Evidence map›Paper›PMID 41714824›Full record

ArticleNature cancer2026

A pan-cancer compendium of 1,294 plasma cell-free DNA methylomes and fragmentomes enabling multicancer detection.

Yong Zeng, Dor D Abelman, Althaf Singhawansa, Nicholas Cheng, Yuanchang Fang, Sasha C Main, Emma Bell, Wenbin Ye, Ping Luo, Samantha L Wilson and 18 more

Abstract read
In one paragraph

Article in Nature cancer, 2026. 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.

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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

28 authors.

Yong Zeng *Princess Margaret Cancer Centre, University Health Network, Toronto, Ontario, Canada. Yong.Zeng@uhn.ca.ORCID http://orcid.org/0000-0001-5719-1272
Dor D Abelman *Princess Margaret Cancer Centre, University Health Network, Toronto, Ontario, Canada.ORCID http://orcid.org/0000-0002-6765-4733
Althaf SinghawansaPrincess Margaret Cancer Centre, University Health Network, Toronto, Ontario, Canada.ORCID http://orcid.org/0009-0008-2985-4794
Nicholas ChengOntario Institute for Cancer Research, Toronto, Ontario, Canada.
Yuanchang FangPrincess Margaret Cancer Centre, University Health Network, Toronto, Ontario, Canada.
Sasha C MainPrincess Margaret Cancer Centre, University Health Network, Toronto, Ontario, Canada.
Emma BellOntario Institute for Cancer Research, Toronto, Ontario, Canada.
Wenbin YePrincess Margaret Cancer Centre, University Health Network, Toronto, Ontario, Canada.
Ping LuoPrincess Margaret Cancer Centre, University Health Network, Toronto, Ontario, Canada.
Samantha L WilsonDepartment of Obstetrics and Gynecology, McMaster University, Hamilton, Ontario, Canada.ORCID http://orcid.org/0000-0003-4346-9696
Eric Y Stutheit-ZhaoPrincess Margaret Cancer Centre, University Health Network, Toronto, Ontario, Canada.
Derek WongPrincess Margaret Cancer Centre, University Health Network, Toronto, Ontario, Canada.
Nadia ZnassiPrincess Margaret Cancer Centre, University Health Network, Toronto, Ontario, Canada.
Kui ChenPrincess Margaret Cancer Centre, University Health Network, Toronto, Ontario, Canada.ORCID http://orcid.org/0009-0004-3366-9090
Suluxan MohanrajPrincess Margaret Cancer Centre, University Health Network, Toronto, Ontario, Canada.
Enrique Sanz-GarciaPrincess Margaret Cancer Centre, University Health Network, Toronto, Ontario, Canada.ORCID http://orcid.org/0000-0002-3119-3832
Faiyaz NottaPrincess Margaret Cancer Centre, University Health Network, Toronto, Ontario, Canada.ORCID http://orcid.org/0000-0002-5748-3985
Anand GhanekarToronto General Hospital Research Institute, University Health Network, Toronto, Ontario, Canada.
Philip AwadallaDepartment of Population Health, Big Data Institute, University of Oxford, Oxford, UK.
Benjamin H LokPrincess Margaret Cancer Centre, University Health Network, Toronto, Ontario, Canada.
Michael M HoffmanPrincess Margaret Cancer Centre, University Health Network, Toronto, Ontario, Canada.
Raymond H KimPrincess Margaret Cancer Centre, University Health Network, Toronto, Ontario, Canada.ORCID http://orcid.org/0000-0002-2147-8674
Gelareh ZadehPrincess Margaret Cancer Centre, University Health Network, Toronto, Ontario, Canada.ORCID http://orcid.org/0000-0002-6637-4502
Daniel D De CarvalhoPrincess Margaret Cancer Centre, University Health Network, Toronto, Ontario, Canada.
Scott V BratmanPrincess Margaret Cancer Centre, University Health Network, Toronto, Ontario, Canada.
Mathieu LupienPrincess Margaret Cancer Centre, University Health Network, Toronto, Ontario, Canada. Mathieu.Lupien@uhn.ca.ORCID http://orcid.org/0000-0003-0929-9478
Trevor J PughPrincess Margaret Cancer Centre, University Health Network, Toronto, Ontario, Canada. Trevor.Pugh@utoronto.ca.ORCID http://orcid.org/0000-0002-8073-5888
Housheng Hansen HePrincess Margaret Cancer Centre, University Health Network, Toronto, Ontario, Canada. Hansen.He@uhn.ca.ORCID http://orcid.org/0000-0003-2898-3363

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Cell-free DNA analysis via methylation and fragmentation profiling has advanced minimally invasive cancer detection; however, broader application has been limited by small cohorts and inconsistent data processing. Here we collated 1,074 cfMeDIP-seq profiles across 9 studies, comprising cancer samples from 11 cancer types, carriers of Li-Fraumeni syndrome and healthy controls. We developed a uniform computational workflow to mitigate technical and biological confounders across cohorts. This analysis identified 14,202 pancancer differentially methylated regions for cancer detection, along with cancer-specific markers for subtype monitoring. Fragmentomic profiling revealed distinguishing differences in 5' end motifs, fragment lengths and nucleosome footprints across cancers. Integrating methylome and fragmentome features enhanced cancer detection and classification. Validation in 220 independent samples, including 3 cancer types absent from the primary dataset, confirmed the robustness of our findings. Altogether, this work provides a pancancer cell-free DNA resource of 1,294 samples to support future methylome and fragmentome studies.

Indexed as

Biomarkers, TumorCell-Free Nucleic AcidsDNA MethylationEpigenomeNeoplasmsHumansBiomarkers, TumorCell-Free Nucleic Acids

Identifiers

PMID41714824
PMCPMC12948677

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.