Estimation of the fraction of cancer cells in a tumor DNA sample using DNA methylation

PLoS One. 2013 Dec 2;8(12):e82302. doi: 10.1371/journal.pone.0082302. eCollection 2013.

Abstract

Contamination of normal cells is almost always present in tumor samples and affects their molecular analyses. DNA methylation, a stable epigenetic modification, is cell type-dependent, and different between cancer and normal cells. Here, we aimed to demonstrate that DNA methylation can be used to estimate the fraction of cancer cells in a tumor DNA sample, using esophageal squamous cell carcinoma (ESCC) as an example. First, by an Infinium HumanMethylation450 BeadChip array, we isolated three genomic regions (TFAP2B, ARHGEF4, and RAPGEFL1) i) highly methylated in four ESCC cell lines, ii) hardly methylated in a pooled sample of non-cancerous mucosae, a pooled sample of normal esophageal mucosae, and peripheral leukocytes, and iii) frequently methylated in 28 ESCCs (TFAP2B, 24/28; ARHGEF4, 20/28; and RAPGEFL1, 19/28). Second, using eight pairs of cancer and non-cancer cell samples prepared by laser capture microdissection, we confirmed that at least one of the three regions was almost completely methylated in ESCC cells, and all the three regions were almost completely unmethylated in non-cancer cells. We also confirmed that DNA copy number alterations of the three regions in 15 ESCC samples were rare, and did not affect the estimation of the fraction of cancer cells. Then, the fraction of cancer cells in a tumor DNA sample was defined as the highest methylation level of the three regions, and we confirmed a high correlation between the fraction assessed by the DNA methylation fraction marker and the fraction assessed by a pathologist (r=0.85; p<0.001). Finally, we observed that, by correction of the cancer cell content, CpG islands in promoter regions of tumor-suppressor genes were almost completely methylated. These results demonstrate that DNA methylation can be used to estimate the fraction of cancer cells in a tumor DNA sample.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Cell Line, Tumor
  • DNA Methylation / genetics*
  • DNA, Neoplasm / genetics*
  • Humans
  • Rho Guanine Nucleotide Exchange Factors / genetics
  • Transcription Factor AP-2 / genetics

Substances

  • ARHGEF4 protein, human
  • DNA, Neoplasm
  • Rho Guanine Nucleotide Exchange Factors
  • TFAP2B protein, human
  • Transcription Factor AP-2

Grants and funding

This study was supported by the Third-term Comprehensive Cancer Control Strategy from the Ministry of Health, Labour and Welfare, Japan (http://www.mhlw.go.jp), and by Project for Development of Innovative Research on Cancer Therapeutics (P-DIRECT) from the Ministry of Education, Culture Sports, Science, and Technology, Japan (http://p-direct.mext.go.jp). T.T. and Y.M. are recipients of a Research Resident Fellowship from the Foundation for Promotion of Cancer Research (http://www.fpcr.or.jp). The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.