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Comprehensive DNA methylation analysis of tissue-of-origin of plasma cell-free DNA by methylated CpG tandem amplification and sequencing (MCTA-Seq)

Jun.26,2019

Dr. Lu Wen published a paper on Clinical Epigenetics with collaborator.


Background:Comprehensive analysis of the tissue of origin of plasma cell-free DNA (cfDNA) remains insufficient. Agenome-scale DNA methylation method for this analysis is of both biological and clinical interest.Methods:We used the methylated CpG tandem amplification and sequencing (MCTA-Seq), which is a genome-scale DNA methylation method, for analyzing cfDNA. We performed MCTA-Seq to pair plasma cfDNA and whiteblood cell genomic DNA from 14 healthy individuals for comparative analysis, with eight tissues being analyzed foridentifying tissue-specific markers. The relative contributions of multiple tissues to cfDNA were calculated for plasmacfDNA obtained from healthy adults (n= 25), cholelithiasis patients (n= 13), liver cirrhosis patients (n= 17),hepatocellular carcinoma patients (n= 30), and acute pancreatitis patients (n= 8).Results:We identified a total of 146 tissue-specific hypermethylation markers. Simulation analysis showed thatMCTA-Seq can accurately measure DNA fractions contributed by multiple tissues to cfDNA. We demonstrated thatthe liver is the major non-hematopoietic tissue contributing to plasma cfDNA in healthy adults. The method alsodetected increases in the liver-derived DNA in the blood from patients with liver diseases, which correlate with anincrease in the liver enzyme level. Furthermore, the results indicated that blood cells make a major contribution tothe elevation of cfDNA levels in acute pancreatitis, liver cirrhosis, and hepatocellular carcinoma patients. Finally, wecharacterized a novel set of tissue-specific hypermethylation markers for cfDNA detection, which are located withinthe intragenic regions of tissue-specific highly expressed genes.Conclusions:We have used MCTA-Seq for simultaneously measuring cfDNA fractions contributed by multipletissues. Applying this approach to healthy adults and liver and pancreas disease patients revealed the tissue oforigin of cfDNA. The approach and the identified markers should facilitate assessing the cfDNA dynamics in avariety of human diseases.Keywords:Circulating cell-free DNA, DNA methylation, Next-generation sequencing


Original link: https://rdcu.be/bHFH3