2019
DOI: 10.1038/s41467-019-12714-4
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Inference of transcription factor binding from cell-free DNA enables tumor subtype prediction and early detection

Abstract: Deregulation of transcription factors (TFs) is an important driver of tumorigenesis, but non-invasive assays for assessing transcription factor activity are lacking. Here we develop and validate a minimally invasive method for assessing TF activity based on cell-free DNA sequencing and nucleosome footprint analysis. We analyze whole genome sequencing data for >1,000 cell-free DNA samples from cancer patients and healthy controls using a bioinformatics pipeline developed by us that infers accessibility of TF… Show more

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Cited by 178 publications
(187 citation statements)
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“…Using the cfNOMe approach, nucleosome occupancy studies are turned from an expensive add-on test into an inexpensive in silico analysis step, bringing them closer to a broader clinical application. Consequently, one major takeaway of this study is whenever cfDNA methylome data is being generated in this way, investigators should also take the opportunity to look at its fragmentation patterns for additional insight, e.g., as was recently demonstrated by Ulz and colleagues in a cancer context [15].…”
Section: Discussionmentioning
confidence: 99%
See 1 more Smart Citation
“…Using the cfNOMe approach, nucleosome occupancy studies are turned from an expensive add-on test into an inexpensive in silico analysis step, bringing them closer to a broader clinical application. Consequently, one major takeaway of this study is whenever cfDNA methylome data is being generated in this way, investigators should also take the opportunity to look at its fragmentation patterns for additional insight, e.g., as was recently demonstrated by Ulz and colleagues in a cancer context [15].…”
Section: Discussionmentioning
confidence: 99%
“…Such measurements of NO have been successfully used to infer the gene expression [14] and regulation [3] landscapes of the cfDNA's tissue-of-origin. Most recently, a similar approach was reported to identify cell lineage-specific transcription factor binding for the prediction of tumor subtypes in prostate cancer [15].…”
Section: Introductionmentioning
confidence: 99%
“…More recent approaches leverage epigenetic information in cell free DNA. Extremely deep sequencing of total cfDNA to identify nucleosomes and transcription factors positions 19,75 and occupancy 18 Specifically, the levels of H3K4me3 correlate with gene expression ( Figures 2C and 4A), which allow us to infer transcriptional activity in cells of origin. Therefore, assaying chromatin marks in cf-nucleosomes provides rich and complex information beyond current methodologies.…”
Section: Discussionmentioning
confidence: 99%
“…The size of cfDNA fragments differs according to their tissues-of-origin, including differences between fetal and maternal DNA, and between tumor and non-tumor derived DNA (Snyder et al, 2016). The cfDNA fragmentation patterns and their derived patterns from whole-genome sequencing (WGS), such as nucleosome positions, patterns near transcription start sites or transcription factor binding sites, ended position of cfDNA, fragmentation hotspots, co-fragmentation patterns, and large-scale fragmentation changes at mega-base level, offer extensive signals from the diseased tissues, as well as possible alterations from peripheral immune cell deaths, which can significantly increase the sensitivity for disease diagnosis (Snyder et al, 2016;Ulz et al, 2016;Jiang et al, 2018;Cristiano et al, 2019;Ulz et al, 2019;Sun et al, 2019;Liu et al, 2019;Zhou and Liu, 2020).…”
Section: Introductionmentioning
confidence: 99%