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Scientific article

EpiTect Methyl II PCR Array System:
A simple tool for screening regional DNA methylation of a
large number of genes or samples without bisulfite conversion
Qiong Jiang, Chun-Xiang Liu, Xiujing Gu, Geoffrey Wilt, Jonathan Shaffer, Ying Zhang, and Vikram Devgan
QIAGEN, 6951 Executive Way, Frederick, MD 21703

Abstract: The EpiTect® Methyl II PCR Array System is a novel technology enabling simple, fast, and reliable screening of
CpG island DNA methylation for a large number of genes or samples simultaneously, using MethylScreenTM technology.
The system uses selective digestion of sample DNA with methylation-sensitive and methylation-dependent restriction
enzymes, followed by quantification of the remaining DNA by real-time PCR. The relative amounts of differentially
methylated DNA species from the targeted regions are determined with a comparative ΔCT calculation. As little as 2
µg genomic DNA can be used to profile the methylation status of up to 94 gene targets, and methylated DNA can be
reliably detected in heterogeneous samples in amounts as low as 6% of the total sample. This technology yields data
comparable to bisulfite Sanger sequencing and Illumina® Infinium® BeadChip® assays, without bisulfite conversion.
Here we present the basic principles of the EpiTect Methyl II PCR System, along with performance, verification, and
application data to demonstrate its robust potential for methylation profiling in various biological systems and for
screening of DNA methylation biomarkers.

Introduction
Epigenetic mechanisms, including DNA methylation and
histone modifications, can modify gene expression patterns
without changing the DNA sequence. Gene silencing via

Contents

methylation of gene promoters is a well-known occurrence in

Introduction ........................................................ 1

neoplastic cells and also plays important roles in normal cell
differentiation and development (1). This process occurs almost
exclusively in the context of CpG dinucleotides and involves the

Principle ............................................................ 2
Target site selection and primer design ................. 3

covalent attachment of a methyl group to the cytosine residue.

Performance data ............................................... 4

Approximately 60–70% of all human gene promoters overlap

PCR amplification efficiency and specificity ....... 4

with CpG islands, which are regions of DNA with an elevated

Enzyme digestion efficiency ............................. 5

GC content and a high frequency of CpG sites (2). Most highly
expressed genes seem to correlate with unmethylated promoter
regions, despite the high percentage of GC content in their
promoter regions.

Sensitivity ...................................................... 5
Reproducibility ............................................... 5
Reliability ...................................................... 7
Application Data ................................................ 9

Several technologies have been developed for the quantitative
and qualitative analysis of DNA methylation status. The most
commonly used methods involve pretreating DNA with sodium
bisulfite, a very powerful and versatile technique in which

Summary............................................................ 10
References ......................................................... 10
unmethylated cytosines are converted to uracils, while methylated
cytosines remain unchanged. Subsequent analysis of the bisulfite
converted DNA can easily provide extremely high-resolution
information about the methylation status of a DNA segment. Such
techniques include methylation-specific PCR (3), high resolution
melting (HRM) analysis, bisulfite sequencing (4), Pyrosequencing®
(5), next-generation sequencing (6), combined bisulfite restriction
analysis (COBRA) (7), fluorescence-based real-time MethyLight
PCR (8), matrix-assisted laser desorption/ionization time-of-flight
mass spectrometry (MALDI-TOF MS) (9), and hybridizationbased promoter and CpG island microarrays. Although these
technologies can provide very high-resolution methylation data,
they are not all well-suited for higher throughput applications.
The EpiTect Methyl II PCR Array System takes methylation
analysis to a biology-focused level that is also affordable. This
innovative technology enables fast and reliable DNA methylation
profiling of target regions from disease- or pathway-focused
gene panels, as well as individual genes, without the need for
bisulfite modification or specialized equipment. This technology
is based on a simple restriction enzyme digest followed by
quantitative SYBR® Green real-time PCR (10). As a result, the
EpiTect Methyl II PCR system is a highly suitable screening tool
for DNA methylation profiling and potential biomarker discovery
in a range of scientific fields, including transcription regulation,
stem cell research, cell differentiation and development, drug
discovery, angiogenesis, cancer, and other human diseases.
The EpiTect Methyl II PCR System allows for simultaneous DNA
methylation profiling of multiple genes in convenient 96-well or
384-well formats. Profiling biological DNA samples with these
arrays allows the correlation of CpG island methylation levels
with biological phenotypes, and the results can provide insight
into the molecular mechanisms and biological pathways critical
for disease development. Each individual PCR assay on a PCR
array is uniquely designed for use in SYBR Green real-time PCR
analysis, and its specificity is guaranteed when used with RT2
SYBR Green qPCR Master Mixes. Furthermore, QIAGEN® offers
these predesigned assays for various mammalian genomes,
including human, mouse, and rat. The simplicity of the procedure
makes it possible to screen the methylation status of many
individual genes within a biological pathway in a large number
of samples in just a single day.

Principle
The EpiTect Methyl II PCR procedure is based on the quantitative
detection of remaining input DNA within a sample population
after treatment with a methylation-sensitive (MSRE) and a
methylation-dependent (MDRE) restriction enzyme (11, 12).
Each DNA sample is divided into four fractions for four
different restriction enzyme digestions: no-enzyme mock (Mo),
methylation-sensitive (Ms), methylation-dependent (Md), and
methylation-sensitive plus methylation-dependent double (Msd).
In principle, the MSRE selectively digests unmethylated and
partially methylated DNA copies, since cleavage is blocked
when the cytosine residue in CpG dinucleotides within its
recognition site is methylated. Consequently, the amount of
DNA remaining in this reaction represents the fraction of fully
methylated DNA within the sample population. In contrast, the
fraction of unmethylated DNA is determined by the MDRE digest.
This methylation-dependent enzyme requires two methylated halfsites, which are usually separated by 40 to 3000 base pairs,
for cleavage. Therefore, the fraction of input DNA remaining
after MDRE treatment indicates the amount of unmethylated
DNA. The amount of remaining input DNA in each digest is then
normalized to the total amount of input DNA, which can be easily
assessed by the mock-treated DNA fraction. The relative amounts
of methylated and unmethylated DNA within a heterogeneous
sample can be determined using a comparative threshold (∆CT)
method (10). Using the same target region primer set in each of
the four enzyme reactions minimizes any calculation bias that
could arise from variations in PCR efficiencies. Additionally, the
relative amount of partially methylated DNA can be derived from
the assumption that all fractions will add up to 100% of the total
input DNA. The double digest reaction determines the fraction of
input DNA that is not susceptible to digestion by the restriction
enzymes. The difference in CT values between the double digest
and the mock reactions represents the analytical window of the
assay. On our free, downloadable Microsoft® Excel® based data
analysis template, results are simply displayed as percentage
of unmethylated fraction (UM) and methylated fraction (M),
which includes both the fully methylated and partially methylated
fractions.
A schematic view of the EpiTect Methyl II PCR Array procedure
is depicted in Figure 1. After isolation, 1 µg of genomic DNA is
used to set up the four independent restriction enzyme digests,
which are incubated at 37°C for 6–16 hours. Immediately after
incubation, the restriction enzymes are heat-inactivated at 65°C
for 20 minutes, and the digests are mixed with QIAGEN’s ready-

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QIAGEN
to-use RT2 SYBR Green qPCR Master Mix and are dispensed into

Final results

a PCR array plate containing pre-aliquoted gene-specific primers.
After running the real-time PCR, CT values for each reaction can

Example #

Input genomic DNA

Unmethylated (UM)

Methylated (M)

1

100%

0%

2

60%

40%

3

0%

100%

4

0%

be calculated. The real-time PCR quantifies the relative amount of
DNA remaining after each enzyme digestion, so the methylation
status of individual genes and the methylation profile across a
gene panel can be reliably and easily calculated using the data
analysis template.
Isolate DNA
sample

Incubate with
restriction
enzymes
No
Methylation- Methylationenzyme
sensitive
dependent
enzyme
(Mo)
enzyme
(Ms)
(Md)

MSRE
and
MDRE
(Msd)

SEC

Mix remaining
DNA with SYBR®
Green qPCR
Mastermix

Mo

DEC

Ms

Add to array

Figure 2. Pictorial explanations of results. EpiTect Methyl II PCR Assays and
Arrays provide gene methylation status as percentage unmethylated (UM) and
percentage methylated (M) fraction of input DNA. Few representative examples
are shown. Each horizontal bar represents the targeted region of a gene from one
genome. Biological samples usually contain many genomes derived from many
cell types. For simplicity, five such genomes are depicted. Light and dark circles
represent unmethylated and methylated CpG sites, respectively. In example 2, the
targeted region of a gene has two or more methylated CpG sites in two out of
five genomes. Thus, the EpiTect Methyl II PCR Assay data reveal that this gene is
60% unmethylated and 40% methylated.

Md
Msd

Real-time PCR

Methylated
Unmethylated
100

% Total input DNA

100%
(fully methylated)

80
60

Analyze data

40

Target site selection and primer design

20

HIC1

MGMT

ESR1

GSTP1

CDKN2A

CDKN2A

CDKN1C

CDH1

CDH13

BRCA1

CCNA1

CCND2

ADAM23

0

Most biologically relevant changes in DNA methylation are
known to occur at multiple CpG sites simultaneously, rather

Figure 1. Flowchart of the EpiTect Methyl II PCR System procedure. The system
relies on the differential cleavage of target sequences by 2 different restriction
endonucleases. After various steps, the enzyme reactions are mixed with a
qPCR master mix and are dispensed into a PCR plate containing pre-dispensed
primer mixes. Real-time PCR allows the quantification of the relative amounts of
remaining input DNA in each reaction.

than at single sites, suggesting that a regional analysis may
better represent the methylation status of a CpG island within a
region of interest (2, 13, 14) than an analysis of single sites. In
addition, the average methylation level has been shown to be
bimodally distributed, with an enrichment of highly methylated

EpiTect Methyl II PCR Assay and Array results express a

and unmethylated sequences (2, 13, 14). It has been shown

target’s methylation status as percentage unmethylated (UM) and

that approximately 60% of the analyzed CpG islands were

percentage methylated (M) fraction of input DNA. A pictorial

unmethylated, roughly 20% were fully methylated (2, 13,

explanation of the results is depicted in Figure 2, in which “UM”

14), and the remaining 20% were intermediately methylated.

represents the percentage of input genomic DNA containing no

In designing the EpiTect Methyl II PCR Assays, we include

methylated CpG sites in the targeted region of a gene, and “M”

CpG islands or CpG-dense areas associated with a gene’s

represents the percentage of input genomic DNA containing two

transcription start site (TSS), and the region from 5 kb upstream

or more methylated CpG sites in the targeted region of a gene.

to 3 kb downstream of the TSS. CpG island predictions and TSS

The number of CpG sites methylated in a targeted region can

definitions are based on data available from the UCSC Genome

vary within the fraction of methylated input DNA.

Bioinformatics Site (15). According to the CpG islands predicted
by UCSC’s human genome assembly version hg19, which is

EpiTect Methyl II PCR System

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3
comparable to the NCBI 37 genome build, 70% of CpG islands

A

sit on TSSs and can be referred to as promoter CpG islands.

140

Currently QIAGEN offers EpiTect Methyl II PCR Assays for most

120

and rat genomes. Each target region is selected within one
CpG island or CpG-dense area predicted from both the UCSC
database and published data with functional annotation. In order
to use a universal PCR condition for amplifying up to 94 different

PCR Efficiency (%)

promoters associated with CpG islands in the human, mouse,

100
80
60
40

targets simultaneously, we developed a unique algorithm for

human
mouse

20

primer design. Our design algorithm also ensures that every

0

amplicon contains sufficient cutting sites for both the methylation-

0

sensitive and methylation-dependent restriction enzymes. As a

200

300

400

500

Amplicon length in bp

result, the length of most target amplicons ranges from 150–440
base pairs, with an average amplicon size of 240 base pairs.

100

B
4

Performance data

Amplification plot

PCR amplification efficiency and specificity
PCR conditions for EpiTect Methyl II PCR Assays have been
extensively optimized in combination with QIAGEN’s RT2 SYBR
Green Real-Time qPCR Master Mixes to guarantee maximum
performance. Our unique PCR conditions also ensure proper

Fluorescence (dRn)

3

PCR amplification efficiency in the presence of highly methylated

2

1

templates.
0

In Figure 3A, the PCR efficiency was plotted against the amplicon

2 4 6 8 10 12 14 16 18 20 22 24 26 28 30 32 34 36 38 40

length in base pairs for 380 mouse and 380 human EpiTect

Cycles

Methyl II PCR Assays. This plot demonstrates that under our
amplification conditions, PCR efficiency is not dependent on

C
3000

the length of the amplicon. The amplification efficiency was
calculated using the amplification plots generated during real-

Dissociation curve

throughout the linear phase of the amplification according to the
DART method (16). In general, only a small fraction of first round
primer assays had amplification efficiencies of less than 80%.
Since our quality control criteria require that all assays have
amplification efficiency greater than 80%, any assay outside this

Fluorescence (-R'(T))

time PCR (Figure 3B) and analyzing the change in fluorescence
2000

1000

cutoff is redesigned. We also carefully analyzed the dissociation
curves of the same amplicons to ensure that only a single peak

0

was produced per amplicon (Figure 3C). These results clearly
demonstrate the high efficiency of PCR and the specificity of the

56 58 60 62 64 66 68 70 72 74 76 78 80 82 84 86 88 90 92 94

primer assays.

Temperature (ºC)
Figure 3. PCR amplification efficiency and specificity of the EpiTect Methyl II PCR
System. A The amplification efficiency was plotted against amplicon length in base
pairs for 380 mouse and 380 human EpiTect Methyl II PCR Assays. B Examples of
amplification curves and C corresponding dissociation curves. The results clearly
demonstrate high PCR efficiency and specificity of the primer assays.

4

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Enzyme digestion efficiency

Methylated

The success of the EpiTect Methyl II PCR System depends upon

100

the cutting efficiencies of the MSRE and the MDRE. Specific

80

methylation-dependent enzyme control (DEC) — are included
in EpiTect Methyl II PCR Arrays to ensure high cutting efficiency
of both enzymes. The 5X Restriction Digestion Buffer included in
the EpiTect Methyl II DNA Restriction Kit (cat. no. 335452) is

90
% Total input DNA

controls — methylation-sensitive enzyme control (SEC) and

Unmethylated

70
60
50
40
30
20
10
0

spiked with in-house produced and quality-controlled completely

100.0

methylated plasmid DNA and completely unmethylated plasmid

75.0

50.0

33.3

12.5

6.3

0.0

% SKBR3 genomic DNA

DNA. Each plasmid has specific enzyme-sensitive target regions
flanked by unique primer regions. SEC- and DEC-specific
primers are included in each PCR array and are also available
as individual primer assays. To ensure high DNA digestion
efficiency and to pass quality control, the difference in CT values
between the methylation-sensitive and mock digests should be
equal to or greater than 4 (∆CT (Ms – Mo) ≥ 4) for the SEC.
Likewise, the difference in CT values between the methylationdependent and mock digests should be equal or greater than
4 (∆CT (Md – Mo) ≥ 4) for the DEC. To “pass” quality control
means more than 93.6% of control plasmid DNA in the 5X
Restriction Digestion Buffer was digested, confirming that the
restriction enzyme is active and can digest DNA efficiently. Once
the DNA is digested and the PCR is complete, the resulting CT
values are pasted into the data analysis spreadsheet to obtain
“pass” or “fail” results for SEC and DEC.

Reproducibility
The reproducibility of EpiTect Methyl II PCR Assays was
demonstrated by simultaneously measuring the methylation status
of 22 human gene promoter regions in a custom array. The
experiment was performed using the same batch of genomic
DNA from breast cancer cell line MCF-7 and was repeated
4 times to generate technical replicates. Figure 5 (panels A
through D) depicts the actual CT values for the four restriction
enzyme reactions (Mo, Ms, Md and Msd) and shows the high
reproducibility between CT values for the same gene across four
independent experiments. When comparing the CT values of the

Sensitivity
The analytical sensitivity of the EpiTect Methyl II PCR Assay was
empirically determined by spiking genomic DNA from the breast
cancer cell line SKBR3 into normal genomic DNA from peripheral
blood leukocytes (Figure 4). In this test, the methylation status of
HIC-1 was determined using an EpiTect Methyl II PCR Assay,
and the experiment was performed in triplicate. The HIC-1 gene
has been previously described as a candidate tumor suppressor
gene that is silenced by promoter methylation, and it is generally
methylated in various human cancers, including breast cancer
(17). As shown in Figure 4, the methylated HIC-1 is reliably
detected in the DNA mixture, down to as low as 6% of total
DNA. Similar results were obtained with 5 other genes. These
results demonstrate the high sensitivity and specificity of the
EpiTect Methyl II PCR Assay in a heterogeneous DNA population.

EpiTect Methyl II PCR System

Figure 4. Methylation detection in heterogeneous samples. The analytical
sensitivity of the EpiTect Methyl II PCR Assay was tested using a serial dilution
of SKBR3 cell line genomic DNA and peripheral blood leukocyte genomic
DNA. Using the EpiTect Methyl II PCR Assay for human HIC1, the percentage
of methylated HIC1 relative to the total amount of input DNA was detectable in
each mixture, even down to only 6% of the total DNA sample. The HIC1 gene
promoter is methylated in cancer cells and unmethylated in normal cells.

double digest, we observe a higher variation between replicates,
which is not unexpected, since the remaining amount of template
DNA in the double digest reaction is minimal, and results in an
increase of the CT values outside the linear range of a PCR.
In all four experiments, the calculated fraction of methylated and
unmethylated DNA per gene is similar, as shown in Figure 5E.
A repeated measures one-way ANOVA (analysis of variance)
test showed that the means of the groups among 4 independent
experiments are not significantly different, with a P-value greater
than 0.05. Similar results were obtained for a second human
catalog array (data not shown). More importantly, unmethylated
and methylated genes are consistently detected by the EpiTect
Methyl II PCR Array.

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5
18.00
1

2

3

4

5

6

7

8

9

10

11

12

A

42.00

CT Values Mo reaction

Genes

36.00

sample 1

sample 2

sample 3

sample 4

30.00

24.00

18.00
1
B

2

3

5

6

7

8

9

10

11

12

13

14

15

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18

19

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22

12

13

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22

12

13

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18

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20

21

22

12

13

14

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17

18

19

20

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22

Genes

42.00
sample 1

CT Values Ms reaction

4

sample 2

sample 3

sample 4

36.00

30.00

24.00

18.00

C

2

3

4

5

6

7

8

9

10

11
Genes

42.00

CT Values Md reaction

1

36.00

sample 1

sample 2

sample 3

sample 4

30.00

24.00

18.00

D

2

3

4

5

6

7

8

9

10

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Genes

42.00

CT Values Msd reaction

1

36.00

sample 1

sample 2

sample 3

sample 4

30.00

24.00

18.00
1

2

3

4

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11
Genes

sample 1

6

sample 2

sample 3

sample 4

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QIAGEN

13
E

UM
M

Percent of total input DNA (%)

120
100
80
60
40
20

TP
73

0D

0C

TN
FR

SF
1

1
TN
FR

SF
1

IT
2

TH
BS

SL

SF
N

A
RD
RA
SS
F1

S2

PY
C

PT
G

PT
EN

M
2

M
T

PR
D

1
IC

M
G

H

P1

C

G
ST

ES
R1

13
DK
N
1C

1

DH

DH

C

D2

C

C

A1

C
N

1
A

C
N

C

C

BR
C

DK
N
2A

0

Figure 5. Reproducibility of EpiTect Methyl II PCR Assays. The reproducibility was tested with four technical replicates using a human custom array of 22 promoter region
assays. Actual CT values for the Mo A , Ms B , Md C , and Msd D reactions are represented. The difference in CT values between the Mo reaction and the Msd reaction
represents the analytical window of the assay. The percent methylated and unmethylated target DNA is calculated based on the CT values as described in the EpiTect
Methyl II PCR Assay Handbook and is represented as the mean plus or minus the standard error E . M: methylated; UM: unmethylated.

Reliability
To verify the reliability of the EpiTect Methyl II PCR System, we carried out parallel comparisons of this method with bisulfite Sanger
sequencing and Infinium BeadChip experiments. It has been previously demonstrated that the promoter regions of the CDH13 gene are
aberrantly methylated in breast cancer (18, 19). The methylation status of CDH13 in the breast cancer cell line MB231 and cervical
cell line HeLa was measured using EpiTect Methyl II PCR Assays, according to the procedure in the handbook. The calculated fractions
of methylated and unmethylated DNA relative to the total amount of input DNA are depicted in Figure 6A. In HeLa cells, our results
show that CDH13 is completely unmethylated, whereas in the breast cancer cell line MB231, CDH13 is > 99% methylated.

A

B

Unmethylated

Clones

Methylated
100

% Total input DNA

80
CpG
60
40
20
0
Bisulfite
conversion

EpiTect
Methyl II
PCR Array

HeLa

EpiTect Methyl II PCR System

Bisulfite
conversion

EpiTect
Methyl II
PCR Array

MB231

CpG

HeLa

MB231

Figure 6. Comparison with bisulfite Sanger sequencing. The methylation levels
in the promoter region of the CDH13 gene were analyzed using either EpiTect
Methyl II PCR Assays or bisulfite Sanger sequencing. All steps for the EpiTect
Methyl II PCR Assays were performed according to the protocol described in the
EpiTect Methyl II PCR Assay Handbook A . For bisulfite sequencing, genomic DNA
was bisulfite converted and amplified with gene-specific methylation-independent
primers that included the amplicon region designed for the EpiTect Methyl II PCR
Assay. PCR products were purified and sub-cloned, and 16 colonies for each
gene in each cell line were sequenced B . M: methylated; UM: unmethylated.
Open circles [ ] indicate unmethylated CpG sites, while closed circles [ ] indicate
methylated CpG sites.

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7
EpiTect Methyl II PCR Array
Illumina Infinium
1.2

Methylated DNA/total input DNA

1
0.8
0.6
0.4
0.2

T1

D

IS
TW

C

10
SF

10

FR

TN

TN

FR

K

P3

SF

M
TI

1

SY

P1

F1

K1
ST

RB

RB

RA

SS

D

RA

AR
C

G

S2

PY

L1

PT

AG

1

R2

PL

PE

T
M

SX
M

G

P1

M

6

ST
G

2

FR

ST
C

H
C

1B

DX
C

A

N

C

DK

AL

C

C

BR

C

A1

0

Target gene
Figure 7. EpiTect Methyl II PCR Arrays generate data comparable to that from BeadChip platforms. EpiTect Methyl II PCR Array and Illumina Infinium Human Methylation
27 BeadChip assays were performed on MCF-7 cells. A representative analysis of 22 genes is shown. For better comparison, results from the EpiTect Methyl PCR Array
were converted to averaged beta values, in which 0 means completely unmethylated and 1 means completely methylated.

These results were verified by performing bisulfite Sanger

For comparing our method with the Infinium BeadChip, we

sequencing analysis of a region that includes the complete

analyzed a panel of 94 breast cancer targets in MCF-7 cells with

EpiTect Methyl II PCR target amplicon for CDH13. In this

an EpiTect Methyl II PCR Array. In parallel, the MCF-7 cells were

experiment, 1 µg of genomic DNA from each of the three cell

also analyzed with an Illumina Infinium Human Methylation27

lines was bisulfite converted and then amplified with methylation-

BeadChip, with 27,578 distinct CpG dinucleotides associated

independent primers specific for the CDH13 target regions. The

with 14,000 genes, according to the manufacturer’s protocol. The

PCR products were subsequently gel-purified and subcloned, and

BeadChip methylation assays provide the methylation status as

16 colonies for each gene in each cell line were sequenced.

averaged beta values, so for a better comparison, we converted

The actual bisulfite sequencing data is outlined in Figure 6B.

the data from the EpiTect Methyl II PCR Array to an averaged

The target region analyzed included 23 CDH13-associated

beta value, where 0 means completely unmethylated and 1

CpG sites. The methylation density was calculated by dividing

means completely methylated. A representative comparison of

the total amount of methylated CpG sites by the total amount of

22 genes is shown in Figure 7. The methylation pattern of the

CpG sites. In order to compare them side by side, we defined

panel of genes observed with the EpiTect Methyl II PCR Array was

the methylation status of any given DNA clone with more than

consistent with that observed with the BeadChip assay. Only a

20% of the CpG dinucleotides modified by a methyl group as

small percentage of targets displayed some degree of difference

“methylated” and others as “unmethylated”. As shown in Figure

between the two methods, as indicated by TNFRSF10C in Figure

6B, the unmethylated status of CDH13 in the HeLa cell line was

7. This is not unexpected, considering that the principles for these

rather clear, since none of the CpG dinucleotides are methylated.

two methods differ significantly. Only a single CpG dinucleotide

However, CDH13 was methylated in the MB231 cell line (Figure

is chosen to represent each target for most BeadChip assays,

6B). These data clearly indicate that EpiTect Methyl II PCR Assays

while EpiTect Methyl II PCR Arrays screen for multiple CpG sites

can yield results highly consistent with those obtained from

simultaneously in a regional analysis.

bisulfite sequencing.

8

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Application data
In order to demonstrate that EpiTect Methyl II PCR Arrays can be
used for verification of methylation biomarkers, we first scanned

MCF7-3

Vcap

SKBR3-1

MB231

ZR-75-30

ZR-75-1

UACC812

methylation target regions. We then analyzed the methylation

T-47D

All PCR amplicons were designed based on reported promoter

UACC893

Normal

cancer (www.sabiosciences.com/dna_methylation_array.php).

MDA-MB-415

panel of the 94 most frequently methylated genes in human breast

MDA-MB-4355

published results to design a custom PCR array representing a

TGFB1

profile of this gene panel in 10 different breast cancer cell lines,

ESR1
CDKN2A

1 prostate cancer cell line (VCaP), and normal adult breast tissue.

RASSF1

For each sample, 2 µg genomic DNA was used for 4 digestion

RB1

reactions (Mo, Ms, Md, and Msd). All further steps were
performed according to the protocol described in the EpiTect
Methyl II PCR Array Handbook.
The results shown in Figure 8 further strengthen the correlation of
the selected 94-gene panel with breast cancer. The unsupervised
hierarchical clustering clearly demonstrates that the differential
methylation patterns of the candidate genes among the various
cell lines might be useful for molecular classification or disease
stratification for diagnosis and/or prognosis analysis when

HS3ST3B1

combined with clinical data. Furthermore the results revealed

HS3ST2

unmethylated genes like TGFβ1, ESR1, and RB1 across most

CXCL12
CADM1

of the tested cancer cell lines, as well as methylated genes like

MSX1

MUC2 (20), HIC1 (17), and MSX1 (21).

SFRP1
TNFRSF10D
MUC2
HIC1

Magnitude of methylation levels

0%

50%

100%

Figure 8. Hierarchical cluster analysis of methylation levels in cancer cell lines.
Genomic DNA from 10 breast cancer cell lines and 1 prostate cancer cell line
(VCaP) was isolated and analyzed with the EpiTect Methyl II PCR Arrays. This
heat map compares the methylation levels of the 96 genes represented in the
Human Breast Cancer EpiTect Methyl II Array.

EpiTect Methyl II PCR System

www.qiagen.com

9
Summary
The EpiTect Methyl II PCR System is highly suited for methylation

9. Ehrich, M. et al. (2005) Quantitative high-throughput analysis of DNA

status screening for large numbers of genes or samples in a

methylation patterns by base-specific cleavage and mass spectrometry. Proc. Natl.

pathway-focused manner, for both basic research applications

Acad. Sci. USA 102, 15785.

and biomarker screening. While still delivering similar results

10. Ordway, J.M. et al. (2006) Comprehensive DNA methylation profiling in a

and sensitivity, the simple procedure is considerably faster and

human cancer genome identifies novel epigenetic targets. Carcinogenesis 27,

easier, and is more amenable to higher throughput applications

2409.

than bisulfite Sanger sequencing and other commonly used

11. Sutherland, E., Coe, L.., and Raleigh, E. (1992) McrBC: a multisubunit GTP-

methods. The DNA methylation status of a target region can be

dependent restriction endonuclease. J. Mol. Biol. 225, 327.

consistently and reliably detected by the EpiTect Methyl II PCR
System, even at very low levels within heterogeneous samples.

12. Stewart, F., and Raleigh, E. (1998) Dependence of McrBC cleavage on
distance between recognition elements. Biol. Chem. 379, 611.

In addition to the significant time savings, since no subcloning
and sequencing are required, the EpiTect Methyl II PCR System
provides the following benefits:

13. Elango, N., and Yi, S.V. (2008) DNA methylation and structural and functional
bimodality of vertebrate promoters. Mol. Biol. Evol. 25, 1602.
14. Zhang, Y. et al. (2009) DNA methylation analysis of chromosome 21

„„ Simple, fast, and reliable: results comparable to bisulfite
Sanger sequencing in just 3 easy steps, without bisulfite
conversion

gene promoters at single base pair and single allele resolution. PLoS Genet. 5,
e1000438.

„„ Pathway-focused: simultaneous profiling of DNA methylation
patterns of gene panels specifically relevant to human
diseases and biological pathways
„„ Fully customizable arrays: genomewide coverage for
multiple mammalian genomes for all your candidate genes

15. Gardiner-Garden, M., and Frommer, M. (1987) CpG islands in vertebrate
genomes. J. Mol. Biol. 196, 261.
16. Peirson, S.N., Butler, J.N., and Foster, R.G. (2003) Experimental validation
of novel and conventional approaches to quantitative real-time PCR data analysis.
Nucl. Acids Res. 31, e73.
17. Fujii, H. et al. (1998) Methylation of the HIC-1 candidate tumor suppressor

References

gene in human breast cancer. Oncogene 16, 2159.

1. Esteller, M. (2007) Epigenetic gene silencing in cancer: the DNA hypermethylome.
Hum. Mol. Genet. 16, R50.

18. Hoque, M. et al. (2009) Changes in CpG islands promoter methylation patterns
during ductal breast carcinoma progression. Cancer Epidemiol. Biomarkers Prev.

2. Weber, M. et al. (2007) Distribution, silencing potential and evolutionary impact
of promoter DNA methylation in the human genome. Nat. Genet. 39, 457.

18, 2694.
19. Paredes, J. et al. (2005) P-cadherin overexpression is an indicator of clinical

3. Herman, J.G., Graff, J.R., Myöhänen, S., Nelkin, B.D., and Baylin, S.B. (1996)
Methylation-specific PCR: a novel PCR assay for methylation status of CpG islands.
Proc. Natl. Acad. Sci. USA 93, 9821-9826.

outcome in invasive breast carcinomas and is associated with CDH3 promoter
hypomethylation. Clin. Cancer Res. 11, 5869.
20. Vincent, A. et al. (2007) Epigenetic regulation (DNA methylation, histone

4. Frommer, M. et al. (1992) A genomic sequencing protocol that yields a positive
display of 5-methylcytosine residues in individual DNA strands. Proc. Natl. Acad.
Sci. USA 89, 1827.

modifications) of the 11p15 mucin genes (MUC2, MUC5AC, MUC5B, MUC6) in
epithelial cancer cells. Oncogene 26, 6566.
21. Brena, R.M., Plass, C., and Costello, J.F. (2006) Mining methylation for early

5. Shames, D.S., Minna, J.D., and Gazdar, A.F. (2007) Methods for detecting

detection of common cancers. PLoS Med. 3, e479.

DNA methylation in tumors: From bench to bedside. Cancer Lett. 251,187.
6. Taylor, K.H. et al. (2007) Ultradeep bisulfite sequencing analysis of DNA
methylation patterns in multiple gene promoters by 454 sequencing. Cancer Res.
67, 8511.
7. Xiong, Z., and Laird, P.W. (1997) COBRA: a sensitive and quantitative DNA
methylation ssay. Nucl. Acids Res. 25, 2532.
8. Eads, C.A. et al. (2000) MethyLight: a high-throughput assay to measure DNA
methylation. Nucl. Acids Res. 28, e32.

10

www.qiagen.com

QIAGEN
Ordering Information
Product

Contents

Cat. no.

EpiTect Methyl II PCR Arrays

Biological pathway- or disease-focused panels of promoter methylation
assays

Varies*

EpiTect Methyl II Custom PCR Arrays

Custom panels of promoter methylation assays

Varies*

EpiTect Methyl II PCR Primer Assays

qPCR primers for individual genes

Varies*

EpiTect Methyl II DNA Restriction Kit

Enzymes and buffer for up to 12 samples

RT SYBR Green qPCR Master Mixes

Instrument-specific qPCR master mixes in several sizes

2

335452
Varies*

*Visit http://www.sabiosciences.com/dna_methylation_array.php to view individual catalog numbers for these products.

Visit www.sabiosciences.com/dna_methylation.php to learn more!
For up-to-date licensing information and product-specific disclaimers, see the respective QIAGEN kit handbook or user manual.
QIAGEN kit handbooks and user manuals are available at www.qiagen.com or can be requested from QIAGEN Technical Services
or your local distributor.
Purchaser agrees that use of this product and data therefrom is limited solely to the purchaser and for only the purchaser’s own internal
molecular biology research applications (“Permitted Use”), and shall not be re-sold or used for any other purposes (all of which are
expressly prohibited), including without limitation diagnostic purposes, uses that could require regulatory approval for diagnostics from
an agency of any government or regulatory entity anywhere in the world, diagnosis, prevention, or treatment of disease, and the right
to perform commercial services of any kind, including without limitation, reporting the results of purchaser’s activities, including without
limitation, for a fee or other commercial consideration. Except for the Permitted Use, no rights, titles, or interests in or to any tangible
or intangible property rights are conveyed or shall be deemed conveyed by implication, estoppel or otherwise. The performance
characteristics of the product other than for the Permitted Use are unknown.
The EpiTect Methyl II PCR Arrays use MethylScreen™ technology provided under license from Orion Genomics LLC.

Trademarks: QIAGEN®, EpiTect®, Pyrosequencing® (QIAGEN Group); BeadChip®, Illumina®, Infinium®, (Illumina Inc.); Excel®, Microsoft® (Microsoft Corporation); MethylScreen™ (Orion Genomics LLC); SYBR® (Life Technologies Corporation).
1071015 03/2012 © 2012, QIAGEN, all rights reserved.

www.qiagen.com
www.SABiosciences.com
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Wp adna epi_tectmethyl2

  • 1. Scientific article EpiTect Methyl II PCR Array System: A simple tool for screening regional DNA methylation of a large number of genes or samples without bisulfite conversion Qiong Jiang, Chun-Xiang Liu, Xiujing Gu, Geoffrey Wilt, Jonathan Shaffer, Ying Zhang, and Vikram Devgan QIAGEN, 6951 Executive Way, Frederick, MD 21703 Abstract: The EpiTect® Methyl II PCR Array System is a novel technology enabling simple, fast, and reliable screening of CpG island DNA methylation for a large number of genes or samples simultaneously, using MethylScreenTM technology. The system uses selective digestion of sample DNA with methylation-sensitive and methylation-dependent restriction enzymes, followed by quantification of the remaining DNA by real-time PCR. The relative amounts of differentially methylated DNA species from the targeted regions are determined with a comparative ΔCT calculation. As little as 2 µg genomic DNA can be used to profile the methylation status of up to 94 gene targets, and methylated DNA can be reliably detected in heterogeneous samples in amounts as low as 6% of the total sample. This technology yields data comparable to bisulfite Sanger sequencing and Illumina® Infinium® BeadChip® assays, without bisulfite conversion. Here we present the basic principles of the EpiTect Methyl II PCR System, along with performance, verification, and application data to demonstrate its robust potential for methylation profiling in various biological systems and for screening of DNA methylation biomarkers. Introduction Epigenetic mechanisms, including DNA methylation and histone modifications, can modify gene expression patterns without changing the DNA sequence. Gene silencing via Contents methylation of gene promoters is a well-known occurrence in Introduction ........................................................ 1 neoplastic cells and also plays important roles in normal cell differentiation and development (1). This process occurs almost exclusively in the context of CpG dinucleotides and involves the Principle ............................................................ 2 Target site selection and primer design ................. 3 covalent attachment of a methyl group to the cytosine residue. Performance data ............................................... 4 Approximately 60–70% of all human gene promoters overlap PCR amplification efficiency and specificity ....... 4 with CpG islands, which are regions of DNA with an elevated Enzyme digestion efficiency ............................. 5 GC content and a high frequency of CpG sites (2). Most highly expressed genes seem to correlate with unmethylated promoter regions, despite the high percentage of GC content in their promoter regions. Sensitivity ...................................................... 5 Reproducibility ............................................... 5 Reliability ...................................................... 7 Application Data ................................................ 9 Several technologies have been developed for the quantitative and qualitative analysis of DNA methylation status. The most commonly used methods involve pretreating DNA with sodium bisulfite, a very powerful and versatile technique in which Summary............................................................ 10 References ......................................................... 10
  • 2. unmethylated cytosines are converted to uracils, while methylated cytosines remain unchanged. Subsequent analysis of the bisulfite converted DNA can easily provide extremely high-resolution information about the methylation status of a DNA segment. Such techniques include methylation-specific PCR (3), high resolution melting (HRM) analysis, bisulfite sequencing (4), Pyrosequencing® (5), next-generation sequencing (6), combined bisulfite restriction analysis (COBRA) (7), fluorescence-based real-time MethyLight PCR (8), matrix-assisted laser desorption/ionization time-of-flight mass spectrometry (MALDI-TOF MS) (9), and hybridizationbased promoter and CpG island microarrays. Although these technologies can provide very high-resolution methylation data, they are not all well-suited for higher throughput applications. The EpiTect Methyl II PCR Array System takes methylation analysis to a biology-focused level that is also affordable. This innovative technology enables fast and reliable DNA methylation profiling of target regions from disease- or pathway-focused gene panels, as well as individual genes, without the need for bisulfite modification or specialized equipment. This technology is based on a simple restriction enzyme digest followed by quantitative SYBR® Green real-time PCR (10). As a result, the EpiTect Methyl II PCR system is a highly suitable screening tool for DNA methylation profiling and potential biomarker discovery in a range of scientific fields, including transcription regulation, stem cell research, cell differentiation and development, drug discovery, angiogenesis, cancer, and other human diseases. The EpiTect Methyl II PCR System allows for simultaneous DNA methylation profiling of multiple genes in convenient 96-well or 384-well formats. Profiling biological DNA samples with these arrays allows the correlation of CpG island methylation levels with biological phenotypes, and the results can provide insight into the molecular mechanisms and biological pathways critical for disease development. Each individual PCR assay on a PCR array is uniquely designed for use in SYBR Green real-time PCR analysis, and its specificity is guaranteed when used with RT2 SYBR Green qPCR Master Mixes. Furthermore, QIAGEN® offers these predesigned assays for various mammalian genomes, including human, mouse, and rat. The simplicity of the procedure makes it possible to screen the methylation status of many individual genes within a biological pathway in a large number of samples in just a single day. Principle The EpiTect Methyl II PCR procedure is based on the quantitative detection of remaining input DNA within a sample population after treatment with a methylation-sensitive (MSRE) and a methylation-dependent (MDRE) restriction enzyme (11, 12). Each DNA sample is divided into four fractions for four different restriction enzyme digestions: no-enzyme mock (Mo), methylation-sensitive (Ms), methylation-dependent (Md), and methylation-sensitive plus methylation-dependent double (Msd). In principle, the MSRE selectively digests unmethylated and partially methylated DNA copies, since cleavage is blocked when the cytosine residue in CpG dinucleotides within its recognition site is methylated. Consequently, the amount of DNA remaining in this reaction represents the fraction of fully methylated DNA within the sample population. In contrast, the fraction of unmethylated DNA is determined by the MDRE digest. This methylation-dependent enzyme requires two methylated halfsites, which are usually separated by 40 to 3000 base pairs, for cleavage. Therefore, the fraction of input DNA remaining after MDRE treatment indicates the amount of unmethylated DNA. The amount of remaining input DNA in each digest is then normalized to the total amount of input DNA, which can be easily assessed by the mock-treated DNA fraction. The relative amounts of methylated and unmethylated DNA within a heterogeneous sample can be determined using a comparative threshold (∆CT) method (10). Using the same target region primer set in each of the four enzyme reactions minimizes any calculation bias that could arise from variations in PCR efficiencies. Additionally, the relative amount of partially methylated DNA can be derived from the assumption that all fractions will add up to 100% of the total input DNA. The double digest reaction determines the fraction of input DNA that is not susceptible to digestion by the restriction enzymes. The difference in CT values between the double digest and the mock reactions represents the analytical window of the assay. On our free, downloadable Microsoft® Excel® based data analysis template, results are simply displayed as percentage of unmethylated fraction (UM) and methylated fraction (M), which includes both the fully methylated and partially methylated fractions. A schematic view of the EpiTect Methyl II PCR Array procedure is depicted in Figure 1. After isolation, 1 µg of genomic DNA is used to set up the four independent restriction enzyme digests, which are incubated at 37°C for 6–16 hours. Immediately after incubation, the restriction enzymes are heat-inactivated at 65°C for 20 minutes, and the digests are mixed with QIAGEN’s ready- 2 www.qiagen.com QIAGEN
  • 3. to-use RT2 SYBR Green qPCR Master Mix and are dispensed into Final results a PCR array plate containing pre-aliquoted gene-specific primers. After running the real-time PCR, CT values for each reaction can Example # Input genomic DNA Unmethylated (UM) Methylated (M) 1 100% 0% 2 60% 40% 3 0% 100% 4 0% be calculated. The real-time PCR quantifies the relative amount of DNA remaining after each enzyme digestion, so the methylation status of individual genes and the methylation profile across a gene panel can be reliably and easily calculated using the data analysis template. Isolate DNA sample Incubate with restriction enzymes No Methylation- Methylationenzyme sensitive dependent enzyme (Mo) enzyme (Ms) (Md) MSRE and MDRE (Msd) SEC Mix remaining DNA with SYBR® Green qPCR Mastermix Mo DEC Ms Add to array Figure 2. Pictorial explanations of results. EpiTect Methyl II PCR Assays and Arrays provide gene methylation status as percentage unmethylated (UM) and percentage methylated (M) fraction of input DNA. Few representative examples are shown. Each horizontal bar represents the targeted region of a gene from one genome. Biological samples usually contain many genomes derived from many cell types. For simplicity, five such genomes are depicted. Light and dark circles represent unmethylated and methylated CpG sites, respectively. In example 2, the targeted region of a gene has two or more methylated CpG sites in two out of five genomes. Thus, the EpiTect Methyl II PCR Assay data reveal that this gene is 60% unmethylated and 40% methylated. Md Msd Real-time PCR Methylated Unmethylated 100 % Total input DNA 100% (fully methylated) 80 60 Analyze data 40 Target site selection and primer design 20 HIC1 MGMT ESR1 GSTP1 CDKN2A CDKN2A CDKN1C CDH1 CDH13 BRCA1 CCNA1 CCND2 ADAM23 0 Most biologically relevant changes in DNA methylation are known to occur at multiple CpG sites simultaneously, rather Figure 1. Flowchart of the EpiTect Methyl II PCR System procedure. The system relies on the differential cleavage of target sequences by 2 different restriction endonucleases. After various steps, the enzyme reactions are mixed with a qPCR master mix and are dispensed into a PCR plate containing pre-dispensed primer mixes. Real-time PCR allows the quantification of the relative amounts of remaining input DNA in each reaction. than at single sites, suggesting that a regional analysis may better represent the methylation status of a CpG island within a region of interest (2, 13, 14) than an analysis of single sites. In addition, the average methylation level has been shown to be bimodally distributed, with an enrichment of highly methylated EpiTect Methyl II PCR Assay and Array results express a and unmethylated sequences (2, 13, 14). It has been shown target’s methylation status as percentage unmethylated (UM) and that approximately 60% of the analyzed CpG islands were percentage methylated (M) fraction of input DNA. A pictorial unmethylated, roughly 20% were fully methylated (2, 13, explanation of the results is depicted in Figure 2, in which “UM” 14), and the remaining 20% were intermediately methylated. represents the percentage of input genomic DNA containing no In designing the EpiTect Methyl II PCR Assays, we include methylated CpG sites in the targeted region of a gene, and “M” CpG islands or CpG-dense areas associated with a gene’s represents the percentage of input genomic DNA containing two transcription start site (TSS), and the region from 5 kb upstream or more methylated CpG sites in the targeted region of a gene. to 3 kb downstream of the TSS. CpG island predictions and TSS The number of CpG sites methylated in a targeted region can definitions are based on data available from the UCSC Genome vary within the fraction of methylated input DNA. Bioinformatics Site (15). According to the CpG islands predicted by UCSC’s human genome assembly version hg19, which is EpiTect Methyl II PCR System www.qiagen.com 3
  • 4. comparable to the NCBI 37 genome build, 70% of CpG islands A sit on TSSs and can be referred to as promoter CpG islands. 140 Currently QIAGEN offers EpiTect Methyl II PCR Assays for most 120 and rat genomes. Each target region is selected within one CpG island or CpG-dense area predicted from both the UCSC database and published data with functional annotation. In order to use a universal PCR condition for amplifying up to 94 different PCR Efficiency (%) promoters associated with CpG islands in the human, mouse, 100 80 60 40 targets simultaneously, we developed a unique algorithm for human mouse 20 primer design. Our design algorithm also ensures that every 0 amplicon contains sufficient cutting sites for both the methylation- 0 sensitive and methylation-dependent restriction enzymes. As a 200 300 400 500 Amplicon length in bp result, the length of most target amplicons ranges from 150–440 base pairs, with an average amplicon size of 240 base pairs. 100 B 4 Performance data Amplification plot PCR amplification efficiency and specificity PCR conditions for EpiTect Methyl II PCR Assays have been extensively optimized in combination with QIAGEN’s RT2 SYBR Green Real-Time qPCR Master Mixes to guarantee maximum performance. Our unique PCR conditions also ensure proper Fluorescence (dRn) 3 PCR amplification efficiency in the presence of highly methylated 2 1 templates. 0 In Figure 3A, the PCR efficiency was plotted against the amplicon 2 4 6 8 10 12 14 16 18 20 22 24 26 28 30 32 34 36 38 40 length in base pairs for 380 mouse and 380 human EpiTect Cycles Methyl II PCR Assays. This plot demonstrates that under our amplification conditions, PCR efficiency is not dependent on C 3000 the length of the amplicon. The amplification efficiency was calculated using the amplification plots generated during real- Dissociation curve throughout the linear phase of the amplification according to the DART method (16). In general, only a small fraction of first round primer assays had amplification efficiencies of less than 80%. Since our quality control criteria require that all assays have amplification efficiency greater than 80%, any assay outside this Fluorescence (-R'(T)) time PCR (Figure 3B) and analyzing the change in fluorescence 2000 1000 cutoff is redesigned. We also carefully analyzed the dissociation curves of the same amplicons to ensure that only a single peak 0 was produced per amplicon (Figure 3C). These results clearly demonstrate the high efficiency of PCR and the specificity of the 56 58 60 62 64 66 68 70 72 74 76 78 80 82 84 86 88 90 92 94 primer assays. Temperature (ºC) Figure 3. PCR amplification efficiency and specificity of the EpiTect Methyl II PCR System. A The amplification efficiency was plotted against amplicon length in base pairs for 380 mouse and 380 human EpiTect Methyl II PCR Assays. B Examples of amplification curves and C corresponding dissociation curves. The results clearly demonstrate high PCR efficiency and specificity of the primer assays. 4 www.qiagen.com QIAGEN
  • 5. Enzyme digestion efficiency Methylated The success of the EpiTect Methyl II PCR System depends upon 100 the cutting efficiencies of the MSRE and the MDRE. Specific 80 methylation-dependent enzyme control (DEC) — are included in EpiTect Methyl II PCR Arrays to ensure high cutting efficiency of both enzymes. The 5X Restriction Digestion Buffer included in the EpiTect Methyl II DNA Restriction Kit (cat. no. 335452) is 90 % Total input DNA controls — methylation-sensitive enzyme control (SEC) and Unmethylated 70 60 50 40 30 20 10 0 spiked with in-house produced and quality-controlled completely 100.0 methylated plasmid DNA and completely unmethylated plasmid 75.0 50.0 33.3 12.5 6.3 0.0 % SKBR3 genomic DNA DNA. Each plasmid has specific enzyme-sensitive target regions flanked by unique primer regions. SEC- and DEC-specific primers are included in each PCR array and are also available as individual primer assays. To ensure high DNA digestion efficiency and to pass quality control, the difference in CT values between the methylation-sensitive and mock digests should be equal to or greater than 4 (∆CT (Ms – Mo) ≥ 4) for the SEC. Likewise, the difference in CT values between the methylationdependent and mock digests should be equal or greater than 4 (∆CT (Md – Mo) ≥ 4) for the DEC. To “pass” quality control means more than 93.6% of control plasmid DNA in the 5X Restriction Digestion Buffer was digested, confirming that the restriction enzyme is active and can digest DNA efficiently. Once the DNA is digested and the PCR is complete, the resulting CT values are pasted into the data analysis spreadsheet to obtain “pass” or “fail” results for SEC and DEC. Reproducibility The reproducibility of EpiTect Methyl II PCR Assays was demonstrated by simultaneously measuring the methylation status of 22 human gene promoter regions in a custom array. The experiment was performed using the same batch of genomic DNA from breast cancer cell line MCF-7 and was repeated 4 times to generate technical replicates. Figure 5 (panels A through D) depicts the actual CT values for the four restriction enzyme reactions (Mo, Ms, Md and Msd) and shows the high reproducibility between CT values for the same gene across four independent experiments. When comparing the CT values of the Sensitivity The analytical sensitivity of the EpiTect Methyl II PCR Assay was empirically determined by spiking genomic DNA from the breast cancer cell line SKBR3 into normal genomic DNA from peripheral blood leukocytes (Figure 4). In this test, the methylation status of HIC-1 was determined using an EpiTect Methyl II PCR Assay, and the experiment was performed in triplicate. The HIC-1 gene has been previously described as a candidate tumor suppressor gene that is silenced by promoter methylation, and it is generally methylated in various human cancers, including breast cancer (17). As shown in Figure 4, the methylated HIC-1 is reliably detected in the DNA mixture, down to as low as 6% of total DNA. Similar results were obtained with 5 other genes. These results demonstrate the high sensitivity and specificity of the EpiTect Methyl II PCR Assay in a heterogeneous DNA population. EpiTect Methyl II PCR System Figure 4. Methylation detection in heterogeneous samples. The analytical sensitivity of the EpiTect Methyl II PCR Assay was tested using a serial dilution of SKBR3 cell line genomic DNA and peripheral blood leukocyte genomic DNA. Using the EpiTect Methyl II PCR Assay for human HIC1, the percentage of methylated HIC1 relative to the total amount of input DNA was detectable in each mixture, even down to only 6% of the total DNA sample. The HIC1 gene promoter is methylated in cancer cells and unmethylated in normal cells. double digest, we observe a higher variation between replicates, which is not unexpected, since the remaining amount of template DNA in the double digest reaction is minimal, and results in an increase of the CT values outside the linear range of a PCR. In all four experiments, the calculated fraction of methylated and unmethylated DNA per gene is similar, as shown in Figure 5E. A repeated measures one-way ANOVA (analysis of variance) test showed that the means of the groups among 4 independent experiments are not significantly different, with a P-value greater than 0.05. Similar results were obtained for a second human catalog array (data not shown). More importantly, unmethylated and methylated genes are consistently detected by the EpiTect Methyl II PCR Array. www.qiagen.com 5
  • 6. 18.00 1 2 3 4 5 6 7 8 9 10 11 12 A 42.00 CT Values Mo reaction Genes 36.00 sample 1 sample 2 sample 3 sample 4 30.00 24.00 18.00 1 B 2 3 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 12 13 14 15 16 17 18 19 20 21 22 12 13 14 15 16 17 18 19 20 21 22 12 13 14 15 16 17 18 19 20 21 22 Genes 42.00 sample 1 CT Values Ms reaction 4 sample 2 sample 3 sample 4 36.00 30.00 24.00 18.00 C 2 3 4 5 6 7 8 9 10 11 Genes 42.00 CT Values Md reaction 1 36.00 sample 1 sample 2 sample 3 sample 4 30.00 24.00 18.00 D 2 3 4 5 6 7 8 9 10 11 Genes 42.00 CT Values Msd reaction 1 36.00 sample 1 sample 2 sample 3 sample 4 30.00 24.00 18.00 1 2 3 4 5 6 7 8 9 10 11 Genes sample 1 6 sample 2 sample 3 sample 4 www.qiagen.com QIAGEN 13
  • 7. E UM M Percent of total input DNA (%) 120 100 80 60 40 20 TP 73 0D 0C TN FR SF 1 1 TN FR SF 1 IT 2 TH BS SL SF N A RD RA SS F1 S2 PY C PT G PT EN M 2 M T PR D 1 IC M G H P1 C G ST ES R1 13 DK N 1C 1 DH DH C D2 C C A1 C N 1 A C N C C BR C DK N 2A 0 Figure 5. Reproducibility of EpiTect Methyl II PCR Assays. The reproducibility was tested with four technical replicates using a human custom array of 22 promoter region assays. Actual CT values for the Mo A , Ms B , Md C , and Msd D reactions are represented. The difference in CT values between the Mo reaction and the Msd reaction represents the analytical window of the assay. The percent methylated and unmethylated target DNA is calculated based on the CT values as described in the EpiTect Methyl II PCR Assay Handbook and is represented as the mean plus or minus the standard error E . M: methylated; UM: unmethylated. Reliability To verify the reliability of the EpiTect Methyl II PCR System, we carried out parallel comparisons of this method with bisulfite Sanger sequencing and Infinium BeadChip experiments. It has been previously demonstrated that the promoter regions of the CDH13 gene are aberrantly methylated in breast cancer (18, 19). The methylation status of CDH13 in the breast cancer cell line MB231 and cervical cell line HeLa was measured using EpiTect Methyl II PCR Assays, according to the procedure in the handbook. The calculated fractions of methylated and unmethylated DNA relative to the total amount of input DNA are depicted in Figure 6A. In HeLa cells, our results show that CDH13 is completely unmethylated, whereas in the breast cancer cell line MB231, CDH13 is > 99% methylated. A B Unmethylated Clones Methylated 100 % Total input DNA 80 CpG 60 40 20 0 Bisulfite conversion EpiTect Methyl II PCR Array HeLa EpiTect Methyl II PCR System Bisulfite conversion EpiTect Methyl II PCR Array MB231 CpG HeLa MB231 Figure 6. Comparison with bisulfite Sanger sequencing. The methylation levels in the promoter region of the CDH13 gene were analyzed using either EpiTect Methyl II PCR Assays or bisulfite Sanger sequencing. All steps for the EpiTect Methyl II PCR Assays were performed according to the protocol described in the EpiTect Methyl II PCR Assay Handbook A . For bisulfite sequencing, genomic DNA was bisulfite converted and amplified with gene-specific methylation-independent primers that included the amplicon region designed for the EpiTect Methyl II PCR Assay. PCR products were purified and sub-cloned, and 16 colonies for each gene in each cell line were sequenced B . M: methylated; UM: unmethylated. Open circles [ ] indicate unmethylated CpG sites, while closed circles [ ] indicate methylated CpG sites. www.qiagen.com 7
  • 8. EpiTect Methyl II PCR Array Illumina Infinium 1.2 Methylated DNA/total input DNA 1 0.8 0.6 0.4 0.2 T1 D IS TW C 10 SF 10 FR TN TN FR K P3 SF M TI 1 SY P1 F1 K1 ST RB RB RA SS D RA AR C G S2 PY L1 PT AG 1 R2 PL PE T M SX M G P1 M 6 ST G 2 FR ST C H C 1B DX C A N C DK AL C C BR C A1 0 Target gene Figure 7. EpiTect Methyl II PCR Arrays generate data comparable to that from BeadChip platforms. EpiTect Methyl II PCR Array and Illumina Infinium Human Methylation 27 BeadChip assays were performed on MCF-7 cells. A representative analysis of 22 genes is shown. For better comparison, results from the EpiTect Methyl PCR Array were converted to averaged beta values, in which 0 means completely unmethylated and 1 means completely methylated. These results were verified by performing bisulfite Sanger For comparing our method with the Infinium BeadChip, we sequencing analysis of a region that includes the complete analyzed a panel of 94 breast cancer targets in MCF-7 cells with EpiTect Methyl II PCR target amplicon for CDH13. In this an EpiTect Methyl II PCR Array. In parallel, the MCF-7 cells were experiment, 1 µg of genomic DNA from each of the three cell also analyzed with an Illumina Infinium Human Methylation27 lines was bisulfite converted and then amplified with methylation- BeadChip, with 27,578 distinct CpG dinucleotides associated independent primers specific for the CDH13 target regions. The with 14,000 genes, according to the manufacturer’s protocol. The PCR products were subsequently gel-purified and subcloned, and BeadChip methylation assays provide the methylation status as 16 colonies for each gene in each cell line were sequenced. averaged beta values, so for a better comparison, we converted The actual bisulfite sequencing data is outlined in Figure 6B. the data from the EpiTect Methyl II PCR Array to an averaged The target region analyzed included 23 CDH13-associated beta value, where 0 means completely unmethylated and 1 CpG sites. The methylation density was calculated by dividing means completely methylated. A representative comparison of the total amount of methylated CpG sites by the total amount of 22 genes is shown in Figure 7. The methylation pattern of the CpG sites. In order to compare them side by side, we defined panel of genes observed with the EpiTect Methyl II PCR Array was the methylation status of any given DNA clone with more than consistent with that observed with the BeadChip assay. Only a 20% of the CpG dinucleotides modified by a methyl group as small percentage of targets displayed some degree of difference “methylated” and others as “unmethylated”. As shown in Figure between the two methods, as indicated by TNFRSF10C in Figure 6B, the unmethylated status of CDH13 in the HeLa cell line was 7. This is not unexpected, considering that the principles for these rather clear, since none of the CpG dinucleotides are methylated. two methods differ significantly. Only a single CpG dinucleotide However, CDH13 was methylated in the MB231 cell line (Figure is chosen to represent each target for most BeadChip assays, 6B). These data clearly indicate that EpiTect Methyl II PCR Assays while EpiTect Methyl II PCR Arrays screen for multiple CpG sites can yield results highly consistent with those obtained from simultaneously in a regional analysis. bisulfite sequencing. 8 www.qiagen.com QIAGEN
  • 9. Application data In order to demonstrate that EpiTect Methyl II PCR Arrays can be used for verification of methylation biomarkers, we first scanned MCF7-3 Vcap SKBR3-1 MB231 ZR-75-30 ZR-75-1 UACC812 methylation target regions. We then analyzed the methylation T-47D All PCR amplicons were designed based on reported promoter UACC893 Normal cancer (www.sabiosciences.com/dna_methylation_array.php). MDA-MB-415 panel of the 94 most frequently methylated genes in human breast MDA-MB-4355 published results to design a custom PCR array representing a TGFB1 profile of this gene panel in 10 different breast cancer cell lines, ESR1 CDKN2A 1 prostate cancer cell line (VCaP), and normal adult breast tissue. RASSF1 For each sample, 2 µg genomic DNA was used for 4 digestion RB1 reactions (Mo, Ms, Md, and Msd). All further steps were performed according to the protocol described in the EpiTect Methyl II PCR Array Handbook. The results shown in Figure 8 further strengthen the correlation of the selected 94-gene panel with breast cancer. The unsupervised hierarchical clustering clearly demonstrates that the differential methylation patterns of the candidate genes among the various cell lines might be useful for molecular classification or disease stratification for diagnosis and/or prognosis analysis when HS3ST3B1 combined with clinical data. Furthermore the results revealed HS3ST2 unmethylated genes like TGFβ1, ESR1, and RB1 across most CXCL12 CADM1 of the tested cancer cell lines, as well as methylated genes like MSX1 MUC2 (20), HIC1 (17), and MSX1 (21). SFRP1 TNFRSF10D MUC2 HIC1 Magnitude of methylation levels 0% 50% 100% Figure 8. Hierarchical cluster analysis of methylation levels in cancer cell lines. Genomic DNA from 10 breast cancer cell lines and 1 prostate cancer cell line (VCaP) was isolated and analyzed with the EpiTect Methyl II PCR Arrays. This heat map compares the methylation levels of the 96 genes represented in the Human Breast Cancer EpiTect Methyl II Array. EpiTect Methyl II PCR System www.qiagen.com 9
  • 10. Summary The EpiTect Methyl II PCR System is highly suited for methylation 9. Ehrich, M. et al. (2005) Quantitative high-throughput analysis of DNA status screening for large numbers of genes or samples in a methylation patterns by base-specific cleavage and mass spectrometry. Proc. Natl. pathway-focused manner, for both basic research applications Acad. Sci. USA 102, 15785. and biomarker screening. While still delivering similar results 10. Ordway, J.M. et al. (2006) Comprehensive DNA methylation profiling in a and sensitivity, the simple procedure is considerably faster and human cancer genome identifies novel epigenetic targets. Carcinogenesis 27, easier, and is more amenable to higher throughput applications 2409. than bisulfite Sanger sequencing and other commonly used 11. Sutherland, E., Coe, L.., and Raleigh, E. (1992) McrBC: a multisubunit GTP- methods. The DNA methylation status of a target region can be dependent restriction endonuclease. J. Mol. Biol. 225, 327. consistently and reliably detected by the EpiTect Methyl II PCR System, even at very low levels within heterogeneous samples. 12. Stewart, F., and Raleigh, E. (1998) Dependence of McrBC cleavage on distance between recognition elements. Biol. Chem. 379, 611. In addition to the significant time savings, since no subcloning and sequencing are required, the EpiTect Methyl II PCR System provides the following benefits: 13. Elango, N., and Yi, S.V. (2008) DNA methylation and structural and functional bimodality of vertebrate promoters. Mol. Biol. Evol. 25, 1602. 14. Zhang, Y. et al. (2009) DNA methylation analysis of chromosome 21 „„ Simple, fast, and reliable: results comparable to bisulfite Sanger sequencing in just 3 easy steps, without bisulfite conversion gene promoters at single base pair and single allele resolution. PLoS Genet. 5, e1000438. „„ Pathway-focused: simultaneous profiling of DNA methylation patterns of gene panels specifically relevant to human diseases and biological pathways „„ Fully customizable arrays: genomewide coverage for multiple mammalian genomes for all your candidate genes 15. Gardiner-Garden, M., and Frommer, M. (1987) CpG islands in vertebrate genomes. J. Mol. Biol. 196, 261. 16. Peirson, S.N., Butler, J.N., and Foster, R.G. (2003) Experimental validation of novel and conventional approaches to quantitative real-time PCR data analysis. Nucl. Acids Res. 31, e73. 17. Fujii, H. et al. (1998) Methylation of the HIC-1 candidate tumor suppressor References gene in human breast cancer. Oncogene 16, 2159. 1. Esteller, M. (2007) Epigenetic gene silencing in cancer: the DNA hypermethylome. Hum. Mol. Genet. 16, R50. 18. Hoque, M. et al. (2009) Changes in CpG islands promoter methylation patterns during ductal breast carcinoma progression. Cancer Epidemiol. Biomarkers Prev. 2. Weber, M. et al. (2007) Distribution, silencing potential and evolutionary impact of promoter DNA methylation in the human genome. Nat. Genet. 39, 457. 18, 2694. 19. Paredes, J. et al. (2005) P-cadherin overexpression is an indicator of clinical 3. Herman, J.G., Graff, J.R., Myöhänen, S., Nelkin, B.D., and Baylin, S.B. (1996) Methylation-specific PCR: a novel PCR assay for methylation status of CpG islands. Proc. Natl. Acad. Sci. USA 93, 9821-9826. outcome in invasive breast carcinomas and is associated with CDH3 promoter hypomethylation. Clin. Cancer Res. 11, 5869. 20. Vincent, A. et al. (2007) Epigenetic regulation (DNA methylation, histone 4. Frommer, M. et al. (1992) A genomic sequencing protocol that yields a positive display of 5-methylcytosine residues in individual DNA strands. Proc. Natl. Acad. Sci. USA 89, 1827. modifications) of the 11p15 mucin genes (MUC2, MUC5AC, MUC5B, MUC6) in epithelial cancer cells. Oncogene 26, 6566. 21. Brena, R.M., Plass, C., and Costello, J.F. (2006) Mining methylation for early 5. Shames, D.S., Minna, J.D., and Gazdar, A.F. (2007) Methods for detecting detection of common cancers. PLoS Med. 3, e479. DNA methylation in tumors: From bench to bedside. Cancer Lett. 251,187. 6. Taylor, K.H. et al. (2007) Ultradeep bisulfite sequencing analysis of DNA methylation patterns in multiple gene promoters by 454 sequencing. Cancer Res. 67, 8511. 7. Xiong, Z., and Laird, P.W. (1997) COBRA: a sensitive and quantitative DNA methylation ssay. Nucl. Acids Res. 25, 2532. 8. Eads, C.A. et al. (2000) MethyLight: a high-throughput assay to measure DNA methylation. Nucl. Acids Res. 28, e32. 10 www.qiagen.com QIAGEN
  • 11. Ordering Information Product Contents Cat. no. EpiTect Methyl II PCR Arrays Biological pathway- or disease-focused panels of promoter methylation assays Varies* EpiTect Methyl II Custom PCR Arrays Custom panels of promoter methylation assays Varies* EpiTect Methyl II PCR Primer Assays qPCR primers for individual genes Varies* EpiTect Methyl II DNA Restriction Kit Enzymes and buffer for up to 12 samples RT SYBR Green qPCR Master Mixes Instrument-specific qPCR master mixes in several sizes 2 335452 Varies* *Visit http://www.sabiosciences.com/dna_methylation_array.php to view individual catalog numbers for these products. Visit www.sabiosciences.com/dna_methylation.php to learn more! For up-to-date licensing information and product-specific disclaimers, see the respective QIAGEN kit handbook or user manual. QIAGEN kit handbooks and user manuals are available at www.qiagen.com or can be requested from QIAGEN Technical Services or your local distributor. Purchaser agrees that use of this product and data therefrom is limited solely to the purchaser and for only the purchaser’s own internal molecular biology research applications (“Permitted Use”), and shall not be re-sold or used for any other purposes (all of which are expressly prohibited), including without limitation diagnostic purposes, uses that could require regulatory approval for diagnostics from an agency of any government or regulatory entity anywhere in the world, diagnosis, prevention, or treatment of disease, and the right to perform commercial services of any kind, including without limitation, reporting the results of purchaser’s activities, including without limitation, for a fee or other commercial consideration. Except for the Permitted Use, no rights, titles, or interests in or to any tangible or intangible property rights are conveyed or shall be deemed conveyed by implication, estoppel or otherwise. The performance characteristics of the product other than for the Permitted Use are unknown. The EpiTect Methyl II PCR Arrays use MethylScreen™ technology provided under license from Orion Genomics LLC. Trademarks: QIAGEN®, EpiTect®, Pyrosequencing® (QIAGEN Group); BeadChip®, Illumina®, Infinium®, (Illumina Inc.); Excel®, Microsoft® (Microsoft Corporation); MethylScreen™ (Orion Genomics LLC); SYBR® (Life Technologies Corporation). 1071015 03/2012 © 2012, QIAGEN, all rights reserved. www.qiagen.com www.SABiosciences.com Australia n 1-800-243-066 Austria n 00800-22448000 Belgium n 00800-22448000 Brazil n 0800-557779 Canada n 0800-362-7737 China n 0800-988-0325 Denmark n 00800-22448000 Finland n 00800-22448000 France n 00800-22448000 Germany n 00800-22448000 Ireland n 00800-22448000 Italy n 00800-22448000 Japan n 03-5632-9610 Luxembourg n 00800-22448000 Mexico n 01-800-7742-436 Netherlands n 00800-22448000 Norway n 00800-22448000 Singapore n 1800-742-4368 Sweden n 00800-22448000 Switzerland n 00800-22448000 UK n 00800-22448000 USA n 1-888-503-3187