From: The applications of DNA methylation as a biomarker in kidney transplantation: a systematic review
References | Sample tissue | Epigenome-wide, candidate genes, or TSDR methylation status | Bisulfite conversion | Method | Methylation outcome | Statistical tests | Statistical thresholds |
---|---|---|---|---|---|---|---|
IRI, fibrosis, and long-term complications-related studies | |||||||
Mehta et al. [41] | Urine | Candidate Genes (CALCA) | In-house [41] | qPCR (TaqMan, primer: designed for the CALCA gene locus) | Target Gene/β-actin*1000 | Student’s t-test, ANOVA, Wilcoxon rank-sum test, Kruskal–Wallis test to compare mean CALCA values among the study groups, as appropriate | Not Provided |
Bontha et al. [42] | Kidney Biopsy | Epigenome-Wide | EZ DNA methylation kit (Zymo Research) | Infinium HumanMethylation450 BeadChip (Illumina) | β and M values for statistical analysis, no value presented | Moderated Student’s t-test BY-corrected to compare DNAm levels between IFTA and NFA patients, PCA and average linkage hierarchical clustering of DNAm, GE, and miRNA integrated datasets | FDR < 0.01 |
McGuinness et al. [43] | Kidney Biopsy | Epigenome-Wide | EZ DNA methylation kit (Zymo Research) | Whole Genome Bisulfite Sequencing (EpiGnome Methyl‐Seq kit (Illumina) to generate libraries and NextSeq500 (Illumina) for sequencing) | Methylated cytosines within CpG dinucleotides (mCpGs) | Kruskal–Wallis test with FDR correction to compare differences in CpG DNAm status of DGF-specific transcripts among the study groups | FDR < 0.05 |
Heylen et al. [44] | Kidney Biopsy | Epigenome-Wide | EZ DNA methylation kit (Zymo Research) | Infinium MethylationEPIC BeadChip (Illumina) Infinium HumanMethylation450 BeadChip (Illumina) | β and M values for statistical analysis, methylation percentage for visualization | Wilcoxon rank-sum test to compare pre- versus post- ischemia DNAm levels, linear regression to examine the effect of CIT on DNAm of all CpGs in the pre-KT cohort, paired Student’s t-test to examine the effect of CIT on DNAm of CpGs grouped per CGI in the longitudinal cohort, linear mixed model to examine the effect of CIT on DNAm of CpGs grouped per CGI in the pre-KT cohort, binomial tests to compare HrM and HoM events | FDR < 0.05 |
Heylen et al. [45] | Kidney Biopsy | Epigenome-Wide | EZ DNA methylation kit (Zymo Research) | Infinium MethylationEPIC BeadChip (Illumina) Infinium HumanMethylation450 BeadChip (Illumina) | M values for statistical analysis, coefficients based on β values for visualization | Linear regression to examine the effect of age on DNAm, binomial tests to compare HrM and HoM events, linear regression to associate DNAm levels of all age-associated CpGs to histology scores, logistic regression to associated DNAm levels of all age-associated CpGs to reduced allograft function | FDR < 0.05 |
Schaenman et al. [46] | Blood sample (PBMCs) | Epigenome-Wide | EZ DNA methylation kit (Zymo Research) | Infinium MethylationEPIC BeadChip (Illumina) | M values and DNAmAge (Horvath method) | Kaplan–Meier analysis for time-dependent analyses of infection or rejection in relation to DNAmAge, with statistical Gray’s test to evaluate hypotheses of equality of cumulative incidence functions between study groups | p < 0.05 |
Immune response modulation-related studies | |||||||
Bestard et al. [47] | Kidney Biopsy | TSDR methylation status | According to Wieczorek et al. [61] | qPCR (primers according to Wieczorek et al. [61]) | Methylation percentage | One-way ANOVA, t-test, Kruskal–Wallis test, or Mann–Whitney U-test to compare different study groups, as appropriate | p < 0.05 |
Bouvy et al. [48] | Blood sample (PBMCs) | TSDR methylation status | EZ DNA methylation kit (Zymo Research) | qPCR (TaqMan, primers according to Wieczorek et al. [61]) | Methylation percentage | Kruskal–Wallis test (with Dunn’s multiple comparison test) to compare multiple groups and Mann–Whitney U-test to compare different groups or time-points | p < 0.05 |
Braza et al. [49] | Blood sample (PBMCs) | TSDR methylation status | According to Wieczorek et al. [61] | qPCR (primers according to Wieczorek et al. [61]) | Methylation percentage | Kruskal–Wallis test to compare multiple groups | p < 0.05 p < 0.01 p < 0.001 |
Sherston et al. [50] | Blood sample (PBMCs) | TSDR methylation status | EpiTect Bisulfite Kit (Qiagen) | qPCR | Methylation percentage | Not Provided | p < 0.05 |
Boer et al. [51] | Blood sample (PBMCs) | Candidate-genes (PD1 and IFNγ) | EZ DNA methylation kit (Zymo Research) | PCR amplification and pyrosequencing (primers designed for h PD1 and IFNγ genes loci) | Methylation percentage | Student’s t-test, ANOVA, or Mann–Whitney U-test, as appropriate, to compare different groups; linear mixed-effects model to determine differences after KT over time between rejectors and non-rejectors | p < 0.05 |
Trojan et al. [52] | Blood sample (PBLs) | TSDR methylation status | EZ DNA methylation kit (Zymo Research) | qPCR (primers: Human Foxp3 Methylation Panel, EpigenDx) | Methylation percentage | ANOVA, Wilcoxon test, Mann–Whitney U-test, and Spearman rank correlation test to compare different study groups, as appropriate | FDR < 0.01 |
Trojan et al. [53] | Blood sample (PBLs) | TSDR methylation status | EZ DNA methylation kit (Zymo Research) | qPCR (primers: Human Foxp3 Methylation Panel, EpigenDx) | Methylation percentage | Wilcoxon test or Mann–Whitney U-test to compare different study groups, as appropriate | FDR < 0.01 |
Alvarez Salazar et al. [54] | Blood sample (PBMCs) | TSDR methylation status | EZ DNA methylation kit (Zymo Research) | PCR amplification and sequencing (primers’ sequence reported) | Methylation percentage | Kruskal–Wallis test to compare more than 2 different study groups and Mann–Whitney U-test to compare 2 different study groups | p < 0.05 |
Peters et al. [55] | Blood sample (PBMCs) | Epigenome-wide and Candidate Genes validation (RNF180 and ZNF502) | EZ DNA methylation kit (Zymo Research) | Epigenome-wide Infinium HumanMethylation450 BeadChip (Illumina) Candidate Genes confirmation PCR amplification and pyrosequencing (primers designed for the RNF180 and ZNF502 genes loci) | Β values | Linear mixed-effect model to identify DNAm differences between groups, paired Wilcoxon test to compare DNAm levels pre- and post-KT, Mann–Whitney U-test to compare different study groups, and Spearman’s rank correlation coefficient to compare the results of the whole epigenome analysis and the pyrosequencing of candidate genes | p < 0.05 FDR < 0.05 |
Peters et al. [56] | Blood sample (T cells) | Epigenome-wide and Candidate Genes validation (SERPINB9 and VTRNA2-1) | EZ DNA methylation kit (Zymo Research) | Epigenome-wide Infinium HumanMethylation450 BeadChip (Illumina) Candidate Genes confirmation PCR amplification and pyrosequencing (primers designed for the SERPINB9 and VTRNA2-1 loci) | Β values | Linear mixed-effect model to identify DNAm differences between groups, paired Wilcoxon test to compare DNAm levels before and after transplantation, Mann–Whitney U-test to compare different study groups, Spearman’s rank correlation coefficient to compare the results of the whole epigenome analysis and the pyrosequencing of candidate genes | p < 0.05 FDR < 0.05 |
Cortés-Hernández et al. [57] | Blood sample (PBMCs) | TSDR methylation status | EZ DNA methylation kit (Zymo Research) | PCR amplification and Sanger sequencing (primers’ sequence reported) | Methylation percentage | Student’s t-test, Wilcoxon rank-sum test, or Mann–Whitney U-test to compare different study groups, as appropriate, and Kruskal–Wallis test or one-way ANOVA to compare more than 2 different study groups, as appropriate | p < 0.05 |
Zhu et al. [58] | Blood sample (PBMCs) | Epigenome-Wide and Candidate-genes (RUNX3, DDIT4, PTEN, and FOXP3) | EpiTect Bisulfite Kit (Qiagen) | Epigenome-wide Infinium HumanMethylation450 BeadChip (Illumina) Candidate-genes PCR and Next-Generation Sequencing (primers designed for the RUNX3, DDIT4, PTEN, and FOXP3 genes loci) | Methylation percentage | Wilcoxon rank-sum test and array-related software packages to determine methylation-variable positions | FDR < 0.05 |
Soyoz et al. [59] | Blood Sample (PBLs) | Candidate-genes (IL-2 and IFN-γ) | EpiTect Bisulfite Kit (Qiagen) | qPCR and Pyrosequencing (primers designed for the IL-2 and IFN-γ genes loci) | Indicated as increased or decreased | Not provided | Not provided |
Rodriguez et al. [60] | Blood sample (PBMCs) | Epigenome-Wide | EZ DNA methylation kit (Zymo Research) | Infinium MethylationEPIC BeadChip (Illumina) | M values and Β values | Mann–Whitney U-test to compare different study groups | p < 0.05 FDR < 0.05 |