Integrating multi‐omics features enables non‐invasive early diagnosis and treatment response prediction of diffuse large B‐cell lymphoma

Abstract Background Multi‐omics features of cell‐free DNA (cfDNA) can effectively improve the performance of non‐invasive early diagnosis and prognosis of cancer. However, multimodal characterization of cfDNA remains technically challenging. Methods We developed a comprehensive multi‐omics solution...

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Main Authors: Weilong Zhang, Bangquan Ye, Yang Song, Ping Yang, Wenzhe Si, Hairong Jing, Fan Yang, Dan Yuan, Zhihong Wu, Jiahao Lyu, Kang Peng, Xu Zhang, Lingli Wang, Yan Li, Yan Liu, Chaoling Wu, Xiaoyu Hao, Yuqi Zhang, Wenxin Qi, Jing Wang, Fei Dong, Zijian Zhao, Hongmei Jing, Yanzhao Li
Format: Article
Language:English
Published: Wiley 2025-01-01
Series:Clinical and Translational Medicine
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Online Access:https://doi.org/10.1002/ctm2.70174
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author Weilong Zhang
Bangquan Ye
Yang Song
Ping Yang
Wenzhe Si
Hairong Jing
Fan Yang
Dan Yuan
Zhihong Wu
Jiahao Lyu
Kang Peng
Xu Zhang
Lingli Wang
Yan Li
Yan Liu
Chaoling Wu
Xiaoyu Hao
Yuqi Zhang
Wenxin Qi
Jing Wang
Fei Dong
Zijian Zhao
Hongmei Jing
Yanzhao Li
author_facet Weilong Zhang
Bangquan Ye
Yang Song
Ping Yang
Wenzhe Si
Hairong Jing
Fan Yang
Dan Yuan
Zhihong Wu
Jiahao Lyu
Kang Peng
Xu Zhang
Lingli Wang
Yan Li
Yan Liu
Chaoling Wu
Xiaoyu Hao
Yuqi Zhang
Wenxin Qi
Jing Wang
Fei Dong
Zijian Zhao
Hongmei Jing
Yanzhao Li
author_sort Weilong Zhang
collection DOAJ
description Abstract Background Multi‐omics features of cell‐free DNA (cfDNA) can effectively improve the performance of non‐invasive early diagnosis and prognosis of cancer. However, multimodal characterization of cfDNA remains technically challenging. Methods We developed a comprehensive multi‐omics solution (COMOS) to specifically obtain an extensive fragmentomics landscape, presented by breakpoint characteristics of nucleosomes, CpG islands, DNase clusters and enhancers, besides typical methylation, copy number alteration of cfDNA. The COMOS was tested on 214 plasma samples of diffuse large B‐cell lymphoma (DLBCL) and matched healthy controls. Results For early diagnosis, COMOS improved the area under the curve (AUC) value to .993 compared with the individual omics model, with a sensitivity of 95% at 98% specificity. Detection sensitivity achieved 91% at 99% specificity in early‐stage patients, while the AUC values of the individual omics model were 0.942, 0.968, 0.989, 0.935, 0.921, 0.781 and 0.917, respectively, with lower sensitivity and specificity. In the treatment response cohort, COMOS yielded a superior sensitivity of 88% at 86% specificity (AUC, 0.903). COMOS has achieved excellent performance in early diagnosis and treatment response prediction. Conclusions Our study provides an effectively improved approach with high accuracy for the diagnosis and prognosis of DLBCL, showing great potential for future clinical application. Key points A comprehensive multi‐omics solution to specifically obtain an extensive fragmentomics landscape, presented by breakpoint characteristics of nucleosomes, CpG islands, DNase clusters and enhancers, besides typical methylation, copy number alteration of cfDNA. Integrated model of cfDNA multi‐omics could be used for non‐invasive early diagnosis of DLBCL. Integrated model of cfDNA multi‐omics could effectively evaluate the efficacy of R‐CHOP before DLBCL treatment.
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spelling doaj-art-cebca33887d941c69c4818e4cdbb4b342025-01-25T04:00:38ZengWileyClinical and Translational Medicine2001-13262025-01-01151n/an/a10.1002/ctm2.70174Integrating multi‐omics features enables non‐invasive early diagnosis and treatment response prediction of diffuse large B‐cell lymphomaWeilong Zhang0Bangquan Ye1Yang Song2Ping Yang3Wenzhe Si4Hairong Jing5Fan Yang6Dan Yuan7Zhihong Wu8Jiahao Lyu9Kang Peng10Xu Zhang11Lingli Wang12Yan Li13Yan Liu14Chaoling Wu15Xiaoyu Hao16Yuqi Zhang17Wenxin Qi18Jing Wang19Fei Dong20Zijian Zhao21Hongmei Jing22Yanzhao Li23Department of HematologyLymphoma Research CenterPeking University Third HospitalBeijingChinaBOE Technology Group Co., LtdBeijingChinaBOE Technology Group Co., LtdBeijingChinaDepartment of HematologyLymphoma Research CenterPeking University Third HospitalBeijingChinaDepartment of Laboratory MedicinePeking University Third HospitalBeijingChinaBOE Technology Group Co., LtdBeijingChinaBOE Technology Group Co., LtdBeijingChinaBOE Technology Group Co., LtdBeijingChinaBOE Technology Group Co., LtdBeijingChinaBOE Technology Group Co., LtdBeijingChinaBOE Technology Group Co., LtdBeijingChinaDepartment of HematologyLymphoma Research CenterPeking University Third HospitalBeijingChinaDepartment of HematologyLymphoma Research CenterPeking University Third HospitalBeijingChinaDepartment of HematologyLymphoma Research CenterPeking University Third HospitalBeijingChinaDepartment of HematologyLymphoma Research CenterPeking University Third HospitalBeijingChinaDepartment of HematologyLymphoma Research CenterPeking University Third HospitalBeijingChinaDepartment of HematologyLymphoma Research CenterPeking University Third HospitalBeijingChinaDepartment of HematologyLymphoma Research CenterPeking University Third HospitalBeijingChinaDepartment of HematologyLymphoma Research CenterPeking University Third HospitalBeijingChinaDepartment of HematologyLymphoma Research CenterPeking University Third HospitalBeijingChinaDepartment of HematologyLymphoma Research CenterPeking University Third HospitalBeijingChinaBOE Technology Group Co., LtdBeijingChinaDepartment of HematologyLymphoma Research CenterPeking University Third HospitalBeijingChinaBOE Technology Group Co., LtdBeijingChinaAbstract Background Multi‐omics features of cell‐free DNA (cfDNA) can effectively improve the performance of non‐invasive early diagnosis and prognosis of cancer. However, multimodal characterization of cfDNA remains technically challenging. Methods We developed a comprehensive multi‐omics solution (COMOS) to specifically obtain an extensive fragmentomics landscape, presented by breakpoint characteristics of nucleosomes, CpG islands, DNase clusters and enhancers, besides typical methylation, copy number alteration of cfDNA. The COMOS was tested on 214 plasma samples of diffuse large B‐cell lymphoma (DLBCL) and matched healthy controls. Results For early diagnosis, COMOS improved the area under the curve (AUC) value to .993 compared with the individual omics model, with a sensitivity of 95% at 98% specificity. Detection sensitivity achieved 91% at 99% specificity in early‐stage patients, while the AUC values of the individual omics model were 0.942, 0.968, 0.989, 0.935, 0.921, 0.781 and 0.917, respectively, with lower sensitivity and specificity. In the treatment response cohort, COMOS yielded a superior sensitivity of 88% at 86% specificity (AUC, 0.903). COMOS has achieved excellent performance in early diagnosis and treatment response prediction. Conclusions Our study provides an effectively improved approach with high accuracy for the diagnosis and prognosis of DLBCL, showing great potential for future clinical application. Key points A comprehensive multi‐omics solution to specifically obtain an extensive fragmentomics landscape, presented by breakpoint characteristics of nucleosomes, CpG islands, DNase clusters and enhancers, besides typical methylation, copy number alteration of cfDNA. Integrated model of cfDNA multi‐omics could be used for non‐invasive early diagnosis of DLBCL. Integrated model of cfDNA multi‐omics could effectively evaluate the efficacy of R‐CHOP before DLBCL treatment.https://doi.org/10.1002/ctm2.70174cfDNADLBCLearly diagnosisintegrated modelmulti‐omicstreatment prediction
spellingShingle Weilong Zhang
Bangquan Ye
Yang Song
Ping Yang
Wenzhe Si
Hairong Jing
Fan Yang
Dan Yuan
Zhihong Wu
Jiahao Lyu
Kang Peng
Xu Zhang
Lingli Wang
Yan Li
Yan Liu
Chaoling Wu
Xiaoyu Hao
Yuqi Zhang
Wenxin Qi
Jing Wang
Fei Dong
Zijian Zhao
Hongmei Jing
Yanzhao Li
Integrating multi‐omics features enables non‐invasive early diagnosis and treatment response prediction of diffuse large B‐cell lymphoma
Clinical and Translational Medicine
cfDNA
DLBCL
early diagnosis
integrated model
multi‐omics
treatment prediction
title Integrating multi‐omics features enables non‐invasive early diagnosis and treatment response prediction of diffuse large B‐cell lymphoma
title_full Integrating multi‐omics features enables non‐invasive early diagnosis and treatment response prediction of diffuse large B‐cell lymphoma
title_fullStr Integrating multi‐omics features enables non‐invasive early diagnosis and treatment response prediction of diffuse large B‐cell lymphoma
title_full_unstemmed Integrating multi‐omics features enables non‐invasive early diagnosis and treatment response prediction of diffuse large B‐cell lymphoma
title_short Integrating multi‐omics features enables non‐invasive early diagnosis and treatment response prediction of diffuse large B‐cell lymphoma
title_sort integrating multi omics features enables non invasive early diagnosis and treatment response prediction of diffuse large b cell lymphoma
topic cfDNA
DLBCL
early diagnosis
integrated model
multi‐omics
treatment prediction
url https://doi.org/10.1002/ctm2.70174
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