bioRxiv preprint doi: https://doi.org/10.1101/2020.07.16.201350; this version posted July 16, 2020. The copyright holder for this preprint (which was not certified by peer review) is the author/funder, who has granted bioRxiv a license to display the preprint in perpetuity. It is made available under aCC-BY-NC 4.0 International license. 1 De novo characterization of cell-free DNA fragmentation hotspots 2 boosts the power for early detection and localization of multi- 3 cancer 4 Xionghui Zhou1, Yaping Liu1-4 * 5 1 Division of Human Genetics, Cincinnati Children’s Hospital Medical Center, Cincinnati, OH 6 45229 7 2 Division of Biomedical Informatics, Cincinnati Children’s Hospital Medical Center, 8 Cincinnati, OH 45229 9 3 Department of Pediatrics, University of Cincinnati College of Medicine, Cincinnati, OH 10 45229 11 4 Department of Electrical Engineering and Computing Sciences, University of Cincinnati 12 College of Engineering and Applied Science, Cincinnati, OH 45229 13 * Email:
[email protected] 14 15 16 17 18 19 20 21 22 23 24 25 1 bioRxiv preprint doi: https://doi.org/10.1101/2020.07.16.201350; this version posted July 16, 2020. The copyright holder for this preprint (which was not certified by peer review) is the author/funder, who has granted bioRxiv a license to display the preprint in perpetuity. It is made available under aCC-BY-NC 4.0 International license. 26 Abstract 27 The global variation of cell-free DNA fragmentation patterns is a promising biomarker for 28 cancer diagnosis. However, the characterization of its hotspots and aberrations in early- 29 stage cancer at the fine-scale is still poorly understood.