Circulating tumour DNA methylation markers for diagnosis and prognosis of hepatocellular carcinoma 循环肿瘤dna甲基化标记物在肝癌诊断和预后中的作用.pdfVIP

Circulating tumour DNA methylation markers for diagnosis and prognosis of hepatocellular carcinoma 循环肿瘤dna甲基化标记物在肝癌诊断和预后中的作用.pdf

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ARTICLES PUBLISHED ONLINE: 9 OCTOBER 2017 | DOI: 10.1038/NMAT4997 Circulating tumour DNA methylation markers for diagnosis and prognosis of hepatocellular carcinoma 1 † 1,2† 2† 2† 1,2† 2 Rui-hua Xu * , Wei Wei , Michal Krawczyk , Wenqiu Wang , Huiyan Luo , Ken Flagg , 2 2 3 3 4 5 Shaohua Yi , William Shi , Qingli Quan , Kang Li , Lianghong Zheng , Heng Zhang , 2 1 2 2 3 3,4 3,4 Bennett A. Caughey , Qi Zhao , Jiayi Hou , Runze Zhang , Yanxin Xu , Huimin Cai , Gen Li , 4 2 2 2 2 2 3 6 Rui Hou , Zheng Zhong , Danni Lin , Xin Fu , Jie Zhu , Yaou Duan , Meixing Yu , Binwu Ying , Wengeng 3 7 2 2 2 1 Zhang , Juan Wang , Edward Zhang , Charlotte Zhang , Oulan Li , Rongping Guo , 2 5 7 2,3,8 Hannah Carter , Jian-kang Zhu , Xiaoke Hao and Kang Zhang * An eective blood-based method for the diagnosis and prognosis of hepatocellular carcinoma (HCC) has not yet been developed. Circulating tumour DNA (ctDNA) carrying cancer-specific genetic and epigenetic aberrations may enable a noninvasive ‘liquid biopsy’ for diagnosis and monitoring of cancer. Here, we identified an HCC-specific methylation marker panel by comparing HCC tissue and normal blood leukocytes and showed that methylation profiles of HCC tumour DNA and matched plasma ctDNA are highly correlated. Using cfDNA samples from a large cohort of 1,098 HCC patients and 835 normal controls, we constructed a diagnostic prediction model that showed high diagnostic specificity and sensitivity (P 0

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