Evidence mapPaperPMID 42352240Full record

ReviewBiomolecules2026

Translational Perspectives on Cell-Free Mitochondrial DNA as a Biomarker in Gynecological Cancers: Current Limitations and Future Research Directions.

Clara Musicco, Anna Signorile, Domenico De Rasmo, Vera Loizzi, Gennaro Cormio, Antonella Cormio

Abstract readReview
In one paragraph

Review in Biomolecules, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
field-weighted citation impact
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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

6 authors.

Clara MusiccoInstitute of Biomembranes, Bioenergetics and Molecular Biotechnologies (IBIOM), National Research Council of Italy (CNR), 70126 Bari, Italy.ORCID 0000-0003-4359-4403
Anna SignorileDepartment of Translational Biomedicine and Neuroscience, University of Bari 'Aldo Moro', 70124 Bari, Italy.ORCID 0000-0001-9045-891X
Domenico De RasmoInstitute of Biomembranes, Bioenergetics and Molecular Biotechnologies (IBIOM), National Research Council of Italy (CNR), 70126 Bari, Italy.
Vera LoizziDepartment of Translational Biomedicine and Neuroscience, University of Bari 'Aldo Moro', 70124 Bari, Italy.ORCID 0000-0002-4006-6421
Gennaro CormioS.C. Ginecologia Oncologia Clinicizzata, IRCCS Istituto Tumori Giovanni Paolo II, 70124 Bari, Italy.ORCID 0000-0001-5745-372X
Antonella CormioDepartment of Precision and Regenerative Medicine and Ionian Area, University of Bari 'Aldo Moro', 70124 Bari, Italy.ORCID 0000-0002-6029-1722

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

In recent years, liquid biopsy has emerged as a promising non-invasive strategy for the identification of tumor-derived biomarkers. Among circulating analytes, cell-free DNA (cfDNA), including both nuclear and mitochondrial fractions, has been extensively investigated in a variety of biological fluids for its potential applications in cancer diagnosis, disease monitoring, and prognostic stratification. Owing to its higher copy number per cell compared with nuclear DNA, mitochondrial DNA (mtDNA) is typically present at higher concentrations in body fluids and is therefore potentially detectable. Circulating cell-free mitochondrial DNA (cfmtDNA) is closely associated with pro-inflammatory signaling pathways and cellular damage responses, including apoptosis, necrosis, and neutrophil extracellular trap formation (NETosis). This review provides a comprehensive overview of the reported alterations of cfmtDNA in the most prevalent gynecological malignancies, namely ovarian and endometrial cancers, which are characterized by a chronic inflammatory microenvironment. We further critically assess the current evidence supporting cfmtDNA as a potential non-invasive biomarker in these malignancies, highlighting current limitations and future research directions.

Indexed as

Biomarkers, TumorCell-Free Nucleic AcidsDNA, MitochondrialEndometrial NeoplasmsGenital Neoplasms, FemaleOvarian NeoplasmsExtrachromosomal DNAFemaleHumansLiquid BiopsyTranslational Research, BiomedicalBiomarkers, TumorCell-Free Nucleic AcidsDNA, MitochondrialExtrachromosomal DNAcancer biomarkerscell-free DNAcell-free mitochondrial DNAendometrial cancerliquid biopsyovarian cancer

Identifiers

PMID42352240
PMCPMC13296413

What Socratic holds

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LicenceCC BY
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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.