLudwig Institute for Cancer Research, Nuffield Department of Medicine, University of Oxford, Oxford, UK.ORCID http://orcid.org/0000-0002-7781-6521
Brian D NicholsonNuffield Department of Primary Care Health Sciences, University of Oxford, Oxford, UK.ORCID http://orcid.org/0000-0003-0661-7362
Helene DreauOxford Molecular Diagnostics Centre, Department of Oncology, University of Oxford, Oxford, UK.
Carolyn TregidgoExact Sciences Innovation LTD, The Sherard Bldg, Edmund Halley Rd, Littlemore, Oxford, UK.
Anna SchuhOxford Molecular Diagnostics Centre, Department of Oncology, University of Oxford, Oxford, UK. anna.schuh@oncology.ox.ac.uk.ORCID http://orcid.org/0000-0002-3938-8490

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The analysis of circulating tumour DNA (ctDNA) through minimally invasive liquid biopsies is promising for early multi-cancer detection and monitoring minimal residual disease. Most existing methods focus on targeted deep sequencing, but few integrate multiple data modalities. Here, we develop a methodology for ctDNA detection using deep (80x) whole-genome TET-Assisted Pyridine Borane Sequencing (TAPS), a less destructive approach than bisulphite sequencing, which permits the simultaneous analysis of genomic and methylomic data. We conduct a diagnostic accuracy study across multiple cancer types in symptomatic patients, achieving 94.9% sensitivity and 88.8% specificity. Matched tumour biopsies are used for validation, not for guiding the analysis, imitating an early detection scenario. Furthermore, in silico validation demonstrates strong discrimination (86% AUC) at ctDNA fractions as low as 0.7%. Additionally, we successfully track tumour burden and ctDNA shedding from precancerous lesions post-treatment without requiring matched tumour biopsies. This pipeline is ready for further clinical evaluation to extend cancer screening and improve patient triage and monitoring.

Indexed as

Circulating Tumor DNANeoplasmsBiomarkers, TumorCell-Free Nucleic AcidsEarly Detection of CancerFemaleGenome, HumanHigh-Throughput Nucleotide SequencingHumansLiquid BiopsyMaleMiddle AgedSensitivity and SpecificityWhole Genome SequencingBiomarkers, TumorCell-Free Nucleic AcidsCirculating Tumor DNA

Identifiers

PMID39779727
PMCPMC11711490

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Registered trials

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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.