RT Journal Article SR Electronic T1 Ultra high-throughput whole-genome methylation sequencing reveals trajectories in precancerous polyps to early colorectal adenocarcinoma JF bioRxiv FD Cold Spring Harbor Laboratory SP 2022.05.30.494076 DO 10.1101/2022.05.30.494076 A1 Hayan Lee A1 Gat Krieger A1 Tyson Clark A1 Aziz Khan A1 Casey Ryan Hanson A1 Yizhou Zhu A1 Nasim Bararpour A1 Aaron M. Horning A1 Edward D. Esplin A1 Stephanie Nevins A1 Annika K. Weimer A1 Eti Meiri A1 Shlomit Gilad A1 Sima Benjamin A1 Danit Lebanony A1 Nika Iremadze A1 Florian Oberstrass A1 Ariel Jaimovich A1 William Greenleaf A1 James M. Ford A1 Doron Lipson A1 Zohar Shipony A1 Michael P. Snyder YR 2022 UL http://biorxiv.org/content/early/2022/05/30/2022.05.30.494076.abstract AB Aberrant shifts in DNA methylation have long been regarded as an early marker for cancer onset and progression. To chart DNA methylation changes that occur during the transformation from normal healthy colon tissue to malignant colorectal cancer (CRC), we collected over 50 samples from 15 familial adenomatous polyposis (FAP) and non-FAP colorectal cancer patients, and generated 30-70x whole-genome methylation sequencing (WGMS) runs via the novel Ultima Genomics ultra high-throughput sequencing platform. We observed changes in DNA methylation that occur early in the malignant transformation process, in gene promoters and in distal regulatory elements. Among these changes are events of hyper-methylation which are associated with a bivalent “poised” chromatin state at promoters and are CRC-specific. Distal enhancers show nonlinear dynamics, lose methylation in the progression from normal mucosa to dysplastic polyps but regain methylation in the adenocarcinoma state. Enhancers that gain chromatin accessibility in the adenocarcinoma state and are enriched with HOX transcription factor binding sites, a marker of developmental genes. This work demonstrates the feasibility of generating large high quality WGMS data using the Ultima Genomics platform and provides the first detailed view of methylation dynamics during CRC formation and progression in a model case.Competing Interest StatementG.K, T.C., E.M., S.G., S.B., D.Lebanony., F.O, N.I., A.J., D.L. and Z.S. are employees and shareholders of Ultima Genomics. M.P.S. is a cofounder and scientific advisor for Personalis, Qbio, January.ai, Filtricine, Mirvie, Protos and an advisor for Genapsys.