Circulating tumour DNA methylation markers for diagnosis and prognosis of hepatocellular carcinoma

An effective 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. He...

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Veröffentlicht in:Nature materials 2017-11, Vol.16 (11), p.1155-1161
Hauptverfasser: Xu, Rui-hua, Wei, Wei, Krawczyk, Michal, Wang, Wenqiu, Luo, Huiyan, Flagg, Ken, Yi, Shaohua, Shi, William, Quan, Qingli, Li, Kang, Zheng, Lianghong, Zhang, Heng, Caughey, Bennett A., Zhao, Qi, Hou, Jiayi, Zhang, Runze, Xu, Yanxin, Cai, Huimin, Li, Gen, Hou, Rui, Zhong, Zheng, Lin, Danni, Fu, Xin, Zhu, Jie, Duan, Yaou, Yu, Meixing, Ying, Binwu, Zhang, Wengeng, Wang, Juan, Zhang, Edward, Zhang, Charlotte, Li, Oulan, Guo, Rongping, Carter, Hannah, Zhu, Jian-kang, Hao, Xiaoke, Zhang, Kang
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container_end_page 1161
container_issue 11
container_start_page 1155
container_title Nature materials
container_volume 16
creator Xu, Rui-hua
Wei, Wei
Krawczyk, Michal
Wang, Wenqiu
Luo, Huiyan
Flagg, Ken
Yi, Shaohua
Shi, William
Quan, Qingli
Li, Kang
Zheng, Lianghong
Zhang, Heng
Caughey, Bennett A.
Zhao, Qi
Hou, Jiayi
Zhang, Runze
Xu, Yanxin
Cai, Huimin
Li, Gen
Hou, Rui
Zhong, Zheng
Lin, Danni
Fu, Xin
Zhu, Jie
Duan, Yaou
Yu, Meixing
Ying, Binwu
Zhang, Wengeng
Wang, Juan
Zhang, Edward
Zhang, Charlotte
Li, Oulan
Guo, Rongping
Carter, Hannah
Zhu, Jian-kang
Hao, Xiaoke
Zhang, Kang
description An effective 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 < 0.001) and was highly correlated with tumour burden, treatment response, and stage. Additionally, we constructed a prognostic prediction model that effectively predicted prognosis and survival ( P < 0.001). Together, these findings demonstrate in a large clinical cohort the utility of ctDNA methylation markers in the diagnosis, surveillance, and prognosis of HCC. Circulating tumour DNA is used as a biomarker for cancer diagnosis. Here, the authors identified a DNA methylation biomarker for hepatocellular carcinoma and developed diagnostic and prognostic models to predict specificity and survival of patients.
doi_str_mv 10.1038/nmat4997
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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 &lt; 0.001) and was highly correlated with tumour burden, treatment response, and stage. Additionally, we constructed a prognostic prediction model that effectively predicted prognosis and survival ( P &lt; 0.001). Together, these findings demonstrate in a large clinical cohort the utility of ctDNA methylation markers in the diagnosis, surveillance, and prognosis of HCC. Circulating tumour DNA is used as a biomarker for cancer diagnosis. 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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 &lt; 0.001) and was highly correlated with tumour burden, treatment response, and stage. Additionally, we constructed a prognostic prediction model that effectively predicted prognosis and survival ( P &lt; 0.001). Together, these findings demonstrate in a large clinical cohort the utility of ctDNA methylation markers in the diagnosis, surveillance, and prognosis of HCC. Circulating tumour DNA is used as a biomarker for cancer diagnosis. 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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 &lt; 0.001) and was highly correlated with tumour burden, treatment response, and stage. Additionally, we constructed a prognostic prediction model that effectively predicted prognosis and survival ( P &lt; 0.001). Together, these findings demonstrate in a large clinical cohort the utility of ctDNA methylation markers in the diagnosis, surveillance, and prognosis of HCC. Circulating tumour DNA is used as a biomarker for cancer diagnosis. Here, the authors identified a DNA methylation biomarker for hepatocellular carcinoma and developed diagnostic and prognostic models to predict specificity and survival of patients.</abstract><cop>London</cop><pub>Nature Publishing Group UK</pub><pmid>29035356</pmid><doi>10.1038/nmat4997</doi><tpages>7</tpages></addata></record>
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subjects 631/1647/2210
631/67/1857
Aberration
Biomarkers, Tumor - blood
Biomarkers, Tumor - genetics
Biomaterials
Blood
Cancer
Carcinoma, Hepatocellular - blood
Carcinoma, Hepatocellular - diagnosis
Carcinoma, Hepatocellular - genetics
Circulating Tumor DNA - blood
Circulating Tumor DNA - genetics
Condensed Matter Physics
Deoxyribonucleic acid
Diagnosis
Diagnostic systems
DNA
DNA Methylation
Female
Hepatology
Humans
Leukocytes
Liver cancer
Liver Neoplasms - blood
Liver Neoplasms - diagnosis
Liver Neoplasms - genetics
Male
Markers
Materials Science
Mathematical models
Medical diagnosis
Medical prognosis
Models, Biological
Nanotechnology
Optical and Electronic Materials
Prediction models
Prognosis
Tumors
title Circulating tumour DNA methylation markers for diagnosis and prognosis of hepatocellular carcinoma
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