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June 11, 2026Journal of Translational MedicineOpen Access

Multiomic characterization of malignant pulmonary nodules and development of a methylation-based diagnostic Model

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Authors

WZWei ZhouTXTongji XieQWQingjun Wu

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Overview

Randomized trial demonstrates a methylation-based classifier for diagnosing pulmonary nodules, suggesting a noninvasive diagnostic innovation.

Key Points

  • This research aims to distinguish malignant from benign pulmonary nodules using multiomic approaches and develop a methylation-based diagnostic model.
  • Characterization of 158 pulmonary nodules through genomic, epigenomic, and transcriptomic profiling.
  • Employing unsupervised factor analysis to identify core regulatory axes in nodules.
  • Validation of a 9-gene cfDNA methylation classifier in blood and tissue cohorts.
  • EGFR mutations were found exclusively in malignant nodules, indicating key drivers of malignancy.
  • The 9-gene cfDNA methylation classifier demonstrated a training AUC of 1.00, test AUC of 0.93, and tissue AUC of 0.96, showing exceptional accuracy.
  • Progressive methylation changes correlate with tumor aggressiveness, providing insights into lung cancer progression.

Cite This Study

Zhou et al. (2026) studied this question.

synapsesocial.com/papers/6a2a503380c8f91e7f39cb95https://doi.org/10.1186/s12967-026-08382-w
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