Health Technology Assessment,
Journal Year:
2025,
Volume and Issue:
unknown, P. 1 - 105
Published: Jan. 1, 2025
Background
General
population
cancer
screening
in
the
United
Kingdom
is
limited
to
selected
cancers.
Blood-based
multi-cancer
early
detection
tests
aim
detect
potential
signals
from
multiple
cancers
blood.
The
use
of
a
test
for
requires
high
specificity
and
reasonable
sensitivity
early-stage
disease
so
that
benefits
earlier
diagnosis
treatment
can
be
realised.
Objective
To
undertake
systematic
literature
review
clinical
effectiveness
evidence
on
blood-based
screening.
Methods
Comprehensive
searches
electronic
databases
(including
MEDLINE
EMBASE)
trial
registers
were
undertaken
September
2023
identify
published
unpublished
studies
tests.
Test
manufacturer
websites
reference
lists
included
pertinent
reviews
checked
additional
studies.
target
was
individuals
aged
50–79
years
without
suspicion
cancer.
Outcomes
interest
accuracy,
number
proportion
detected
(by
site
stage),
time
diagnostic
resolution,
mortality,
harms,
health-related
quality
life,
acceptability
satisfaction.
risk
bias
assessed
using
assessment
accuracy
studies-2
checklist.
Results
summarised
narrative
synthesis.
Stakeholders
contributed
protocol
development,
report
drafting
interpretation
findings.
Over
8000
records
identified.
Thirty-six
met
inclusion
criteria:
1
ongoing
randomised
controlled
trial,
13
completed
cohort
studies,
17
case-control
5
or
Individual
claimed
3
over
50
different
types
Diagnostic
currently
available
varied
substantially:
Galleri
®
(GRAIL,
Menlo
Park,
CA,
USA)
20.8–66.3%,
98.4–99.5%
(three
studies);
CancerSEEK
(Exact
Sciences,
Madison,
WI,
27.1–62.3%,
98.9–
99.1%
(two
SPOT-MAS™
(Gene
Solutions,
Ho
Chi
Minh
City,
Vietnam)
72.4–100%,
97.0–99.9%
Trucheck™
(Datar
Cancer
Genetics,
Bayreuth,
Germany)
90.0%,
96.4%
(one
study);
Differentiation
Analysis
(AnPac
Bio,
Shanghai,
China)
40.0%,
97.6%
study).
AICS
(AminoIndex
Screening;
Ajinomoto,
Tokyo,
Japan)
screens
individual
separately,
no
overall
performance
statistics
are
available.
Where
reported,
lower
detecting
earlier-stage
(stages
I–II)
compared
with
later-stage
III–IV).
Studies
seven
other
at
an
unclear
stage
development
also
summarised.
Limitations
Study
selection
complex;
it
often
difficult
determine
limited;
there
trials
most
had
bias,
primarily
owing
follow-up
participants
negative
results.
Only
one
study
recruited
asymptomatic
States
America;
however,
results
may
not
representative
Kingdom's
general
population.
No
meaningful
reported
relating
patient-relevant
outcomes,
such
as
Conclusions
All
early-detection
(>
96%).
Sensitivity
highly
variable
influenced
by
design,
population,
standard
used
length
follow-up.
Future
work
Further
research
should
outcomes
consider
patient
service
impacts.
registration
This
registered
PROSPERO
CRD42023467901.
Funding
award
funded
National
Institute
Health
Care
Research
(NIHR)
Technology
Assessment
programme
(NIHR
ref:
NIHR161758)
full
;
Vol.
29,
No.
2.
See
NIHR
Awards
website
further
information.
Cell & Bioscience,
Journal Year:
2025,
Volume and Issue:
15(1)
Published: Feb. 20, 2025
Abstract
Background
Cell-free
DNA
(cfDNA)
in
plasma
carries
epigenetic
signatures
specific
to
tissue
or
cell
of
origin.
Aberrant
methylation
patterns
circulating
cfDNA
have
emerged
as
valuable
tools
for
noninvasive
cancer
detection,
prenatal
diagnostics,
and
organ
transplant
assessment.
Such
changes
also
hold
significant
promise
the
diagnosis
neurodegenerative
diseases,
which
often
progresses
slowly
has
a
lengthy
asymptomatic
period.
However,
genome-wide
diseases
remain
poorly
understood.
Results
We
used
whole-genome
bisulfite
sequencing
(WGBS)
profile
age-dependent
ALS-associated
from
30
individuals,
including
young
middle-aged
controls,
well
ALS
patients
with
matched
controls.
identified
5,223
age-related
differentially
methylated
loci
(DMLs)
(FDR
<
0.05),
51.6%
showing
hypomethylation
older
individuals.
Our
results
significantly
overlapped
age-associated
CpGs
large
blood-based
epigenome-wide
association
study
(EWAS).
Comparing
we
detected
1,045
regions
(DMRs)
gene
bodies,
promoters,
intergenic
regions.
Notably,
these
DMRs
were
linked
key
pathways,
endocytosis
adhesion.
Integration
spinal
cord
transcriptomics
revealed
that
31%
DMR-associated
genes
exhibited
differential
expression
compared
over
20
correlating
disease
duration.
Furthermore,
comparison
published
single-nucleus
RNA
(snRNA-Seq)
data
demonstrated
reflects
cell-type-specific
dysregulation
brain
patients,
particularly
excitatory
neurons
astrocytes.
Deconvolution
profiles
suggested
altered
proportions
immune
liver-derived
patients.
Conclusions
is
powerful
tool
assessing
ALS-specific
molecular
by
revealing
perturbed
locus,
genes,
proportional
contributions
different
tissues/cells
plasma.
This
technique
holds
clinical
application
biomarker
discovery
across
broad
spectrum
disorders.
Genes,
Journal Year:
2023,
Volume and Issue:
14(3), P. 715 - 715
Published: March 14, 2023
Telomere
dynamics
play
a
crucial
role
in
the
maintenance
of
chromosome
integrity;
changes
telomere
length
may
thus
contribute
to
development
various
diseases
including
cancer.
Understanding
telomeric
DNA
carcinogenesis
and
detecting
presence
cell-free
(cf-telDNA)
body
fluids
offer
potential
biomarker
for
novel
cancer
screening
diagnostic
strategies.
Liquid
biopsy
is
becoming
increasingly
popular
due
its
undeniable
benefits
over
conventional
invasive
methods.
However,
organization
function
cf-telDNA
extracellular
milieu
are
understudied.
This
paper
provides
review
based
on
3,398,017
patients,
patients
with
other
conditions,
control
individuals
aim
shed
more
light
inconsistent
nature
lengthening/shortening
oncological
contexts.
To
gain
better
understanding
biological
factors
(e.g.,
telomerase
activation,
alternative
lengthening
telomeres)
affecting
homeostasis
across
different
types
cancer,
we
summarize
mechanisms
responsible
maintenance.
In
conclusion,
compare
tissue-
liquid
biopsy-based
approaches
assessment
provide
brief
outlook
methodology
used
evaluation,
highlighting
advances
state-of-the-art
field.
Despite
their
promise,
circulating
tumor
DNA
(ctDNA)-based
assays
for
multi-cancer
early
detection
face
challenges
in
test
performance,
due
mostly
to
the
limited
abundance
of
ctDNA
and
its
inherent
variability.
To
address
these
challenges,
published
date
demanded
a
very
high-depth
sequencing,
resulting
an
elevated
price
test.
Herein,
we
developed
multimodal
assay
called
SPOT-MAS
(screening
presence
by
methylation
size)
simultaneously
profile
methylomics,
fragmentomics,
copy
number,
end
motifs
single
workflow
using
targeted
shallow
genome-wide
sequencing
(~0.55×)
cell-free
DNA.
We
applied
738
non-metastatic
patients
with
breast,
colorectal,
gastric,
lung,
liver
cancer,
1550
healthy
controls.
then
employed
machine
learning
extract
multiple
cancer
tissue-specific
signatures
detecting
locating
cancer.
successfully
detected
five
types
sensitivity
72.4%
at
97.0%
specificity.
The
sensitivities
early-stage
cancers
were
73.9%
62.3%
stages
I
II,
respectively,
increasing
88.3%
stage
IIIA.
For
tumor-of-origin,
our
achieved
accuracy
0.7.
Our
study
demonstrates
comparable
performance
other
ctDNA-based
while
requiring
significantly
lower
depth,
making
it
economically
feasible
population-wide
screening.
Despite
their
promise,
circulating
tumor
DNA
(ctDNA)-based
assays
for
multi-cancer
early
detection
face
challenges
in
test
performance,
due
mostly
to
the
limited
abundance
of
ctDNA
and
its
inherent
variability.
To
address
these
challenges,
published
date
demanded
a
very
high-depth
sequencing,
resulting
an
elevated
price
test.
Herein,
we
developed
multimodal
assay
called
SPOT-MAS
(screening
presence
by
methylation
size)
simultaneously
profile
methylomics,
fragmentomics,
copy
number,
end
motifs
single
workflow
using
targeted
shallow
genome-wide
sequencing
(~0.55×)
cell-free
DNA.
We
applied
738
non-metastatic
patients
with
breast,
colorectal,
gastric,
lung,
liver
cancer,
1550
healthy
controls.
then
employed
machine
learning
extract
multiple
cancer
tissue-specific
signatures
detecting
locating
cancer.
successfully
detected
five
types
sensitivity
72.4%
at
97.0%
specificity.
The
sensitivities
early-stage
cancers
were
73.9%
62.3%
stages
I
II,
respectively,
increasing
88.3%
stage
IIIA.
For
tumor-of-origin,
our
achieved
accuracy
0.7.
Our
study
demonstrates
comparable
performance
other
ctDNA-based
while
requiring
significantly
lower
depth,
making
it
economically
feasible
population-wide
screening.
Aging and Disease,
Journal Year:
2024,
Volume and Issue:
unknown
Published: Jan. 1, 2024
Alzheimer's
disease
(AD)
and
disease-related
disorders
(ADRD)
are
progressive
neurodegenerative
diseases
without
cure.
occurs
in
2
forms,
early-onset
familial
AD
late-onset
sporadic
AD.
Early-onset
is
a
rare
(~1%),
autosomal
dominant,
caused
by
mutations
presenilin-1,
presenilin-2,
amyloid
precursor
protein
genes
the
other
late-onset,
prevalent
evolved
due
to
age-associated
complex
interactions
between
environmental
genetic
factors,
addition
apolipoprotein
E4
polymorphism.
Cellular
senescence,
promoting
impairment
of
physical
mental
functions
constituted
be
main
cause
aging,
primary
risk
factor
for
AD,
which
results
loss
cognitive
function,
memory,
visual-spatial
skills
an
individual
live
or
act
independently.
Despite
significant
progress
understanding
biology
pathophysiology
we
continue
lack
definitive
early
detectable
biomarkers
and/or
drug
targets
that
can
used
delay
development
ADRD
elderly
populations.
However,
recent
developments
studies
DNA
double-strand
breaks
result
release
fragmented
into
bloodstream
contribute
higher
levels
cell-free
(cf-DNA).
This
cf-DNA
released
from
various
cell
types,
including
normal
cells
undergoing
apoptosis
necrosis
elevated
blood
have
potential
serve
as
blood-based
biomarker
detection
ADRD.
The
overall
goal
our
study
discuss
latest
circulating
progression
Our
article
summarized
status
research
on
both
healthy
states
how
these
develop
also
discussed
impact
lifestyle
epigenetic
factors
involved
Frontiers in Oncology,
Journal Year:
2023,
Volume and Issue:
13
Published: April 20, 2023
The
assessment
of
the
cancer
mutational
profile
is
crucial
for
patient
management,
stratification,
and
therapeutic
decisions.
At
present,
in
hematological
malignancies
with
a
solid
mass,
such
as
lymphomas,
tumor
genomic
profiling
generally
performed
on
tissue
biopsy,
but
may
harbor
genetic
lesions
that
are
unique
to
other
anatomical
compartments.
analysis
circulating
DNA
(ctDNA)
liquid
biopsy
an
emerging
approach
allows
genotyping
monitoring
disease
during
therapy
follow-up.
This
review
presents
different
methods
ctDNA
describes
application
malignancies.
In
diffuse
large
B-cell
lymphoma
(DLBCL)
Hodgkin
(HL),
recapitulates
can
identify
mutations
otherwise
absent
biopsy.
addition,
changes
amount
after
one
or
two
courses
chemotherapy
significantly
predict
outcomes.
has
also
been
tested
myeloid
neoplasms
promising
results.
addition
analysis,
carries
potential
future
applications
ctDNA,
including
fragmentation
epigenetic
patterns.
On
these
grounds,
several
clinical
trials
aiming
at
incorporating
treatment
tailoring
currently
ongoing
Acta Biochimica et Biophysica Sinica,
Journal Year:
2023,
Volume and Issue:
unknown
Published: March 1, 2023
Gastric
cancer
(GC)
is
an
aggressive
malignant
disease
which
still
lacks
effective
early
diagnosis
markers
and
targeted
therapies,
representing
the
fourth-leading
cause
of
cancer-associated
death
worldwide.
The
Hippo
signaling
pathway
plays
crucial
roles
in
organ
size
control
tissue
homeostasis
under
physiological
conditions,
yet
its
aberrations
have
been
closely
associated
with
several
hallmarks
cancer.
last
decade
witnessed
a
burst
investigations
dissecting
how
dysregulation
contributes
to
tumorigenesis,
highlighting
therapeutic
potential
targeting
this
for
tumor
intervention.
In
review,
we
systemically
document
studies
on
contexts
gastric
initiation,
progression,
metastasis,
acquired
drug
resistance,
emerging
development
Hippo-targeting
strategies.
By
summarizing
major
open
questions
field,
aim
inspire
further
in-depth
understanding
GC
development,
as
well
translational
implications
treatment.
International Journal of Surgery,
Journal Year:
2023,
Volume and Issue:
109(4), P. 925 - 935
Published: March 28, 2023
Background:
Colorectal
cancer
(CRC)
is
the
second
most
common
cause
of
cancer-related
death
(9.4%
9.9
million
deaths).
However,
CRC
develops
slowly,
and
early
detection
intervention
can
effectively
improve
survival
rate
quality
life.
Although
colonoscopy
detect
diagnose
CRC,
it
unsuitable
for
screening
in
average-risk
populations.
Some
commercial
kits
based
on
DNA
mutation
or
methylation
are
approved
screening,
but
low
sensitivity
advanced
adenoma
early-stage
would
limit
applications.
Main
results:
Recently,
researchers
have
focused
developing
noninvasive
minimally
invasive,
easily
accessible
biomarkers
with
higher
accuracy
screening.
Numerous
reports
describe
advances
biomarkers,
including
mutations
methylation,
mRNA
miRNA,
gut
microbes,
metabolites,
as
well
low-throughput
multiomics
panels.
In
small
cohorts,
specificity
improved
when
fecal
immunochemical
testing
combined
other
biomarkers;
further
verification
large
cohorts
expected.
addition,
continuous
improvement
laboratory
technology
has
also
technology,
such
PCR,
application
CRISPR/Cas
technology.
Besides,
artificial
intelligence
extensively
promoted
mining
biomarkers.
Machine
learning
was
performed
to
construct
a
diagnosis
model
cfDNA
fragment
features
from
whole-genome
sequencing
data.
another
study,
markers,
cfDNA,
epigenetic,
protein
signals,
were
discovered
by
machine
learning.
Finally,
advancements
sensor
promote
applicability
volatile
organic
compounds
detection.
Conclusion:
Here,
authors
review
different
biomarker
types.
Most
studies
reported
optimistic
findings
preliminary
research,
prospective
clinical
ongoing.
These
promising
expected
more
accurately
identify
patients
be
applied
future.