Evidence map›Paper›PMID 41087333›Full record

ArticleNature communications2025

Analysis of cfDNA fragmentomics metrics and commercial targeted sequencing panels.

Kyle T Helzer, Marina N Sharifi, Jamie M Sperger, Matthew R Chrostek, Matthew L Bootsma, Shannon R Reese, Amy Taylor, Katie R Kaufmann, Hannah Krause, Jennifer Schehr and 17 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 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing 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

7 citing papers in PubMed.

  1. Article
  2. Circulating Tumor DNA as a Biomarker for Melanoma Prognosis and Therapy.American journal of clinical dermatology · 2026
    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

27 authors.

Kyle T Helzer *Department of Human Oncology, University of Wisconsin, Madison, WI, USA.
Marina N Sharifi *Carbone Cancer Center, University of Wisconsin, Madison, WI, USA.ORCID http://orcid.org/0000-0003-0128-3033
Jamie M SpergerDepartment of Medicine, University of Wisconsin, Madison, WI, USA.
Matthew R ChrostekDepartment of Human Oncology, University of Wisconsin, Madison, WI, USA.
Matthew L BootsmaDepartment of Human Oncology, University of Wisconsin, Madison, WI, USA.
Shannon R ReeseDepartment of Human Oncology, University of Wisconsin, Madison, WI, USA.
Amy TaylorDepartment of Medicine, University of Wisconsin, Madison, WI, USA.
Katie R KaufmannDepartment of Medicine, University of Wisconsin, Madison, WI, USA.
Hannah KrauseDepartment of Medicine, University of Wisconsin, Madison, WI, USA.ORCID http://orcid.org/0000-0002-3154-9990
Jennifer SchehrCarbone Cancer Center, University of Wisconsin, Madison, WI, USA.
Nan SethakornCarbone Cancer Center, University of Wisconsin, Madison, WI, USA.
David KosoffCarbone Cancer Center, University of Wisconsin, Madison, WI, USA.
Christos E KyriakopoulosCarbone Cancer Center, University of Wisconsin, Madison, WI, USA.ORCID http://orcid.org/0000-0002-6452-7405
Michael BassettiDepartment of Human Oncology, University of Wisconsin, Madison, WI, USA.
Grace BlitzerDepartment of Human Oncology, University of Wisconsin, Madison, WI, USA.
John FlobergDepartment of Human Oncology, University of Wisconsin, Madison, WI, USA.
Martin SjöströmLund University, Lund, Sweden.ORCID http://orcid.org/0000-0002-2629-9966
Andrew J ArmstrongDuke Cancer Institute Center for Prostate and Urologic Cancers, Department of Medicine, Duke University, Durham, NC, USA.ORCID http://orcid.org/0000-0001-7012-1754
Himisha BeltranLank Center for Genitourinary Oncology, Dana-Farber Cancer Institute, Boston, MA, USA.ORCID http://orcid.org/0000-0003-3259-2226
Rana R McKayMoores Cancer Center, University of California San Diego, La Jolla, CA, USA.ORCID http://orcid.org/0000-0002-0581-7963
Felix Y FengDepartment of Radiation Oncology, Helen Diller Family Comprehensive Cancer Center, University of California San Francisco, San Francisco, USA.ORCID http://orcid.org/0000-0002-0963-7687
Ruth O'ReganCarbone Cancer Center, University of Wisconsin, Madison, WI, USA.
Kari B WisinskiCarbone Cancer Center, University of Wisconsin, Madison, WI, USA.
Hamid EmamekhooCarbone Cancer Center, University of Wisconsin, Madison, WI, USA.
Alex W WyattDepartment of Urologic Sciences, Vancouver Prostate Centre, University of British Columbia, Vancouver, BC, Canada.ORCID http://orcid.org/0000-0003-2399-0329
Joshua M LangCarbone Cancer Center, University of Wisconsin, Madison, WI, USA.ORCID http://orcid.org/0000-0002-0943-8872
Shuang G ZhaoDepartment of Human Oncology, University of Wisconsin, Madison, WI, USA. shgzhao@humonc.wisc.edu.ORCID http://orcid.org/0000-0002-9166-6507

Funding

UW COMPREHENSIVE CANCER CENTER SUPPORTP30CA014520 · NCI · UNIVERSITY OF WISCONSIN-MADISON · PI AMY TRENTHAM-DIETZ · 1985 to 2026
$142.6M
University of Wisconsin Prostate SPOREP50CA269011 · NCI · UNIVERSITY OF WISCONSIN-MADISON · PI DAVID F. JARRARD, DOUGLAS G. MCNEEL · 2023 to 2026
$10.6M
The Molecular Drivers and Therapeutic Susceptibilities in Lineage State Transitions of Metastatic Prostate CancerP01CA298991 · NCI · UNIVERSITY OF WISCONSIN-MADISON · PI Joshua Lang · 2025 to 2026
$7.6M
Integrated Training For Physician-ScientistsT32GM140935 · NIGMS · UNIVERSITY OF WISCONSIN-MADISON · PI Anna Huttenlocher, Jeniel E Nett · 2021 to 2026
$6.5M
Molecular mechanisms underlying lineage plasticity in prostate cancerR37CA241486 · NCI · DANA-FARBER CANCER INST · PI Himisha Beltran · 2020 to 2026
$4.1M
Enhancing Epigenetic Analysis Of Rare Cells With Multi-Phase MicrofluidicsR01CA247479 · NCI · UNIVERSITY OF WISCONSIN-MADISON · PI BEEBE, DAVID J, LANG, JOSHUA MICHAEL · 2020 to 2024
$3.1M
Molecular regulation and expression of Trop-2 in advanced prostate cancer: Identifying optimal therapeutic nichesR01CA276269 · NCI · UNIVERSITY OF WISCONSIN-MADISON · PI Scott M. Dehm, Joshua Lang · 2023 to 2026
$2.6M
Cell-free DNA fragmentomics as prognostic and treatment resistance biomarkers in metastatic castration-resistant prostate cancerR01CA296602 · NCI · UNIVERSITY OF WISCONSIN-MADISON · PI Joshua Lang, Shuang Zhao · 2025 to 2026
$1.3M
Validation of predictive liquid biomarkers for patients with metastatic prostate cancerUH2CA260389 · NCI · UNIVERSITY OF WISCONSIN-MADISON · PI ARMSTRONG, ANDREW J, HALABI, SUSAN · 2021 to 2022
$352k
NCI NIH HHS P01 CA298991NCI NIH HHS P30 CA014520NCI NIH HHS P50 CA269011NCI NIH HHS R01 CA247479NCI NIH HHS R01 CA276269NCI NIH HHS R01 CA296602NCI NIH HHS R37 CA241486NCI NIH HHS UH2 CA260389NIGMS NIH HHS T32 GM140935U.S. Department of Defense (United States Department of Defense) PC190039, PC200334, PC240611U.S. Department of Health & Human Services | National Institutes of Health (NIH) DP2 OD030734, P50 CA269011, P30 CA014520
6 · The paper itself

Abstract

Fragmentomics based analysis of cell-free DNA (cfDNA) has recently emerged as a method to infer epigenetic and transcriptional data. Many of these reports analyze whole genome sequencing (WGS) which is not readily available clinically. Targeted exon panels are used for clinical cfDNA variant calling. In this report, we conduct an investigation of multiple published fragmentomics methods for WGS, but on cancer exon panels. We find that strategies utilizing normalized depth metrics, as well as all exons present on the panel, generally allow for better prediction of cancer phenotypes across a range of tumor fractions, though other metrics work particularly well in specific applications. Additionally, genes from commercial clinical targeted sequencing panels could be similarly employed for cancer phenotyping with a minimal decrease in performance despite their smaller genomic coverage. These results suggest that fragmentomics-based analysis of cfDNA can utilize targeted sequencing panels and does not necessarily require additional WGS.

Indexed as

Cell-Free Nucleic AcidsNeoplasmsSequence Analysis, DNAExonsGenomicsHigh-Throughput Nucleotide SequencingHumansWhole Genome SequencingCell-Free Nucleic Acids

Identifiers

PMID41087333
PMCPMC12521513

What OpenQuestion holds

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LicenceCC BY
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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.