Detection of line-1 hypomethylation in cfdna of esophageal adenocarcinoma patients

Elisa Boldrin, Matteo Curtarello, Marco Dallan, Rita Alfieri, Stefano Realdon, Matteo Fassan, Daniela Saggioro

Research output: Contribution to journalArticlepeer-review


DNA methylation plays an important role in cancer development. Cancer cells exhibit two types of DNA methylation alteration: site-specific hypermethylation at promoter of oncosuppressor genes and global DNA hypomethylation. This study evaluated the methylation patterns of long interspersed nuclear element (LINE-1) sequences which, due to their relative abundance in the genome, are considered a good surrogate indicator of global DNA methylation. LINE-1 methylation status was investigated in the cell-free DNA (cfDNA) of 21 patients, 19 with esophageal adenocarcinoma (EADC) and 2 with Barrett’s esophagus (BE). The two BE patients and one EADC patient were also analyzed longitudinally. Methylation status was analyzed using restriction enzymes and DNA amplification. This methodology was chosen to avoid bisulfite conversion, which we considered inadequate for cfDNA analysis. Indeed, cfDNA is characterized by poor quality and low concentration, and bisulfite conversion might worsen these conditions. Results showed that hypomethylated LINE-1 sequences are present in EADC cfDNA. Furthermore, longitudinal studies in BE suggested a correlation between methylation status of LINE-1 sequences in cfDNA and progression to EADC. In conclusion, our study indicated the feasibility of our methodological approach to detect hypomethylation events in cfDNA from EADC patients, and suggests LINE-1 methylation analysis as a new possible molecular assay to integrate into patient monitoring.

Original languageEnglish
Article number1547
Pages (from-to)1-9
Number of pages9
JournalInternational Journal of Molecular Sciences
Issue number4
Publication statusPublished - Feb 24 2020


  • Barrett’s esophagus (BE)
  • CfDNA
  • Esophageal adenocarcinoma (EADC)
  • LINE-1 hypomethylation
  • Liquid biopsy

ASJC Scopus subject areas

  • Catalysis
  • Molecular Biology
  • Spectroscopy
  • Computer Science Applications
  • Physical and Theoretical Chemistry
  • Organic Chemistry
  • Inorganic Chemistry


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