Evidence map›Paper›PMID 41792470›Full record

ArticleCommunications medicine2026

Patient-specific alterations in blood plasma cfRNA profiles enable accurate classification of cancer patients and controls.

Annelien Morlion, Philippe Decruyenaere, Kathleen Schoofs, Jasper Anckaert, Nickolas Johns Ramirez, Justine Nuytens, Eveline Vanden Eynde, Kimberly Verniers, Celine Everaert, Guy Brusselle and 17 more

Abstract read
In one paragraph

Article in Communications medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing 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

6 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

27 authors.

Annelien MorlionDepartment of Biomolecular Medicine, Ghent University, Ghent, Belgium.ORCID http://orcid.org/0000-0003-1791-2359
Philippe DecruyenaereDepartment of Biomolecular Medicine, Ghent University, Ghent, Belgium.
Kathleen SchoofsDepartment of Biomolecular Medicine, Ghent University, Ghent, Belgium.
Jasper AnckaertDepartment of Biomolecular Medicine, Ghent University, Ghent, Belgium.ORCID http://orcid.org/0000-0001-8144-4639
Nickolas Johns RamirezDepartment of Biomolecular Medicine, Ghent University, Ghent, Belgium.
Justine NuytensDepartment of Biomolecular Medicine, Ghent University, Ghent, Belgium.ORCID http://orcid.org/0000-0002-4878-1200
Eveline Vanden EyndeDepartment of Biomolecular Medicine, Ghent University, Ghent, Belgium.ORCID http://orcid.org/0000-0003-0454-4171
Kimberly VerniersDepartment of Biomolecular Medicine, Ghent University, Ghent, Belgium.ORCID http://orcid.org/0000-0002-7693-5908
Celine EveraertTOBI Lab, Center for Medical Biotechnology, VIB-UGent, Zwijnaarde, Belgium.ORCID http://orcid.org/0000-0001-7772-4259
Guy BrusselleDepartment of Respiratory Medicine, Ghent University Hospital, Ghent, Belgium.
Steven CallensDepartment of General Internal Medicine, Ghent University Hospital, Ghent, Belgium.
Filomeen HaerynckDepartment of Internal Medicine and Pediatrics, Ghent University, Ghent, Belgium.
Dimitri HemelsoetDepartment of Neurology, Ghent University Hospital, Ghent, Belgium.ORCID http://orcid.org/0000-0001-5403-3092
Eric HosteDepartment of Intensive Care Medicine, Ghent University Hospital, Ghent, Belgium.
Jo LambertDepartment of Dermatology, Ghent University Hospital, Ghent, Belgium.ORCID http://orcid.org/0000-0001-5303-9310
Nicolaas LumenDepartment of Urology, Ghent University Hospital, Ghent, Belgium.
Fritz OffnerDepartment of Hematology, Ghent University Hospital, Ghent, Belgium.
Koen PaemeleireDepartment of Neurology, Ghent University Hospital, Ghent, Belgium.
Vanessa SmithDepartment of Rheumatology, Ghent University Hospital, Ghent, Belgium.
Lies Van den EyndeDepartment of Urology, Ghent University Hospital, Ghent, Belgium.ORCID http://orcid.org/0009-0008-3664-9174
Jo Van DorpeDepartment of Pathology, Ghent University Hospital, Ghent, Belgium.ORCID http://orcid.org/0000-0001-8175-2930
Amber VanhaeckeDepartment of Pathology, Ghent University Hospital, Ghent, Belgium.
Hans Van VlierbergheDepartment of Internal Medicine and Pediatrics, Ghent University, Ghent, Belgium.
An MarimanDepartment of Physical Medicine and Rehabilitation, Center for Integrative Medicine, Ghent University Hospital, Ghent, Belgium.ORCID http://orcid.org/0009-0005-8131-9316
Olivier ThasDepartment of Applied Mathematics, Computer Science and Statistics, Ghent University, Ghent, Belgium.
Jo Vandesompele *Department of Biomolecular Medicine, Ghent University, Ghent, Belgium.ORCID http://orcid.org/0000-0001-6274-0184
Pieter Mestdagh *Department of Biomolecular Medicine, Ghent University, Ghent, Belgium. pieter.mestdagh@ugent.be.ORCID http://orcid.org/0000-0001-7821-9684

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCirculating nucleic acids in blood plasma form an attractive, minimally invasive resource to study human health and disease. In this study, we aimed to identify cell-free RNA alterations that can distinguish cancer patients from cancer-free individuals.

methodsWe first performed mRNA capture sequencing on 266 blood plasma samples from cancer patients and controls, including a discovery set of 208 donors across 25 cancer types and a replication set of 58 donors across three cancer types. We first conducted group-level comparisons and then compared individual patient profiles to a reference control population in a one-versus-many approach. This approach was further evaluated in independent cohorts: a prostate cancer plasma cohort (n = 180), a non-malignant disease plasma cohort (n = 125), a lymphoma plasma cohort (n = 65), and a bladder cancer urine cohort (n = 24), each including both patients and controls.

resultsHere we show that cancer patients exhibit both cancer type-specific and general cell-free RNA alterations. However, differentially abundant RNAs vary widely among patients and across cohorts, hampering robust biomarker identification. By comparing individual patient profiles to control populations, we identify so-called biomarker tail genes, which strongly deviate from controls. The number of these genes per sample distinguishes cancer patients from control samples. Independent cohorts also confirm the potential of this approach.

conclusionsOur findings demonstrate substantial heterogeneity in cell-free RNA alterations among cancer patients and propose that patient-specific changes can be exploited for classification.

Identifiers

PMID41792470
PMCPMC13096516

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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.