2021
DOI: 10.3390/epigenomes5020008
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Cell-Free DNA Methylation as Blood-Based Biomarkers for Pancreatic Adenocarcinoma—A Literature Update

Abstract: Pancreatic adenocarcinoma has a horrible prognosis, which is partly due to difficulties in diagnosing the disease in an early stage. Additional blood-born biomarkers for pancreatic adenocarcinoma are needed. Epigenetic modifications, as changes in DNA methylation, is a fundamental part of carcinogenesis. The aim of this paper is to do an update on cell-free DNA methylation as blood-based biomarkers for pancreatic adenocarcinoma. The current literature including our studies clearly indicates that cell-free DNA … Show more

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Cited by 14 publications
(7 citation statements)
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“…There are several studies on cell-free DNA methylation analysis using plasma or serum as an analyte to diagnose or monitor pancreatic cancer (reviewed in [ 26 ]). In one study, methylation-specific PCR targeting 8 loci of blood-derived DNA in 95 patients with PDAC yielded only moderate accuracy with a sensitivity of 76% at 83% specificity [ 27 ].…”
Section: Discussionmentioning
confidence: 99%
“…There are several studies on cell-free DNA methylation analysis using plasma or serum as an analyte to diagnose or monitor pancreatic cancer (reviewed in [ 26 ]). In one study, methylation-specific PCR targeting 8 loci of blood-derived DNA in 95 patients with PDAC yielded only moderate accuracy with a sensitivity of 76% at 83% specificity [ 27 ].…”
Section: Discussionmentioning
confidence: 99%
“…Adding another diagnostic modality (CA19-9 levels, KRAS mutation status etc.) to the assessment of cfDNA methylation can improve accuracy [ 90 , 92 , 93 ]. Evaluating CA 19-9 levels together with the methylation status of RUNX3 in cfDNA was able to increase sensitivity to detect PDAC from 50.9% ( RUNX3 DNA methylation alone) to 85.5% [ 92 ].…”
Section: Diagnostic Utility Of Epigenetic Modifications In Pdacmentioning
confidence: 99%
“…Pancreatic ductal adenocarcinoma (PDAC) is one of the most malignant tumors with high mortality and tens of thousands of newly diagnosed cases are reported by global statistics [1,2]. Worldwide, the widespread application of screening has reduced the global morbidity and mortality associated with PDAC [3]. Although great progress have done in PDAC treatment, the 5-year survivals are still fabulously less than 6% [4,5].…”
Section: Introductionmentioning
confidence: 99%