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. 2021 Sep 13;10(9):906. doi: 10.3390/biology10090906

Table 1.

Cell-free DNA forms and modifications used in clinical trials.

Cell-Free DNA Abbreviation Application
Total cfDNA cfDNA, ccfDNA General marker of physiological well-being, elevated in sepsis or under stress, temporarily increases during exercise
Circulating cell-free DNA
Serum/Plasma cell-free DNA
Circulating free DNA
Tumoral plasma DNA ctDNA Used in cancer therapy management, marker of cancer relapse or metastasis
(Circulating tumoral DNA)
Donor Derived cell-free DNA dd-cfDNA Used in detection of allograft rejection in transplantation
(Donor specific cell-free DNA) dscfDNA
cell-free fetal DNA cff-DNA Used in non-invasive prenatal diagnostics, usually aneuploidy
circulating cell-free fetal DNA ccff-DNA
Mitochondrial cfDNA cf mtDNA Releases during mitochondrial dysfunction, elevated under physiological stress or in some cancers
Circulating mitochondrial DNA
Methylated cell-free DNA m-cfDNA Mostly applied in oncology as a marker for cancer screening. Could be done specifically for a selected gene or globally
cfDNA integrity index cfDI Allows to distinguish if cfDNA is released from apoptotic or necrotic cells