Evidence map›Paper›PMID 41043659›Full record

ArticleJournal of advanced research2026

The significance of urine extracellular vesicle DNA methylation detection in the diagnosis and classification of prostate cancer.

Ting Ding, Yanjun Diao, Ruiqing Fu, Chengxiang Gong, Qiye He, Weixiang He, Longlong Zhang, Xiaojian Yang, Xianfei Zeng, Lijuan Yu and 4 more

Abstract read
In one paragraph

Article in Journal of advanced research, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Review
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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

14 authors.

Ting DingDepartment of Clinical Laboratory, The Second Affiliated Hospital of Xi'an Jiaotong University, Xi'an, China; School of Medicine, Northwest University, Xi'an, China; Institute of Laboratory Medicine Center of Chinese People's Liberation Army (PLA), Xijing Hospital, Fourth Military Medical University (Air Force Medical University), Xi'an, China.
Yanjun DiaoInstitute of Laboratory Medicine Center of Chinese People's Liberation Army (PLA), Xijing Hospital, Fourth Military Medical University (Air Force Medical University), Xi'an, China.
Ruiqing FuSinglera Genomics Ltd, Shanghai, China.
Chengxiang GongSinglera Genomics Ltd, Shanghai, China.
Qiye HeSinglera Genomics Ltd, Shanghai, China.
Weixiang HeDepartment of Urology, Xijing Hospital, Fourth Military Medical University (Air Force Medical University), Xi'an, China.
Longlong ZhangDepartment of Urology, Xijing Hospital, Fourth Military Medical University (Air Force Medical University), Xi'an, China.
Xiaojian YangDepartment of Urology, Xijing Hospital, Fourth Military Medical University (Air Force Medical University), Xi'an, China.
Xianfei ZengSchool of Medicine, Northwest University, Xi'an, China; Shanxi Lifegen Co., Ltd., Xi'an, China.
Lijuan YuDepartment of Laboratory Medicine, Nanfang Hospital, Southern Medical University, Guangzhou, China; Krefting Research Centre, Institute of Medicine, University of Gothenburg, Gothenburg, Sweden.
Jiayun LiuInstitute of Laboratory Medicine Center of Chinese People's Liberation Army (PLA), Xijing Hospital, Fourth Military Medical University (Air Force Medical University), Xi'an, China.
Weimei ShiEcho Biotech Ltd, Beijing, China.
Kang ZhangSchool of Medicine, Macau University of Science and Technology, Macau, China. Electronic address: kang.zhang@gmail.com.
Xiaoke HaoDepartment of Clinical Laboratory, The Second Affiliated Hospital of Xi'an Jiaotong University, Xi'an, China; School of Medicine, Northwest University, Xi'an, China; Institute of Laboratory Medicine Center of Chinese People's Liberation Army (PLA), Xijing Hospital, Fourth Military Medical University (Air Force Medical University), Xi'an, China; Shanxi Lifegen Co., Ltd., Xi'an, China. Electronic address: haoxkg@fmmu.edu.cn.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionAs one of the most common malignant tumors in men, prostate cancer (PCa) still lacks convenient, non-invasive and highly specific diagnostic markers. The advantages of Extracellular vesicle (EV) DNA in tumor diagnosis have gradually attracted the attention of researchers. However, methylation detection, which is more advantageous than mutation detection in tumor diagnosis, has not been widely practiced in EV DNA, and its value in PCa diagnosis also remains underexplored.

objectivesThis study aims to establish and optimize an EV DNA methylation detection system and evaluate its diagnostic and classification potential for PCa.

methodsWe characterized EV DNA biological properties, optimized pretreatment strategies, validated its correlation with genomic DNA methylation, and explored urine EV DNA methylation targets in 86 benign prostatic hyperplasia (BPH) and 109 PCa patients across three cohorts (screening: 30 BPH/33 PCa; training: 27 BPH/30 PCa; validation: 29 BPH/46 PCa).

resultsHeterogeneous biological characteristics were observed among DNA from different subtypes of EV, but methylation profiles remained consistent across subtypes and post-DNase I treatment. EV DNA accurately reflected the methylation state of source cell genomic DNA. By combining our screening results with data from the TCGA database and previously reported, we developed a panel consisting of 667 PCa-specific methylation targets for detection. Among these, six methylation sites (MACF1、LINC01359-1、LINC01359-2、ADCY4、GAPLINC、C19orf25) demonstrated high diagnostic value for PCa, enabling construction of PCa and aggressive PCa differential diagnosis model with AUCs up to 0.74 and 0.91 respectively. The diagnostic value of these six markers was further confirmed using methylight PCR in the validation cohort which also displayed promising performance as a tool for diagnosing PCa.

conclusionThis study highlights the potential of urine EV DNA methylation as a novel diagnostic marker for PCa and lays a foundation for future EV DNA research.

Indexed as

Biomarkers, TumorDNA MethylationExtracellular VesiclesProstatic NeoplasmsAgedHumansMaleMiddle AgedProstatic HyperplasiaBiomarkers, TumorDNA methylationExtracellular vesicleMolecular diagnosisProstate cancerUrine biomarker

Identifiers

PMID41043659
PMCPMC13227286

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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.