Liver- and Colon-Specific DNA Methylation Markers in Plasma for Investigation of Colorectal Cancers with or without Liver Metastases

Measurement of DNA derived from different tissues in the circulating DNA pool can provide important information regarding the presence of many pathological conditions. However, existing methods involving genome-wide bisulfite sequencing are relatively expensive and may present challenges for large-s...

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Veröffentlicht in:Clinical chemistry (Baltimore, Md.) Md.), 2018-08, Vol.64 (8), p.1239-1249
Hauptverfasser: Gai, Wanxia, Ji, Lu, Lam, W K Jacky, Sun, Kun, Jiang, Peiyong, Chan, Anthony W H, Wong, John, Lai, Paul B S, Ng, Simon S M, Ma, Brigette B Y, Wong, Grace L H, Wong, Vincent W S, Chan, Henry L Y, Chiu, Rossa W K, Lo, Y M Dennis, Chan, K C Allen
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container_end_page 1249
container_issue 8
container_start_page 1239
container_title Clinical chemistry (Baltimore, Md.)
container_volume 64
creator Gai, Wanxia
Ji, Lu
Lam, W K Jacky
Sun, Kun
Jiang, Peiyong
Chan, Anthony W H
Wong, John
Lai, Paul B S
Ng, Simon S M
Ma, Brigette B Y
Wong, Grace L H
Wong, Vincent W S
Chan, Henry L Y
Chiu, Rossa W K
Lo, Y M Dennis
Chan, K C Allen
description Measurement of DNA derived from different tissues in the circulating DNA pool can provide important information regarding the presence of many pathological conditions. However, existing methods involving genome-wide bisulfite sequencing are relatively expensive and may present challenges for large-scale analysis. Through identifying differentially methylated regions in the liver and colon compared with other tissues, we identified 2 markers and developed corresponding droplet digital PCR assays. Plasma concentrations of liver-derived and colon-derived DNA were measured for 13 liver transplant recipients, 40 liver cancer patients, and 62 colorectal cancer (CRC) patients (27 with and 35 without liver metastases). In liver transplant recipients, the fractional concentration of liver-derived DNA measured using the liver-specific methylation marker and donor-specific alleles showed good correlation (Pearson = 0.99). In liver cancer patients, the concentration of liver-derived DNA correlated positively with the maximal dimension of the tumor (Spearman = 0.74). In CRC patients with and without liver metastasis, the plasma concentrations of colon-derived DNA (median, 138 copies/mL and 4 copies/mL, respectively) were increased compared with the 30 healthy controls (26 had undetectable concentrations). The absolute concentration of liver-derived DNA provided a better differentiation between CRC patients with and without liver metastasis compared with the fractional concentration (area under ROC curve, 0.85 vs 0.75). Quantitative analysis of plasma DNA with tissue-specific methylation patterns using droplet digital PCR is applicable for the investigation of cancers and assessing organ transplantation. This approach is useful for differentiating patients with and without metastases to other organs.
doi_str_mv 10.1373/clinchem.2018.290304
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In CRC patients with and without liver metastasis, the plasma concentrations of colon-derived DNA (median, 138 copies/mL and 4 copies/mL, respectively) were increased compared with the 30 healthy controls (26 had undetectable concentrations). The absolute concentration of liver-derived DNA provided a better differentiation between CRC patients with and without liver metastasis compared with the fractional concentration (area under ROC curve, 0.85 vs 0.75). Quantitative analysis of plasma DNA with tissue-specific methylation patterns using droplet digital PCR is applicable for the investigation of cancers and assessing organ transplantation. 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ispartof Clinical chemistry (Baltimore, Md.), 2018-08, Vol.64 (8), p.1239-1249
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source Oxford University Press Journals All Titles (1996-Current)
subjects Anemia
Bisulfite
Blood
Cancer
Colon
Colorectal cancer
Colorectal carcinoma
Deoxyribonucleic acid
DNA
DNA methylation
Gene sequencing
Genomes
Growth factors
Kinases
Liver
Liver cancer
Liver transplantation
Markers
Medical prognosis
Metastases
Metastasis
Methods
Mutation
Organs
Patients
Polymerase chain reaction
Quantitative analysis
Transplantation
Transplants & implants
title Liver- and Colon-Specific DNA Methylation Markers in Plasma for Investigation of Colorectal Cancers with or without Liver Metastases
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