Urine-based tumour DNA detection enables non-invasive profiling of urological malignancies and may also inform on distant cancers via trans-renal cell-free DNA. However, limited large-scale validation and standardization of urinary cell-free DNA biomarkers constrain their clinical use, highlighting the need for a reporting framework. We therefore propose the ‘minimal urine methods in experiments’ (MUMIE) framework.
This is a preview of subscription content, access via your institution
Access options
Access Nature and 54 other Nature Portfolio journals
Get Nature+, our best-value online-access subscription
$32.99 / 30 days
cancel any time
Subscribe to this journal
Receive 12 print issues and online access
$259.00 per year
only $21.58 per issue
Buy this article
- Purchase on SpringerLink
- Instant access to the full article PDF.
USD 39.95
Prices may be subject to local taxes which are calculated during checkout

References
Tivey, A. et al. Circulating tumour DNA - looking beyond the blood. Nat. Rev. Clin. Oncol. 19, 600–612 (2022).
Christensen, E. et al. Cell-free urine and plasma DNA mutational analysis predicts neoadjuvant chemotherapy response and outcome in patients with muscle-invasive bladder cancer. Clin. Cancer Res. 29, 1582–1591 (2023).
Green, E. et al. Clinical utility of cell-free and circulating tumor DNA in kidney and bladder cancer: a critical review of current literature. Eur. Urol. Oncol. 4, 893–903 (2021).
Li, F. et al. Utility of urinary circulating tumor DNA for EGFR mutation detection in different stages of non-small cell lung cancer patients. Clin. Transl. Oncol. 19, 1283–1291 (2017).
Pellini, B. et al. ctDNA MRD detection and personalized oncogenomic analysis in oligometastatic colorectal cancer from plasma and urine. JCO Precis. Oncol. https://doi.org/10.1200/PO.20.00276 (2021).
Cheng, T. et al. Genomewide bisulfite sequencing reveals the origin and time-dependent fragmentation of urinary cfDNA. Clin. Biochem. 50, 496–501 (2017).
Hentschel, A. et al. Comparative analysis of urine fractions for optimal bladder cancer detection using DNA methylation markers. Cancers 12, 859 (2020).
Markus, H. et al. Analysis of recurrently protected genomic regions in cell-free DNA found in urine. Sci. Transl. Med. 13, eaaz3088 (2021).
Nikkola, J. et al. Sensitive detection of urothelial cancer via high-volume urine DNA analysis. Eur. Urol. 87, 86–88 (2024).
Augustus, E. et al. The art of obtaining a high yield of cell-free DNA from urine. PLoS ONE 15, e0231058 (2020).
Bosschieter, J. et al. A protocol for urine collection and storage prior to DNA methylation analysis. PLoS ONE 13, e0200906 (2018).
Shekhtman, E. et al. Optimization of transrenal DNA analysis: detection of fetal DNA in maternal urine. Clin. Chem. 55, 723–729 (2009).
Acknowledgements
The authors thank K. Parekh for figure design, D. Gale, A. L’Hernault, R. Godin and R. Demers for expert insights, and M. Kushner for operational support.
Author information
Authors and Affiliations
Corresponding author
Ethics declarations
Competing interests
D.G.W. and R.T.B. receive royalties from Nonacus. R.D.M.S. is a minority shareholder of Self-screen BV. A.A.C. has issued and filed patents related to cancer biomarkers; has served as a consultant/advisor to Roche, Tempus, Guardant Health, Exact Sciences, Caris, Geneoscopy, Illumina, Myriad Genetics, Invitae, Daiichi Sankyo, AstraZeneca, AlphaSights, DeciBio and Guidepoint; has received honoraria from Agilent and Illumina; has received research support from Illumina, Roche and Tempus; has stock options in Geneoscopy; and has ownership interests in Droplet Biosciences, LiquidCell Dx and CytoTrace Biosciences. A.W.W. has served on advisory boards and/or received honoraria from AstraZeneca, Astellas, Bayer, EMD Serono, Janssen, Merck and Pfizer; and has contract research agreements (via institution) with ESSA Pharma, Tyra Biosciences and Promontory Therapeutics. L.D. has received research grants/support from Veracyte, C2i Genomics, Natera, AstraZeneca, Ferring and Photocure; has served as consultant for Ferring, UroGen, CystoTech, MSD and AstraZeneca; and has received speaker honoraria from Roche, Pfizer, and MSD. J.H., J.P.-B., D.M.V. and J.W. are employees of AstraZeneca. The other authors have no competing interest to declare.
Peer review
Peer review information
Nature Reviews Cancer thanks Muhammed Murtaza and the other, anonymous, reviewer(s) for their contribution to the peer review of this work.
Supplementary information
Rights and permissions
About this article
Cite this article
Ward, D.G., Bryan, R.T., Chaudhuri, A.A. et al. Unlocking the potential of urine-based liquid biopsy through improved reporting and standardization. Nat Rev Cancer 26, 79–80 (2026). https://doi.org/10.1038/s41568-025-00882-z
Published:
Version of record:
Issue date:
DOI: https://doi.org/10.1038/s41568-025-00882-z