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. 2022 Sep 19;14(1):116.
doi: 10.1186/s13148-022-01334-3.

Translation of a tissue epigenetic signature to circulating free DNA suggests BCAT1 as a potential noninvasive diagnostic biomarker for lung cancer

Affiliations

Translation of a tissue epigenetic signature to circulating free DNA suggests BCAT1 as a potential noninvasive diagnostic biomarker for lung cancer

Cora Palanca-Ballester et al. Clin Epigenetics. .

Abstract

Lung cancer patients are diagnosed at late stages when curative treatments are no longer possible; thus, molecular biomarkers for noninvasive detection are urgently needed. In this sense, we previously identified and validated an epigenetic 4-gene signature that yielded a high diagnostic performance in tissue and invasive pulmonary fluids. We analyzed DNA methylation levels using the ultrasensitive digital droplet PCR in noninvasive samples in a cohort of 83 patients. We demonstrated that BCAT1 is the candidate that achieves high diagnostic efficacy in circulating DNA derived from plasma (area under the curve: 0.85). Impact of potentially confounding variables was also explored.

Keywords: BCAT1; Circulating DNA; DNA methylation; Epigenetics; Lung cancer; Noninvasive; Plasma; ddPCR.

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Conflict of interest statement

The authors declare that they have no competing interests.

Figures

Fig. 1
Fig. 1
BCAT1 DNA methylation levels in plasma samples using digital droplet PCR. A DNA methylation levels in plasma from patients with lung cancer and control donors. p values for the analyses were calculated using the multivariable logistic regression model. ***p < 0.001. B ROC curves and areas under the curve (AUC). C sensitivity and specificity profiles for the different possible cutoff values of the results

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