[HTML][HTML] Single-stranded DNA library preparation uncovers the origin and diversity of ultrashort cell-free DNA in plasma

P Burnham, MS Kim, S Agbor-Enoh, H Luikart… - Scientific reports, 2016 - nature.com
P Burnham, MS Kim, S Agbor-Enoh, H Luikart, HA Valantine, KK Khush, I De Vlaminck
Scientific reports, 2016nature.com
Circulating cell-free DNA (cfDNA) is emerging as a powerful monitoring tool in cancer,
pregnancy and organ transplantation. Nucleosomal DNA, the predominant form of plasma
cfDNA, can be adapted for sequencing via ligation of double-stranded DNA (dsDNA)
adapters. dsDNA library preparations, however, are insensitive to ultrashort, degraded
cfDNA. Drawing inspiration from advances in paleogenomics, we have applied a single-
stranded DNA (ssDNA) library preparation method to sequencing of cfDNA in the plasma of …
Circulating cell-free DNA (cfDNA) is emerging as a powerful monitoring tool in cancer, pregnancy and organ transplantation. Nucleosomal DNA, the predominant form of plasma cfDNA, can be adapted for sequencing via ligation of double-stranded DNA (dsDNA) adapters. dsDNA library preparations, however, are insensitive to ultrashort, degraded cfDNA. Drawing inspiration from advances in paleogenomics, we have applied a single-stranded DNA (ssDNA) library preparation method to sequencing of cfDNA in the plasma of lung transplant recipients (40 samples, six patients). We found that ssDNA library preparation yields a greater portion of sub-100 bp nuclear genomic cfDNA (p 10− 5, Mann-Whitney U Test), and an increased relative abundance of mitochondrial (10.7 x, p 10− 5) and microbial cfDNA (71.3 x, p 10− 5). The higher yield of microbial sequences from this method increases the sensitivity of cfDNA-based monitoring for infections following transplantation. We detail the fragmentation pattern of mitochondrial, nuclear genomic and microbial cfDNA over a broad fragment length range. We report the observation of donor-specific mitochondrial cfDNA in the circulation of lung transplant recipients. A ssDNA library preparation method provides a more informative window into understudied forms of cfDNA, including mitochondrial and microbial derived cfDNA and short nuclear genomic cfDNA, while retaining information provided by standard dsDNA library preparation methods.
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