Evidence map›Paper›PMID 35370009›Full record

ArticleGynecologic oncology2022

Methylated DNA markers for plasma detection of ovarian cancer: Discovery, validation, and clinical feasibility.

Lisa M Marinelli, John B Kisiel, Seth W Slettedahl, Douglas W Mahoney, Maureen A Lemens, Vijayalakshmi Shridhar, William R Taylor, Julie K Staub, Xiaoming Cao, Patrick H Foote and 19 more

Open access · greenAbstract read
In one paragraph

Article in Gynecologic oncology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed, 2 pooled it
3.3field-weighted citation impact, top 7% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

29 citing papers in PubMed, 2 syntheses or guidelines pooled it, 40 citations in OpenAlex.

  1. Pooled it
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  12. BCAT1 contributes to the development of TKI-resistant CML.Cellular oncology (Dordrecht, Netherlands) · 2025
    Article
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  16. Early detection of pancreatic cancer: Study design and analytical considerations in biomarker discovery and early phase validation studies.Pancreatology : official journal of the International Association of Pancreatology (IAP) ... [et al.] · 2024
    Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

29 authors at 5 institutions in 1 country.

Lisa M MarinelliDepartment of Pathology and Area Laboratory Services, San Antonio Military Medical Center, San Antonio, TX, United States of America.
John B KisielDepartment of Gastroenterology and Hepatology, Mayo Clinic, Rochester, MN, United States of America.
Seth W SlettedahlDepartment of Health Sciences Research, Division of Biomedical Statistics and Informatics, Mayo Clinic, Rochester, MN, United States of America.
Douglas W MahoneyDepartment of Health Sciences Research, Division of Biomedical Statistics and Informatics, Mayo Clinic, Rochester, MN, United States of America.
Maureen A LemensObstetrics and Gynecology, Division of Gynecologic Oncology Surgery, Mayo Clinic, Rochester, MN, United States of America.
Vijayalakshmi ShridharDepartment of Laboratory Medicine and Pathology, Experimental Pathology, Mayo Clinic, Rochester, MN, United States of America.
William R TaylorDepartment of Gastroenterology and Hepatology, Mayo Clinic, Rochester, MN, United States of America.
Julie K StaubDepartment of Laboratory Medicine and Pathology, Experimental Pathology, Mayo Clinic, Rochester, MN, United States of America.
Xiaoming CaoDepartment of Gastroenterology and Hepatology, Mayo Clinic, Rochester, MN, United States of America.
Patrick H FooteDepartment of Gastroenterology and Hepatology, Mayo Clinic, Rochester, MN, United States of America.
Kelli N BurgerDepartment of Health Sciences Research, Division of Biomedical Statistics and Informatics, Mayo Clinic, Rochester, MN, United States of America.
Calise K BergerDepartment of Gastroenterology and Hepatology, Mayo Clinic, Rochester, MN, United States of America.
Maria C O'ConnellDepartment of Gastroenterology and Hepatology, Mayo Clinic, Rochester, MN, United States of America.
Karen A DoeringDepartment of Gastroenterology and Hepatology, Mayo Clinic, Rochester, MN, United States of America.
Maria GiakoumopoulosExact Sciences, Madison, WI, United States of America.
Hannah BergExact Sciences, Madison, WI, United States of America.
Carla VolkmannExact Sciences, Madison, WI, United States of America.
Adam SolsrudExact Sciences, Madison, WI, United States of America.
Hatim T AllawiExact Sciences, Madison, WI, United States of America.
Michael KaiserExact Sciences, Madison, WI, United States of America.
Abram M VaccaroExact Sciences, Madison, WI, United States of America.
Catherine Albright CrawfordExact Sciences, Madison, WI, United States of America.
Cynthia MoehlenkampExact Sciences, Madison, WI, United States of America.
Gracie SheaExact Sciences, Madison, WI, United States of America.
Melissa S DeistExact Sciences, Madison, WI, United States of America.
J Kenneth SchoolmeesterDepartment of Laboratory Medicine and Pathology, Anatomic Pathology, Mayo Clinic, Rochester, MN, United States of America.
Sarah E KerrHospital Pathology Associates, Minneapolis, MN, United States of America.
Mark E ShermanQuantitative Health Sciences, Mayo Clinic, Jacksonville, Florida, United States of America.
Jamie N Bakkum-GamezObstetrics and Gynecology, Division of Gynecologic Oncology Surgery, Mayo Clinic, Rochester, MN, United States of America. Electronic address: bakkum.jamie@mayo.edu.
Exact Sciences (United States) · USMayo Clinic in Arizona · USMayo Clinic · USMayo Clinic in Florida · USSan Antonio Military Medical Center · US

Funding

Women's Cancer ProgramP30CA015083 · NCI · MAYO CLINIC ROCHESTER · PI Lila J. Rutten · 1985 to 2026
$151.3M
Use of microfluidic tumor cultures to enable clinical trials of therapies for ovarian cancerP50CA136393 · NCI · MAYO CLINIC ROCHESTER · PI SCOTT H KAUFMANN · 2009 to 2026
$37.0M
Multi-site Gastrointestinal Cancer Detection by Stool DNA MethylationR37CA214679 · NCI · MAYO CLINIC ROCHESTER · PI KISIEL, JOHN · 2018 to 2024
$2.8M
Multi-cancer Early DetectionR01CA214679 · NCI · MAYO CLINIC ROCHESTER · PI John Kisiel, Niloy Jewel Samadder · 2025 to 2026
$891k
NCI NIH HHS N01 CA015083NCI NIH HHS P30 CA015083NCI NIH HHS P50 CA136393NCI NIH HHS R01 CA214679NCI NIH HHS R37 CA214679
6 · The paper itself

Abstract

objectiveAberrant DNA methylation is an early event in carcinogenesis which could be leveraged to detect ovarian cancer (OC) in plasma.

methodsDNA from frozen OC tissues, benign fallopian tube epithelium (FTE), and buffy coats from cancer-free women underwent reduced representation bisulfite sequencing (RRBS) to identify OC MDMs. Candidate MDM selection was based on receiver operating characteristic (ROC) discrimination, methylation fold change, and low background methylation among controls. Blinded biological validation was performed using methylated specific PCR on DNA extracted from independent OC and FTE FFPE tissues. MDMs were tested using Target Enrichment Long-probe Quantitative Amplified Signal (TELQAS) assays in pre-treatment plasma from women newly diagnosed with OC and population-sampled healthy women. A random forest modeling analysis was performed to generate predictive probability of disease; results were 500-fold in silico cross-validated.

resultsThirty-three MDMs showed marked methylation fold changes (10 to >1000) across all OC subtypes vs FTE. Eleven MDMs (GPRIN1, CDO1, SRC, SIM2, AGRN, FAIM2, CELF2, RIPPLY3, GYPC, CAPN2, BCAT1) were tested on plasma from 91 women with OC (73 (80%) high-grade serous (HGS)) and 91 without OC; the cross-validated 11-MDM panel highly discriminated OC from controls (96% (95% CI, 89-99%) specificity; 79% (69-87%) sensitivity, and AUC 0.91 (0.86-0.96)). Among the 5 stage I/II HGS OCs included, all were correctly identified.

conclusionsWhole methylome sequencing, stringent filtering criteria, and biological validation yielded candidate MDMs for OC that performed with high sensitivity and specificity in plasma. Larger plasma-based OC MDM studies, including testing of pre-diagnostic specimens, are warranted.

Indexed as

DNA MethylationOvarian NeoplasmsBiomarkers, TumorCarcinoma, Ovarian EpithelialCELF ProteinsFeasibility StudiesFemaleGenetic MarkersHumansNerve Tissue ProteinsTransaminasesBCAT1 protein, humanBiomarkers, TumorCELF2 protein, humanCELF ProteinsGenetic MarkersNerve Tissue ProteinsTransaminasesCarcinoma, ovarian epithelial/prevention & controlCell-free nucleic acidsDNA methylationLiquid biopsyOvarian neoplasm/diagnosis

Identifiers

PMID35370009
PMCPMC9133226
OpenAlexW4226064689

What Socratic holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.