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Clinical Research and Public HealthIn-Press PreviewOncology
Open Access | 10.1172/JCI186816
1Department of Thoracic Surgery, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China
2State Key Laboratory of Holistic Integrative Management of Gastrointestinal, National Clinical Research Center for Digestive Diseases, Xijing Hospital, Fourth Military Medical University, Xi'an, China
3Department of Oncology, The Affiliated Cancer Hospital of Zhengzhou University, Henan Cancer Hospital, Zhengzhou, China
4Department of Thoracic Surgery, Tangdu Hospital, The Air Force Military Medical University, Xi’an, China
5Department of Gastroenterology, The Second Affiliated Hospital, Xi'an Jiaotong University, Xi’an, China
6Department of Clinical Laboratory Medicine, The Cancer Hospital of Shantou University Medical College, Shantou, China
7BioChain (Beijing) Science & Technology Inc., Beijing, China
8Department of Radiation Oncology, Xijing Hospital, Fourth Military Medical University, Xi’an, China
Find articles by Zhang, R. in: JCI | PubMed | Google Scholar
1Department of Thoracic Surgery, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China
2State Key Laboratory of Holistic Integrative Management of Gastrointestinal, National Clinical Research Center for Digestive Diseases, Xijing Hospital, Fourth Military Medical University, Xi'an, China
3Department of Oncology, The Affiliated Cancer Hospital of Zhengzhou University, Henan Cancer Hospital, Zhengzhou, China
4Department of Thoracic Surgery, Tangdu Hospital, The Air Force Military Medical University, Xi’an, China
5Department of Gastroenterology, The Second Affiliated Hospital, Xi'an Jiaotong University, Xi’an, China
6Department of Clinical Laboratory Medicine, The Cancer Hospital of Shantou University Medical College, Shantou, China
7BioChain (Beijing) Science & Technology Inc., Beijing, China
8Department of Radiation Oncology, Xijing Hospital, Fourth Military Medical University, Xi’an, China
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1Department of Thoracic Surgery, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China
2State Key Laboratory of Holistic Integrative Management of Gastrointestinal, National Clinical Research Center for Digestive Diseases, Xijing Hospital, Fourth Military Medical University, Xi'an, China
3Department of Oncology, The Affiliated Cancer Hospital of Zhengzhou University, Henan Cancer Hospital, Zhengzhou, China
4Department of Thoracic Surgery, Tangdu Hospital, The Air Force Military Medical University, Xi’an, China
5Department of Gastroenterology, The Second Affiliated Hospital, Xi'an Jiaotong University, Xi’an, China
6Department of Clinical Laboratory Medicine, The Cancer Hospital of Shantou University Medical College, Shantou, China
7BioChain (Beijing) Science & Technology Inc., Beijing, China
8Department of Radiation Oncology, Xijing Hospital, Fourth Military Medical University, Xi’an, China
Find articles by Chen, X. in: JCI | PubMed | Google Scholar
1Department of Thoracic Surgery, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China
2State Key Laboratory of Holistic Integrative Management of Gastrointestinal, National Clinical Research Center for Digestive Diseases, Xijing Hospital, Fourth Military Medical University, Xi'an, China
3Department of Oncology, The Affiliated Cancer Hospital of Zhengzhou University, Henan Cancer Hospital, Zhengzhou, China
4Department of Thoracic Surgery, Tangdu Hospital, The Air Force Military Medical University, Xi’an, China
5Department of Gastroenterology, The Second Affiliated Hospital, Xi'an Jiaotong University, Xi’an, China
6Department of Clinical Laboratory Medicine, The Cancer Hospital of Shantou University Medical College, Shantou, China
7BioChain (Beijing) Science & Technology Inc., Beijing, China
8Department of Radiation Oncology, Xijing Hospital, Fourth Military Medical University, Xi’an, China
Find articles by Jiang, T. in: JCI | PubMed | Google Scholar
1Department of Thoracic Surgery, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China
2State Key Laboratory of Holistic Integrative Management of Gastrointestinal, National Clinical Research Center for Digestive Diseases, Xijing Hospital, Fourth Military Medical University, Xi'an, China
3Department of Oncology, The Affiliated Cancer Hospital of Zhengzhou University, Henan Cancer Hospital, Zhengzhou, China
4Department of Thoracic Surgery, Tangdu Hospital, The Air Force Military Medical University, Xi’an, China
5Department of Gastroenterology, The Second Affiliated Hospital, Xi'an Jiaotong University, Xi’an, China
6Department of Clinical Laboratory Medicine, The Cancer Hospital of Shantou University Medical College, Shantou, China
7BioChain (Beijing) Science & Technology Inc., Beijing, China
8Department of Radiation Oncology, Xijing Hospital, Fourth Military Medical University, Xi’an, China
Find articles by Wang, J. in: JCI | PubMed | Google Scholar
1Department of Thoracic Surgery, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China
2State Key Laboratory of Holistic Integrative Management of Gastrointestinal, National Clinical Research Center for Digestive Diseases, Xijing Hospital, Fourth Military Medical University, Xi'an, China
3Department of Oncology, The Affiliated Cancer Hospital of Zhengzhou University, Henan Cancer Hospital, Zhengzhou, China
4Department of Thoracic Surgery, Tangdu Hospital, The Air Force Military Medical University, Xi’an, China
5Department of Gastroenterology, The Second Affiliated Hospital, Xi'an Jiaotong University, Xi’an, China
6Department of Clinical Laboratory Medicine, The Cancer Hospital of Shantou University Medical College, Shantou, China
7BioChain (Beijing) Science & Technology Inc., Beijing, China
8Department of Radiation Oncology, Xijing Hospital, Fourth Military Medical University, Xi’an, China
Find articles by Peng, Y. in: JCI | PubMed | Google Scholar
1Department of Thoracic Surgery, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China
2State Key Laboratory of Holistic Integrative Management of Gastrointestinal, National Clinical Research Center for Digestive Diseases, Xijing Hospital, Fourth Military Medical University, Xi'an, China
3Department of Oncology, The Affiliated Cancer Hospital of Zhengzhou University, Henan Cancer Hospital, Zhengzhou, China
4Department of Thoracic Surgery, Tangdu Hospital, The Air Force Military Medical University, Xi’an, China
5Department of Gastroenterology, The Second Affiliated Hospital, Xi'an Jiaotong University, Xi’an, China
6Department of Clinical Laboratory Medicine, The Cancer Hospital of Shantou University Medical College, Shantou, China
7BioChain (Beijing) Science & Technology Inc., Beijing, China
8Department of Radiation Oncology, Xijing Hospital, Fourth Military Medical University, Xi’an, China
Find articles by Zhou, G. in: JCI | PubMed | Google Scholar
1Department of Thoracic Surgery, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China
2State Key Laboratory of Holistic Integrative Management of Gastrointestinal, National Clinical Research Center for Digestive Diseases, Xijing Hospital, Fourth Military Medical University, Xi'an, China
3Department of Oncology, The Affiliated Cancer Hospital of Zhengzhou University, Henan Cancer Hospital, Zhengzhou, China
4Department of Thoracic Surgery, Tangdu Hospital, The Air Force Military Medical University, Xi’an, China
5Department of Gastroenterology, The Second Affiliated Hospital, Xi'an Jiaotong University, Xi’an, China
6Department of Clinical Laboratory Medicine, The Cancer Hospital of Shantou University Medical College, Shantou, China
7BioChain (Beijing) Science & Technology Inc., Beijing, China
8Department of Radiation Oncology, Xijing Hospital, Fourth Military Medical University, Xi’an, China
Find articles by Li, Y. in: JCI | PubMed | Google Scholar
1Department of Thoracic Surgery, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China
2State Key Laboratory of Holistic Integrative Management of Gastrointestinal, National Clinical Research Center for Digestive Diseases, Xijing Hospital, Fourth Military Medical University, Xi'an, China
3Department of Oncology, The Affiliated Cancer Hospital of Zhengzhou University, Henan Cancer Hospital, Zhengzhou, China
4Department of Thoracic Surgery, Tangdu Hospital, The Air Force Military Medical University, Xi’an, China
5Department of Gastroenterology, The Second Affiliated Hospital, Xi'an Jiaotong University, Xi’an, China
6Department of Clinical Laboratory Medicine, The Cancer Hospital of Shantou University Medical College, Shantou, China
7BioChain (Beijing) Science & Technology Inc., Beijing, China
8Department of Radiation Oncology, Xijing Hospital, Fourth Military Medical University, Xi’an, China
Find articles by Zhao, L. in: JCI | PubMed | Google Scholar
1Department of Thoracic Surgery, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China
2State Key Laboratory of Holistic Integrative Management of Gastrointestinal, National Clinical Research Center for Digestive Diseases, Xijing Hospital, Fourth Military Medical University, Xi'an, China
3Department of Oncology, The Affiliated Cancer Hospital of Zhengzhou University, Henan Cancer Hospital, Zhengzhou, China
4Department of Thoracic Surgery, Tangdu Hospital, The Air Force Military Medical University, Xi’an, China
5Department of Gastroenterology, The Second Affiliated Hospital, Xi'an Jiaotong University, Xi’an, China
6Department of Clinical Laboratory Medicine, The Cancer Hospital of Shantou University Medical College, Shantou, China
7BioChain (Beijing) Science & Technology Inc., Beijing, China
8Department of Radiation Oncology, Xijing Hospital, Fourth Military Medical University, Xi’an, China
Find articles by Chen, B. in: JCI | PubMed | Google Scholar
1Department of Thoracic Surgery, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China
2State Key Laboratory of Holistic Integrative Management of Gastrointestinal, National Clinical Research Center for Digestive Diseases, Xijing Hospital, Fourth Military Medical University, Xi'an, China
3Department of Oncology, The Affiliated Cancer Hospital of Zhengzhou University, Henan Cancer Hospital, Zhengzhou, China
4Department of Thoracic Surgery, Tangdu Hospital, The Air Force Military Medical University, Xi’an, China
5Department of Gastroenterology, The Second Affiliated Hospital, Xi'an Jiaotong University, Xi’an, China
6Department of Clinical Laboratory Medicine, The Cancer Hospital of Shantou University Medical College, Shantou, China
7BioChain (Beijing) Science & Technology Inc., Beijing, China
8Department of Radiation Oncology, Xijing Hospital, Fourth Military Medical University, Xi’an, China
Find articles by Ni, Y. in: JCI | PubMed | Google Scholar
1Department of Thoracic Surgery, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China
2State Key Laboratory of Holistic Integrative Management of Gastrointestinal, National Clinical Research Center for Digestive Diseases, Xijing Hospital, Fourth Military Medical University, Xi'an, China
3Department of Oncology, The Affiliated Cancer Hospital of Zhengzhou University, Henan Cancer Hospital, Zhengzhou, China
4Department of Thoracic Surgery, Tangdu Hospital, The Air Force Military Medical University, Xi’an, China
5Department of Gastroenterology, The Second Affiliated Hospital, Xi'an Jiaotong University, Xi’an, China
6Department of Clinical Laboratory Medicine, The Cancer Hospital of Shantou University Medical College, Shantou, China
7BioChain (Beijing) Science & Technology Inc., Beijing, China
8Department of Radiation Oncology, Xijing Hospital, Fourth Military Medical University, Xi’an, China
Find articles by Cheng, Y. in: JCI | PubMed | Google Scholar
1Department of Thoracic Surgery, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China
2State Key Laboratory of Holistic Integrative Management of Gastrointestinal, National Clinical Research Center for Digestive Diseases, Xijing Hospital, Fourth Military Medical University, Xi'an, China
3Department of Oncology, The Affiliated Cancer Hospital of Zhengzhou University, Henan Cancer Hospital, Zhengzhou, China
4Department of Thoracic Surgery, Tangdu Hospital, The Air Force Military Medical University, Xi’an, China
5Department of Gastroenterology, The Second Affiliated Hospital, Xi'an Jiaotong University, Xi’an, China
6Department of Clinical Laboratory Medicine, The Cancer Hospital of Shantou University Medical College, Shantou, China
7BioChain (Beijing) Science & Technology Inc., Beijing, China
8Department of Radiation Oncology, Xijing Hospital, Fourth Military Medical University, Xi’an, China
Find articles by Xu, Y. in: JCI | PubMed | Google Scholar
1Department of Thoracic Surgery, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China
2State Key Laboratory of Holistic Integrative Management of Gastrointestinal, National Clinical Research Center for Digestive Diseases, Xijing Hospital, Fourth Military Medical University, Xi'an, China
3Department of Oncology, The Affiliated Cancer Hospital of Zhengzhou University, Henan Cancer Hospital, Zhengzhou, China
4Department of Thoracic Surgery, Tangdu Hospital, The Air Force Military Medical University, Xi’an, China
5Department of Gastroenterology, The Second Affiliated Hospital, Xi'an Jiaotong University, Xi’an, China
6Department of Clinical Laboratory Medicine, The Cancer Hospital of Shantou University Medical College, Shantou, China
7BioChain (Beijing) Science & Technology Inc., Beijing, China
8Department of Radiation Oncology, Xijing Hospital, Fourth Military Medical University, Xi’an, China
Find articles by Zhu, Z. in: JCI | PubMed | Google Scholar
1Department of Thoracic Surgery, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China
2State Key Laboratory of Holistic Integrative Management of Gastrointestinal, National Clinical Research Center for Digestive Diseases, Xijing Hospital, Fourth Military Medical University, Xi'an, China
3Department of Oncology, The Affiliated Cancer Hospital of Zhengzhou University, Henan Cancer Hospital, Zhengzhou, China
4Department of Thoracic Surgery, Tangdu Hospital, The Air Force Military Medical University, Xi’an, China
5Department of Gastroenterology, The Second Affiliated Hospital, Xi'an Jiaotong University, Xi’an, China
6Department of Clinical Laboratory Medicine, The Cancer Hospital of Shantou University Medical College, Shantou, China
7BioChain (Beijing) Science & Technology Inc., Beijing, China
8Department of Radiation Oncology, Xijing Hospital, Fourth Military Medical University, Xi’an, China
Find articles by Gao, X. in: JCI | PubMed | Google Scholar
1Department of Thoracic Surgery, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China
2State Key Laboratory of Holistic Integrative Management of Gastrointestinal, National Clinical Research Center for Digestive Diseases, Xijing Hospital, Fourth Military Medical University, Xi'an, China
3Department of Oncology, The Affiliated Cancer Hospital of Zhengzhou University, Henan Cancer Hospital, Zhengzhou, China
4Department of Thoracic Surgery, Tangdu Hospital, The Air Force Military Medical University, Xi’an, China
5Department of Gastroenterology, The Second Affiliated Hospital, Xi'an Jiaotong University, Xi’an, China
6Department of Clinical Laboratory Medicine, The Cancer Hospital of Shantou University Medical College, Shantou, China
7BioChain (Beijing) Science & Technology Inc., Beijing, China
8Department of Radiation Oncology, Xijing Hospital, Fourth Military Medical University, Xi’an, China
Find articles by Wu, Z. in: JCI | PubMed | Google Scholar
1Department of Thoracic Surgery, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China
2State Key Laboratory of Holistic Integrative Management of Gastrointestinal, National Clinical Research Center for Digestive Diseases, Xijing Hospital, Fourth Military Medical University, Xi'an, China
3Department of Oncology, The Affiliated Cancer Hospital of Zhengzhou University, Henan Cancer Hospital, Zhengzhou, China
4Department of Thoracic Surgery, Tangdu Hospital, The Air Force Military Medical University, Xi’an, China
5Department of Gastroenterology, The Second Affiliated Hospital, Xi'an Jiaotong University, Xi’an, China
6Department of Clinical Laboratory Medicine, The Cancer Hospital of Shantou University Medical College, Shantou, China
7BioChain (Beijing) Science & Technology Inc., Beijing, China
8Department of Radiation Oncology, Xijing Hospital, Fourth Military Medical University, Xi’an, China
Find articles by Li, T. in: JCI | PubMed | Google Scholar
1Department of Thoracic Surgery, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China
2State Key Laboratory of Holistic Integrative Management of Gastrointestinal, National Clinical Research Center for Digestive Diseases, Xijing Hospital, Fourth Military Medical University, Xi'an, China
3Department of Oncology, The Affiliated Cancer Hospital of Zhengzhou University, Henan Cancer Hospital, Zhengzhou, China
4Department of Thoracic Surgery, Tangdu Hospital, The Air Force Military Medical University, Xi’an, China
5Department of Gastroenterology, The Second Affiliated Hospital, Xi'an Jiaotong University, Xi’an, China
6Department of Clinical Laboratory Medicine, The Cancer Hospital of Shantou University Medical College, Shantou, China
7BioChain (Beijing) Science & Technology Inc., Beijing, China
8Department of Radiation Oncology, Xijing Hospital, Fourth Military Medical University, Xi’an, China
Find articles by Zhao, J. in: JCI | PubMed | Google Scholar
1Department of Thoracic Surgery, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China
2State Key Laboratory of Holistic Integrative Management of Gastrointestinal, National Clinical Research Center for Digestive Diseases, Xijing Hospital, Fourth Military Medical University, Xi'an, China
3Department of Oncology, The Affiliated Cancer Hospital of Zhengzhou University, Henan Cancer Hospital, Zhengzhou, China
4Department of Thoracic Surgery, Tangdu Hospital, The Air Force Military Medical University, Xi’an, China
5Department of Gastroenterology, The Second Affiliated Hospital, Xi'an Jiaotong University, Xi’an, China
6Department of Clinical Laboratory Medicine, The Cancer Hospital of Shantou University Medical College, Shantou, China
7BioChain (Beijing) Science & Technology Inc., Beijing, China
8Department of Radiation Oncology, Xijing Hospital, Fourth Military Medical University, Xi’an, China
Find articles by Liu, C. in: JCI | PubMed | Google Scholar
1Department of Thoracic Surgery, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China
2State Key Laboratory of Holistic Integrative Management of Gastrointestinal, National Clinical Research Center for Digestive Diseases, Xijing Hospital, Fourth Military Medical University, Xi'an, China
3Department of Oncology, The Affiliated Cancer Hospital of Zhengzhou University, Henan Cancer Hospital, Zhengzhou, China
4Department of Thoracic Surgery, Tangdu Hospital, The Air Force Military Medical University, Xi’an, China
5Department of Gastroenterology, The Second Affiliated Hospital, Xi'an Jiaotong University, Xi’an, China
6Department of Clinical Laboratory Medicine, The Cancer Hospital of Shantou University Medical College, Shantou, China
7BioChain (Beijing) Science & Technology Inc., Beijing, China
8Department of Radiation Oncology, Xijing Hospital, Fourth Military Medical University, Xi’an, China
Find articles by Zhao, G. in: JCI | PubMed | Google Scholar
1Department of Thoracic Surgery, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China
2State Key Laboratory of Holistic Integrative Management of Gastrointestinal, National Clinical Research Center for Digestive Diseases, Xijing Hospital, Fourth Military Medical University, Xi'an, China
3Department of Oncology, The Affiliated Cancer Hospital of Zhengzhou University, Henan Cancer Hospital, Zhengzhou, China
4Department of Thoracic Surgery, Tangdu Hospital, The Air Force Military Medical University, Xi’an, China
5Department of Gastroenterology, The Second Affiliated Hospital, Xi'an Jiaotong University, Xi’an, China
6Department of Clinical Laboratory Medicine, The Cancer Hospital of Shantou University Medical College, Shantou, China
7BioChain (Beijing) Science & Technology Inc., Beijing, China
8Department of Radiation Oncology, Xijing Hospital, Fourth Military Medical University, Xi’an, China
Find articles by Chen, J. in: JCI | PubMed | Google Scholar
1Department of Thoracic Surgery, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China
2State Key Laboratory of Holistic Integrative Management of Gastrointestinal, National Clinical Research Center for Digestive Diseases, Xijing Hospital, Fourth Military Medical University, Xi'an, China
3Department of Oncology, The Affiliated Cancer Hospital of Zhengzhou University, Henan Cancer Hospital, Zhengzhou, China
4Department of Thoracic Surgery, Tangdu Hospital, The Air Force Military Medical University, Xi’an, China
5Department of Gastroenterology, The Second Affiliated Hospital, Xi'an Jiaotong University, Xi’an, China
6Department of Clinical Laboratory Medicine, The Cancer Hospital of Shantou University Medical College, Shantou, China
7BioChain (Beijing) Science & Technology Inc., Beijing, China
8Department of Radiation Oncology, Xijing Hospital, Fourth Military Medical University, Xi’an, China
Find articles by Zhao, J. in: JCI | PubMed | Google Scholar
1Department of Thoracic Surgery, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China
2State Key Laboratory of Holistic Integrative Management of Gastrointestinal, National Clinical Research Center for Digestive Diseases, Xijing Hospital, Fourth Military Medical University, Xi'an, China
3Department of Oncology, The Affiliated Cancer Hospital of Zhengzhou University, Henan Cancer Hospital, Zhengzhou, China
4Department of Thoracic Surgery, Tangdu Hospital, The Air Force Military Medical University, Xi’an, China
5Department of Gastroenterology, The Second Affiliated Hospital, Xi'an Jiaotong University, Xi’an, China
6Department of Clinical Laboratory Medicine, The Cancer Hospital of Shantou University Medical College, Shantou, China
7BioChain (Beijing) Science & Technology Inc., Beijing, China
8Department of Radiation Oncology, Xijing Hospital, Fourth Military Medical University, Xi’an, China
Find articles by Ji, G. in: JCI | PubMed | Google Scholar
1Department of Thoracic Surgery, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China
2State Key Laboratory of Holistic Integrative Management of Gastrointestinal, National Clinical Research Center for Digestive Diseases, Xijing Hospital, Fourth Military Medical University, Xi'an, China
3Department of Oncology, The Affiliated Cancer Hospital of Zhengzhou University, Henan Cancer Hospital, Zhengzhou, China
4Department of Thoracic Surgery, Tangdu Hospital, The Air Force Military Medical University, Xi’an, China
5Department of Gastroenterology, The Second Affiliated Hospital, Xi'an Jiaotong University, Xi’an, China
6Department of Clinical Laboratory Medicine, The Cancer Hospital of Shantou University Medical College, Shantou, China
7BioChain (Beijing) Science & Technology Inc., Beijing, China
8Department of Radiation Oncology, Xijing Hospital, Fourth Military Medical University, Xi’an, China
Find articles by Han, X. in: JCI | PubMed | Google Scholar
1Department of Thoracic Surgery, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China
2State Key Laboratory of Holistic Integrative Management of Gastrointestinal, National Clinical Research Center for Digestive Diseases, Xijing Hospital, Fourth Military Medical University, Xi'an, China
3Department of Oncology, The Affiliated Cancer Hospital of Zhengzhou University, Henan Cancer Hospital, Zhengzhou, China
4Department of Thoracic Surgery, Tangdu Hospital, The Air Force Military Medical University, Xi’an, China
5Department of Gastroenterology, The Second Affiliated Hospital, Xi'an Jiaotong University, Xi’an, China
6Department of Clinical Laboratory Medicine, The Cancer Hospital of Shantou University Medical College, Shantou, China
7BioChain (Beijing) Science & Technology Inc., Beijing, China
8Department of Radiation Oncology, Xijing Hospital, Fourth Military Medical University, Xi’an, China
Find articles by He, J. in: JCI | PubMed | Google Scholar
1Department of Thoracic Surgery, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China
2State Key Laboratory of Holistic Integrative Management of Gastrointestinal, National Clinical Research Center for Digestive Diseases, Xijing Hospital, Fourth Military Medical University, Xi'an, China
3Department of Oncology, The Affiliated Cancer Hospital of Zhengzhou University, Henan Cancer Hospital, Zhengzhou, China
4Department of Thoracic Surgery, Tangdu Hospital, The Air Force Military Medical University, Xi’an, China
5Department of Gastroenterology, The Second Affiliated Hospital, Xi'an Jiaotong University, Xi’an, China
6Department of Clinical Laboratory Medicine, The Cancer Hospital of Shantou University Medical College, Shantou, China
7BioChain (Beijing) Science & Technology Inc., Beijing, China
8Department of Radiation Oncology, Xijing Hospital, Fourth Military Medical University, Xi’an, China
Find articles by Li, Y. in: JCI | PubMed | Google Scholar
Published February 25, 2025 - More info
BACKGROUND. Current methods for detecting esophageal cancer (EC) are generally invasive or exhibit limited sensitivity and specificity, especially for the identification of early-stage tumors.
METHODS. We identified potential methylated DNA markers (MDM) from multiple genomic regions in a discovery cohort and a diagnostic model was developed and verified in a model-verification cohort of 297 participants. The accuracy of the MDM panel was validated in a multicenter, prospective cohort (n = 1429). The clinical performance of identified MDMs were compared with current tumor-associated protein markers.
RESULTS. From 31 significant differentially methylated EC-associated regions identified in the marker discovery, we trained and validated a 3-MDM diagnostic model that could discriminate among EC patients and Non-EC volunteers in a multicenter clinical prospective cohort with a sensitivity of 85.5% and a specificity of 95.3%. This panel showed higher sensitivity in diagnosing early-stage tumors, with sensitivities of 56% for Stage 0 and 77% for Stage I, comparing with the performance of current biochemical markers. In population with high risk for EC, the sensitivity and specificity are 85.68% and 93.61% respectively.
CONCLUSION. The assessment of tumor-associated methylation status in blood samples can facilitate non-invasive, and reliable diagnosis of early-stage EC, which warrants further development to expand screening and reduce mortality rates.
TRIAL REGISTRATION NUMBER. ChiCTR2400083525.