RT Journal Article SR Electronic T1 Reference-free transcriptome exploration reveals novel RNAs for prostate cancer diagnosis JF Life Science Alliance JO Life Sci. Alliance FD Life Science Alliance LLC SP e201900449 DO 10.26508/lsa.201900449 VO 2 IS 6 A1 Marina Pinskaya A1 Zohra Saci A1 Mélina Gallopin A1 Marc Gabriel A1 Ha TN Nguyen A1 Virginie Firlej A1 Marc Descrimes A1 Audrey Rapinat A1 David Gentien A1 Alexandre de la Taille A1 Arturo Londoño-Vallejo A1 Yves Allory A1 Daniel Gautheret A1 Antonin Morillon YR 2019 UL https://www.life-science-alliance.org/content/2/6/e201900449.abstract AB The use of RNA-sequencing technologies held a promise of improved diagnostic tools based on comprehensive transcript sets. However, mining human transcriptome data for disease biomarkers in clinical specimens are restricted by the limited power of conventional reference-based protocols relying on unique and annotated transcripts. Here, we implemented a blind reference-free computational protocol, DE-kupl, to infer yet unreferenced RNA variations from total stranded RNA-sequencing datasets of tissue origin. As a bench test, this protocol was powered for detection of RNA subsequences embedded into putative long noncoding (lnc)RNAs expressed in prostate cancer. Through filtering of 1,179 candidates, we defined 21 lncRNAs that were further validated by NanoString for robust tumor-specific expression in 144 tissue specimens. Predictive modeling yielded a restricted probe panel enabling more than 90% of true-positive detections of cancer in an independent The Cancer Genome Atlas cohort. Remarkably, this clinical signature made of only nine unannotated lncRNAs largely outperformed PCA3, the only used prostate cancer lncRNA biomarker, in detection of high-risk tumors. This modular workflow is highly sensitive and can be applied to any pathology or clinical application.