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Non-invasive detection of neuroendocrine prostate cancer through targeted cell-free DNA methylation

ABSTRACT: Non-invasive detection of neuroendocrine prostate cancer through targeted cell-free DNA methylation

PROVIDER: PRJNA1029654 | ENA |

REPOSITORIES: ENA

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			Action	DRS
	SRR26425500_1.fastq.gz	Fastqsanger.gz
	SRR26425500_2.fastq.gz	Fastqsanger.gz
	SRR26425600_1.fastq.gz	Fastqsanger.gz
	SRR26425600_2.fastq.gz	Fastqsanger.gz
	SRR26425501_1.fastq.gz	Fastqsanger.gz

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Non-invasive detection of neuroendocrine prostate cancer through targeted cell-free DNA methylation

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Noninvasive Detection of Neuroendocrine Prostate Cancer through Targeted Cell-free DNA Methylation.

Project description:Castration-resistant prostate cancer (CRPC) is a heterogeneous disease associated with phenotypic subtypes that drive therapy response and outcome differences. Histologic transformation to castration-resistant neuroendocrine prostate cancer (CRPC-NE) is associated with distinct epigenetic alterations, including changes in DNA methylation. The current diagnosis of CRPC-NE is challenging and relies on metastatic biopsy. We developed a targeted DNA methylation assay to detect CRPC-NE using plasma cell-free DNA (cfDNA). The assay quantifies tumor content and provides a phenotype evidence score that captures diverse CRPC phenotypes, leveraging regions to inform transcriptional state. We tested the design in independent clinical cohorts (n = 222 plasma samples) and qualified it achieving an AUC > 0.93 for detecting pathology-confirmed CRPC-NE (n = 136). Methylation-defined cfDNA tumor content was associated with clinical outcomes in two prospective phase II clinical trials geared towards aggressive variant CRPC and CRPC-NE. These data support the application of targeted DNA methylation for CRPC-NE detection and patient stratification.SignificanceNeuroendocrine prostate cancer is an aggressive subtype of treatment-resistant prostate cancer. Early detection is important, but the diagnosis currently relies on metastatic biopsy. We describe the development and validation of a plasma cell-free DNA targeted methylation panel that can quantify tumor fraction and identify patients with neuroendocrine prostate cancer noninvasively. This article is featured in Selected Articles from This Issue, p. 384.

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