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Fragmentomics: The characteristics of a large number of DNA fragments. Fragmentomics involves the measurement and analysis of fragment lengths and the characteristics of the ends of the fragments (e.g., having a blunt or jagged end or having a specific sequence at the end, called an “end motif ”) and the patterns of the different lengths and fragment characteristics. There is a correlation between methylation and fragment end motif. DNA fragments from circulating tumor DNA, which can be in the blood of a person with cancer or precancer, are shorter, have more jagged ends, and have a different distribution of specific end motifs than the circulating free DNA in the blood from normal cells, which is present in the blood of all persons regardless of whether they have a tumor. Fragmentomics is also used in the study of cell-free DNA in the plasma of pregnant persons and transplant recipients.    To learn more about this NEJM Illustrated Glossary term, read “Cell-free DNA for Colorectal Cancer Screening” by Y.M. Dennis Lo, BM, BCh, DPhil, DM: https://nej.md/43noybx    Explore more terms: https://nej.md/glossary   

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