IP Library Granted Patent US 12,234,514
Granted Patent B2
US 12,234,514 · App. 16/723,716 · Granted Feb 25, 2025

Source of origin deconvolution based on methylation fragments in cell-free DNA samples

Inventors: Alexander P. Fields (Mountain View, CA); Oliver Claude Venn (San Francisco, CA); Gordon Cann (Redwood City, CA); Samuel S. Gross (Sunnyvale, CA); Arash Jamshidi (Redwood City, CA)
Assignee: GRAIL, Inc.
C12Q1/6886G06F17/18G16B5/00G16B50/10G16B50/30C12Q2600/154
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Quick Facts
Patent No.
US 12,234,514
App. No.
16/723,716
Granted
Feb 25, 2025
Kind
B2
Abstract

A method and system for determining one or more sources of a cell free deoxyribonucleic acid (cfDNA) test sample from a test subject. The cfDNA test sample contains a plurality of deoxyribonucleic acid (DNA) molecules with numerous CpG sites that may be methylated or unmethylated. A trained deconvolution model comprises a plurality of methylation parameters, including a methylation level at each CpG site for each source, and a function relating a sample vector as input and a source of origin prediction as output. The method generates a test sample vector comprising a site methylation metric relating to DNA molecules from the test sample that are methylated at that CpG site. The method inputs the test sample vector into the trained deconvolution model to generate a source of origin prediction indicating a predicted DNA molecule contribution of each source.

Claims (37)

1. A method for determining a cancer type from a test sample comprising a set of deoxyribonucleic acid (DNA) fragments from a test subject, the method comprising:

accessing a data set derived from the test sample, the data set comprising the set of DNA fragments, each DNA fragment including one or more CpG sites, wherein a methylation state at each of the one or more CpG sites has been determined to be methylated or unmethylated;

generating a test sample vector comprising, for each of a plurality of CpG sites, a site methylation metric for the DNA fragments from the test sample that are methylated at that CpG site;

inputting the test sample vector into a trained deconvolution model to generate a source of origin prediction comprising a plurality of values, each value indicating a fraction of the DNA fragments predicted to have originated from one of a plurality of sources including tissue types and cell types, wherein the trained deconvolution model is trained on a training data set comprising training samples that are obtained from healthy subjects;

inputting the source of origin prediction for the test sample into a trained cancer classifier to generate a cancer prediction comprising a plurality of cancer prediction values, each cancer prediction value describing a likelihood the test subject has a particular cancer type of a plurality of cancer types, wherein the trained cancer classifier is trained by:

accessing an additional training data set comprising training samples obtained from healthy subjects and training samples obtained from subjects diagnosed with cancer, wherein each training sample in the additional training data set includes a methylation state at each of one or more CpG sites on each of a set of DNA fragments,

generating, for each training sample in the additional training data set, a training sample vector comprising, for each of the plurality of CpG sites, a site methylation metric for the DNA fragments from the training sample that are methylated at that CpG site,

inputting each training sample vector into the trained deconvolution model to generate a corresponding source of origin prediction for the training sample, and

training the cancer classifier with the source of origin predictions and the cancer types of the training samples from the additional training data set; and

determining whether the test subject has a first cancer type from the plurality of cancer types based on the cancer prediction.

2. The method of claim 1 ,

wherein the cancer classifier comprises a second function representing a relation between the source of origin prediction received as input and the cancer prediction provided as output based on classification parameters and the second function.

3. The method of claim 2 , wherein the plurality of cancer types include a breast cancer type, a colorectal cancer type, an esophageal cancer type, a head/neck cancer type, a hepatobiliary cancer type, a lung cancer type, a lymphoma cancer type, an ovarian cancer type, a pancreas cancer type, an anorectal cancer type, a cervical cancer type, a gastric cancer type, a leukemia cancer type, a multiple myeloma cancer type, a prostate cancer type, a renal cancer type, a thyroid cancer type, a uterine cancer type, a brain cancer type, a sarcoma cancer type, a neuroendocrine cancer type.

4. The method of claim 2 , wherein the trained cancer classifier is a logistic regression classifier or a multinomial logistic regression classifier.

5. The method of claim 1 , wherein the trained deconvolution model comprises:

a plurality of methylation parameters, wherein the methylation parameters comprise a methylation level at each of the plurality of CpG sites for each of the plurality of sources, and

a function representing a relation between the test sample vector received as input and the source of origin prediction generated as output based on the test sample vector and the plurality of methylation parameters.

6. The method of claim 5 , wherein the plurality of methylation parameters is generated from a first set of training samples from the plurality of sources.

7. The method of claim 6 , wherein the first set of training samples is obtained from healthy individuals.

8. The method of claim 6 , wherein the methylation parameters are trained on information comprising:

the first set of training samples from the plurality of sources, each of the training samples from a source of the plurality of sources comprising:

a training sample vector comprising a plurality of methylation metrics for each of the plurality of CpG sites, and

an identification of the source the training sample originates from.

9. The method of claim 8 , wherein the trained deconvolution model is trained by applying a minimization function to reduce a least squares difference between each training sample and a matrix product of the methylation parameters and a vector of values representing the source of the training sample.

10. The method of claim 1 , wherein the CpG sites used in the trained deconvolution model are identified according to:

for each CpG site of an initial set of CpG sites, computing information gain for deriving one or more sources of the plurality of sources; and

identifying a plurality of informative CpG sites to be used in the trained model from the initial set of CpG sites based on the computed information gain of each CpG site.

11. The method of claim 10 , further comprising:

ranking the initial set of CpG sites based on the computed information gain, and

wherein identifying the informative CpG sites to be used in the trained model is based on the ranking of the initial set of CpG sites.

12. The method of claim 1 , wherein the plurality of sources comprises any combination of a large intestine tissue type, a breast tissue type, a thyroid tissue type, a lung tissue type, a bladder tissue type, a cervix tissue type, and a colorectal tissue type.

13. The method of claim 12 , wherein the plurality of sources further comprises any combination of an esophagus tissue type, a gastric tissue type, a tonsil tissue type, a liver tissue type, a white blood cell tissue type, an ovary tissue type, a pancreas tissue type, a prostate tissue type, a kidney tissue type, a thyroid tissue type, and a uterus tissue type.

14. The method of claim 1 wherein the plurality of sources comprises any combination of a B cell type, a dendritic cell type, an endothelial cell type, an eosinophil cell type, an erythroblast cell type, a macrophage cell type, a megakaryocyte cell type, a monocyte cell type, a natural killer cell type, a neutrophil cell type, a precursor B cell type, a T cell type, a thymocyte cell type, an adipocyte cell type, a hepatocyte cell type, an islet cell type, and a preadipocyte cell type.

15. The method of claim 1 , wherein the plurality of sources comprises any combination of a large intestine tissue type, a breast tissue type, a thyroid tissue type, a lung tissue type, a bladder tissue type, a cervix tissue type, a colorectal tissue type, an esophagus tissue type, a gastric tissue type, a tonsil tissue type, a liver tissue type, a white blood cell tissue type, an ovary tissue type, a pancreas tissue type, a prostate tissue type, a kidney tissue type, a thyroid tissue type, a uterus tissue type, a B cell type, a dendritic cell type, an endothelial cell type, an eosinophil cell type, an erythroblast cell type, a macrophage cell type, a megakaryocyte cell type, a monocyte cell type, a natural killer cell type, a neutrophil cell type, a precursor B cell type, a T cell type, a thymocyte cell type, an adipocyte cell type, a hepatocyte cell type, an islet cell type, and a preadipocyte cell type.

16. The method of claim 1 , wherein each DNA fragment of a plurality of the set of fragments is an anomalous fragment, the method further comprising:

filtering an initial set of fragments with p-value filtering to generate the set of anomalous fragments, the filtering comprising removing fragments from the initial set having below a threshold p-value with respect to others to produce the set of anomalous fragments.

17. The method of claim 16 , wherein each fragment of the plurality of the set of fragments is also hypomethylated or hypermethylated such that the fragment includes at least a threshold number of CpG sites with more than a threshold percentage of the CpG sites being unmethylated or with more than the threshold percentage of the CpG sites being methylated, respectively.

Assignments (3)
CHANGE OF NAME Recorded Jan 17, 2025
From: GRAIL, LLC
To: GRAIL, INC.
Reel/Frame 070580/0051 →
MERGER AND CHANGE OF NAME Recorded Oct 13, 2021
From: GRAIL, INC.; SDG OPS, LLC
To: GRAIL, LLC
Reel/Frame 057788/0719 →
ASSIGNMENT OF ASSIGNOR'S INTEREST Recorded Mar 4, 2020
From: FIELDS, ALEXANDER P.; VENN, OLIVER CLAUDE; CANN, GORDON; GROSS, SAMUEL S.; JAMSHIDI, ARASH
To: GRAIL, INC.
Reel/Frame 052018/0527 →
Continuity (2)
Provisional Application 62784353 · Dec 21, 2018
Related Publication 20200239965A1 · Jul 30, 2020
References Cited (142)
US 8415100B2 · Markowitz et al. · 2013 [cited by applicant]
US 8900829B2 · Distler et al. · 2014 [cited by applicant]
US 9580754B2 · Markowitz et al. · 2017 [cited by applicant]
US 9984201B2 · Zhang et al. · 2018 [cited by applicant]
US 10731215B2 · Ballhause et al. · 2020 [cited by applicant]
US 20050221314A1 · Berlin et al. · 2005 [cited by applicant]
US 20110028333A1 · Christensen et al. · 2011 [cited by applicant]
US 20110059432A1 · Ballhause et al. · 2011 [cited by applicant]
US 20120041683A1 · Vaske et al. · 2012 [cited by applicant]
US 20130079241A1 · Luo et al. · 2013 [cited by applicant]
US 20140080715A1 · Lo et al. · 2014 [cited by applicant]
US 20140127688A1 · Umbarger et al. · 2014 [cited by applicant]
US 20150299809A1 · Hansen et al. · 2015 [cited by applicant]
US 20160017419A1 · Chiu et al. · 2016 [cited by applicant]
US 20160017430A1 · Badosa · 2016 [cited by applicant]
US 20160210403A1 · Zhang et al. · 2016 [cited by applicant]
US 20160340740A1 · Zhang · 2016 [cited by applicant]
US 20160340749A1 · Stelzer et al. · 2016 [cited by applicant]
US 20170121767A1 · Dor et al. · 2017 [cited by applicant]
US 20170175205A1 · Toung et al. · 2017 [cited by applicant]
US 20180010192A1 · Zhang et al. · 2018 [cited by applicant]
US 20180143198A1 · Wen et al. · 2018 [cited by applicant]
US 20180216195A1 · Elnitski et al. · 2018 [cited by applicant]
US 20180237867A1 · Bajic et al. · 2018 [cited by applicant]
US 20180327859A1 · Van Engeland et al. · 2018 [cited by applicant]
US 20180334715A1 · Gromminger et al. · 2018 [cited by applicant]
US 20180341745A1 · Zhang et al. · 2018 [cited by applicant]
US 20190032149A1 · Van Engeland et al. · 2019 [cited by applicant]
US 20190161805A1 · Ahlquist et al. · 2019 [cited by applicant]
US 20190161806A1 · Ahlquist et al. · 2019 [cited by applicant]
US 20190256924A1 · Vogelstein et al. · 2019 [cited by applicant]
US 20200048697A1 · Liu · 2020 [cited by applicant]
US 20200291459A1 · Domanico et al. · 2020 [cited by applicant]
EP 1342794B1 · 2005 [cited by applicant]
EP 1394173B1 · 2007 [cited by applicant]
EP 1871912B1 · 2012 [cited by applicant]
EP 2380993B1 · 2015 [cited by applicant]
EP 2670893B1 · 2018 [cited by applicant]
EP 3336197A1 · 2018 [cited by applicant]
EP 3230476B1 · 2020 [cited by applicant]
EP 3390657B1 · 2020 [cited by applicant]
WO WO2004046332A2 · 2004 [cited by applicant]
WO WO2005019477A2 · 2005 [cited by applicant]
WO WO2006113770A1 · 2006 [cited by applicant]
WO WO2007132167A2 · 2007 [cited by applicant]
WO WO2008084219A1 · 2008 [cited by applicant]
WO WO2011038507A1 · 2011 [cited by applicant]
WO WO2011091046A1 · 2011 [cited by applicant]
WO WO2011092592A2 · 2011 [cited by applicant]
WO WO2011130751A1 · 2011 [cited by applicant]
WO WO2012031329A1 · 2012 [cited by applicant]
WO WO2012071621A1 · 2012 [cited by applicant]
WO WO2012103031A2 · 2012 [cited by applicant]
WO WO2012106525A2 · 2012 [cited by applicant]
WO WO2013066641A1 · 2013 [cited by applicant]
WO WO2013116375A1 · 2013 [cited by applicant]
WO WO2014043763A1 · 2014 [cited by applicant]
WO WO2015116837A1 · 2015 [cited by applicant]
WO WO2015159292A2 · 2015 [cited by applicant]
WO WO2016094839A2 · 2016 [cited by applicant]
WO WO2016101258A1 · 2016 [cited by applicant]
WO WO2016115530A1 · 2016 [cited by applicant]
WO WO2017075061A1 · 2017 [cited by applicant]
WO WO2017106481A1 · 2017 [cited by applicant]
WO WO2017212428A1 · 2017 [cited by applicant]
WO WO2018109217A1 · 2018 [cited by applicant]
WO WO2018119216A1 · 2018 [cited by applicant]
WO WO2018165366A1 · 2018 [cited by applicant]
WO WO2018161031A1 · 2018 [cited by examiner]
WO WO2018195211A1 · 2018 [cited by applicant]
WO WO2018195217A1 · 2018 [cited by applicant]
WO WO2019064063A1 · 2019 [cited by applicant]
WO WO2019067092A1 · 2019 [cited by applicant]
WO WO2019199696A1 · 2019 [cited by applicant]
Kang, S. et al., “CancerLocator: non-invasive cancer diagnosis and tissue-of-origin prediction using methylation profiles of cell-free DNA,” Genome Biology, vol. 18, No. 53, 2017, pp. 1191-1195. [cited by applicant]
PCT International Search Report and Opinion, PCT Application No. PCT/US2019/068060, Apr. 17, 2020, 19 pages. [cited by applicant]
PCT International Search Report and Opinion, PCT Application No. PCT/US2019/068014, Apr. 17, 2020, 17 pages. [cited by applicant]
Shen, S. Y. et al., “Sensitive tumour detection and classification using plasma cell-free DNA methylomes,” Nature, vol. 563, Nov. 22, 2018, pp. 579-583. [cited by applicant]
Grail, Inc., “The Circulating Cell-free Genome Atlas Study (CCGA),” ClinicalTrials.gov Identifier: NCT02889978, Feb. 11, 2019, six pages, [Online] [Retrieved on Apr. 3, 2020] Retrieved from the Internet <URL: https://ww… [cited by applicant]
Guo, S. et al., “Identification of methylation haplotype blocks aids in deconvolution of heterogeneous tissue samples and tumor tissue-of-origin mapping from plasma DNA,” Nature Genetics, vol. 49, No. 4. Apr. 2017, pp. … [cited by applicant]
“IHEC—International Human Epigenome Consortium,”, Date Unknown, four pages, [Online] [Retrieved on Apr. 3, 2020] Retrieved from the Internet <URL. [cited by applicant]
Milani, L. et al., “DNA methylation for subtype classification and prediction of treatment outcome in patients with childhood acute lymphoblastic leukemia,” Blood, vol. 115, No. 6, Feb. 11, 2010, pp. 1214-1225. [cited by applicant]
PCT International Search Report and Written Opinion, PCT Application No. PCT/US2019/022122, Aug. 23, 2019, 25 pages. [cited by applicant]
PCT Invitation to Pay, PCT Application No. PCT/US2019/022122, Jul. 1, 2019, 23 pages. [cited by applicant]
Xu, R. et al., “Circulating tumour DNA methylation markers for diagnosis and prognosis of hepatocellular carcinoma,” Nature Materials, Oct. 9, 2017, pp. 1-8. [cited by applicant]
Bibikova, M. et al., “High-throughput DNA methylation profiling using universal bead arrays,” Genome Research, vol. 16, Jan. 31, 2006, pp. 383-393. [cited by applicant]
Broquet, T. et al., “Quantifying genotyping errors in noninvasive population genetics,” Molecular Ecology, Oct. 2004, pp. 3601-3608. [cited by applicant]
Chan, K.C.A. et al., “Noninvasive detection of cancer-associated genome-wide hypomethylation and copy number aberrations by plasma DNA bisulfite sequencing,” PNAS, vol. 110, No. 47, Nov. 19, 2013 pp. 18761-18768. [cited by applicant]
Chimonidou, M. et al., “SOX17 Promoter Methylation in Circulating Tumor Cells and Matched Cell-Free DNA Isolated from Plasma of Patients with Breast Cancer,” Clinical Chemistry 59(1), Jan. 2013, pp. 270-279. [cited by applicant]
Chu, W-T., “Chapter 12 Solving Linear Equations,” An Introduction to Optimization, Spring 2014, pp. 1-47. [cited by applicant]
Cipriany, B.R. et al., “Single Molecule Epigenetic Analysis in a Nanofluidic Channel,” Analytical Chemistry, vol. 82, No. 6, Mar. 15, 2010, pp. 2480-2487. [cited by applicant]
Coolen, M.W. et al., “Genomic profiling of CpG methylation and allelic specificity using quantitative high-throughput mass spectrometry: critical evaluation and improvements,” Nucleic Acids Research, vol. 35, No. 18, e1… [cited by applicant]
Da Costa, A.N. et al., “Detection of cancer-specific epigenomic changes in biofluids: Powerful tools in biomarker discovery and application,” Molecular Oncology, vol. 6, Iss. 6, Dec. 2012, pp. 704-715. [cited by applicant]
De Martino, M. et al., “Serum Cell-Free DNA in Renal Cell Carcinoma: A diagnostic and prognostic marker,” Cancer, vol. 118, Iss. 1, Jun. 28, 2011, pp. 82-90. [cited by applicant]
Ehrlich, M., “DNA methylation in cancer: too much, but also too little,” Oncogene, vol. 21, Aug. 5, 2002, pp. 5400-5413. [cited by applicant]
Fackler, M.J. et al., “Quantitative Multiplex Methylation-Specific PCR Assay for the Detection of Promoter Hypermethylation in Multiple Genes in Breast Cancer,” Cancer Research, vol. 64, Iss. 13, Jul. 2004, pp. 4442-445… [cited by applicant]
Flanagan, J.M. et al., “DNA methylome of familial breast cancer identifies distinct profiles defined by mutation status,” The American Journal of Human Genetics, vol. 86, Mar. 12, 2010, pp. 420-433. [cited by applicant]
Flusberg, B.A. et al., “Direct detection of DNA methylation during single-molecule, real-time sequencing,” Nature Methods, vol. 7, No. 6, Jun. 2010, pp. 461-467. [cited by applicant]
Holmes, E.E. et al., “Performance Evaluation of Kits for Bisulfite-Conversion from DNA Tissues, Cell Lines, FFPE Tissues, Aspirates, Lavages, Effusions, Plasma, Serum and Urine,” PLoS One, vol. 9, Iss. 4, Apr. 3, 2014, … [cited by applicant]
Houseman, E.A. et al., “Reference-free cell mixture adjustments in analysis of DNA methylation data,” Bioinformatics, vol. 30, No. 10, Jan. 21, 2014, pp. 1431-1449. [cited by applicant]
Jin, H. et al., “Chapter 6: Circulating methylated DNA as biomarkers for cancer detection,” Methylation—From DNA, RNA and Histones to Diseases and Treatment, Nov. 2012, pp. 137-152. [cited by applicant]
Kadam, S.K. et al., “Quantitative Measurement of Cell-Free Plasma DNA and Applications for Detecting Tumor Genetic Variation and Promoter Methylation in a Clinical Setting,” The Journal of Molecular Diagnostics, vol. 14… [cited by applicant]
Kit, A.H. et al., “DNA Methylation based biomarkers; Practical considerations and applications,” Biochimie, vol. 94, Jul. 27, 2012, pp. 2314-2337. [cited by applicant]
Kuo, H.C. et al., “DBCAT: database of CpG island and analytical tools for identifying comprehensive methylation profiles in cancer cells,” Journal of Computational Biology, vol. 18, No. 8, Jul. 29, 2011, pp. 1013-1017. [cited by applicant]
Laird, P.W., “Principles and Challenges of genome-wide DNA methylation analysis,” Nature Reviews Genetics, vol. 11, Feb. 2, 2010, pp. 191-203. [cited by applicant]
Lee, E.J. et al., “Analyzing the cancer methylome through targeted bisulfite sequencing,” Cancer Letters, vol. 340, Nov. 2013, pp. 171-178. [cited by applicant]
Legendre, C. et al., “Whole-genome bisulfite sequencing of cell-free DNA identifies signature associated with metastatic breast cancer,” Clinical Epigenetics, vol. 7, Sep. 16, 2015, pp. 1-10. [cited by applicant]
Li, W. et al., “CancerDetector: ultrasensitive and non-invasive cancer detection at the resolution of individual reads using cell-free DNA methylation sequencing data,” Nucleic Acids Research, vol. 46, No. 15, Jun. 12, … [cited by applicant]
Liggett, T.E. et al., “Distinctive DNA methylation patterns of cell-free plasma DNA in women with malignant ovarian tumors,” Gynecologic Oncology, vol. 120, Jan. 2011, pp. 113-120. [cited by applicant]
Lo, Y.M.D. et al., “Genomic Analysis of Fetal Nucleic Acids in Maternal Blood,” Annual Review Genomics and Human Genetics, vol. 13, Sep. 2012, pp. 285-306. [cited by applicant]
Lo, Y.M.D. et al., “Maternal plasma DNA sequencing reveals the genome-wide genetic and mutational profile of the fetus,” Science Translational Medicine, vol. 2, Iss. 61, Dec. 8, 2010, pp. 1-13. [cited by applicant]
Miller, C.A. et al., “ReadDepth: A parallel R package for detecting copy number alterations from short sequencing reads,” PLOS One, vol. 6, Iss. 1, Jan. 31, 2011, pp. 1-7. [cited by applicant]
Ogoshi, K. et al., “Genome-wide profiling of DNA methylation in human cancer cells,” Genomics, vol. 98, Iss. 4, Oct. 2011, pp. 280-287. [cited by applicant]
O'Sullivan, E. et al., “DNA methylation analysis in human cancer,” Pancreatic Cancer: Methods and Protocols, Methods in Molecular Biology, vol. 980, Dec. 13, 2012, pp. 131-156. [cited by applicant]
Page, K. et al., “Detection of HER2 amplification in circulating free DNA in patients with breast cancer,” British Journal of Cancer, vol. 104, Mar. 22, 2011, pp. 1342-1348. [cited by applicant]
Pedersen, I.S. et al., “High recovery of cell-free methylated DNA based on a rapid bisulfite-treatment protocol,” BMC Molecular Biology, vol. 13, Mar. 26, 2012, pp. 1-8. [cited by applicant]
Price, E.M. et al., “Different measures of “genome-wide” DNA methylation exhibit unique properties in placental and somatic tissues,” Epigenetics, vol. 7, Iss. 6, Jun. 2012, pp. 652-663. [cited by applicant]
Quackenbush, J., “Microarray data normalization and transformation,” Nature Genetics Supplement, vol. 32, Dec. 2002, pp. 496-501. [cited by applicant]
Radpour, R. et al., “Hypermethylation of tumor suppressor genes involved in ciritical regulatory pathways for developing a blood-based test in breast cancer,” PLOS One, vol. 6, Iss. 1, Jan. 24, 2011, pp. 1-11. [cited by applicant]
Robinson, M.D. et al. “Evaluation of affinity-based genome-wide DNA methylation data: Effects of CpG density, amplification bias, and copy number variation,” Genome Research, vol. 20, Nov. 2, 2010, pp. 1718-1729. [cited by applicant]
Saied, M.H. et al., “Genome wide analysis of acute myeloid leukemia reveal leukemia specific methylome and subtype specific hypomethylation of repeats,” PloS One, vol. 7, No. 3, Mar. 29, 2012, pp. 1-12. [cited by applicant]
Schwarzenbach, H. et al., “Cell-free nucleic acids as biomarkers in cancer patients,” Nature Reviews Cancer, May 12, 2011, pp. 1-12. [cited by applicant]
Shaw, J.A. et al., “Genomic analysis of circulating cell free DNA infers breast cancer dormancy,” Genome Research, vol. 22, Oct. 11, 2011, pp. 220-231. [cited by applicant]
Tanic, M. et al., “Epigenome-wide association studies for cancer biomarker discovery in circulating cell-free DNA: technical advances and challenges,” Current Opinion in Genetics & Development, vol. 42, Feb. 2017, pp. 4… [cited by applicant]
Van De Voorde, L. et al., “DNA methylation-based biomarkers in serum of patients with breast cancer,” Mutation Research, vol. 751, Jun. 12, 2012, pp. 304-325. [cited by applicant]
Weisenberger, D.J. et al., “DNA methylation analysis by digital bisulfite genomic sequencing and digital MethyLight,” Nucleic Acids Research, vol. 36, No. 14, Jul. 15, 2008, pp. 4689-4698. [cited by applicant]
Wu, G. et al., “Statistical Quantification of Methylation Levels by Next-Generation Sequencing,” PLoS One, vol. 6, Iss. 6, Jun. 15, 2011, pp. 1-12. [cited by applicant]
Yu, M. et al., “Tet-assisted bisulfite sequencing of 5-hydroxyethylcyctosine,” Nature Protocols, vol. 7, No. 12, Nov. 29, 2012, pp. 2159-2170. [cited by applicant]
Yuen, R.K.C. et al., “Genome-wide mapping of imprinted differentially methylated regions of DNA methylation profiling of human placentas from triploidies,” Epigenetics & Chromatin, vol. 4, Article No. 10, Jul. 13, 2011,… [cited by applicant]
Zhai, R. et al., “Genome-wide DNA Methylation Profiling of Cell-Free Serum DNA in Esophageal Adenocarcinoma and Barrett Esophagus,” Neoplasia 14(1), Jan. 2012, pp. 29-33. [cited by applicant]
Baumann, D. et. al, “MAGI Methylation Analysis Using Genome Information,” Epigenetics, vol. 9, Issue 5, Mar. 31, 2014, pp. 698-703. [cited by applicant]
Kreuger, F. et. al, “Bismark: A Flexible Aligner and Methylation Caller for Bisulfite-Seq Applications,” Bioinformatics, vol. 27, Issue 11, Jun. 1, 2011, pp. 1571-1572. [cited by applicant]
Shen, L. et al. “Detect Differentially Methylated Regions Using Non-Homogenous Hidden Markov Model for Methylation Array Data,” Bioinformatics, vol. 33, Issue 23, Dec. 1, 2017, pp. 3701-3708. [cited by applicant]
United States Office Action, U.S. Appl. No. 16/352,602, filed Apr. 19, 2022, 25 pages. [cited by applicant]
Angermueller, C. et al., “DeepCpG: accurate prediction of single-cell DNA methylation states using deep learning,” Genome Biology, 18(1), Apr. 11, 2017, 13 pages. [cited by applicant]
Khwaja, M. et al., “A Deep Autoencoder System for Differentiation of Cancer Types Based on DNA Methylation State,” Oct. 5, 2018, pp. 1-8. [cited by applicant]
Margolin, G. et al., “Robust detection of DNA hypermethylation of ZNF154 as a pan-cancer locus with in silico modeling for blood-based diagnostic development,” Journal of Molecular Diagnostics, 18.2, Mar. 2016, pp. 283-… [cited by applicant]
Taiwan Intellectual Property Office, Office Action, TW Patent Application No. 108108527, Mar. 6, 2023, nine pages. [cited by applicant]
United States Office Action, U.S. Appl. No. 16/352,602, filed Dec. 15, 2022, 17 pages. [cited by applicant]
United States Office Action, U.S. Appl. No. 16/723,411, filed Apr. 13, 2023, 42 pages. [cited by applicant]
Wu, H. et al., “Redefining CpG islands using hidden Markov models,” Biostatistics, 11(3), Mar. 8, 2010, pp. 499-514. [cited by applicant]
Yassi, M. et al., “DMRFusion: a differentially methylated region detection tool based on the ranked fusion method,” Genomics 110.6, Jan. 5, 2018, pp. 366-374. [cited by applicant]