Literature Review

An annotated review of the methods papers and resources behind the analytical roadmap

Literature behind the analytical roadmap

This curated set connects the team’s shared papers to decisions in the study. Reviews orient the field; methods papers justify feasibility; neither substitutes for validation in ulcerative colitis. Publisher and DOI links are used instead of redistributing article PDFs.

Start with the reviews

REVIEW · CONCEPTUAL FOUNDATION

Fragmentomics, methylation, and tissue of origin

Lo and colleagues explain why cfDNA fragment size, end motifs, nucleosome organization, topology, and methylation can reveal aspects of tissue of origin (Lo, Han, Jiang, and Chiu, 2021). It is the clearest foundation for treating the physical fragment and its methylation state as complementary measurements.

Use here: define the feature families and the biological interpretation boundary.

REVIEW · TRANSLATIONAL LANDSCAPE

Fragmentomics in cancer

Tsui, Jiang, and Lo review current fragmentomic features, sequencing and computational approaches, clinical studies, and unresolved standardization questions (Tsui, Jiang, and Lo, 2025).

Use here: prioritize reproducible exploratory outputs; do not transfer cancer classifier performance to UC.

Methods and proof-of-concept papers

Paper What it contributes How it changes this project Main limitation here
EM-seq from low-input DNA (Vaisvila, Ponnaluri, Sun, and others, 2021) Enzymatic methyl sequencing at single-base resolution, including comparisons using cfDNA Supports the assay choice and strict insert-size/library QC Technical performance is not clinical validity
FRAGMA (Zhou, Kang, Jiang, and others, 2022) Links CpG methylation to cfDNA cleavage profiles and end motifs Motivates exploratory fragment-end and methylation-aware summaries Developed in other biological and disease settings
FinaleMe (Liu, Reed, Lo, Choudhury, and others, 2024) Infers methylation and tissue-of-origin signals from cfDNA fragmentation patterns Provides a computational precedent for joint fragmentomic–epigenomic analysis Its WGS model is not automatically transferable to EM-seq data
Plasma cfDNA methylation in SLE (Liu, Wang, Zhang, Pei, and Chen, 2025) Demonstrates genome-wide cfDNA methylation analysis in an inflammatory autoimmune disease Reinforces the need to distinguish inflammation-associated signal from neoplasia SLE biology and the published assay/model differ from UC

Colombian genomics context

The CÓDIGO consortium illustrates the value of local genomics infrastructure, bioinformatics capacity, and ancestry-aware interpretation in Colombia (Mariño-Ramírez, Sharma, Hamilton, and others, 2025). It does not provide a methylation reference panel for this study, but it strengthens the rationale for transparent provenance and locally relevant validation.

Databases and reproducible resources

Read the KEGG explainer → · Read the Reactome explainer →

NoteHow to read this evidence

Evidence from oncology, SLE, or public cancer datasets can support feasibility, select features, and test biological coherence. It cannot directly validate prediction of UC progression. That requires a sufficiently powered, longitudinal, independent cohort.

References

Y. M. Dennis Lo, Diana S. C. Han, Peiyong Jiang, and Rossa W. K. Chiu. (2021). Epigenetics, fragmentomics, and topology of cell-free DNA in liquid biopsies. Science. https://doi.org/10.1126/science.aaw3616.
W. H. Adrian Tsui, Peiyong Jiang, and Y. M. Dennis Lo. (2025). Cell-free DNA fragmentomics in cancer. Cancer Cell. https://doi.org/10.1016/j.ccell.2025.09.006.
Romualdas Vaisvila, Vamsi K. C. Ponnaluri, Zhe Sun, and others. (2021). Enzymatic methyl sequencing detects DNA methylation at single-base resolution from picograms of DNA. Genome Research. https://doi.org/10.1101/gr.266551.120.
Qing Zhou, Guannan Kang, Peiyong Jiang, and others. (2022). Epigenetic analysis of cell-free DNA by fragmentomic profiling. Proceedings of the National Academy of Sciences. https://doi.org/10.1073/pnas.2209852119.
Yaping Liu, Sarah C. Reed, Christopher Lo, Atish D. Choudhury, and others. (2024). FinaleMe: Predicting DNA methylation by the fragmentation patterns of plasma cell-free DNA. Nature Communications. https://doi.org/10.1038/s41467-024-47196-6.
Yi-jing Liu, Fang Wang, Yi-qun Zhang, Zhi-hua Pei, and Zhen Chen. (2025). Plasma cell-free DNA genome-wide methylation profiling enables detection and activity assessment in systemic lupus erythematosus. Frontiers in Immunology. https://doi.org/10.3389/fimmu.2025.1721954.
Leonardo Mariño-Ramírez, Shilpa Sharma, Joshua M. Hamilton, and others. (2025). The consortium for genomic diversity, ancestry, and health in colombia (CÓDIGO): Building local capacity in genomics and bioinformatics. Communications Biology. https://doi.org/10.1038/s42003-025-08496-9.
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