Evidence map›Paper›PMID 41756975›Full record

ArticlebioRxiv : the preprint server for biology2026

Integrated inference of cancer gene expression from cell-free plasma chromatin.

Gunsagar S Gulati, Damien Vasseur, Rashad Nawfal, Shahabeddin Sotudian, Karl Semaan, Marc Eid, Ji-Heui Seo, Noa Phillips, John J Canniff, Hunter Savignano and 25 more

Abstract readPreprint
In one paragraph

Article in bioRxiv : the preprint server for biology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

35 authors.

Gunsagar S GulatiDepartment of Medical Oncology, Dana-Farber Cancer Institute, Boston, MA, USA.ORCID 0000-0003-2798-6220
Damien VasseurDepartment of Medical Oncology, Dana-Farber Cancer Institute, Boston, MA, USA.
Rashad NawfalDepartment of Medical Oncology, Dana-Farber Cancer Institute, Boston, MA, USA.
Shahabeddin SotudianDepartment of Medical Oncology, Dana-Farber Cancer Institute, Boston, MA, USA.ORCID 0000-0002-5864-6192
Karl SemaanDepartment of Medical Oncology, Dana-Farber Cancer Institute, Boston, MA, USA.
Marc EidDepartment of Medical Oncology, Dana-Farber Cancer Institute, Boston, MA, USA.
Ji-Heui SeoDepartment of Medical Oncology, Dana-Farber Cancer Institute, Boston, MA, USA.
Noa PhillipsDepartment of Medical Oncology, Dana-Farber Cancer Institute, Boston, MA, USA.
John J CanniffDepartment of Medical Oncology, Dana-Farber Cancer Institute, Boston, MA, USA.
Hunter SavignanoDepartment of Medical Oncology, Dana-Farber Cancer Institute, Boston, MA, USA.
Surya B ChhetriDepartment of Medical Oncology, Dana-Farber Cancer Institute, Boston, MA, USA.
Zhenjie JinDepartment of Medical Oncology, Dana-Farber Cancer Institute, Boston, MA, USA.
Yukun OuDepartment of Medical Oncology, Dana-Farber Cancer Institute, Boston, MA, USA.
Mohamed-Amine BaniDepartment of Medical Biology and Pathology, Gustave Roussy, Villejuif, France.
Gwo-Shu Mary LeeDepartment of Medical Oncology, Dana-Farber Cancer Institute, Boston, MA, USA.
Rachel TrowbridgeDepartment of Medical Oncology, Dana-Farber Cancer Institute, Boston, MA, USA.
Ilana B EpsteinDepartment of Medical Oncology, Dana-Farber Cancer Institute, Boston, MA, USA.
Gabriella RickardsDepartment of Medical Oncology, Dana-Farber Cancer Institute, Boston, MA, USA.
Paulo Roberto Da Silva CordeiroDepartment of Medical Oncology, Dana-Farber Cancer Institute, Boston, MA, USA.
Ze ZhangDepartment of Medical Oncology, Dana-Farber Cancer Institute, Boston, MA, USA.
Razane El Hajj ChehadeDepartment of Medical Oncology, Dana-Farber Cancer Institute, Boston, MA, USA.
Brady JamesDepartment of Medical Oncology, Dana-Farber Cancer Institute, Boston, MA, USA.
Christophe MassardDepartment of Medical Oncology, Gustave Roussy, Villejuif, France.
Antoine ItalianoDepartment of Medical Oncology, Gustave Roussy, Villejuif, France.
Antoine HollebecqueDepartment of Medical Oncology, Gustave Roussy, Villejuif, France.
Jean-Charles SoriaDepartment of Therapeutic Innovation and Early Phase Trials, Gustave Roussy, Villejuif, France.
Fabrice AndréDepartment of Medical Oncology, Gustave Roussy, Villejuif, France.
Cécile BadoualDepartment of Medical Biology and Pathology, Gustave Roussy, Villejuif, France.
Joaquim BellmuntDepartment of Medical Oncology, Dana-Farber Cancer Institute, Boston, MA, USA.
Harshabad SinghDepartment of Medical Oncology, Dana-Farber Cancer Institute, Boston, MA, USA.
Andrew J AguirreDepartment of Medical Oncology, Dana-Farber Cancer Institute, Boston, MA, USA.
Brian M WolpinDepartment of Medical Oncology, Dana-Farber Cancer Institute, Boston, MA, USA.
Toni K ChoueiriDepartment of Medical Oncology, Dana-Farber Cancer Institute, Boston, MA, USA.ORCID 0000-0002-9201-3217
Sylvan C BacaDepartment of Medical Oncology, Dana-Farber Cancer Institute, Boston, MA, USA.ORCID 0000-0002-0151-1238
Matthew L FreedmanDepartment of Medical Oncology, Dana-Farber Cancer Institute, Boston, MA, USA.ORCID 0000-0002-4087-8606

Funding

VectorP30CA006516 · NCI · DANA-FARBER CANCER INSTITUTE · PI Irene M. Ghobrial · 1985 to 2026
$330.6M
Treating the P13-Kinase/AKTP50CA101942 · NCI · BETH ISRAEL DEACONESS MEDICAL CENTER · PI David McDermott · 2003 to 2026
$53.4M
Physician Scientist Training in Cancer ResearchT32CA009172 · NCI · DANA-FARBER CANCER INSTITUTE · PI Jennifer R Brown, James A. DeCaprio · 1985 to 2026
$17.1M
Molecular Determinants of Response and Resistance to EZH2 and PARP inhibition in Prostate CancerP50CA272390 · NCI · DANA-FARBER CANCER INST · PI Steven P. Balk, Himisha Beltran · 2023 to 2026
$12.0M
Elucidation of the genetic mechanisms driving prostate tumorigenesis through integrative computational and functional approachesR01CA251555 · NCI · DANA-FARBER CANCER INST · PI FREEDMAN, MATTHEW L, PASANIUC, BOGDAN · 2021 to 2025
$3.4M
Elucidating prostate cancer risk mechanisms through large-scale cistrome wide association studiesR01CA262577 · NCI · DANA-FARBER CANCER INST · PI FREEDMAN, MATTHEW L, GIMELBRANT, ALEXANDER · 2022 to 2025
$3.3M
Common biology underlying pleiotropic breast, prostate and ovarian cancer risk lociR01CA259058 · NCI · UNIVERSITY OF TEXAS HLTH SCIENCE CENTER · PI MATTHEW L FREEDMAN, Simon Andrew Gayther · 2022 to 2026
$2.5M
Characterizing genetic risk of cancer across diverse populations through multi-ancestry epigenome profiling and chromatin QTL discoveryU01CA296432 · NCI · DANA-FARBER CANCER INST · PI Sylvan C. Baca · 2025 to 2026
$1.4M
Mapping the epigenetic dynamics of prostate cancer progression: integrating liquid biopsies and single-cell epigenomics for early detection of lineage plasticity and clinical decision-makingR01CA300092 · NCI · DANA-FARBER CANCER INST · PI Andre M Bergman, MATTHEW L FREEDMAN · 2025 to 2026
$1.2M
NCI NIH HHS P30 CA006516NCI NIH HHS P50 CA101942NCI NIH HHS P50 CA272390NCI NIH HHS R01 CA251555NCI NIH HHS R01 CA259058NCI NIH HHS R01 CA262577NCI NIH HHS R01 CA300092NCI NIH HHS T32 CA009172NCI NIH HHS U01 CA296432
6 · The paper itself

Abstract

Gene expression is a defining determinant of tumor identity, behavior, and therapeutic response, yet remains challenging to measure noninvasively. Here, we introduce APEX (Associating Plasma Epigenomic features with eXpression), a framework for inferring expression from circulating cell-free chromatin. Trained on ~270,000 gene-sample pairs from matched tumor RNA-seq and plasma cfChIP-seq across multiple cancers and validated on >15 unseen cancer subtypes, APEX accurately infers cancer gene expression across a range of tumor fractions and outperforms existing plasma-based approaches by integrating positional histone mark and DNA fragmentation patterns across promoters and gene bodies. Using plasma alone, APEX enables classification of prognostically relevant basal and classical pancreatic cancer subtypes and identifies plasma-inferred

Indexed as

cell-free DNAcfChIP-seqchromatin profilinggene expression inferencehistone modificationsliquid biopsymachine learningplasma epigenomicsprecision oncology

Identifiers

PMID41756975
PMCPMC12934699

What OpenQuestion holds

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LicenceCC BY-NC
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.