Evidence map›Paper›PMID 40956966›Full record

ReviewAging and disease2025

Circulating Cell-free DNA Fragmentomics Detection and Beyond.

Tianliang Liu, Zhicheng Li, Shifu Chen, Jiasheng Zhong

Abstract readReview
In one paragraph

Review in Aging and disease, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

  1. Article
  2. Article
  3. Review
  4. 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

4 authors.

Tianliang LiuLifeX Institute, Gannan Medical University, Ganzhou, China.
Zhicheng LiShenzhen Institute of Advanced Technology, Chinese Academy of Sciences, Shenzhen, China.
Shifu ChenLifeX Institute, Gannan Medical University, Ganzhou, China.
Jiasheng ZhongLifeX Institute, Gannan Medical University, Ganzhou, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Circulating cell-free DNA (cfDNA) comprises DNA fragments released into bodily fluids via apoptosis, necrosis, or phagocytosis. cfDNA encapsulates both fragmentomics (structural) and non-fragmentomics (sequence/epigenetic) information from source cells, thereby representing a promising biomarker. While non-fragmentomics analyses have enabled diverse diagnostic applications, they often falter in diseases with subtle or widespread genomic changes due to low cfDNA abundance and clonal hematopoiesis interference. Emerging evidence reveals that cfDNA fragmentation is shaped by nucleosome occupancy, nuclease activity, and epigenetic factors, yielding distinct patterns in fragment size, end motifs, nucleosome footprints, and topology. These fragmentomics signatures diverge markedly between healthy and diseased states, and across age group, offering opportunities to complement non-fragmentomics and enhance accuracy. This review delineates key cfDNA fragmentomics targets, elucidates fragmentation mechanisms, and explores clinical applications in the context of diseases and aging. We further survey cutting-edge technologies and computational algorithms and discuss implementation challenges alongside future prospects.

Indexed as

AgingCell-Free Nucleic AcidsDNA FragmentationBiomarkersEpigenesis, GeneticHumansBiomarkersCell-Free Nucleic Acids

Identifiers

PMID40956966
PMCPMC13437109

What OpenQuestion holds

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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.