Abstract

Decline in episodic memory performance usually causes the first clinical symptoms of Alzheimer’s disease. At present, Alzheimer’s disease can only be diagnosed at a very late stage when neurodegeneration and cognitive impairment is already irreversible. New early disease markers are needed for earlier and more efficient Alzheimer’s disease intervention. To identify early disease markers, we implemented a genome-wide bisulphite sequencing method for the analysis of plasma cell-free DNA methylation profiles and compared differences associated with episodic memory performance in Finnish twin pairs. A noticeable amount of cell-free DNA was present in plasma, however, the amounts as well as the genomic coverage of these fragments varied substantially between individuals. We found no significant markers associated with episodic memory performance in the twins’ plasma cell-free DNA methylation profiles. Furthermore, our results indicate that due to the low genomic coverage of cell-free DNA fragments and the variety in these fragments between individuals, the implemented genome-wide bisulphite sequencing method is not optimal for comparing cell-free DNA methylation differences between large groups of individuals.

Highlights

  • Decline in episodic memory performance usually causes the first clinical symptoms of Alzheimer’s disease

  • The method was piloted by comparing plasma cell-free DNA (cfDNA) methylation differences associated with Episodic memory (EM) performance in Finnish twin pairs

  • CfDNA methylation markers for EM impairment even though several groups have identified DNA methylation differences associated with neurodegenerative diseases in brain tissue and peripheral b­ lood[3,4,5]

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Summary

Introduction

Decline in episodic memory performance usually causes the first clinical symptoms of Alzheimer’s disease. To identify early disease markers, we implemented a genome-wide bisulphite sequencing method for the analysis of plasma cell-free DNA methylation profiles and compared differences associated with episodic memory performance in Finnish twin pairs. Plasma circulating cell-free DNA (cfDNA) methylation marks have emerged as a potential method for monitoring of cancers, rejection of organ transplantation and in prenatal d­ iagnostics[6,7,8] Whether these marks could be utilized to detect dementia is not clear. As cfDNA has been detected to leak into plasma from dying cells in cancers, cfDNA could be leaking to the blood circulation from the degenerating neuronal cells as ­well[9] In this pilot study, our goal was to test and optimize the method for plasma cfDNA methylation sequencing and determine whether cfDNA methylation marks associated with EM performance can be detected in Finnish twin study participants

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