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Cell-free DNA methylomics identify tissue injury patterns in pediatric ARDS
Nadir Yehya, … , Nilam S. Mangalmurti, Wanding Zhou
Nadir Yehya, … , Nilam S. Mangalmurti, Wanding Zhou
Published September 2, 2025
Citation Information: JCI Insight. 2025;10(20):e191684. https://doi.org/10.1172/jci.insight.191684.
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Research Letter Inflammation Pulmonology

Cell-free DNA methylomics identify tissue injury patterns in pediatric ARDS

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Abstract

Authors

Nadir Yehya, Jacob E. Till, Nishi Srivastava, Donglan Zhang, Jason D. Christie, Erica L. Carpenter, Nilam S. Mangalmurti, Wanding Zhou

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Figure 1

Comparing methylation (837 CpG probes) of isolated reference cells, ARDS, and controls.

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Comparing methylation (837 CpG probes) of isolated reference cells, ARDS...
Myeloid cells dominate most profiles, with 2 distinct subgroups: a larger group with mainly granulocytes (potentially NETosis) and a smaller group enriched for monocyte. In 1 CART19-treated patient, a B cell cfDNA signal was observed, consistent with CART-19 targeting B cells. Several patients with ARDS and controls displayed signal from liver cells, suggesting liver damage. A neuron/glial cell signal was detected in 1 sample, potentially reflecting brain injury, and 1 sample exhibited a strong signal from erythrocyte progenitors.

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