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Table 3 Technologies to analyze specific methylated regions

From: Epigenetics of renal cell carcinoma: the path towards new diagnostics and therapeutics

Method

Key features

Advantages

Disadvantages

Methylation-specific PCR (MSP)

DNA primers are designed to distinguish between methylated or un-methylated DNA. Bisulfite-modified DNA is amplified

Very sensitive; will identify very low levels of methylated DNA in a sample

Very sensitive; easily contaminated; requires further analysis to determine level of methylation present

Combined bisulfite restriction analysis (CoBRA)

Bisulfite-modified DNA is amplified using non-discriminatory primers. PCR product is digested with restriction enzymes that are specific to methylated DNA sequences

Robust detection of methylation; not prone to false positive results

Does not give detailed analysis of region amplified; requires complete bisulfite conversion to prevent PCR bias

Bisulfite sequencing

Bisulfite-modified DNA is amplified using non-discriminatory primers. PCR product is cloned and sequenced

Informative for all CpGs within the region; provides allele-specific methylation information

Laborious

Pyro-sequencing

Bisulfite-modified DNA is amplified using non-discriminatory primers and sequenced using pyro-sequencing technology

Multiple samples can be analyzed in parallel; quantitative

Analysis is restricted by small read sizes