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Cited by 769

The DOI matches its Crossref record; 66 of the 66 references it cites were found in a registry or an index.

High-intensity sequencing reveals the sources of plasma circulating cell-free DNA variants

Open access
Razavi, Pedram, Li, Bob T., Brown, David N., Jung, Byoungsok, Hubbell, Earl, Shen, Ronglai, Abida, Wassim, Juluru, Krishna, De Bruijn, Ino, Hou, Chenlu, Venn, Oliver, Lim, Raymond, Anand, Aseem, Maddala, Tara, Gnerre, Sante, Vijaya Satya, Ravi, Liu, Qinwen, Shen, Ling, Eattock, Nicholas, Yue, Jeanne, Blocker, Alexander W., Lee, Mark, Sehnert, Amy, Xu, Hui, Hall, Megan P., Santiago-Zayas, Angie, Novotny, William F., Isbell, James M., Rusch, Valerie W., Plitas, George, Heerdt, Alexandra S., Ladanyi, Marc, Hyman, David M., Jones, David R., Morrow, Monica, Riely, Gregory J., Scher, Howard I., Rudin, Charles M., Robson, Mark E., Diaz, Luis A., Solit, David B., Aravanis, Alexander M., Reis-Filho, Jorge S.·2019·Nature Medicine

Abstract

Accurate identification of tumor-derived somatic variants in plasma circulating cell-free DNA (cfDNA) requires understanding of the various biological compartments contributing to the cfDNA pool. We sought to define the technical feasibility of a high-intensity sequencing assay of cfDNA and matched white blood cell DNA covering a large genomic region (508 genes; 2 megabases; >60,000× raw depth) in a prospective study of 124 patients with metastatic cancer, with contemporaneous matched tumor tissue biopsies, and 47 controls without cancer. The assay displayed high sensitivity and specificity, allowing for de novo detection of tumor-derived mutations and inference of tumor mutational burden, microsatellite instability, mutational signatures and sources of somatic mutations identified in cfDNA. The vast majority of cfDNA mutations (81.6% in controls and 53.2% in patients with cancer) had features consistent with clonal hematopoiesis. This cfDNA sequencing approach revealed that clonal hematopoiesis constitutes a pervasive biological phenomenon, emphasizing the importance of matched cfDNA–white blood cell sequencing for accurate variant interpretation. Ultra-sensitive cell-free DNA (cfDNA) sequencing uncovers clonal hematopoiesis as a major source of somatic cfDNA variants in healthy individuals and patients with cancer, and underscores the importance of matched white blood cell DNA sequencing in liquid biopsy procedures.

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Authors
Razavi, P., Li, B. T., Brown, D. N., Jung, B., Hubbell, E., Shen, R., Abida, W., Juluru, K., De Bruijn, I., Hou, C., Venn, O., Lim, R., Anand, A., Maddala, T., Gnerre, S., Vijaya Satya, R., Liu, Q., Shen, L., Eattock, N., Yue, J., Blocker, A. W., Lee, M., Sehnert, A., Xu, H., Hall, M. P., Santiago-Zayas, A., Novotny, W. F., Isbell, J. M., Rusch, V. W., Plitas, G., Heerdt, A. S., Ladanyi, M., Hyman, D. M., Jones, D. R., Morrow, M., Riely, G. J., Scher, H. I., Rudin, C. M., Robson, M. E., Diaz, L. A., Solit, D. B., Aravanis, A. M., & Reis-Filho, J. S.
Venue
Nature Medicine
Published
2019-11-25
Volume
25
Issue
12
Pages
1928-1937
ISSN
  • 1078-8956 (ISSN-L)
  • 1546-170X
OpenAlex
W2990870977
Cited by
769
References
66
FWCI
29.79
Type
journal article
Language
en
Open access
green

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CoChat. (2026). Citation check: High-intensity sequencing reveals the sources of plasma circulating cell-free DNA variants. https://app.cochat.ai/papers/10.1038/s41591-019-0652-7
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Razavi, P., Li, B. T., Brown, D. N., Jung, B., Hubbell, E., Shen, R., Abida, W., Juluru, K., De Bruijn, I., Hou, C., Venn, O., Lim, R., Anand, A., Maddala, T., Gnerre, S., Vijaya Satya, R., Liu, Q., Shen, L., Eattock, N., . . . Reis-Filho, J. S. (2019). High-intensity sequencing reveals the sources of plasma circulating cell-free DNA variants. Nature Medicine. https://doi.org/10.1038/s41591-019-0652-7

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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).

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