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Towards multi-cancer screening using liquid biopsies

Cell-free DNA and proteins are secreted into the bloodstream by multiple types of cancer. In a recently published prospective study involving 10,006 women, such markers were used in a cancer screening approach that incorporated PET–CT as a confirmatory test. Herein, we discuss the implications of these results.

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Fig. 1: Protocol used in liquid biopsy-based cancer screening study4.

References

  1. Chiu, R. W. K. et al. Noninvasive prenatal diagnosis of fetal chromosomal aneuploidy by massively parallel genomic sequencing of DNA in maternal plasma. Proc. Natl Acad. Sci. USA 105, 20458–20463 (2008).

    Article  CAS  Google Scholar 

  2. Wan, J. C. M. et al. Liquid biopsies come of age: Towards implementation of circulating tumour DNA. Nat. Rev. Can. 17, 223–238 (2017).

    Article  CAS  Google Scholar 

  3. Chan, K. C. A. et al. Analysis of plasma Epstein–Barr virus DNA to screen for nasopharyngeal cancer. N. Engl. J. Med. 377, 513–522 (2017).

    Article  CAS  Google Scholar 

  4. Lennon, A. M. et al. Feasibility of blood testing combined with PET-CT to screen for cancer and guide intervention. Science https://doi.org/10.1126/science.abb9601 (2020).

    Article  PubMed  Google Scholar 

  5. Cohen, J. D. et al. Detection and localization of surgically resectable cancers with a multi-analyte blood test. Science 359, 926–930 (2018).

    Article  CAS  Google Scholar 

  6. Lam, W. K. J. et al. Sequencing-based counting and size profiling of plasma Epstein–Barr virus DNA enhance population screening of nasopharyngeal carcinoma. Proc. Natl Acad. Sci. USA 115, E5115–E5124 (2018).

    Article  CAS  Google Scholar 

  7. Lam, W. K. J. et al. Methylation analysis of plasma DNA informs etiologies of Epstein-Barr virus-associated diseases. Nat. Commun. 10, 3256 (2019).

    Article  Google Scholar 

  8. Sun, K. et al. Plasma DNA tissue mapping by genome-wide methylation sequencing for noninvasive prenatal, cancer, and transplantation assessments. Proc. Natl Acad. Sci. USA 112, E5503–E5512 (2015).

    Article  CAS  Google Scholar 

  9. Liu, M. C. et al. Sensitive and specific multi-cancer detection and localization using methylation signatures in cell-free DNA. Ann. Oncol. 31, 745–759 (2020).

    Article  Google Scholar 

  10. Jiang, P. et al. Plasma DNA end motif profiling as a fragmentomic marker in cancer, pregnancy and transplantation. Cancer Discov. 10, 664–673 (2020).

    PubMed  Google Scholar 

Download references

Acknowledgements

The authors’ work is supported by the Hong Kong Research Grants Council Theme-Based Research Scheme (T12-401/16-W) and the Li Ka Shing Foundation.

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Correspondence to Y. M. Dennis Lo.

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Y.M.D.L. is a scientific co-founder, shareholder, scientific advisory board member and consultant of, and receives research support from, Grail. He is also a founder, shareholder and board member of the Take2 Group of companies and DRA Limited and an advisor of Decheng Capital. W.K.J.L. holds equity in Grail.

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Lo, Y.M.D., Lam, W.K.J. Towards multi-cancer screening using liquid biopsies. Nat Rev Clin Oncol 17, 525–526 (2020). https://doi.org/10.1038/s41571-020-0404-0

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