Skip to main content
Scientific Data logoLink to Scientific Data
. 2020 May 1;7:133. doi: 10.1038/s41597-020-0456-0

DNA methylation of chronic lymphocytic leukemia with differential response to chemotherapy

Deyan Yordanov Yosifov 1,2, Johannes Bloehdorn 1, Hartmut Döhner 1, Peter Lichter 3, Stephan Stilgenbauer 1, Daniel Mertens 1,2,
PMCID: PMC7195470  PMID: 32358561

Abstract

Acquired resistance to chemotherapy is an important clinical problem and can also occur without detectable cytogenetic aberrations or gene mutations. Chronic lymphocytic leukemia (CLL) is molecularly well characterized and has been elemental for establishing central paradigms in oncology. This prompted us to check whether specific epigenetic changes at the level of DNA methylation might underlie development of treatment resistance. We used Illumina Infinium HumanMethylation450 BeadChips to obtain DNA methylation profiles of 71 CLL patients with differential responses. Thirty-six patients were categorized as relapsed/refractory after treatment with fludarabine or bendamustine and 21 of them had genetic aberrations of TP53. The other 35 patients were untreated at the time of sampling and 15 of them had genetic aberration of TP53. Although we could not correlate chemoresistance with epigenetic changes, the patients were comprehensively characterized regarding relevant prognostic and molecular markers (e.g. IGHV mutation status, chromosome aberrations, TP53 mutation status, clinical parameters), which makes our dataset a unique and valuable resource that can be used by researchers to test alternative hypotheses.

Subject terms: Chronic lymphocytic leukaemia, DNA methylation


Measurement(s) DNA methylation
Technology Type(s) methylation profiling by array
Factor Type(s) TP53 mutation status • response to fludarabine or bendamustine • chromosomal aberration • IGHV mutation status
Sample Characteristic - Organism Homo sapiens

Machine-accessible metadata file describing the reported data: 10.6084/m9.figshare.12006624

Background & Summary

Chronic lymphocytic leukemia (CLL) is the most common leukemia in the Western world and mainly affects elderly patients1. Its incidence rate was 8.3 cases per 100 000 men and 5.8 cases per 100 000 women in Germany in 20142. CLL is characterized by accumulation of small B lymphocytes with a mature appearance in blood, bone marrow, lymph nodes and other lymphoid tissues3. The clinical course of CLL differs depending on the biological characteristics of the disease (hypermutation status of the immunoglobulin heavy-chain genes (IGHV), presence of specific genomic aberrations and/or recurrent mutations in oncogenes and tumor suppressor genes)46. Some of these genetic features are associated with distinct epigenetic profiles, e.g. CLL tumours with high level of IGHV somatic hypermutation (M-CLL) have distinct DNA methylation patterns compared to CLL tumours with a low or absent IGHV mutational load (U-CLL)7.

Chemoimmunotherapeutic regimens like fludarabine, cyclophosphamide and rituximab (FCR) or bendamustine and rituximab (BR) achieve durable remissions in the majority of treatment-naïve CLL patients811. Although novel targeted and effective treatments for CLL were introduced in the past five years, FCR is not inferior to them as first-line therapy in the subgroup of young and fit patients with M-CLL without 17p deletion and/or TP53 mutation (del(17p)/TP53mut)12,13. Additionally, the high cost of novel targeted drugs limits their use in developing countries where conventional cytotoxic chemotherapy is still a viable option14,15. Thus, drugs like fludarabine and bendamustine will continue to be used in the future for treatment of CLL and development of resistance to these classical chemotherapeutics remains an important problem to study.

Chemorefractoriness of CLL is most often caused by functional impairment of the ATM-p53 DNA damage response pathway, mostly as a result of cytogenetic aberrations or mutations16,17. Del(17p) is found in 5% to 10% of patients at diagnosis but in up to 40% of patients relapsing after fludarabine-based treatment regimens18. Del(17p) causes loss of one allele of the tumour suppressor TP53 but in about 80% of the cases the other allele is also inactivated by somatic mutation6,18. Nevertheless, even monoallelic aberrations of TP53 confer poor prognosis. Interestingly, some cases of chemorefractory CLL show dysfunction of the ATM-p53 pathway without respective genetic lesions16,17. Additional genes and pathways have been implicated in development of resistance to fludarabine, although also in these cases mutations are not always detectable17,19,20. These observations leave the possibility that chemoresistance in CLL can also be driven by epigenetic mechanisms. In order to find epigenetic changes associated with chemoresistance, we selected samples from patients that were relapsed/refractory after treatment with fludarabine or bendamustine and/or had del(17p)/TP53mut, as well as samples from CLL patients without del(17p)/TP53mut who had treatment-naïve disease or who achieved prolonged remission after treatment with fludarabine- or bendamustine-based regimens. The grouping of the samples is shown in Fig. 1. This selection of samples allows comparing relapsed/refractory patients to untreated patients after stratification for the presence or absence of aberrations affecting the TP53 locus. In our opinion, this stratification is important because presence of TP53 aberrations could obscure the effect of epimutations, as TP53 aberrations themselves are a strong determinant of chemoresistance8,21,22. On the other hand, the chosen design of the study could allow to detect epimutations that additionally occur in the subgroup of TP53-disrupted CLL tumours to further reduce their sensitivity to chemotherapy. Genome-wide DNA methylation in all selected samples (N = 72) was quantified using Illumina Infinium HumanMethylation450 BeadChips. The resulting raw signal data and a normalized data matrix are provided here as a resource for studying relationships between epigenetics and chemoresistance in CLL. Basic clustering and principal component analyses did not intuitively show grouping of samples according to chemoresistance status. However, we cannot exclude that more sophisticated analyses will be able to extract relevant differences and correlations. Notably, the dataset is unique with the high proportion of patients with del17p and/or mutated TP53. This dataset thus allows comparison of epigenetic profiles of CLL patients with negative prognostic markers to profiles of patients with chemosensitive CLL and CLL not harbouring TP53 defects.

Fig. 1.

Fig. 1

Schematic overview of the study design and experimental procedure.

Methods

Patient sample selection and molecular characterization

The biological and molecular characteristics of the 71 CLL patients included in the study are listed in Table 1 and Online-only Table 1. Fifty-one of the patients were subjects of the multi-centre CLL2O clinical trial (clinicaltrials.gov: NCT01392079) and were subdivided here into 4 subgroups depending on their del(17p)/TP53mut and treatment/response statuses as follows: groups A (N = 15), B (N = 10) and C (N = 11) consisted of patients with del(17p) and/or TP53 mutation and group E (N = 15) consisted of patients without del(17p) or TP53 mutation. Patients in group A were not treated previously but required treatment, patients in group B had relapsed after treatment with fludarabine- or bendamustine-containing regimens and patients in groups C and E were refractory to fludarabine or bendamustine. Additional 20 cases (group D) were patients whose tumours did not harbour del(17p) or TP53 mutation and who were not previously treated but some of whom required treatment and responded to subsequent therapy with fludarabine- or bendamustine-containing regimens (N = 6, Online-only Table 1). All patients had a confirmed diagnosis of CLL by flow cytometry; their IGHV mutational status and cytogenetics were also determined during the diagnostic workup. Unmutated IGHV gene (≥98% homology to germline) was detected by sequencing in 58 patients (81.7%). Fluorescent in-situ hybridization (FISH) analysis revealed the presence of del(17p) in 35 of a total 36 patients in groups A, B and C, as well as the absence of such an aberration in all patients from groups D and E. Mutated TP53 was detected in 30 of total 36 patients in groups A, B and C, and in none of the patients in groups D and E. One of the patients in group D had two consecutive samples taken with a time difference of 40 months (Online-only Table 1). All patients provided informed consent to subsequent analysis and research in accordance with the Declaration of Helsinki and under a protocol approved by the ethical committee of the University of Ulm.

Table 1.

Biological and molecular features of CLL patients included in the study.

Characteristic All patients (N = 71) A (del(17p), untreated, N = 15) B (del(17p), relapsed, N = 10) C (del(17p), refractory, N = 11) D (no del(17p), chemosensitive, N = 20) E (no del(17p), refractory, N = 15) P Value*
Age at sampling, years 0.27
  Median 64 66 62 67 62 63
  Range 38–84 49–77 53–68 54–76 38–84 38–71
IGHV mutational status, number (%) 0.45
  Mutated (<98% homology) 13 (18.3) 2 (13.3) 0 (0) 3 (27.3) 5 (25) 3 (20)
  Unmutated (≥98% homology) 58 (81.7) 13 (86.7) 10 (100) 8 (72.7) 15 (75) 12 (80)
FISH analysis, number (%) P < 0.0001
  Normal karyotype 12 (16.9) 0 (0) 0 (0) 0 (0) 10 (50) 2 (13.3)
  Del(13q14) 46 (64.8) 9 (60) 6 (60) 8 (72.7) 10 (50) 13 (86.7)
  Trisomy 12 7 (9.9) 3 (20) 1 (10) 3 (27.3) 0 (0) 0 (0)
  Del(11q22) 13 (18.3) 3 (20) 3 (33.3) 3 (27.3) 0 (0) 4 (26.7)
  Del(17p13) 35 (49.3) 15 (100) 10 (100) 10 (90.9) 0 (0) 0 (0)
TP53 mutational status, number (%) P < 0.0001
  Mutated 30 (42.3%) 10 (66.7) 9 (90) 11 (100) 0 (0) 0 (0)
  Unmutated 41 (57.7%) 5 (33.3) 1 (10) 0 (0) 20 (100) 15 (100)

*All P values are for comparisons across all five groups and are two-sided. P values for numerical variables were calculated with the use of the Kruskal–Wallis test, and P values for categorical variables were calculated with the use of the chi-square test or Fisher’s exact test. FISH profiles were summarized according to the hierarchical risk model4 before performing the test.

Online-only Table 1.

Clinical and molecular characteristics of CLL patients included in the study.

Experimental group Sample ID Patient sex^ Predicted sex^ Patient age, years Treated Response to therapy IGHV mutation status (% homology) del13q14 Nuclei with del13q14 (%) +12p Nuclei with trisomy 12 (%) del14q32 Nuclei with del14q32 (%) del11q22 Nuclei with del11q22 (%) del17p13 Nuclei with del17p13 (%) TP53 mutation TP53 mutation type TP53 variant allele frequency (%) Protocol 1 Protocol 2 Protocol 3 Protocol 4 Protocol 5 Output files Sample name in GEO Alternative sample title in GEO Protocol 6 Final processed output
A (del(17p), untreated) 09PB8587 NK Female 68 No NA 100 No 4.5 No 0.0 No 1.5 No 1.50 Yes 18.00 c.830G>T missense 5 Isolation of peripheral blood mononuclear cells (PBMCs) from blood samples via density gradient centrifugation (Pancoll human) Purification of CD19-positive cell fraction using CD19 MicroBeads Genomic DNA extraction (Qiagen AllPrep kit) Bisulfite DNA conversion, whole-genome amplification, fragmentation and hybridization to Illumina Infinium HumanMethylation450 BeadChips (standard Illumina protocols) Single-base extension, staining and scanning (standard Illumina protocols) 9422491005_R01C01_Grn.idat & 9422491005_R01C01_Red.idat GSM4056697 CLL_A_del17p_untreated_1 Raw data filtering, background subtraction (Noob) and normalization (BMIQ) Data matrix of beta-values
A (del(17p), untreated) 10PB5506 NK Female 71 No NA 82.62 Yes 86.50 No 4.5 No 2.0 No 4.50 Yes 56.50 c.527G>C; 528C>T missense 50 Isolation of peripheral blood mononuclear cells (PBMCs) from blood samples via density gradient centrifugation (Pancoll human) Purification of CD19-positive cell fraction using CD19 MicroBeads Genomic DNA extraction (Qiagen AllPrep kit) Bisulfite DNA conversion, whole-genome amplification, fragmentation and hybridization to Illumina Infinium HumanMethylation450 BeadChips (standard Illumina protocols) Single-base extension, staining and scanning (standard Illumina protocols) 9422491007_R05C02_Grn.idat & 9422491007_R05C02_Red.idat GSM4056718 CLL_A_del17p_untreated_6 Raw data filtering, background subtraction (Noob) and normalization (BMIQ) Data matrix of beta-values
A (del(17p), untreated) 10PB8858 NK Female 77 No NA 100 Yes 87.00 No 1.5 No 2.0 No 2.50 Yes 89.00 c.731G>T missense 90 Isolation of peripheral blood mononuclear cells (PBMCs) from blood samples via density gradient centrifugation (Pancoll human) Purification of CD19-positive cell fraction using CD19 MicroBeads Genomic DNA extraction (Qiagen AllPrep kit) Bisulfite DNA conversion, whole-genome amplification, fragmentation and hybridization to Illumina Infinium HumanMethylation450 BeadChips (standard Illumina protocols) Single-base extension, staining and scanning (standard Illumina protocols) 9422491034_R05C02_Grn.idat & 9422491034_R05C02_Red.idat GSM4056742 CLL_A_del17p_untreated_10 Raw data filtering, background subtraction (Noob) and normalization (BMIQ) Data matrix of beta-values
A (del(17p), untreated) 09PB6227 NK Male 61 No NA 100 No 1.5 No 2.00 No 1.50 Yes 14.50 Yes 19.00 none detected NA 0 Isolation of peripheral blood mononuclear cells (PBMCs) from blood samples via density gradient centrifugation (Pancoll human) Purification of CD19-positive cell fraction using CD19 MicroBeads Genomic DNA extraction (Qiagen AllPrep kit) Bisulfite DNA conversion, whole-genome amplification, fragmentation and hybridization to Illumina Infinium HumanMethylation450 BeadChips (standard Illumina protocols) Single-base extension, staining and scanning (standard Illumina protocols) 9422491005_R06C01_Grn.idat & 9422491005_R06C01_Red.idat GSM4056707 CLL_A_del17p_untreated_3 Raw data filtering, background subtraction (Noob) and normalization (BMIQ) Data matrix of beta-values
A (del(17p), untreated) 09PB0858 NK Female 66 No NA 100 Yes 24.50 No 2.0 No 5.5 No 1.00 Yes 94.50 none detected NA 0 Isolation of peripheral blood mononuclear cells (PBMCs) from blood samples via density gradient centrifugation (Pancoll human) Purification of CD19-positive cell fraction using CD19 MicroBeads Genomic DNA extraction (Qiagen AllPrep kit) Bisulfite DNA conversion, whole-genome amplification, fragmentation and hybridization to Illumina Infinium HumanMethylation450 BeadChips (standard Illumina protocols) Single-base extension, staining and scanning (standard Illumina protocols) 9422491020_R01C01_Grn.idat & 9422491020_R01C01_Red.idat GSM4056721 CLL_A_del17p_untreated_7 Raw data filtering, background subtraction (Noob) and normalization (BMIQ) Data matrix of beta-values
A (del(17p), untreated) 08PB1543 Female Female 49 No NA 99.5 No 5.5 No 0.5 No 1.5 No 4.00 Yes 85.50 c.734G>A missense 90 Isolation of peripheral blood mononuclear cells (PBMCs) from blood samples via density gradient centrifugation (Pancoll human) Purification of CD19-positive cell fraction using CD19 MicroBeads Genomic DNA extraction (Qiagen AllPrep kit) Bisulfite DNA conversion, whole-genome amplification, fragmentation and hybridization to Illumina Infinium HumanMethylation450 BeadChips (standard Illumina protocols) Single-base extension, staining and scanning (standard Illumina protocols) 9422491041_R03C01_Grn.idat & 9422491041_R03C01_Red.idat GSM4056749 CLL_A_del17p_untreated_13 Raw data filtering, background subtraction (Noob) and normalization (BMIQ) Data matrix of beta-values
A (del(17p), untreated) 10PB0381 NK Female 61 No NA 100 No 2.0 No 2.50 No 2.50 Yes 75.00 Yes 84.50 c.722C>T missense 50 Isolation of peripheral blood mononuclear cells (PBMCs) from blood samples via density gradient centrifugation (Pancoll human) Purification of CD19-positive cell fraction using CD19 MicroBeads Genomic DNA extraction (Qiagen AllPrep kit) Bisulfite DNA conversion, whole-genome amplification, fragmentation and hybridization to Illumina Infinium HumanMethylation450 BeadChips (standard Illumina protocols) Single-base extension, staining and scanning (standard Illumina protocols) 9422491005_R05C02_Grn.idat & 9422491005_R05C02_Red.idat GSM4056706 CLL_A_del17p_untreated_2 Raw data filtering, background subtraction (Noob) and normalization (BMIQ) Data matrix of beta-values
A (del(17p), untreated) 10PB0918 NK Male 51 No NA 99.53 Yes 94.00 No 5.0 No 3.0 No 1.50 Yes 98.00 c.742C>T missense 100 Isolation of peripheral blood mononuclear cells (PBMCs) from blood samples via density gradient centrifugation (Pancoll human) Purification of CD19-positive cell fraction using CD19 MicroBeads Genomic DNA extraction (Qiagen AllPrep kit) Bisulfite DNA conversion, whole-genome amplification, fragmentation and hybridization to Illumina Infinium HumanMethylation450 BeadChips (standard Illumina protocols) Single-base extension, staining and scanning (standard Illumina protocols) 9422491020_R06C01_Grn.idat & 9422491020_R06C01_Red.idat GSM4056731 CLL_A_del17p_untreated_8 Raw data filtering, background subtraction (Noob) and normalization (BMIQ) Data matrix of beta-values
A (del(17p), untreated) 10PB0488 NK Male 51 No NA 99.52 Yes 84.00 No 0.5 No 2.0 No 3.00 Yes 92.00 none detected NA 0 Isolation of peripheral blood mononuclear cells (PBMCs) from blood samples via density gradient centrifugation (Pancoll human) Purification of CD19-positive cell fraction using CD19 MicroBeads Genomic DNA extraction (Qiagen AllPrep kit) Bisulfite DNA conversion, whole-genome amplification, fragmentation and hybridization to Illumina Infinium HumanMethylation450 BeadChips (standard Illumina protocols) Single-base extension, staining and scanning (standard Illumina protocols) 9422491041_R02C02_Grn.idat & 9422491041_R02C02_Red.idat GSM4056748 CLL_A_del17p_untreated_12 Raw data filtering, background subtraction (Noob) and normalization (BMIQ) Data matrix of beta-values
A (del(17p), untreated) 09PB6550 Female Female 51 No NA 92.64 Yes 89.50 No 1.0 No 3.0 No 2.00 Yes 23.00 none detected NA 0 Isolation of peripheral blood mononuclear cells (PBMCs) from blood samples via density gradient centrifugation (Pancoll human) Purification of CD19-positive cell fraction using CD19 MicroBeads Genomic DNA extraction (Qiagen AllPrep kit) Bisulfite DNA conversion, whole-genome amplification, fragmentation and hybridization to Illumina Infinium HumanMethylation450 BeadChips (standard Illumina protocols) Single-base extension, staining and scanning (standard Illumina protocols) 9422491007_R03C01_Grn.idat & 9422491007_R03C01_Red.idat GSM4056713 CLL_A_del17p_untreated_5 Raw data filtering, background subtraction (Noob) and normalization (BMIQ) Data matrix of beta-values
A (del(17p), untreated) 08PB8771 Male Male 69 No NA 100 Yes 86.0 No 1.0 No 1.0 Yes 90.50 Yes 92.50 c.329G>T missense 80 Isolation of peripheral blood mononuclear cells (PBMCs) from blood samples via density gradient centrifugation (Pancoll human) Purification of CD19-positive cell fraction using CD19 MicroBeads Genomic DNA extraction (Qiagen AllPrep kit) Bisulfite DNA conversion, whole-genome amplification, fragmentation and hybridization to Illumina Infinium HumanMethylation450 BeadChips (standard Illumina protocols) Single-base extension, staining and scanning (standard Illumina protocols) 9422491034_R01C01_Grn.idat & 9422491034_R01C01_Red.idat GSM4056733 CLL_A_del17p_untreated_9 Raw data filtering, background subtraction (Noob) and normalization (BMIQ) Data matrix of beta-values
A (del(17p), untreated) 09PB5837 NK Male 65 No NA 99.5 No 3.0 Yes 53.5 No 2.5 No 0.50 Yes 59.50 c.413C>T missense 45 Isolation of peripheral blood mononuclear cells (PBMCs) from blood samples via density gradient centrifugation (Pancoll human) Purification of CD19-positive cell fraction using CD19 MicroBeads Genomic DNA extraction (Qiagen AllPrep kit) Bisulfite DNA conversion, whole-genome amplification, fragmentation and hybridization to Illumina Infinium HumanMethylation450 BeadChips (standard Illumina protocols) Single-base extension, staining and scanning (standard Illumina protocols) 9422491055_R01C01_Grn.idat & 9422491055_R01C01_Red.idat GSM4056757 CLL_A_del17p_untreated_14 Raw data filtering, background subtraction (Noob) and normalization (BMIQ) Data matrix of beta-values
A (del(17p), untreated) 10PB2738 Male Male 68 No NA 99.52 Yes 30.0 Yes 58.0 No 1.0 No 3.50 Yes 92.50 none detected NA 0 Isolation of peripheral blood mononuclear cells (PBMCs) from blood samples via density gradient centrifugation (Pancoll human) Purification of CD19-positive cell fraction using CD19 MicroBeads Genomic DNA extraction (Qiagen AllPrep kit) Bisulfite DNA conversion, whole-genome amplification, fragmentation and hybridization to Illumina Infinium HumanMethylation450 BeadChips (standard Illumina protocols) Single-base extension, staining and scanning (standard Illumina protocols) 9422491007_R02C02_Grn.idat & 9422491007_R02C02_Red.idat GSM4056712 CLL_A_del17p_untreated_4 Raw data filtering, background subtraction (Noob) and normalization (BMIQ) Data matrix of beta-values
A (del(17p), untreated) 11PB6931 NK Female 67 No NA 99.05 No 3.5 No 0.00 Yes 86.0 No 0.50 Yes 64.00 c.743G>A missense 40 Isolation of peripheral blood mononuclear cells (PBMCs) from blood samples via density gradient centrifugation (Pancoll human) Purification of CD19-positive cell fraction using CD19 MicroBeads Genomic DNA extraction (Qiagen AllPrep kit) Bisulfite DNA conversion, whole-genome amplification, fragmentation and hybridization to Illumina Infinium HumanMethylation450 BeadChips (standard Illumina protocols) Single-base extension, staining and scanning (standard Illumina protocols) 9422491034_R06C01_Grn.idat & 9422491034_R06C01_Red.idat GSM4056743 CLL_A_del17p_untreated_11 Raw data filtering, background subtraction (Noob) and normalization (BMIQ) Data matrix of beta-values
A (del(17p), untreated) 09PB0698 Female Female 72 No NA 100 Yes 53.0 Yes 16.5 No 5.0 No 3.50 Yes 73.50 c.809T>G missense 80 Isolation of peripheral blood mononuclear cells (PBMCs) from blood samples via density gradient centrifugation (Pancoll human) Purification of CD19-positive cell fraction using CD19 MicroBeads Genomic DNA extraction (Qiagen AllPrep kit) Bisulfite DNA conversion, whole-genome amplification, fragmentation and hybridization to Illumina Infinium HumanMethylation450 BeadChips (standard Illumina protocols) Single-base extension, staining and scanning (standard Illumina protocols) 9422491055_R06C01_Grn.idat & 9422491055_R06C01_Red.idat GSM4056767 CLL_A_del17p_untreated_15 Raw data filtering, background subtraction (Noob) and normalization (BMIQ) Data matrix of beta-values
B (del(17p), relapsed) 11PB5152 NK Male 68 Yes Relapsed 100 Yes 8.5 No 2.0 No 0.0 No 1.50 Yes 24.00 c.536A>G; c.733G>T missense; missense 50; 10 Isolation of peripheral blood mononuclear cells (PBMCs) from blood samples via density gradient centrifugation (Pancoll human) Purification of CD19-positive cell fraction using CD19 MicroBeads Genomic DNA extraction (Qiagen AllPrep kit) Bisulfite DNA conversion, whole-genome amplification, fragmentation and hybridization to Illumina Infinium HumanMethylation450 BeadChips (standard Illumina protocols) Single-base extension, staining and scanning (standard Illumina protocols) 9422491005_R02C01_Grn.idat & 9422491005_R02C01_Red.idat GSM4056699 CLL_B_del17p_relapsed_2 Raw data filtering, background subtraction (Noob) and normalization (BMIQ) Data matrix of beta-values
B (del(17p), relapsed) 09PB6581 NK Male 59 Yes Relapsed 100 Yes 30.5 No 1.5 No 1.0 No 3.50 Yes 87.00 c.794T>C missense 60 Isolation of peripheral blood mononuclear cells (PBMCs) from blood samples via density gradient centrifugation (Pancoll human) Purification of CD19-positive cell fraction using CD19 MicroBeads Genomic DNA extraction (Qiagen AllPrep kit) Bisulfite DNA conversion, whole-genome amplification, fragmentation and hybridization to Illumina Infinium HumanMethylation450 BeadChips (standard Illumina protocols) Single-base extension, staining and scanning (standard Illumina protocols) 9422491020_R01C02_Grn.idat & 9422491020_R01C02_Red.idat GSM4056722 CLL_B_del17p_relapsed_4 Raw data filtering, background subtraction (Noob) and normalization (BMIQ) Data matrix of beta-values
B (del(17p), relapsed) 09PB2750 NK Male 54 Yes Relapsed 99.65 No 2.0 Yes 74.0 No 6.0 No 3.00 Yes 15.50 c.535C>T missense 60 Isolation of peripheral blood mononuclear cells (PBMCs) from blood samples via density gradient centrifugation (Pancoll human) Purification of CD19-positive cell fraction using CD19 MicroBeads Genomic DNA extraction (Qiagen AllPrep kit) Bisulfite DNA conversion, whole-genome amplification, fragmentation and hybridization to Illumina Infinium HumanMethylation450 BeadChips (standard Illumina protocols) Single-base extension, staining and scanning (standard Illumina protocols) 9422491041_R04C01_Grn.idat & 9422491041_R04C01_Red.idat GSM4056751 CLL_B_del17p_relapsed_8 Raw data filtering, background subtraction (Noob) and normalization (BMIQ) Data matrix of beta-values
B (del(17p), relapsed) 10PB0115 NK Female 60 Yes Relapsed 99.1 No 5.0 No 0.5 Yes 61.0 Yes 91.00 Yes 64.50 c.632C>T; c.675–683del9bp missense; in frame deletion 55; 5 Isolation of peripheral blood mononuclear cells (PBMCs) from blood samples via density gradient centrifugation (Pancoll human) Purification of CD19-positive cell fraction using CD19 MicroBeads Genomic DNA extraction (Qiagen AllPrep kit) Bisulfite DNA conversion, whole-genome amplification, fragmentation and hybridization to Illumina Infinium HumanMethylation450 BeadChips (standard Illumina protocols) Single-base extension, staining and scanning (standard Illumina protocols) 9422491005_R01C02_Grn.idat & 9422491005_R01C02_Red.idat GSM4056698 CLL_B_del17p_relapsed_1 Raw data filtering, background subtraction (Noob) and normalization (BMIQ) Data matrix of beta-values
B (del(17p), relapsed) 10PB3589 NK Male 64 Yes Relapsed 100 Yes 53.5 No 3.5 Yes 87.0 No 4.00 Yes 91.50 c.652–654del3bp in frame deletion 15 Isolation of peripheral blood mononuclear cells (PBMCs) from blood samples via density gradient centrifugation (Pancoll human) Purification of CD19-positive cell fraction using CD19 MicroBeads Genomic DNA extraction (Qiagen AllPrep kit) Bisulfite DNA conversion, whole-genome amplification, fragmentation and hybridization to Illumina Infinium HumanMethylation450 BeadChips (standard Illumina protocols) Single-base extension, staining and scanning (standard Illumina protocols) 9422491034_R02C01_Grn.idat & 9422491034_R02C01_Red.idat GSM4056735 CLL_B_del17p_relapsed_7 Raw data filtering, background subtraction (Noob) and normalization (BMIQ) Data matrix of beta-values
B (del(17p), relapsed) 11PB1958 NK Male 64 Yes Relapsed 100 Yes 42.5 No 1.0 No 2.0 No 3.00 Yes 67.00 c.584T>C; c.673-2A>C; c.842A>T missence; splice site; missense 30; 20; 20 Isolation of peripheral blood mononuclear cells (PBMCs) from blood samples via density gradient centrifugation (Pancoll human) Purification of CD19-positive cell fraction using CD19 MicroBeads Genomic DNA extraction (Qiagen AllPrep kit) Bisulfite DNA conversion, whole-genome amplification, fragmentation and hybridization to Illumina Infinium HumanMethylation450 BeadChips (standard Illumina protocols) Single-base extension, staining and scanning (standard Illumina protocols) 9422491055_R02C01_Grn.idat & 9422491055_R02C01_Red.idat GSM4056759 CLL_B_del17p_relapsed_9 Raw data filtering, background subtraction (Noob) and normalization (BMIQ) Data matrix of beta-values
B (del(17p), relapsed) 11PB5972 NK Male 67 Yes Relapsed 100 Yes 88.5 No 1.5 No 1.5 Yes 14.50 Yes 20.50 c.742C>T missense 30 Isolation of peripheral blood mononuclear cells (PBMCs) from blood samples via density gradient centrifugation (Pancoll human) Purification of CD19-positive cell fraction using CD19 MicroBeads Genomic DNA extraction (Qiagen AllPrep kit) Bisulfite DNA conversion, whole-genome amplification, fragmentation and hybridization to Illumina Infinium HumanMethylation450 BeadChips (standard Illumina protocols) Single-base extension, staining and scanning (standard Illumina protocols) 9422491007_R04C01_Grn.idat & 9422491007_R04C01_Red.idat GSM4056715 CLL_B_del17p_relapsed_3 Raw data filtering, background subtraction (Noob) and normalization (BMIQ) Data matrix of beta-values
B (del(17p), relapsed) 08PB0722 Male Male 58 Yes Relapsed 100 No 4.0 No 0.0 No 2.0 Yes 89.50 Yes 88.50 c.452C>A missense 90 Isolation of peripheral blood mononuclear cells (PBMCs) from blood samples via density gradient centrifugation (Pancoll human) Purification of CD19-positive cell fraction using CD19 MicroBeads Genomic DNA extraction (Qiagen AllPrep kit) Bisulfite DNA conversion, whole-genome amplification, fragmentation and hybridization to Illumina Infinium HumanMethylation450 BeadChips (standard Illumina protocols) Single-base extension, staining and scanning (standard Illumina protocols) 9422491034_R01C02_Grn.idat & 9422491034_R01C02_Red.idat GSM4056734 CLL_B_del17p_relapsed_6 Raw data filtering, background subtraction (Noob) and normalization (BMIQ) Data matrix of beta-values
B (del(17p), relapsed) 11PB0842 NK Female 67 Yes Relapsed 100 Yes 88.0 No 0.5 No 4.5 No 2.50 Yes 13.50 none detected NA 0 Isolation of peripheral blood mononuclear cells (PBMCs) from blood samples via density gradient centrifugation (Pancoll human) Purification of CD19-positive cell fraction using CD19 MicroBeads Genomic DNA extraction (Qiagen AllPrep kit) Bisulfite DNA conversion, whole-genome amplification, fragmentation and hybridization to Illumina Infinium HumanMethylation450 BeadChips (standard Illumina protocols) Single-base extension, staining and scanning (standard Illumina protocols) 9422491055_R02C02_Grn.idat & 9422491055_R02C02_Red.idat GSM4056760 CLL_B_del17p_relapsed_10 Raw data filtering, background subtraction (Noob) and normalization (BMIQ) Data matrix of beta-values
B (del(17p), relapsed) 09PB4164 Male Male 53 Yes Relapsed 100 No 3.5 No 1.00 No 2.50 No 4.50 Yes 83.00 c.557-559+5del8bp in frame deletion 20 Isolation of peripheral blood mononuclear cells (PBMCs) from blood samples via density gradient centrifugation (Pancoll human) Purification of CD19-positive cell fraction using CD19 MicroBeads Genomic DNA extraction (Qiagen AllPrep kit) Bisulfite DNA conversion, whole-genome amplification, fragmentation and hybridization to Illumina Infinium HumanMethylation450 BeadChips (standard Illumina protocols) Single-base extension, staining and scanning (standard Illumina protocols) 9422491020_R02C01_Grn.idat & 9422491020_R02C01_Red.idat GSM4056723 CLL_B_del17p_relapsed_5 Raw data filtering, background subtraction (Noob) and normalization (BMIQ) Data matrix of beta-values
C (del(17p), refractory) 09PB7427 NK Male 73 Yes Refractory 94.6 Yes 74.5 Yes 65.5 No 3.5 No 0.50 Yes 86.50 c.394A>G missense 60 Isolation of peripheral blood mononuclear cells (PBMCs) from blood samples via density gradient centrifugation (Pancoll human) Purification of CD19-positive cell fraction using CD19 MicroBeads Genomic DNA extraction (Qiagen AllPrep kit) Bisulfite DNA conversion, whole-genome amplification, fragmentation and hybridization to Illumina Infinium HumanMethylation450 BeadChips (standard Illumina protocols) Single-base extension, staining and scanning (standard Illumina protocols) 9422491005_R03C01_Grn.idat & 9422491005_R03C01_Red.idat GSM4056701 CLL_C_del17p_refractory_2 Raw data filtering, background subtraction (Noob) and normalization (BMIQ) Data matrix of beta-values
C (del(17p), refractory) 11PB1528 NK Male 76 Yes Refractory 100 No 8.5 No 4.50 No 1.50 No 2.50 Yes 52.00 c.785G>T missense 50 Isolation of peripheral blood mononuclear cells (PBMCs) from blood samples via density gradient centrifugation (Pancoll human) Purification of CD19-positive cell fraction using CD19 MicroBeads Genomic DNA extraction (Qiagen AllPrep kit) Bisulfite DNA conversion, whole-genome amplification, fragmentation and hybridization to Illumina Infinium HumanMethylation450 BeadChips (standard Illumina protocols) Single-base extension, staining and scanning (standard Illumina protocols) 9422491020_R02C02_Grn.idat & 9422491020_R02C02_Red.idat GSM4056724 CLL_C_del17p_refractory_4 Raw data filtering, background subtraction (Noob) and normalization (BMIQ) Data matrix of beta-values
C (del(17p), refractory) 10PB8700 NK Male 64 Yes Refractory 100 Yes 95.5 No 1.5 No 4.0 No 6.50 Yes 98.50 c.429_430ins3bp in frame insertion 100 Isolation of peripheral blood mononuclear cells (PBMCs) from blood samples via density gradient centrifugation (Pancoll human) Purification of CD19-positive cell fraction using CD19 MicroBeads Genomic DNA extraction (Qiagen AllPrep kit) Bisulfite DNA conversion, whole-genome amplification, fragmentation and hybridization to Illumina Infinium HumanMethylation450 BeadChips (standard Illumina protocols) Single-base extension, staining and scanning (standard Illumina protocols) 9422491041_R05C02_Grn.idat & 9422491041_R05C02_Red.idat GSM4056754 CLL_C_del17p_refractory_9 Raw data filtering, background subtraction (Noob) and normalization (BMIQ) Data matrix of beta-values
C (del(17p), refractory) 10PB2807 Female Female 75 Yes Refractory 100 Yes 25.5 No 1.0 No 0.5 No 2.00 Yes 94.00 c.733G>T missense 90 Isolation of peripheral blood mononuclear cells (PBMCs) from blood samples via density gradient centrifugation (Pancoll human) Purification of CD19-positive cell fraction using CD19 MicroBeads Genomic DNA extraction (Qiagen AllPrep kit) Bisulfite DNA conversion, whole-genome amplification, fragmentation and hybridization to Illumina Infinium HumanMethylation450 BeadChips (standard Illumina protocols) Single-base extension, staining and scanning (standard Illumina protocols) 9422491005_R02C02_Grn.idat & 9422491005_R02C02_Red.idat GSM4056700 CLL_C_del17p_refractory_1 Raw data filtering, background subtraction (Noob) and normalization (BMIQ) Data matrix of beta-values
C (del(17p), refractory) 10PB1144 NK Male 76 Yes Refractory 100 Yes 88.5 No 1.5 No 1.0 No 3.50 Yes 30.50 c.734G>T missense 20 Isolation of peripheral blood mononuclear cells (PBMCs) from blood samples via density gradient centrifugation (Pancoll human) Purification of CD19-positive cell fraction using CD19 MicroBeads Genomic DNA extraction (Qiagen AllPrep kit) Bisulfite DNA conversion, whole-genome amplification, fragmentation and hybridization to Illumina Infinium HumanMethylation450 BeadChips (standard Illumina protocols) Single-base extension, staining and scanning (standard Illumina protocols) 9422491034_R03C01_Grn.idat & 9422491034_R03C01_Red.idat GSM4056737 CLL_C_del17p_refractory_7 Raw data filtering, background subtraction (Noob) and normalization (BMIQ) Data matrix of beta-values
C (del(17p), refractory) 10PB5849 NK Female 64 Yes Refractory 99.03 No 5.0 Yes 60.0 No 1.5 No 2.00 Yes 90.00 c.672+1G>T splice site 85 Isolation of peripheral blood mononuclear cells (PBMCs) from blood samples via density gradient centrifugation (Pancoll human) Purification of CD19-positive cell fraction using CD19 MicroBeads Genomic DNA extraction (Qiagen AllPrep kit) Bisulfite DNA conversion, whole-genome amplification, fragmentation and hybridization to Illumina Infinium HumanMethylation450 BeadChips (standard Illumina protocols) Single-base extension, staining and scanning (standard Illumina protocols) 9422491055_R03C01_Grn.idat & 9422491055_R03C01_Red.idat GSM4056761 CLL_C_del17p_refractory_10 Raw data filtering, background subtraction (Noob) and normalization (BMIQ) Data matrix of beta-values
C (del(17p), refractory) 09PB2752 NK Male 54 Yes Refractory 97.65 Yes 88.0 No 1.5 Yes 63.5 No 5.00 Yes 43.50 c.375+1G>T; c.523C>G splice site; missense 45; 50 Isolation of peripheral blood mononuclear cells (PBMCs) from blood samples via density gradient centrifugation (Pancoll human) Purification of CD19-positive cell fraction using CD19 MicroBeads Genomic DNA extraction (Qiagen AllPrep kit) Bisulfite DNA conversion, whole-genome amplification, fragmentation and hybridization to Illumina Infinium HumanMethylation450 BeadChips (standard Illumina protocols) Single-base extension, staining and scanning (standard Illumina protocols) 9422491007_R05C01_Grn.idat & 9422491007_R05C01_Red.idat GSM4056717 CLL_C_del17p_refractory_3 Raw data filtering, background subtraction (Noob) and normalization (BMIQ) Data matrix of beta-values
C (del(17p), refractory) 11PB5602 NK Female 67 Yes Refractory 100 No 1.5 Yes 69.5 No 2.5 No 3.00 Yes 77.50 c.176_188del13bp; c.669_672+10del14bp frameshift; frameshift 5; 5 Isolation of peripheral blood mononuclear cells (PBMCs) from blood samples via density gradient centrifugation (Pancoll human) Purification of CD19-positive cell fraction using CD19 MicroBeads Genomic DNA extraction (Qiagen AllPrep kit) Bisulfite DNA conversion, whole-genome amplification, fragmentation and hybridization to Illumina Infinium HumanMethylation450 BeadChips (standard Illumina protocols) Single-base extension, staining and scanning (standard Illumina protocols) 9422491034_R02C02_Grn.idat & 9422491034_R02C02_Red.idat GSM4056736 CLL_C_del17p_refractory_6 Raw data filtering, background subtraction (Noob) and normalization (BMIQ) Data matrix of beta-values
C (del(17p), refractory) 10PB6266 Male Male 60 Yes Refractory 98.3 Yes 92.0 No 3.0 No 2.5 Yes 91.50 No 3.00 c.386ins1bp frameshift 90 Isolation of peripheral blood mononuclear cells (PBMCs) from blood samples via density gradient centrifugation (Pancoll human) Purification of CD19-positive cell fraction using CD19 MicroBeads Genomic DNA extraction (Qiagen AllPrep kit) Bisulfite DNA conversion, whole-genome amplification, fragmentation and hybridization to Illumina Infinium HumanMethylation450 BeadChips (standard Illumina protocols) Single-base extension, staining and scanning (standard Illumina protocols) 9422491055_R04C02_Grn.idat & 9422491055_R04C02_Red.idat GSM4056764 CLL_C_del17p_refractory_11 Raw data filtering, background subtraction (Noob) and normalization (BMIQ) Data matrix of beta-values
C (del(17p), refractory) 10PB0279 NK Male 72 Yes Refractory 100 Yes 73.0 No 1.0 No 3.5 Yes 95.50 Yes 94.50 c.277–277delC; c.594–599del6bp frameshift; in frame deletion 90; 10 Isolation of peripheral blood mononuclear cells (PBMCs) from blood samples via density gradient centrifugation (Pancoll human) Purification of CD19-positive cell fraction using CD19 MicroBeads Genomic DNA extraction (Qiagen AllPrep kit) Bisulfite DNA conversion, whole-genome amplification, fragmentation and hybridization to Illumina Infinium HumanMethylation450 BeadChips (standard Illumina protocols) Single-base extension, staining and scanning (standard Illumina protocols) 9422491020_R03C01_Grn.idat & 9422491020_R03C01_Red.idat GSM4056725 CLL_C_del17p_refractory_5 Raw data filtering, background subtraction (Noob) and normalization (BMIQ) Data matrix of beta-values
C (del(17p), refractory) 10PB2975 NK Male 58 Yes Refractory 95.71 Yes 10.0 No 0.5 No 2.5 Yes 53.50 Yes 39.00 c.159_185del27bp; c.833C>G in frame deletion; missense 2; 45 Isolation of peripheral blood mononuclear cells (PBMCs) from blood samples via density gradient centrifugation (Pancoll human) Purification of CD19-positive cell fraction using CD19 MicroBeads Genomic DNA extraction (Qiagen AllPrep kit) Bisulfite DNA conversion, whole-genome amplification, fragmentation and hybridization to Illumina Infinium HumanMethylation450 BeadChips (standard Illumina protocols) Single-base extension, staining and scanning (standard Illumina protocols) 9422491041_R05C01_Grn.idat & 9422491041_R05C01_Red.idat GSM4056753 CLL_C_del17p_refractory_8 Raw data filtering, background subtraction (Noob) and normalization (BMIQ) Data matrix of beta-values
D (no del(17p), chemosensitive) 08PB0411 Female Female 62 No NA 98.2 No 4.0 No 0.0 No 12.0 No 2.00 No 4.00 none detected NA 0 Isolation of peripheral blood mononuclear cells (PBMCs) from blood samples via density gradient centrifugation (Pancoll human) Purification of CD19-positive cell fraction using CD19 MicroBeads Genomic DNA extraction (Qiagen AllPrep kit) Bisulfite DNA conversion, whole-genome amplification, fragmentation and hybridization to Illumina Infinium HumanMethylation450 BeadChips (standard Illumina protocols) Single-base extension, staining and scanning (standard Illumina protocols) 9422491005_R05C01_Grn.idat & 9422491005_R05C01_Red.idat GSM4056705 CLL_D_nodel17p_chemosensitive_2 Raw data filtering, background subtraction (Noob) and normalization (BMIQ) Data matrix of beta-values
D (no del(17p), chemosensitive) 10PB3262 Male Male 56 No NA 100 Yes 26.0 No 1.0 No 1.0 No 1.00 No 5.50 none detected NA 0 Isolation of peripheral blood mononuclear cells (PBMCs) from blood samples via density gradient centrifugation (Pancoll human) Purification of CD19-positive cell fraction using CD19 MicroBeads Genomic DNA extraction (Qiagen AllPrep kit) Bisulfite DNA conversion, whole-genome amplification, fragmentation and hybridization to Illumina Infinium HumanMethylation450 BeadChips (standard Illumina protocols) Single-base extension, staining and scanning (standard Illumina protocols) 9422491020_R05C01_Grn.idat & 9422491020_R05C01_Red.idat GSM4056729 CLL_D_nodel17p_chemosensitive_9 Raw data filtering, background subtraction (Noob) and normalization (BMIQ) Data matrix of beta-values
D (no del(17p), chemosensitive) 08PB1082 Male Male 66 No NA 99.53 Yes 87.5 No 1.0 No 2.5 No 11.00 No 4.00 none detected NA 0 Isolation of peripheral blood mononuclear cells (PBMCs) from blood samples via density gradient centrifugation (Pancoll human) Purification of CD19-positive cell fraction using CD19 MicroBeads Genomic DNA extraction (Qiagen AllPrep kit) Bisulfite DNA conversion, whole-genome amplification, fragmentation and hybridization to Illumina Infinium HumanMethylation450 BeadChips (standard Illumina protocols) Single-base extension, staining and scanning (standard Illumina protocols) 9422491041_R01C02_Grn.idat & 9422491041_R01C02_Red.idat GSM4056746 CLL_D_nodel17p_chemosensitive_14 Raw data filtering, background subtraction (Noob) and normalization (BMIQ) Data matrix of beta-values
D (no del(17p), chemosensitive) 09PB0626 Male Male 59 Yes Responded 100 No 6.5 No 1.5 No 2.5 No 0.50 No 1.50 none detected NA 0 Isolation of peripheral blood mononuclear cells (PBMCs) from blood samples via density gradient centrifugation (Pancoll human) Purification of CD19-positive cell fraction using CD19 MicroBeads Genomic DNA extraction (Qiagen AllPrep kit) Bisulfite DNA conversion, whole-genome amplification, fragmentation and hybridization to Illumina Infinium HumanMethylation450 BeadChips (standard Illumina protocols) Single-base extension, staining and scanning (standard Illumina protocols) 9422491005_R04C02_Grn.idat & 9422491005_R04C02_Red.idat GSM4056704 CLL_D_nodel17p_chemosensitive_1 Raw data filtering, background subtraction (Noob) and normalization (BMIQ) Data matrix of beta-values
D (no del(17p), chemosensitive) 09PB0700 Male Male 65 No NA 100 Yes 79.0 No 1.5 No 7.0 No 1.50 No 2.50 none detected NA 0 Isolation of peripheral blood mononuclear cells (PBMCs) from blood samples via density gradient centrifugation (Pancoll human) Purification of CD19-positive cell fraction using CD19 MicroBeads Genomic DNA extraction (Qiagen AllPrep kit) Bisulfite DNA conversion, whole-genome amplification, fragmentation and hybridization to Illumina Infinium HumanMethylation450 BeadChips (standard Illumina protocols) Single-base extension, staining and scanning (standard Illumina protocols) 9422491020_R04C02_Grn.idat & 9422491020_R04C02_Red.idat GSM4056728 CLL_D_nodel17p_chemosensitive_8 Raw data filtering, background subtraction (Noob) and normalization (BMIQ) Data matrix of beta-values
D (no del(17p), chemosensitive) 08PB2670 Female Female 73 No NA 94.06 Yes 56.0 No 1.0 No 1.0 No 0.50 No 4.00 none detected NA 0 Isolation of peripheral blood mononuclear cells (PBMCs) from blood samples via density gradient centrifugation (Pancoll human) Purification of CD19-positive cell fraction using CD19 MicroBeads Genomic DNA extraction (Qiagen AllPrep kit) Bisulfite DNA conversion, whole-genome amplification, fragmentation and hybridization to Illumina Infinium HumanMethylation450 BeadChips (standard Illumina protocols) Single-base extension, staining and scanning (standard Illumina protocols) 9422491041_R04C02_Grn.idat & 9422491041_R04C02_Red.idat GSM4056752 CLL_D_nodel17p_chemosensitive_16 Raw data filtering, background subtraction (Noob) and normalization (BMIQ) Data matrix of beta-values
D (no del(17p), chemosensitive) 09PB1646 Male Male 52 No NA 100 No 1.5 No 1.0 No 5.0 No 2.00 No 4.00 none detected NA 0 Isolation of peripheral blood mononuclear cells (PBMCs) from blood samples via density gradient centrifugation (Pancoll human) Purification of CD19-positive cell fraction using CD19 MicroBeads Genomic DNA extraction (Qiagen AllPrep kit) Bisulfite DNA conversion, whole-genome amplification, fragmentation and hybridization to Illumina Infinium HumanMethylation450 BeadChips (standard Illumina protocols) Single-base extension, staining and scanning (standard Illumina protocols) 9422491005_R06C02_Grn.idat & 9422491005_R06C02_Red.idat GSM4056708 CLL_D_nodel17p_chemosensitive_3 Raw data filtering, background subtraction (Noob) and normalization (BMIQ) Data matrix of beta-values
D (no del(17p), chemosensitive) 08PB3739 Male Male 38 No NA 93.81 No 5.5 No 4.0 No 4.0 No 4.00 No 4.50 none detected NA 0 Isolation of peripheral blood mononuclear cells (PBMCs) from blood samples via density gradient centrifugation (Pancoll human) Purification of CD19-positive cell fraction using CD19 MicroBeads Genomic DNA extraction (Qiagen AllPrep kit) Bisulfite DNA conversion, whole-genome amplification, fragmentation and hybridization to Illumina Infinium HumanMethylation450 BeadChips (standard Illumina protocols) Single-base extension, staining and scanning (standard Illumina protocols) 9422491020_R06C02_Grn.idat & 9422491020_R06C02_Red.idat GSM4056732 CLL_D_nodel17p_chemosensitive_10 Raw data filtering, background subtraction (Noob) and normalization (BMIQ) Data matrix of beta-values
D (no del(17p), chemosensitive) 09PB1757 Male Male 72 Yes Responded 100 No 4.0 No 2.5 No 2.5 No 1.50 No 2.00 none detected NA 0 Isolation of peripheral blood mononuclear cells (PBMCs) from blood samples via density gradient centrifugation (Pancoll human) Purification of CD19-positive cell fraction using CD19 MicroBeads Genomic DNA extraction (Qiagen AllPrep kit) Bisulfite DNA conversion, whole-genome amplification, fragmentation and hybridization to Illumina Infinium HumanMethylation450 BeadChips (standard Illumina protocols) Single-base extension, staining and scanning (standard Illumina protocols) 9422491041_R06C02_Grn.idat & 9422491041_R06C02_Red.idat GSM4056756 CLL_D_nodel17p_chemosensitive_17 Raw data filtering, background subtraction (Noob) and normalization (BMIQ) Data matrix of beta-values
D (no del(17p), chemosensitive) 08PB4270 Female Female 43 No NA 94.59 Yes 20.0 No 2.5 No 4.5 No 1.50 No 5.50 none detected NA 0 Isolation of peripheral blood mononuclear cells (PBMCs) from blood samples via density gradient centrifugation (Pancoll human) Purification of CD19-positive cell fraction using CD19 MicroBeads Genomic DNA extraction (Qiagen AllPrep kit) Bisulfite DNA conversion, whole-genome amplification, fragmentation and hybridization to Illumina Infinium HumanMethylation450 BeadChips (standard Illumina protocols) Single-base extension, staining and scanning (standard Illumina protocols) 9422491007_R02C01_Grn.idat & 9422491007_R02C01_Red.idat GSM4056711 CLL_D_nodel17p_chemosensitive_5 Raw data filtering, background subtraction (Noob) and normalization (BMIQ) Data matrix of beta-values
D (no del(17p), chemosensitive) 08PB5124 Female Male 84 No NA 100 No 3.0 No 3.5 No 4.5 No 3.50 No 3.00 none detected NA 0 Isolation of peripheral blood mononuclear cells (PBMCs) from blood samples via density gradient centrifugation (Pancoll human) Purification of CD19-positive cell fraction using CD19 MicroBeads Genomic DNA extraction (Qiagen AllPrep kit) Bisulfite DNA conversion, whole-genome amplification, fragmentation and hybridization to Illumina Infinium HumanMethylation450 BeadChips (standard Illumina protocols) Single-base extension, staining and scanning (standard Illumina protocols) 9422491034_R05C01_Grn.idat & 9422491034_R05C01_Red.idat GSM4056741 CLL_D_nodel17p_chemosensitive_12 Raw data filtering, background subtraction (Noob) and normalization (BMIQ) Data matrix of beta-values
D (no del(17p), chemosensitive) 08PB7544 Male Male 41 No NA 100 Yes 19.0 No 0.0 No 3.0 No 4.50 No 5.50 none detected NA 0 Isolation of peripheral blood mononuclear cells (PBMCs) from blood samples via density gradient centrifugation (Pancoll human) Purification of CD19-positive cell fraction using CD19 MicroBeads Genomic DNA extraction (Qiagen AllPrep kit) Bisulfite DNA conversion, whole-genome amplification, fragmentation and hybridization to Illumina Infinium HumanMethylation450 BeadChips (standard Illumina protocols) Single-base extension, staining and scanning (standard Illumina protocols) 9422491055_R05C01_Grn.idat & 9422491055_R05C01_Red.idat GSM4056765 CLL_D_nodel17p_chemosensitive_19 Raw data filtering, background subtraction (Noob) and normalization (BMIQ) Data matrix of beta-values
D (no del(17p), chemosensitive) 09PB7511 Male Male 71 No NA 87.39 Yes 83.0 No 0.0 No 0.0 No 2.00 No 3.50 none detected NA 0 Isolation of peripheral blood mononuclear cells (PBMCs) from blood samples via density gradient centrifugation (Pancoll human) Purification of CD19-positive cell fraction using CD19 MicroBeads Genomic DNA extraction (Qiagen AllPrep kit) Bisulfite DNA conversion, whole-genome amplification, fragmentation and hybridization to Illumina Infinium HumanMethylation450 BeadChips (standard Illumina protocols) Single-base extension, staining and scanning (standard Illumina protocols) 9422491007_R01C02_Grn.idat & 9422491007_R01C02_Red.idat GSM4056710 CLL_D_nodel17p_chemosensitive_4 Raw data filtering, background subtraction (Noob) and normalization (BMIQ) Data matrix of beta-values
D (no del(17p), chemosensitive) 08PB8031 Female Female 63 No NA 81.48 No 5.0 No 0.0 No 2.5 No 3.00 No 3.00 none detected NA 0 Isolation of peripheral blood mononuclear cells (PBMCs) from blood samples via density gradient centrifugation (Pancoll human) Purification of CD19-positive cell fraction using CD19 MicroBeads Genomic DNA extraction (Qiagen AllPrep kit) Bisulfite DNA conversion, whole-genome amplification, fragmentation and hybridization to Illumina Infinium HumanMethylation450 BeadChips (standard Illumina protocols) Single-base extension, staining and scanning (standard Illumina protocols) 9422491034_R04C02_Grn.idat & 9422491034_R04C02_Red.idat GSM4056740 CLL_D_nodel17p_chemosensitive_11 Raw data filtering, background subtraction (Noob) and normalization (BMIQ) Data matrix of beta-values
D (no del(17p), chemosensitive) 08PB3517 Male Male 68 Yes Responded 99.55 Yes 82.0 No 4.0 No 0.0 No 5.00 No 3.50 none detected NA 0 Isolation of peripheral blood mononuclear cells (PBMCs) from blood samples via density gradient centrifugation (Pancoll human) Purification of CD19-positive cell fraction using CD19 MicroBeads Genomic DNA extraction (Qiagen AllPrep kit) Bisulfite DNA conversion, whole-genome amplification, fragmentation and hybridization to Illumina Infinium HumanMethylation450 BeadChips (standard Illumina protocols) Single-base extension, staining and scanning (standard Illumina protocols) 9422491055_R01C02_Grn.idat & 9422491055_R01C02_Red.idat GSM4056758 CLL_D_nodel17p_chemosensitive_18 Raw data filtering, background subtraction (Noob) and normalization (BMIQ) Data matrix of beta-values
D (no del(17p), chemosensitive) 12PB0638 Male Male 51 Yes Responded 100 Yes 9.5 No 0.5 No 1.5 No 2.00 No 3.50 none detected NA 0 Isolation of peripheral blood mononuclear cells (PBMCs) from blood samples via density gradient centrifugation (Pancoll human) Purification of CD19-positive cell fraction using CD19 MicroBeads Genomic DNA extraction (Qiagen AllPrep kit) Bisulfite DNA conversion, whole-genome amplification, fragmentation and hybridization to Illumina Infinium HumanMethylation450 BeadChips (standard Illumina protocols) Single-base extension, staining and scanning (standard Illumina protocols) 9422491007_R04C02_Grn.idat & 9422491007_R04C02_Red.idat GSM4056716 CLL_D_nodel17p_chemosensitive_6 Raw data filtering, background subtraction (Noob) and normalization (BMIQ) Data matrix of beta-values
D (no del(17p), chemosensitive) 07PB1887* Male Male 58 Yes Responded 100 No 6.0 No 1.0 No 3.0 No 0.50 No 4.00 none detected NA 0 Isolation of peripheral blood mononuclear cells (PBMCs) from blood samples via density gradient centrifugation (Pancoll human) Purification of CD19-positive cell fraction using CD19 MicroBeads Genomic DNA extraction (Qiagen AllPrep kit) Bisulfite DNA conversion, whole-genome amplification, fragmentation and hybridization to Illumina Infinium HumanMethylation450 BeadChips (standard Illumina protocols) Single-base extension, staining and scanning (standard Illumina protocols) 9422491034_R06C02_Grn.idat & 9422491034_R06C02_Red.idat GSM4056744 CLL_D_nodel17p_chemosensitive_13_timepoint1 Raw data filtering, background subtraction (Noob) and normalization (BMIQ) Data matrix of beta-values
D (no del(17p), chemosensitive) 10PB6041* Male Male 61 Yes Responded 100 Yes 16.0 No 2.5 No 1.5 No 5.50 No 5.00 none detected NA 0 Isolation of peripheral blood mononuclear cells (PBMCs) from blood samples via density gradient centrifugation (Pancoll human) Purification of CD19-positive cell fraction using CD19 MicroBeads Genomic DNA extraction (Qiagen AllPrep kit) Bisulfite DNA conversion, whole-genome amplification, fragmentation and hybridization to Illumina Infinium HumanMethylation450 BeadChips (standard Illumina protocols) Single-base extension, staining and scanning (standard Illumina protocols) 9422491055_R03C02_Grn.idat & 9422491055_R03C02_Red.idat GSM4056762 CLL_D_nodel17p_chemosensitive_13_timepoint2 Raw data filtering, background subtraction (Noob) and normalization (BMIQ) Data matrix of beta-values
D (no del(17p), chemosensitive) 12PB8783 Female Female 62 No NA 100 No 4.5 No 2.0 No 0.0 No 4.00 No 7.50 none detected NA 0 Isolation of peripheral blood mononuclear cells (PBMCs) from blood samples via density gradient centrifugation (Pancoll human) Purification of CD19-positive cell fraction using CD19 MicroBeads Genomic DNA extraction (Qiagen AllPrep kit) Bisulfite DNA conversion, whole-genome amplification, fragmentation and hybridization to Illumina Infinium HumanMethylation450 BeadChips (standard Illumina protocols) Single-base extension, staining and scanning (standard Illumina protocols) 9422491007_R06C02_Grn.idat & 9422491007_R06C02_Red.idat GSM4056720 CLL_D_nodel17p_chemosensitive_7 Raw data filtering, background subtraction (Noob) and normalization (BMIQ) Data matrix of beta-values
D (no del(17p), chemosensitive) 13PB11267 Male Male 64 Yes Responded 100 No 4.5 No 0.0 No 8.0 No 5.00 No 4.00 none detected NA 0 Isolation of peripheral blood mononuclear cells (PBMCs) from blood samples via density gradient centrifugation (Pancoll human) Purification of CD19-positive cell fraction using CD19 MicroBeads Genomic DNA extraction (Qiagen AllPrep kit) Bisulfite DNA conversion, whole-genome amplification, fragmentation and hybridization to Illumina Infinium HumanMethylation450 BeadChips (standard Illumina protocols) Single-base extension, staining and scanning (standard Illumina protocols) 9422491041_R02C01_Grn.idat & 9422491041_R02C01_Red.idat GSM4056747 CLL_D_nodel17p_chemosensitive_15 Raw data filtering, background subtraction (Noob) and normalization (BMIQ) Data matrix of beta-values
D (no del(17p), chemosensitive) 12PB7846 Male Male 45 No NA 100 Yes 67.0 No 1.0 No 0.5 No 0.00 No 3.50 none detected NA 0 Isolation of peripheral blood mononuclear cells (PBMCs) from blood samples via density gradient centrifugation (Pancoll human) Purification of CD19-positive cell fraction using CD19 MicroBeads Genomic DNA extraction (Qiagen AllPrep kit) Bisulfite DNA conversion, whole-genome amplification, fragmentation and hybridization to Illumina Infinium HumanMethylation450 BeadChips (standard Illumina protocols) Single-base extension, staining and scanning (standard Illumina protocols) 9422491055_R06C02_Grn.idat & 9422491055_R06C02_Red.idat GSM4056768 CLL_D_nodel17p_chemosensitive_20 Raw data filtering, background subtraction (Noob) and normalization (BMIQ) Data matrix of beta-values
E (no del(17p), refractory) 08PB4647 Male Male 60 Yes Refractory 97.7 Yes 91.0 No 2.5 No 1.0 No 0.50 No 2.50 none detected NA 0 Isolation of peripheral blood mononuclear cells (PBMCs) from blood samples via density gradient centrifugation (Pancoll human) Purification of CD19-positive cell fraction using CD19 MicroBeads Genomic DNA extraction (Qiagen AllPrep kit) Bisulfite DNA conversion, whole-genome amplification, fragmentation and hybridization to Illumina Infinium HumanMethylation450 BeadChips (standard Illumina protocols) Single-base extension, staining and scanning (standard Illumina protocols) 9422491005_R04C01_Grn.idat & 9422491005_R04C01_Red.idat GSM4056703 CLL_E_nodel17p_refractory_2 Raw data filtering, background subtraction (Noob) and normalization (BMIQ) Data matrix of beta-values
E (no del(17p), refractory) 08PB8276 Male Male 66 Yes Refractory 99.57 Yes 96.0 No 1.0 No 1.5 No 2.50 No 2.50 none detected NA 0 Isolation of peripheral blood mononuclear cells (PBMCs) from blood samples via density gradient centrifugation (Pancoll human) Purification of CD19-positive cell fraction using CD19 MicroBeads Genomic DNA extraction (Qiagen AllPrep kit) Bisulfite DNA conversion, whole-genome amplification, fragmentation and hybridization to Illumina Infinium HumanMethylation450 BeadChips (standard Illumina protocols) Single-base extension, staining and scanning (standard Illumina protocols) 9422491020_R04C01_Grn.idat & 9422491020_R04C01_Red.idat GSM4056727 CLL_E_nodel17p_refractory_7 Raw data filtering, background subtraction (Noob) and normalization (BMIQ) Data matrix of beta-values
E (no del(17p), refractory) 09PB7242 NK Male 46 Yes Refractory 99.53 No 4.0 No 2.5 No 6.5 No 1.50 No 5.00 none detected NA 0 Isolation of peripheral blood mononuclear cells (PBMCs) from blood samples via density gradient centrifugation (Pancoll human) Purification of CD19-positive cell fraction using CD19 MicroBeads Genomic DNA extraction (Qiagen AllPrep kit) Bisulfite DNA conversion, whole-genome amplification, fragmentation and hybridization to Illumina Infinium HumanMethylation450 BeadChips (standard Illumina protocols) Single-base extension, staining and scanning (standard Illumina protocols) 9422491041_R01C01_Grn.idat & 9422491041_R01C01_Red.idat GSM4056745 CLL_E_nodel17p_refractory_11 Raw data filtering, background subtraction (Noob) and normalization (BMIQ) Data matrix of beta-values
E (no del(17p), refractory) 09PB0906 Male Male 68 Yes Refractory 98.98 Yes 38.0 No 5.0 No 2.5 Yes 94.00 No 4.00 none detected NA 0 Isolation of peripheral blood mononuclear cells (PBMCs) from blood samples via density gradient centrifugation (Pancoll human) Purification of CD19-positive cell fraction using CD19 MicroBeads Genomic DNA extraction (Qiagen AllPrep kit) Bisulfite DNA conversion, whole-genome amplification, fragmentation and hybridization to Illumina Infinium HumanMethylation450 BeadChips (standard Illumina protocols) Single-base extension, staining and scanning (standard Illumina protocols) 9422491005_R03C02_Grn.idat & 9422491005_R03C02_Red.idat GSM4056702 CLL_E_nodel17p_refractory_1 Raw data filtering, background subtraction (Noob) and normalization (BMIQ) Data matrix of beta-values
E (no del(17p), refractory) 11PB2066 NK Male 71 Yes Refractory 98.3 Yes 80.5 No 1.5 No 0.5 No 2.00 No 4.50 none detected NA 0 Isolation of peripheral blood mononuclear cells (PBMCs) from blood samples via density gradient centrifugation (Pancoll human) Purification of CD19-positive cell fraction using CD19 MicroBeads Genomic DNA extraction (Qiagen AllPrep kit) Bisulfite DNA conversion, whole-genome amplification, fragmentation and hybridization to Illumina Infinium HumanMethylation450 BeadChips (standard Illumina protocols) Single-base extension, staining and scanning (standard Illumina protocols) 9422491020_R03C02_Grn.idat & 9422491020_R03C02_Red.idat GSM4056726 CLL_E_nodel17p_refractory_6 Raw data filtering, background subtraction (Noob) and normalization (BMIQ) Data matrix of beta-values
E (no del(17p), refractory) 11PB11934 NK Female 70 Yes Refractory 100 Yes 31.5 No 1.0 No 0.0 Yes 96.50 No 4.00 none detected NA 0 Isolation of peripheral blood mononuclear cells (PBMCs) from blood samples via density gradient centrifugation (Pancoll human) Purification of CD19-positive cell fraction using CD19 MicroBeads Genomic DNA extraction (Qiagen AllPrep kit) Bisulfite DNA conversion, whole-genome amplification, fragmentation and hybridization to Illumina Infinium HumanMethylation450 BeadChips (standard Illumina protocols) Single-base extension, staining and scanning (standard Illumina protocols) 9422491041_R06C01_Grn.idat & 9422491041_R06C01_Red.idat GSM4056755 CLL_E_nodel17p_refractory_13 Raw data filtering, background subtraction (Noob) and normalization (BMIQ) Data matrix of beta-values
E (no del(17p), refractory) 10PB6173 NK Female 57 Yes Refractory 99.54 Yes 14.0 No 2.5 No 2.5 No 1.00 No 4.00 none detected NA 0 Isolation of peripheral blood mononuclear cells (PBMCs) from blood samples via density gradient centrifugation (Pancoll human) Purification of CD19-positive cell fraction using CD19 MicroBeads Genomic DNA extraction (Qiagen AllPrep kit) Bisulfite DNA conversion, whole-genome amplification, fragmentation and hybridization to Illumina Infinium HumanMethylation450 BeadChips (standard Illumina protocols) Single-base extension, staining and scanning (standard Illumina protocols) 9422491007_R01C01_Grn.idat & 9422491007_R01C01_Red.idat GSM4056709 CLL_E_nodel17p_refractory_3 Raw data filtering, background subtraction (Noob) and normalization (BMIQ) Data matrix of beta-values
E (no del(17p), refractory) 10PB10381 Male Male 46 Yes Refractory 100 Yes 76.5 No 1.0 No 3.0 Yes 60.00 No 3.00 none detected NA 0 Isolation of peripheral blood mononuclear cells (PBMCs) from blood samples via density gradient centrifugation (Pancoll human) Genomic DNA extraction (Qiagen AllPrep kit) Bisulfite DNA conversion, whole-genome amplification, fragmentation and hybridization to Illumina Infinium HumanMethylation450 BeadChips (standard Illumina protocols) Single-base extension, staining and scanning (standard Illumina protocols) 9422491020_R05C02_Grn.idat & 9422491020_R05C02_Red.idat GSM4056730 CLL_E_nodel17p_refractory_8 Raw data filtering, background subtraction (Noob) and normalization (BMIQ) Data matrix of beta-values
E (no del(17p), refractory) 10PB1329 NK Male 52 Yes Refractory 100 Yes 13.5 No 2.5 Yes 55.5 No 7.50 No 5.00 none detected NA 0 Isolation of peripheral blood mononuclear cells (PBMCs) from blood samples via density gradient centrifugation (Pancoll human) Genomic DNA extraction (Qiagen AllPrep kit) Bisulfite DNA conversion, whole-genome amplification, fragmentation and hybridization to Illumina Infinium HumanMethylation450 BeadChips (standard Illumina protocols) Single-base extension, staining and scanning (standard Illumina protocols) 9422491041_R03C02_Grn.idat & 9422491041_R03C02_Red.idat GSM4056750 CLL_E_nodel17p_refractory_12 Raw data filtering, background subtraction (Noob) and normalization (BMIQ) Data matrix of beta-values
E (no del(17p), refractory) 10PB2885 NK Female 65 Yes Refractory 96.13 Yes 84.5 No 4.5 No 2.0 No 4.00 No 6.00 none detected NA 0 Isolation of peripheral blood mononuclear cells (PBMCs) from blood samples via density gradient centrifugation (Pancoll human) Purification of CD19-positive cell fraction using CD19 MicroBeads Genomic DNA extraction (Qiagen AllPrep kit) Bisulfite DNA conversion, whole-genome amplification, fragmentation and hybridization to Illumina Infinium HumanMethylation450 BeadChips (standard Illumina protocols) Single-base extension, staining and scanning (standard Illumina protocols) 9422491007_R06C01_Grn.idat & 9422491007_R06C01_Red.idat GSM4056719 CLL_E_nodel17p_refractory_5 Raw data filtering, background subtraction (Noob) and normalization (BMIQ) Data matrix of beta-values
E (no del(17p), refractory) 08PB6113 Female Female 38 Yes Refractory 100 No 3.5 No 1.0 No 0.0 No 4.50 No 7.00 none detected NA 0 Isolation of peripheral blood mononuclear cells (PBMCs) from blood samples via density gradient centrifugation (Pancoll human) Genomic DNA extraction (Qiagen AllPrep kit) Bisulfite DNA conversion, whole-genome amplification, fragmentation and hybridization to Illumina Infinium HumanMethylation450 BeadChips (standard Illumina protocols) Single-base extension, staining and scanning (standard Illumina protocols) 9422491034_R04C01_Grn.idat & 9422491034_R04C01_Red.idat GSM4056739 CLL_E_nodel17p_refractory_10 Raw data filtering, background subtraction (Noob) and normalization (BMIQ) Data matrix of beta-values
E (no del(17p), refractory) 08PB5904 Male Male 69 Yes Refractory 99.06 Yes 87.0 No 1.5 No 0.5 Yes 89.50 No 4.00 none detected NA 0 Isolation of peripheral blood mononuclear cells (PBMCs) from blood samples via density gradient centrifugation (Pancoll human) Purification of CD19-positive cell fraction using CD19 MicroBeads Genomic DNA extraction (Qiagen AllPrep kit) Bisulfite DNA conversion, whole-genome amplification, fragmentation and hybridization to Illumina Infinium HumanMethylation450 BeadChips (standard Illumina protocols) Single-base extension, staining and scanning (standard Illumina protocols) 9422491055_R04C01_Grn.idat & 9422491055_R04C01_Red.idat GSM4056763 CLL_E_nodel17p_refractory_14 Raw data filtering, background subtraction (Noob) and normalization (BMIQ) Data matrix of beta-values
E (no del(17p), refractory) 11PB13477 Male Male 66 Yes Refractory 100 Yes 91.5 No 0.0 No 1.5 No 3.00 No 3.00 none detected NA 0 Isolation of peripheral blood mononuclear cells (PBMCs) from blood samples via density gradient centrifugation (Pancoll human) Purification of CD19-positive cell fraction using CD19 MicroBeads Genomic DNA extraction (Qiagen AllPrep kit) Bisulfite DNA conversion, whole-genome amplification, fragmentation and hybridization to Illumina Infinium HumanMethylation450 BeadChips (standard Illumina protocols) Single-base extension, staining and scanning (standard Illumina protocols) 9422491007_R03C02_Grn.idat & 9422491007_R03C02_Red.idat GSM4056714 CLL_E_nodel17p_refractory_4 Raw data filtering, background subtraction (Noob) and normalization (BMIQ) Data matrix of beta-values
E (no del(17p), refractory) 07PB2880 Male Male 63 Yes Refractory 95.95 Yes 97.0 No 0.0 No 0.5 No 3.00 No 2.50 none detected NA 0 Isolation of peripheral blood mononuclear cells (PBMCs) from blood samples via density gradient centrifugation (Pancoll human) Purification of CD19-positive cell fraction using CD19 MicroBeads Genomic DNA extraction (Qiagen AllPrep kit) Bisulfite DNA conversion, whole-genome amplification, fragmentation and hybridization to Illumina Infinium HumanMethylation450 BeadChips (standard Illumina protocols) Single-base extension, staining and scanning (standard Illumina protocols) 9422491034_R03C02_Grn.idat & 9422491034_R03C02_Red.idat GSM4056738 CLL_E_nodel17p_refractory_9 Raw data filtering, background subtraction (Noob) and normalization (BMIQ) Data matrix of beta-values
E (no del(17p), refractory) 07PB6512 Male Male 59 Yes Refractory 100 Yes 44.0 No 5.0 No 7.0 No 7.50 No 5.00 none detected NA 0 Isolation of peripheral blood mononuclear cells (PBMCs) from blood samples via density gradient centrifugation (Pancoll human) Purification of CD19-positive cell fraction using CD19 MicroBeads Genomic DNA extraction (Qiagen AllPrep kit) Bisulfite DNA conversion, whole-genome amplification, fragmentation and hybridization to Illumina Infinium HumanMethylation450 BeadChips (standard Illumina protocols) Single-base extension, staining and scanning (standard Illumina protocols) 9422491055_R05C02_Grn.idat & 9422491055_R05C02_Red.idat GSM4056766 CLL_E_nodel17p_refractory_15 Raw data filtering, background subtraction (Noob) and normalization (BMIQ) Data matrix of beta-values

NA = not applicable, NK = Not known.

*Samples 07PB1887 and 10PB6041 were taken from the same patient with a time difference of 40 months. There was cytogenetic progression from normal karyotype to del13q14. Only the first sample (07PB1887) is included in the summary characteristics provided in Table 1.

^Gender was not available for a part of the anonymized patients' samples.

We used the gender prediction algorithm in RnBeads to predict patients' sex.

Sample preparation

Blood samples from CLL patients were subjected to density gradient centrifugation (Pancoll human, #P04-60500, PAN-Biotech, Germany) to isolate peripheral blood mononuclear cells (PBMCs), which were then enriched for CD19+ B cells using CD19 MicroBeads (#130-050-301, Miltenyi Biotec, Germany) and LS columns (#130-042-401, Miltenyi Biotec). The purity of the enriched cell fractions was confirmed using a FACSCalibur flow cytometer (Becton Dickinson & Co.) and a monoclonal mouse anti-human CD19 antibody (clone HD37, DakoCytomation, Denmark). Purified cell samples were flash frozen and stored as dry cell pellets at −80 °C for further analysis.

DNA extraction, bisulfite conversion and methylation level quantification

The 72 frozen cell pellets were processed in 6 batches, taking care that samples from each of the 5 subgroups (A-E) were approximately equally divided among the 6 batches to mitigate possible batch effects. DNA was extracted from the cell pellets by the Qiagen AllPrep kit (#80204) and quantification and quality control were performed using a NanoDrop ND-1000 UV-Vis Spectrophotometer (Thermo Scientific, USA). One and a half micrograms of DNA from each sample were sent to the Genomics and Proteomics Core Facility of the German Cancer Research Center (DKFZ) for bisulfite conversion and hybridization to Illumina Infinium HumanMethylation450 BeadChips, according to the manufacturer’s instructions. The bisulfite conversion was performed using the EZ DNA Methylation Kit (Zymo Research) and then the converted DNA was whole-genome amplified and fragmented. The processed samples were distributed randomly among 6 Illumina Infinium HumanMethylation450 BeadChips. The core facility was blinded regarding the identity of the samples and the experimental groups to which they belonged. After hybridization, single-base extension and staining, BeadChips were scanned using an Illumina iScan reader, and the fluorescence intensity raw data for each sample was recorded as two IDAT files, one for the green (Cy3) and one for the red (Cy5) channel23. Quality control of the whole procedure was performed using the Methylation Module of Illumina’s GenomeStudio software.

Data processing and statistics

After acquiring the raw data, we performed quality control, preprocessing and basic analysis using R/Bioconductor with the RnBeads package24. Illumina probes known to be cross-reactive or overlapping known SNPs25 were excluded from analysis. This was also done for probes giving unreliable measurements as determined by the Greedycut algorithm implemented in RnBeads. The data from the remaining probes were subjected to background subtraction using the Noob method26 and beta-mixture quantile normalization (BMIQ)27. In a subsequent step, probes of non-CpG context, probes binding to sequences on sex chromosomes and probes with low standard deviation were filtered out. CpG sites on the sex chromosomes were excluded to avoid gender-specific methylation bias, as groups within our study did not contain equal numbers of males and females. CpG sites with low standard deviation are generally not informative and removing them from the analysis is a common approach to increase power for detection of differentially methylated CpGs and to improve sensitivity of clustering28,29. The data obtained by the remaining probes23 were used in downstream analyses. Methylation levels of CpG sites were calculated as β-values (β = intensity of the methylated allele (M)/[intensity of the unmethylated allele (U) + intensity of the methylated allele (M) + 100].

Both multidimensional scaling (MDS) and principal-component analysis (PCA) were used as dimension reduction techniques. Hierarchical clustering was carried out using the Manhattan distance metric and complete linkage criteria.

Data records

The complete DNA methylation microarray dataset has been deposited in the NCBI Gene Expression Omnibus (GEO) database and consists of the raw data in the form of 72 pairs (red/green fluorescence) of raw Intensity Data files (.idat), the processed data matrix and a metadata table describing the samples and their groups23. For convenience, Online-only Table 1 lists all patients and samples with their characteristics, as well as experimental and analytical procedures and output data file names.

Technical Validation

Quality control of genomic DNA

Genomic DNA 260 nm/280 nm absorbance ratios were determined using a NanoDrop ND-1000 UV-Vis Spectrophotometer (Thermo Scientific, USA). All samples had ratios in the range 1.8–2.0, as expected for DNA of high purity (Online-only Table 2).

Online-only Table 2.

DNA concentrations and quality control parameters measured using a NanoDrop ND-1000 UV-Vis Spectrophotometer. Each sample was measured in triplicates.

Sample ID ng/µl A260 A280 260/280 260/230 Constant Cursor Pos. Cursor abs. 340 raw
09PB8587 237.8 4.756 2.472 1.92 2.04 50 230 2.328 −0.006
09PB8587 242.24 4.845 2.531 1.91 2.01 50 230 2.414 0.02
09PB8587 243.92 4.878 2.53 1.93 2.05 50 230 2.383 0.006
11PB5152 94.52 1.89 0.997 1.9 1.98 50 230 0.957 −0.01
11PB5152 93.13 1.863 1.015 1.84 2.05 50 230 0.908 0.001
11PB5152 87.66 1.753 0.942 1.86 1.99 50 230 0.88 −0.022
09PB7427 167.37 3.347 1.74 1.92 2.12 50 230 1.578 0.022
09PB7427 164.15 3.283 1.706 1.92 2.17 50 230 1.511 0.03
09PB7427 162.06 3.241 1.654 1.96 2.16 50 230 1.501 0.043
08PB4647 141.64 2.833 1.473 1.92 2 50 230 1.415 0.044
08PB4647 137.1 2.742 1.432 1.91 2 50 230 1.368 0.02
08PB4647 137.33 2.747 1.418 1.94 2.03 50 230 1.356 0.018
10PB5506 169.28 3.386 1.781 1.9 2.12 50 230 1.598 0.015
10PB5506 158.03 3.161 1.632 1.94 2.17 50 230 1.455 0.007
10PB5506 154.57 3.091 1.615 1.91 2.09 50 230 1.48 0.012
09PB6581 170.2 3.404 1.776 1.92 2.07 50 230 1.644 0.012
09PB6581 177.76 3.555 1.866 1.91 2.11 50 230 1.683 −0.001
09PB6581 168.37 3.367 1.763 1.91 2.1 50 230 1.606 0.007
11PB1528 297.15 5.943 3.105 1.91 2.06 50 230 2.887 −0.054
11PB1528 296.77 5.935 3.088 1.92 2.07 50 230 2.871 −0.052
11PB1528 266.53 5.331 2.795 1.91 2.03 50 230 2.625 −0.057
08PB8276 663.84 13.277 7.061 1.88 2.23 50 230 5.941 0.206
08PB8276 652.39 13.048 6.983 1.87 2.21 50 230 5.906 0.171
08PB8276 675.04 13.501 7.219 1.87 2.21 50 230 6.108 0.151
10PB8858 169.94 3.399 1.786 1.9 2.01 50 230 1.687 −0.033
10PB8858 166.87 3.337 1.746 1.91 2.08 50 230 1.606 −0.029
10PB8858 165.86 3.317 1.712 1.94 2.1 50 230 1.576 −0.022
09PB2750 59.26 1.185 0.635 1.87 0.68 50 230 1.736 −0.037
09PB2750 58.97 1.179 0.636 1.85 0.7 50 230 1.68 −0.032
09PB2750 60.67 1.213 0.613 1.98 0.72 50 230 1.693 −0.034
08PB0411 129.81 2.596 1.35 1.92 2.04 50 230 1.272 0.003
08PB0411 124.6 2.492 1.298 1.92 1.97 50 230 1.267 0.09
08PB0411 127.42 2.548 1.337 1.91 1.99 50 230 1.281 0.01
09PB3261 225.27 4.505 2.341 1.92 1.69 50 230 2.661 −0.03
09PB3261 225.73 4.515 2.331 1.94 1.7 50 230 2.655 −0.038
09PB3261 228.23 4.565 2.374 1.92 1.68 50 230 2.722 −0.029
09PB7242 130.02 2.6 1.374 1.89 2.15 50 230 1.208 0.023
09PB7242 124.29 2.486 1.305 1.9 2.16 50 230 1.15 −0.001
09PB7242 145.46 2.909 1.536 1.89 2.21 50 230 1.316 −0.007
08PB1082 124.97 2.499 1.33 1.88 2.03 50 230 1.233 0
08PB1082 123.44 2.469 1.32 1.87 2.01 50 230 1.229 0.026
08PB1082 125.76 2.515 1.336 1.88 2.06 50 230 1.219 −0.009
09PB6227 130.08 2.602 1.366 1.9 2.07 50 230 1.254 0
09PB6227 131.68 2.634 1.386 1.9 2.08 50 230 1.267 −0.008
09PB6227 135.02 2.7 1.442 1.87 2.01 50 230 1.344 −0.02
10PB0115 160.62 3.212 1.713 1.88 2.14 50 230 1.504 −0.018
10PB0115 154.96 3.099 1.663 1.86 2.11 50 230 1.468 −0.009
10PB0115 138.74 2.775 1.452 1.91 2.14 50 230 1.298 −0.018
10PB8700 184.12 3.682 1.915 1.92 2.11 50 230 1.749 −0.007
10PB8700 185.67 3.713 1.932 1.92 2.16 50 230 1.723 −0.013
10PB8700 189.23 3.785 1.976 1.91 2.18 50 230 1.739 −0.022
09PB0906 103.3 2.066 1.101 1.88 1.76 50 230 1.175 −0.022
09PB0906 100.68 2.014 1.069 1.88 1.73 50 230 1.161 −0.029
09PB0906 103.97 2.079 1.114 1.87 1.75 50 230 1.187 −0.014
09PB0626 178.39 3.568 1.88 1.9 2.12 50 230 1.68 −0.006
09PB0626 174.59 3.492 1.806 1.93 2.06 50 230 1.691 −0.016
09PB0626 197.27 3.945 2.076 1.9 2.19 50 230 1.804 −0.008
09PB0858 314.84 6.297 3.299 1.91 2.19 50 230 2.875 −0.014
09PB0858 294.16 5.883 3.107 1.89 2.12 50 230 2.776 −0.012
09PB0858 274.05 5.481 2.909 1.88 2.13 50 230 2.577 −0.011
10PB2807 138.46 2.769 1.437 1.93 2.13 50 230 1.297 −0.002
10PB2807 136.71 2.734 1.427 1.92 2.07 50 230 1.322 0.005
10PB2807 136.26 2.725 1.45 1.88 2.06 50 230 1.324 −0.019
11PB2066 185.75 3.715 1.944 1.91 2.22 50 230 1.675 0.001
11PB2066 151.89 3.038 1.582 1.92 2.13 50 230 1.424 −0.018
11PB2066 152.21 3.044 1.621 1.88 2.08 50 230 1.466 −0.001
09PB0700 171.36 3.427 1.815 1.89 1.91 50 230 1.797 0.015
09PB0700 167.51 3.35 1.755 1.91 2.08 50 230 1.607 −0.002
09PB0700 189.73 3.795 1.991 1.91 2.08 50 230 1.825 −0.015
10PB3589 131.42 2.628 1.371 1.92 1.92 50 230 1.369 0.006
10PB3589 123.4 2.468 1.295 1.91 1.91 50 230 1.292 0.006
10PB3589 122.48 2.45 1.289 1.9 1.88 50 230 1.306 0.003
10PB1144 269.53 5.391 2.876 1.87 2.16 50 230 2.498 0.032
10PB1144 268.84 5.377 2.829 1.9 2.26 50 230 2.379 0.036
10PB1144 267.25 5.345 2.851 1.87 2.2 50 230 2.429 0.028
11PB11934 147.75 2.955 1.543 1.92 1.79 50 230 1.649 0.028
11PB11934 179 3.58 1.89 1.89 1.79 50 230 1.998 0.041
11PB11934 177.37 3.547 1.884 1.88 1.88 50 230 1.886 0.021
09PB1646 150.98 3.02 1.576 1.92 2.05 50 230 1.473 0.025
09PB1646 146.39 2.928 1.538 1.9 2.08 50 230 1.409 0.022
09PB1646 144.76 2.895 1.521 1.9 2.03 50 230 1.429 0.019
10PB0381 136.57 2.731 1.448 1.89 2.08 50 230 1.314 0.024
10PB0381 129.38 2.588 1.36 1.9 1.96 50 230 1.321 0.097
10PB0381 135.79 2.716 1.462 1.86 2.02 50 230 1.347 0.032
10PB5849 123.27 2.465 1.271 1.94 1.88 50 230 1.312 −0.003
10PB5849 117.2 2.344 1.241 1.89 1.88 50 230 1.244 0.026
10PB5849 122.95 2.459 1.304 1.89 1.92 50 230 1.283 0.025
10PB6173 144.45 2.889 1.527 1.89 2.12 50 230 1.362 0.031
10PB6173 134.68 2.694 1.397 1.93 2.05 50 230 1.315 0.036
10PB6173 136.93 2.739 1.438 1.91 2.1 50 230 1.301 −0.004
08PB3739 140.6 2.812 1.455 1.93 1.96 50 230 1.433 0.006
08PB3739 186.3 3.726 1.97 1.89 2.09 50 230 1.784 0.02
08PB3739 170.65 3.413 1.779 1.92 2.03 50 230 1.684 0.024
10PB0918 106.88 2.138 1.129 1.89 1.87 50 230 1.14 0.007
10PB0918 105.58 2.112 1.105 1.91 1.86 50 230 1.133 0.017
10PB0918 108.59 2.172 1.152 1.89 1.87 50 230 1.164 0.014
10PB10381 90.36 1.807 0.945 1.91 1.9 50 230 0.95 0.008
10PB10381 91.38 1.828 0.98 1.86 1.89 50 230 0.968 0.018
10PB10381 93.91 1.878 0.958 1.96 1.95 50 230 0.966 0.963
09PB1757 107.61 2.152 1.135 1.9 1.74 50 230 1.238 0.009
09PB1757 122.51 2.45 1.279 1.92 1.82 50 230 1.35 0.006
09PB1757 118.49 2.37 1.248 1.9 1.83 50 230 1.292 0.026
10PB0488 117.75 2.355 1.213 1.94 2.08 50 230 1.13 0.01
10PB0488 116.92 2.338 1.196 1.96 2.12 50 230 1.101 0.043
10PB0488 117.08 2.342 1.207 1.94 2.09 50 230 1.118 0.005
11PB1958 128.52 2.57 1.317 1.95 2.06 50 230 1.248 −0.184
11PB1958 131.26 2.625 1.362 1.93 2.1 50 230 1.252 0.03
11PB1958 132.73 2.655 1.381 1.92 2.04 50 230 1.304 0.021
09PB2752 120.89 2.418 1.251 1.93 1.94 50 230 1.244 0.238
09PB2752 112.77 2.255 1.177 1.92 1.93 50 230 1.17 0.019
09PB2752 119.5 2.39 1.24 1.93 1.79 50 230 1.334 0.026
10PB1329 135.09 2.702 1.416 1.91 2 50 230 1.348 0.021
10PB1329 133.02 2.66 1.372 1.94 2.08 50 230 1.281 0.017
10PB1329 133.4 2.668 1.378 1.94 2.11 50 230 1.263 0.02
08PB4270 136.03 2.721 1.423 1.91 2.03 50 230 1.34 0.02
08PB4270 133.77 2.675 1.374 1.95 2.09 50 230 1.28 0.03
08PB4270 122.93 2.459 1.269 1.94 1.98 50 230 1.242 0.176
09PB6550 164.06 3.281 1.706 1.92 2.07 50 230 1.582 0.029
09PB6550 162.45 3.249 1.681 1.93 2.11 50 230 1.54 0.034
09PB6550 159.09 3.182 1.647 1.93 2.11 50 230 1.507 0.048
11PB5972 201.88 4.038 2.093 1.93 1.72 50 230 2.349 0.037
11PB5972 204.9 4.098 2.161 1.9 1.72 50 230 2.388 0.041
11PB5972 207.18 4.144 2.139 1.94 1.71 50 230 2.42 0.042
11PB5602 255.45 5.109 2.659 1.92 2.25 50 230 2.269 0.041
11PB5602 250.73 5.015 2.634 1.9 2.22 50 230 2.261 −0.056
11PB5602 244.12 4.882 2.569 1.9 2.11 50 230 2.315 0.053
10PB2885 107.15 2.143 1.142 1.88 1.99 50 230 1.079 0.044
10PB2885 103.55 2.071 1.066 1.94 1.96 50 230 1.058 0.057
10PB2885 104.68 2.094 1.076 1.94 1.96 50 230 1.066 0.051
08PB5124 125.87 2.517 1.295 1.94 1.79 50 230 1.404 0.057
08PB5124 120.39 2.408 1.26 1.91 1.76 50 230 1.364 0.054
08PB5124 121.32 2.426 1.272 1.91 1.68 50 230 1.448 0.051
08PB7544 220.26 4.405 2.313 1.9 1.94 50 230 2.269 0.055
08PB7544 221.37 4.427 2.326 1.9 2.07 50 230 2.137 0.061
08PB7544 201.62 4.032 2.132 1.89 1.97 50 230 2.042 0.061
09PB7511 145.22 2.904 1.494 1.94 2.08 50 230 1.398 0.017
09PB7511 146.83 2.937 1.534 1.91 2.14 50 230 1.373 0.018
09PB7511 149.23 2.985 1.549 1.93 2.09 50 230 1.425 0.041
08PB8771 129.23 2.585 1.316 1.96 2.16 50 230 1.198 0.021
08PB8771 128.1 2.562 1.325 1.93 2.15 50 230 1.193 0.021
08PB8771 146.59 2.932 1.55 1.89 2.04 50 230 1.439 0.085
08PB0722 129.23 2.585 1.353 1.91 2.07 50 230 1.247 0.011
08PB0722 126.97 2.539 1.323 1.92 2.06 50 230 1.232 0.009
08PB0722 121.42 2.428 1.244 1.95 1.99 50 230 1.22 0.016
10PB6266 108.39 2.168 1.112 1.95 1.54 50 230 1.403 0.004
10PB6266 106.26 2.125 1.088 1.95 1.5 50 230 1.417 0.007
10PB6266 112.6 2.252 1.145 1.97 1.6 50 230 1.405 0.019
08PB6113 166.43 3.329 1.737 1.92 2.09 50 230 1.594 −0.026
08PB6113 149.03 2.981 1.554 1.92 1.99 50 230 1.497 0.011
08PB6113 189.34 3.787 1.963 1.93 2.15 50 230 1.762 0.003
08PB8031 137.03 2.741 1.4 1.96 1.99 50 230 1.379 0.002
08PB8031 141.31 2.826 1.453 1.95 1.98 50 230 1.429 0.008
08PB8031 137.14 2.743 1.418 1.93 2.02 50 230 1.358 0.216
09PB5837 515.13 10.303 5.412 1.9 2.22 50 230 4.64 −0.007
09PB5837 562.42 11.248 5.943 1.89 2.22 50 230 5.074 0.004
09PB5837 560.8 11.216 5.987 1.87 2.18 50 230 5.139 −0.004
09PB4164 109.06 2.181 1.147 1.9 2.14 50 230 1.021 −0.007
09PB4164 112.32 2.246 1.154 1.95 2.16 50 230 1.04 −0.002
09PB4164 117.47 2.349 1.216 1.93 2.11 50 230 1.115 −0.002
10PB0279 152.93 3.059 1.604 1.91 2.1 50 230 1.456 0.004
10PB0279 163.34 3.267 1.69 1.93 2.13 50 230 1.532 0.004
10PB0279 144.31 2.886 1.487 1.94 2.12 50 230 1.365 −0.009
08PB5904 171.4 3.428 1.795 1.91 2.09 50 230 1.643 −0.03
08PB5904 181.86 3.637 1.921 1.89 2.09 50 230 1.739 0.004
08PB5904 180.91 3.618 1.875 1.93 2.11 50 230 1.718 −0.002
08PB3517 181.36 3.627 1.89 1.92 2.18 50 230 1.661 −0.002
08PB3517 163.03 3.261 1.682 1.94 2.16 50 230 1.506 0.001
08PB3517 171.92 3.438 1.775 1.94 2.18 50 230 1.579 −0.003
12PB0638 182 3.64 1.892 1.92 2.02 50 230 1.804 −0.012
12PB0638 139.74 2.795 1.445 1.93 1.94 50 230 1.439 −0.004
12PB0638 150.93 3.019 1.571 1.92 1.96 50 230 1.54 0.008
10PB2738 252.44 5.049 2.66 1.9 2.14 50 230 2.356 0.079
10PB2738 243.53 4.871 2.584 1.88 2.05 50 230 2.375 0.021
10PB2738 251.59 5.032 2.645 1.9 2.21 50 230 2.28 0.011
10PB2975 105.21 2.104 1.106 1.9 1.29 50 230 1.637 0.011
10PB2975 91.55 1.831 0.951 1.93 1.9 50 230 0.962 −0.018
10PB2975 97.22 1.944 1.009 1.93 1.98 50 230 0.984 0.035
11PB13477 231.6 4.632 2.419 1.92 2.21 50 230 2.096 0.018
11PB13477 239.65 4.793 2.506 1.91 2.15 50 230 2.234 0.011
11PB13477 226.53 4.531 2.348 1.93 2.22 50 230 2.044 0.064
07PB1887 198.82 3.976 2.109 1.89 2.12 50 230 1.88 0.013
07PB1887 187.69 3.754 1.959 1.92 2.16 50 230 1.739 −0.004
07PB1887 171.17 3.423 1.788 1.92 2.17 50 230 1.576 −0.003
11PB6931 157.53 3.151 1.625 1.94 2.28 50 230 1.384 0
11PB6931 156.69 3.134 1.632 1.92 2.2 50 230 1.425 0.019
11PB6931 154.11 3.082 1.641 1.88 2.25 50 230 1.368 0.016
07PB2880 200.73 4.015 2.11 1.9 2.14 50 230 1.877 0.007
07PB2880 198.35 3.967 2.036 1.95 2.19 50 230 1.811 0.004
07PB2880 202.41 4.048 2.119 1.91 2.18 50 230 1.858 0.013
10PB6041 171.75 3.435 1.808 1.9 2.11 50 230 1.629 0.009
10PB6041 190.53 3.811 2.015 1.89 2.15 50 230 1.774 0.004
10PB6041 174.07 3.481 1.826 1.91 2.1 50 230 1.661 −0.008
09PB0698 174.57 3.491 1.825 1.91 2.21 50 230 1.582 −0.006
09PB0698 139.6 2.792 1.451 1.92 2.23 50 230 1.252 −0.018
09PB0698 156.91 3.138 1.623 1.93 2.24 50 230 1.4 0.025
07PB6512 175.31 3.506 1.818 1.93 2.11 50 230 1.661 0.001
07PB6512 192.66 3.853 2.02 1.91 2.13 50 230 1.812 −0.015
07PB6512 174.94 3.499 1.837 1.9 2.12 50 230 1.654 −0.008
12PB8783 156.29 3.126 1.611 1.94 1.68 50 230 1.856 −0.013
12PB8783 153.44 3.069 1.593 1.93 1.69 50 230 1.82 0.004
12PB8783 153.83 3.077 1.588 1.94 1.67 50 230 1.844 0.002
13PB11267 241.17 4.823 2.508 1.92 2.21 50 230 2.18 −0.014
13PB11267 247.17 4.943 2.593 1.91 2.21 50 230 2.242 −0.006
13PB11267 240.73 4.815 2.502 1.92 2.2 50 230 2.186 −0.01
11PB0842 188.39 3.768 1.949 1.93 2.18 50 230 1.729 0.011
11PB0842 179.38 3.588 1.864 1.92 2.13 50 230 1.686 0.006
11PB0842 192 3.84 1.999 1.92 2.16 50 230 1.775 0.006
12PB7846 157.68 3.154 1.636 1.93 2.06 50 230 1.532 −0.038
12PB7846 168.2 3.364 1.765 1.91 2.09 50 230 1.613 −0.03
12PB7846 154.06 3.081 1.593 1.93 2.07 50 230 1.488 −0.032
08PB1543 84.01 1.68 0.863 1.95 2 50 230 0.839 −0.001
08PB1543 84.08 1.682 0.903 1.86 1.93 50 230 0.873 0.006
08PB1543 83.55 1.671 0.859 1.94 1.97 50 230 0.849 0.022
08PB2670 104.94 2.099 1.093 1.92 1.72 50 230 1.219 −0.027
08PB2670 101.87 2.037 1.047 1.95 1.79 50 230 1.14 −0.015
08PB2670 108.54 2.171 1.146 1.89 1.74 50 230 1.245 0.361

Quality control of bisulfite conversion and Infinium 450k data

Quality control of bisulfite conversion and of data obtained by the Illumina Infinium HumanMethylation450 BeadChips was performed independently by the team of the core facility using the Methylation Module of Illumina’s GenomeStudio software (Supplementary File 1 and Online-only Table 3) and by us using the rnb.run.qc command of the RnBeads package (Fig. 2). Both analyses ascertained the correct execution of the separate steps of the whole experimental procedure: bisulfite conversion, hybridization, single-base extension and stripping. Figure 2a,b demonstrate bisulfite conversion efficiency as reported by control probes of Infinium I or II design, respectively. Overall hybridization performance was assessed using synthetic reference targets that are present in the hybridization buffer at three concentrations (low, medium and high) and that resulted in signals with well separable intensity intervals, as expected (Fig. 2c). The extension controls showed high efficiency of extension with any of the 4 nucleotides (Fig. 2d) and the staining controls demonstrated high efficiency and sensitivity of the staining step (Fig. 2e). The overall performance of the assay from amplification to detection is summarized by the signal from probes that query non-polymorphic bases in the genome – one probe for each nucleotide (Fig. 2f).

Online-only Table 3.

Quality control of signals from the Illumina Infinium HumanMethylation450 BeadChips.

Index Sample ID Sentrix Barcode Sample Section Detected CpG (0.01) DetectRate (0.01) Loci NOT detected (0.01) Detected CpG (0.05) Signal Average GRN Signal Average RED Signal P05 GRN Signal P05 RED Signal P25 GRN Signal P25 RED Signal P50 GRN Signal P50 RED Signal P75 GRN Signal P75 RED Signal P95 GRN Signal P95 RED DNA concentration (ng/µl) DNA volume (µl) DNA quantity loaded (ng)
1 09PB8587 9422491005 R01C01 485085 99.90% 492 485165 3651 8821 211 411 468 1308 1234 4781 6569 15293 11915 26452 29.1 34.3 1000
2 10PB0115 9422491005 R01C02 485131 99.91% 446 485203 3729 8353 239 476 504 1355 1371 4890 6632 14167 12040 24642 35.1 28.5 1000
3 11PB5152 9422491005 R02C01 485445 99.97% 132 485494 3957 8787 248 487 544 1407 1495 4956 6994 14999 12769 26193 31.7 31.6 1000
4 10PB2807 9422491005 R02C02 485141 99.91% 436 485213 4030 8682 265 519 551 1414 1418 4976 7249 14806 13005 25570 39.3 25.4 1000
5 09PB7427 9422491005 R03C01 485435 99.97% 142 485480 4209 9271 265 524 578 1462 1549 5041 7582 15980 13405 27712 37.6 26.6 1000
6 09PB0906 9422491005 R03C02 485418 99.97% 159 485480 4418 8669 263 504 567 1331 1551 4307 8127 15071 13857 26491 38 26.3 1000
7 08PB4647 9422491005 R04C01 485267 99.94% 310 485347 4502 9217 285 579 610 1433 1608 4310 8235 16153 14142 28523 41.7 24 1000
8 09PB0626 9422491005 R04C02 485414 99.97% 163 485473 4655 9046 294 604 626 1461 1820 4346 8487 15754 14258 27851 32.2 31 1000
9 08PB0411 9422491005 R05C01 485084 99.90% 493 485181 4437 9338 275 549 605 1459 1661 4635 8053 16226 13947 28595 39.6 25.3 1000
10 10PB0381 9422491005 R05C02 485102 99.90% 475 485175 4362 9486 288 569 610 1597 1620 5574 7800 16175 13948 27647 46.4 21.6 1000
11 09PB6227 9422491005 R06C01 485382 99.96% 195 485425 4410 9549 281 553 589 1482 1604 4927 7906 16364 14151 29340 42 23.8 1000
12 09PB1646 9422491005 R06C02 485366 99.96% 211 485428 4407 9354 289 562 594 1427 1541 4707 7874 16145 14491 28790 53.1 18.8 1000
13 10PB6173 9422491007 R01C01 485081 99.90% 496 485198 4169 9048 276 577 564 1525 1434 5155 7476 15427 13526 26653 37.2 26.9 1000
14 09PB7511 9422491007 R01C02 485401 99.96% 176 485457 4103 8717 270 600 549 1400 1516 4274 7427 15087 12850 26602 38.4 26 1000
15 08PB4270 9422491007 R02C01 485133 99.91% 444 485222 4416 8742 254 523 553 1277 1545 3909 8126 15388 13836 27270 35.8 27.9 1000
16 10PB2738 9422491007 R02C02 485447 99.97% 130 485484 4170 8703 244 500 524 1274 1418 4146 7634 15196 13255 26902 39.8 25.1 1000
17 09PB6550 9422491007 R03C01 485121 99.91% 456 485190 4487 9178 252 491 567 1402 1645 4942 8185 15855 14144 27522 37.2 26.9 1000
18 11PB13477 9422491007 R03C02 485445 99.97% 132 485482 4493 9192 254 489 563 1372 1585 4874 8242 15934 14150 27585 40.4 24.8 1000
19 11PB5972 9422491007 R04C01 485271 99.94% 306 485370 4624 9269 245 460 571 1359 1611 4755 8513 16163 14666 28159 40 25 1000
20 12PB0638 9422491007 R04C02 485429 99.97% 148 485475 4686 9088 248 465 577 1313 1808 4322 8591 15933 14474 28215 36.4 27.4 1000
21 09PB2752 9422491007 R05C01 485385 99.96% 192 485447 4260 9676 245 452 545 1471 1365 5767 7630 16552 14303 28418 45.4 22 1000
22 10PB5506 9422491007 R05C02 485065 99.89% 512 485147 4459 9472 259 478 568 1441 1486 5264 8187 16322 14343 28140 40.9 24.4 1000
23 10PB2885 9422491007 R06C01 485093 99.90% 484 485164 4520 9316 254 498 560 1371 1642 4558 8242 16026 14329 29148 41.3 24.2 1000
24 12PB8783 9422491007 R06C02 485129 99.91% 448 485196 4712 9357 269 514 592 1406 1796 4578 8646 16181 14538 29097 41 24.4 1000
25 09PB0858 9422491020 R01C01 485018 99.88% 559 485139 4272 8893 253 492 569 1451 1563 4823 7669 15287 13647 26617 25.8 37 953
26 09PB6581 9422491020 R01C02 485384 99.96% 193 485475 4184 8923 286 608 591 1511 1627 4542 7545 15345 12978 27054 36.6 27.4 1000
27 09PB4164 9422491020 R02C01 485391 99.96% 186 485452 4513 9004 282 548 614 1455 1640 4721 8206 15598 14233 27006 38.5 26 1000
28 11PB1528 9422491020 R02C02 485392 99.96% 185 485441 4659 9155 325 664 679 1684 1939 5263 8352 15416 14308 26900 30.7 32.6 1000
29 10PB0279 9422491020 R03C01 485433 99.97% 144 485494 4537 9291 278 519 614 1470 1639 4958 8257 16096 14340 27738 35.1 28.5 1000
30 11PB2066 9422491020 R03C02 485413 99.97% 164 485448 4706 9292 309 616 647 1518 1716 4654 8620 16096 14600 28190 40.8 24.5 1000
31 08PB8276 9422491020 R04C01 485409 99.97% 168 485471 4648 9277 275 507 618 1445 1748 4706 8502 16177 14433 28127 34.6 28.9 1000
32 09PB0700 9422491020 R04C02 485424 99.97% 153 485490 4720 9423 297 580 644 1473 1719 4545 8669 16485 14694 28790 35.5 28.2 1000
33 10PB3262 9422491020 R05C01 485444 99.97% 133 485488 4615 9232 289 547 638 1492 1745 4801 8327 15984 14533 27880 31.2 32.1 1000
34 10PB10381 9422491020 R05C02 485446 99.97% 131 485488 5023 9383 293 585 684 1620 2617 4853 9064 15967 14648 28812 37.5 26.7 1000
35 10PB0918 9422491020 R06C01 485257 99.93% 320 485348 4475 10116 276 605 611 1577 1647 4880 8149 17638 14105 31126 41.2 24.3 1000
36 08PB3739 9422491020 R06C02 485239 99.93% 338 485319 4613 10049 301 647 627 1595 1617 4957 8447 17388 14584 30731 31.5 31.7 1000
37 08PB8771 9422491034 R01C01 485386 99.96% 191 485453 3758 7873 255 509 528 1333 1372 4074 6866 13575 11652 23793 36 27.8 1000
38 08PB0722 9422491034 R01C02 485361 99.96% 216 485437 3801 7933 269 543 541 1357 1417 4319 6913 13526 11730 23654 34.8 28.8 1000
39 10PB3589 9422491034 R02C01 485209 99.92% 368 485286 4115 8595 304 606 611 1487 1550 4665 7498 14742 12619 25440 39.8 25.1 1000
40 11PB5602 9422491034 R02C02 484874 99.86% 703 485029 4161 8577 316 643 638 1522 1758 4559 7531 14611 12501 25709 29.6 33.8 1000
41 10PB1144 9422491034 R03C01 485424 99.97% 153 485472 4185 8568 292 604 604 1493 1646 4622 7619 14666 12746 25441 40.2 24.9 1000
42 07PB2880 9422491034 R03C02 485306 99.94% 271 485380 4248 8646 298 609 612 1425 1585 4136 7802 15084 12997 26260 36 27.8 1000
43 08PB6113 9422491034 R04C01 485165 99.92% 412 485224 4396 8633 282 597 636 1532 2331 4566 7855 14713 12801 26047 41.2 24.3 1000
44 08PB8031 9422491034 R04C02 485024 99.89% 553 485111 4244 9164 304 628 623 1563 1559 4902 7748 15745 13186 27171 40 25 1000
45 08PB5124 9422491034 R05C01 485023 99.89% 554 485113 4302 9383 314 673 643 1682 1621 5324 7816 16015 13332 27359 38.3 26.1 1000
46 10PB8858 9422491034 R05C02 484942 99.87% 635 485047 4480 9434 312 641 651 1589 1715 4925 8146 16221 13748 28290 25.7 37 952
47 11PB6931 9422491034 R06C01 485002 99.88% 575 485084 4388 8936 295 611 625 1507 1749 4663 7931 15268 13493 27067 39.3 25.5 1000
48 07PB1887 9422491034 R06C02 485257 99.93% 320 485386 4430 8773 312 644 624 1457 1597 4110 8133 15201 13742 27127 28.6 34.9 1000
49 09PB7242 9422491041 R01C01 485475 99.98% 102 485515 4030 8303 253 505 541 1328 1472 4189 7230 14294 12917 25500 49.4 20.2 1000
50 08PB1082 9422491041 R01C02 485440 99.97% 137 485500 3896 8119 243 499 516 1203 1404 3523 6986 14179 12587 26004 65.5 15.3 1000
51 13PB11267 9422491041 R02C01 485461 99.98% 116 485508 4358 8579 286 591 601 1309 1674 3600 7836 14966 13797 27693 96.2 10.4 1000
52 10PB0488 9422491041 R02C02 485393 99.96% 184 485440 4063 8812 278 607 572 1390 1506 4066 7269 15170 12999 27791 79.5 12.6 1000
53 08PB1543 9422491041 R03C01 485184 99.92% 393 485277 4430 9034 289 568 606 1466 1603 4817 7994 15546 14115 27126 43.2 23.1 1000
54 10PB1329 9422491041 R03C02 485435 99.97% 142 485494 4350 9460 297 654 628 1635 1822 5190 7772 16154 13517 28100 42.5 23.5 1000
55 09PB2750 9422491041 R04C01 485507 99.99% 70 485529 4335 8977 265 503 579 1381 1569 4791 7802 15540 13885 27005 66.3 15.1 1000
56 08PB2670 9422491041 R04C02 485179 99.92% 398 485260 4422 8870 272 549 588 1326 1714 3944 8009 15522 13844 28010 71.5 14 1000
57 10PB2975 9422491041 R05C01 485372 99.96% 205 485425 4494 9474 307 631 625 1523 1591 4834 8146 16368 14238 28682 44.2 22.6 1000
58 10PB8700 9422491041 R05C02 485307 99.94% 270 485386 4312 9582 300 636 603 1563 1487 5059 7783 16472 13897 28798 43.1 23.2 1000
59 11PB11934 9422491041 R06C01 485104 99.90% 473 485200 4608 9536 299 610 642 1561 1874 4846 8241 16270 14388 29437 64.4 15.5 1000
60 09PB1757 9422491041 R06C02 485400 99.96% 177 485459 4431 9729 306 659 624 1553 1613 4741 8004 16875 14067 29859 53.4 18.7 1000
61 09PB5837 9422491055 R01C01 485459 99.98% 118 485502 3217 7693 204 424 445 1208 1194 3928 5629 13163 10600 23798 88.3 11.3 1000
62 08PB3517 9422491055 R01C02 485439 99.97% 138 485489 3929 8063 258 525 533 1302 1388 3914 7164 14029 12406 24669 46.1 21.7 1000
63 11PB1958 9422491055 R02C01 485462 99.98% 115 485507 4087 8327 270 518 571 1360 1529 4477 7245 14202 13178 25164 58.5 17.1 1000
64 11PB0842 9422491055 R02C02 485106 99.90% 471 485194 4338 8399 277 551 589 1367 1715 4122 7854 14462 13482 25922 56.5 17.7 1000
65 10PB5849 9422491055 R03C01 485223 99.93% 354 485289 4128 8836 260 475 558 1395 1404 5096 7368 15149 13647 25970 51.9 19.3 1000
66 10PB6041 9422491055 R03C02 485437 99.97% 140 485494 4513 8485 265 509 581 1273 1584 3899 8305 14945 14174 26289 45 22.2 1000
67 08PB5904 9422491055 R04C01 485423 99.97% 154 485482 4330 8915 275 544 594 1372 1587 4219 7778 15481 13952 27851 89.1 11.2 1000
68 10PB6266 9422491055 R04C02 485433 99.97% 144 485477 4590 8741 274 523 590 1309 1560 4033 8490 15369 14462 27039 45.3 22.1 1000
69 08PB7544 9422491055 R05C01 485395 99.96% 182 485454 4255 8991 278 580 602 1429 1638 4295 7594 15540 13576 28130 64.5 15.5 1000
70 07PB6512 9422491055 R05C02 485423 99.97% 154 485487 4583 9045 278 553 614 1441 1680 4550 8299 15701 14566 27590 77.3 12.9 1000
71 09PB0698 9422491055 R06C01 485074 99.90% 503 485153 4220 9005 276 579 580 1397 1635 4270 7567 15469 13418 28391 76 13.2 1000
72 12PB7846 9422491055 R06C02 485416 99.97% 161 485470 4699 8945 288 575 622 1402 1741 4189 8546 15426 14862 28138 23.3 37 863

Fig. 2.

Fig. 2

Distribution (median and range) of signal intensity for quality control probes on Illumina Infinium HumanMethylation450 arrays across all samples and in each of the colour channels (green/red). (a,b) Bisulfite conversion efficiency as reported by control probes of Infinium design I (a) or II (b). (c) Hybridization performance using synthetic reference targets present in the hybridization buffer at three concentrations. (d) Efficiency of extension of A, T, C and G nucleotides from hairpin probes (sample-independent). Probe 1 is specific for A, probe 2 for T, probe 3 for C and probe 4 for G. (e) Efficiency and sensitivity of the staining step (independent of the hybridization and extension steps). (f) Overall efficiency of the procedure estimated by querying non-polymorphic bases in the genome – one probe for each nucleotide. In all plots, labels give the expected intensity level: high, medium (Med), low or background (Bgnd).

The Infinium 450k BeadChip contains 65 genotyping probes that are useful for identification of sample mix-ups. These probes produced highly similar signal patterns in two of our samples, which was expected as these two samples (07PB1887 and 10PB6041) came from the same patient (Fig. 3).

Fig. 3.

Fig. 3

Heatmap of signal from the 65 probes on the methylation arrays that distinguish single nucleotide polymorphisms (SNPs). Two samples show highly similar patterns, as they originate from the same patient.

Quality control of normalization procedure

Preprocessing of the raw data was performed using R/Bioconductor with the RnBeads package24. Probes known to be cross-reactive (43 230) or overlapping known single-nucleotide polymorphisms (SNPs; 8 704)25, as well as probes giving unreliable measurements (884 as determined by the Greedycut algorithm) were excluded from analysis. The data from the remaining 432 759 probes were subjected to background subtraction using the Noob method26 and beta-mixture quantile normalization (BMIQ)27. This normalization strategy successfully mitigated the inherent bias in β-value distributions between the two different types of probes (Infinium I and II) that are present on the HumanMethylation450 BeadChip30, as shown in Fig. 4. In a subsequent step, probes of non-CpG context (1 251), probes binding to sequences on sex chromosomes (9 917) and probes with standard deviation <0.005 (69 867) were filtered out. Thus, the data obtained by the remaining 351 724 probes qualified for downstream analysis.

Fig. 4.

Fig. 4

Density plots of the β-values distribution for the Infinium I and II probes before and after background subtraction and beta-mixture quantile normalization (BMIQ).

Check for batch effects

Dimension reduction techniques are a powerful way of visualizing associations between different variables and global trends in DNA methylation data24. Applying PCA on the 10000 most variable CpGs in our data did not result in visible grouping of samples according to the BeadChip that they were applied on (Fig. 5). The lack of batch effects was further verified by Kruskal-Wallis one-way analysis of variance taking into account the first 8 primary components (Table 2).

Fig. 5.

Fig. 5

Principal component analysis (PCA) showing grouping of the 72 samples based on the 10000 most variable CpGs within the dataset. Samples are coloured according to the BeadChip (Sentrix_ID) that they were applied on. Samples of any given colour (batch) do not form separate clusters, whereas principal component 1 distinguishes M-CLL from U-CLL patients (P = 7.15 × 10−8, Wilcoxon rank sum test).

Table 2.

Table of p-values for associations of the first 8 principal components with IGHV mutation status as an intrinsic characteristic of the samples or with the BeadChip that the samples were applied on as an extrinsic variable (batch).

Trait Principal component
1 2 3 4 5 6 7 8
BeadChip number (Sentrix_ID)* 0.15 0.26 0.21 0.22 0.24 0.68 0.65 0.27
IGHV mutation status^ 7.15 × 10–8 0.08 0.15 0.73 0.78 0.65 0.33 0.62

*P-values from a Kruskal-Wallis one-way analysis of variance.

^P-values from a two-sided Wilcoxon rank sum test.

Biological validation of the DNA methylation data

A technically sound dataset would allow confirmation of known facts. Using our dataset, we could replicate the finding that M-CLL and U-CLL are associated with distinct DNA methylation profiles7. In addition to the PCA in Fig. 5 and Table 2, we performed unsupervised hierarchical clustering using the 5000 most variable CpG sites. The resulting dendrograms and heatmap of β-values are presented in Fig. 6. In both analyses, samples were well separated according to IGHV mutation status, with the bigger cluster consisting only of U-CLL cases and the smaller cluster comprising all M-CLL cases plus five U-CLL cases, three of which had a considerable level of IGHV hypermutation (98.2–98.3% homology to germline; see also Online-only Table 1), thus possibly belonging to the intermediate CLL group as defined by Kulis et al.7.

Fig. 6.

Fig. 6

Unsupervised hierarchical clustering of the 72 CLL samples based on the β-values of the 5000 most variable CpG sites. Clustering was based on Manhattan distance with complete linkage. Columns represent samples and rows CpGs. Two of the samples originate from the same patient (see the main text) and are marked by an asterisk. The high similarity of DNA methylation patterns between them affirms the reproducibility of the methodology.

The highly similar DNA methylation profiles of the two serial samples from one patient (Fig. 6) demonstrated the reproducibility and robustness of the whole analytical procedure (the two samples were hybridized to different BeadChips) and in addition supported previous observations that evolution of DNA methylation in CLL is limited to cases that acquire high-risk genetic alterations31.

Usage notes

In our exploratory analysis, we could not observe obvious clustering of samples based on patients’ sensitivity or resistance to chemotherapy (Figs. 5 and 6). Accordingly, a differential methylation test using the limma method with the threshold for difference of β-values set to 0.1 and the false discovery rate set to 0.05 could not find any differentially methylated CpGs between chemoresistant and untreated/chemosensitive patients, neither in the subgroup of patients with del(17p)/TP53mut (groups B and C vs. group A), nor in the subgroup without these aberrations (group E vs. group D). Nevertheless, as multiple testing correction inflates the type II error rate considerably, we cannot exclude that some of the tested CpGs have truly different methylation between the groups and a causative role in chemoresistance development. In this regard, our dataset can be a valuable resource for conducting hypothesis-driven research addressing questions of chemoresistance in CLL.

Additionally, thanks to the rich annotation of the samples, our dataset can be used to explore associations of DNA methylation with other markers of prognostic or predictive value in CLL, e.g. presence of specific chromosome aberrations (see Table 1 and Online-only Table 1). Such analyses should be performed with the necessary caution and subsequent validation of the findings in an independent clinical cohort32. Conversely, our dataset can serve as the validation dataset for findings originating from other clinical cohorts.

DNA methylation is highly informative when analyzed together with additional layers of the epigenomic regulatory landscape. That is why we recommend that any CpGs of interest found to be differentially methylated between groups be analyzed in the context of published whole-genome maps of histone modifications, chromatin accessibility and chromatin states of CLL and normal B cells33. Data from the ENCODE project can also be useful if parallels with a broader variety of cell types are sought34,35. Additional insights can be gained if tools like HOMER are used to identify transcription factor recognition motifs around CpGs of interest.

Supplementary information

Supplementary File 1 (145.1KB, pdf)

Acknowledgements

This work was supported by a grant from the Virtual Helmholtz Institute “Resistance against Apoptosis and Therapy” (VH-VI-404). We are immensely thankful to Prof. Reiner Siebert (Ulm University, Germany) and Prof. Jose I. Martin-Subero (Institut d’Investigacions Biomèdiques August Pi i Sunyer, Barcelona, Spain) for scientific discussions, as well as to Drs. Yassen Assenov, Murat Iskar and Martin Sill at the German Cancer Research Center (DKFZ) for discussions and suggestions regarding data analysis. We are grateful to Elisa Woinikanis and Sabrina Schrell at the University Hospital in Ulm for the excellent technical assistance. We thank the microarray unit of the DKFZ Genomics and Proteomics Core Facility for providing the Illumina Human Methylation arrays and related services. We are especially thankful to the patients for trial participation and donation of samples.

Online-only Tables

Author contributions

Study design: D.M., J.B., S.S. and D.Y.Y. Laboratory work: D.Y.Y. Data processing and analysis: D.Y.Y., J.B. and D.M. Data interpretation: all authors. Manuscript drafting: D.Y.Y. and D.M. Review of manuscript content: all authors. Approval of the final version: all authors.

Competing interests

The authors declare no competing interests.

Footnotes

Publisher’s note Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Supplementary information

is available for this paper at 10.1038/s41597-020-0456-0.

References

  • 1.Rai KR, Jain P. Chronic lymphocytic leukemia (CLL)-Then and now. Am J Hematol. 2016;91:330–340. doi: 10.1002/ajh.24282. [DOI] [PubMed] [Google Scholar]
  • 2.German Population-based Cancer Registry. German Centre for Cancer Registry Data (ZfKD) at the Robert Koch Institute, https://www.krebsdaten.de/Krebs/EN/Database/databasequery_step1_node.html (2017).
  • 3.Zenz T, Mertens D, Kuppers R, Dohner H, Stilgenbauer S. From pathogenesis to treatment of chronic lymphocytic leukaemia. Nat Rev Cancer. 2010;10:37–50. doi: 10.1038/nrc2764. [DOI] [PubMed] [Google Scholar]
  • 4.Dohner H, et al. Genomic aberrations and survival in chronic lymphocytic leukemia. N Engl J Med. 2000;343:1910–1916. doi: 10.1056/NEJM200012283432602. [DOI] [PubMed] [Google Scholar]
  • 5.Nadeu F, et al. Clinical impact of the subclonal architecture and mutational complexity in chronic lymphocytic leukemia. Leukemia. 2018;32:645–653. doi: 10.1038/leu.2017.291. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 6.Zenz T, et al. TP53 mutation and survival in chronic lymphocytic leukemia. J Clin Oncol. 2010;28:4473–4479. doi: 10.1200/JCO.2009.27.8762. [DOI] [PubMed] [Google Scholar]
  • 7.Kulis M, et al. Epigenomic analysis detects widespread gene-body DNA hypomethylation in chronic lymphocytic leukemia. Nat Genet. 2012;44:1236–1242. doi: 10.1038/ng.2443. [DOI] [PubMed] [Google Scholar]
  • 8.Eichhorst B, et al. First-line chemoimmunotherapy with bendamustine and rituximab versus fludarabine, cyclophosphamide, and rituximab in patients with advanced chronic lymphocytic leukaemia (CLL10): an international, open-label, randomised, phase 3, non-inferiority trial. Lancet Oncol. 2016;17:928–942. doi: 10.1016/S1470-2045(16)30051-1. [DOI] [PubMed] [Google Scholar]
  • 9.Fischer K, et al. Long-term remissions after FCR chemoimmunotherapy in previously untreated patients with CLL: updated results of the CLL8 trial. Blood. 2016;127:208–215. doi: 10.1182/blood-2015-06-651125. [DOI] [PubMed] [Google Scholar]
  • 10.Fischer K, et al. Bendamustine in combination with rituximab for previously untreated patients with chronic lymphocytic leukemia: a multicenter phase II trial of the German Chronic Lymphocytic Leukemia Study Group. J Clin Oncol. 2012;30:3209–3216. doi: 10.1200/JCO.2011.39.2688. [DOI] [PubMed] [Google Scholar]
  • 11.Keating MJ, et al. Early results of a chemoimmunotherapy regimen of fludarabine, cyclophosphamide, and rituximab as initial therapy for chronic lymphocytic leukemia. J Clin Oncol. 2005;23:4079–4088. doi: 10.1200/JCO.2005.12.051. [DOI] [PubMed] [Google Scholar]
  • 12.Shanafelt TD, et al. Ibrutinib–Rituximab or Chemoimmunotherapy for Chronic Lymphocytic Leukemia. N Engl J Med. 2019;381:432–443. doi: 10.1056/NEJMoa1817073. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 13.Yosifov DY, Wolf C, Stilgenbauer S, Mertens D. From Biology to Therapy: The CLL Success Story. HemaSphere. 2019;3:e175. doi: 10.1097/HS9.0000000000000175. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 14.Hilal T, Betcher JA, Leis JF. Economic Impact of Oral Therapies for Chronic Lymphocytic Leukemia-the Burden of Novelty. Curr Hematol Malig Rep. 2018;13:237–243. doi: 10.1007/s11899-018-0461-y. [DOI] [PubMed] [Google Scholar]
  • 15.Shanafelt TD, et al. Impact of ibrutinib and idelalisib on the pharmaceutical cost of treating chronic lymphocytic leukemia at the individual and societal levels. J Oncol Pract. 2015;11:252–258. doi: 10.1200/JOP.2014.002469. [DOI] [PubMed] [Google Scholar]
  • 16.te Raa GD, et al. Assessment of p53 and ATM functionality in chronic lymphocytic leukemia by multiplex ligation-dependent probe amplification. Cell Death Dis. 2015;6:e1852. doi: 10.1038/cddis.2015.223. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 17.Zenz T, et al. Detailed analysis of p53 pathway defects in fludarabine-refractory chronic lymphocytic leukemia (CLL): dissecting the contribution of 17p deletion, TP53 mutation, p53-p21 dysfunction, and miR34a in a prospective clinical trial. Blood. 2009;114:2589–2597. doi: 10.1182/blood-2009-05-224071. [DOI] [PubMed] [Google Scholar]
  • 18.Yu L, et al. Survival of Del17p CLL Depends on Genomic Complexity and Somatic Mutation. Clin Cancer Res. 2017;23:735–745. doi: 10.1158/1078-0432.CCR-16-0594. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 19.Moussay E, et al. Determination of genes and microRNAs involved in the resistance to fludarabine in vivo in chronic lymphocytic leukemia. Mol Cancer. 2010;9:115. doi: 10.1186/1476-4598-9-115. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 20.Pandzic T, et al. Transposon Mutagenesis Reveals Fludarabine Resistance Mechanisms in Chronic Lymphocytic Leukemia. Clin Cancer Res. 2016;22:6217–6227. doi: 10.1158/1078-0432.CCR-15-2903. [DOI] [PubMed] [Google Scholar]
  • 21.Hallek M, et al. Addition of rituximab to fludarabine and cyclophosphamide in patients with chronic lymphocytic leukaemia: a randomised, open-label, phase 3 trial. Lancet. 2010;376:1164–1174. doi: 10.1016/S0140-6736(10)61381-5. [DOI] [PubMed] [Google Scholar]
  • 22.Malcikova J, et al. Monoallelic and biallelic inactivation of TP53 gene in chronic lymphocytic leukemia: selection, impact on survival, and response to DNA damage. Blood. 2009;114:5307–5314. doi: 10.1182/blood-2009-07-234708. [DOI] [PubMed] [Google Scholar]
  • 23.Yosifov DY, 2020. DNA methylation of chronic lymphocytic leukemia with differential response to chemotherapy. Gene Expression Omnibus. GSE136724 [DOI] [PMC free article] [PubMed]
  • 24.Assenov Y, et al. Comprehensive analysis of DNA methylation data with RnBeads. Nat Methods. 2014;11:1138–1140. doi: 10.1038/nmeth.3115. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 25.Price ME, et al. Additional annotation enhances potential for biologically-relevant analysis of the Illumina Infinium HumanMethylation450 BeadChip array. Epigenetics Chromatin. 2013;6:4. doi: 10.1186/1756-8935-6-4. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 26.Triche TJ, Jr., Weisenberger DJ, Van Den Berg D, Laird PW, Siegmund KD. Low-level processing of Illumina Infinium DNA Methylation BeadArrays. Nucleic Acids Res. 2013;41:e90. doi: 10.1093/nar/gkt090. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 27.Teschendorff AE, et al. A beta-mixture quantile normalization method for correcting probe design bias in Illumina Infinium 450 k DNA methylation data. Bioinformatics. 2013;29:189–196. doi: 10.1093/bioinformatics/bts680. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 28.Sartor MA, et al. Genome-wide methylation and expression differences in HPV(+) and HPV(−) squamous cell carcinoma cell lines are consistent with divergent mechanisms of carcinogenesis. Epigenetics. 2011;6:777–787. doi: 10.4161/epi.6.6.16216. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 29.Wang X, Laird PW, Hinoue T, Groshen S, Siegmund KD. Non-specific filtering of beta-distributed data. BMC Bioinformatics. 2014;15:199. doi: 10.1186/1471-2105-15-199. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 30.Dedeurwaerder S, et al. Evaluation of the Infinium Methylation 450K technology. Epigenomics. 2011;3:771–784. doi: 10.2217/epi.11.105. [DOI] [PubMed] [Google Scholar]
  • 31.Oakes CC, et al. Evolution of DNA methylation is linked to genetic aberrations in chronic lymphocytic leukemia. Cancer Discov. 2014;4:348–361. doi: 10.1158/2159-8290.CD-13-0349. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 32.Kraft P, Zeggini E, Ioannidis JP. Replication in genome-wide association studies. Stat Sci. 2009;24:561–573. doi: 10.1214/09-STS290. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 33.Beekman R, et al. The reference epigenome and regulatory chromatin landscape of chronic lymphocytic leukemia. Nat Med. 2018;24:868–880. doi: 10.1038/s41591-018-0028-4. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 34.Consortium EP. An integrated encyclopedia of DNA elements in the human genome. Nature. 2012;489:57–74. doi: 10.1038/nature11247. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 35.Ernst J, et al. Mapping and analysis of chromatin state dynamics in nine human cell types. Nature. 2011;473:43–49. doi: 10.1038/nature09906. [DOI] [PMC free article] [PubMed] [Google Scholar]

Associated Data

This section collects any data citations, data availability statements, or supplementary materials included in this article.

Data Citations

  1. Yosifov DY, 2020. DNA methylation of chronic lymphocytic leukemia with differential response to chemotherapy. Gene Expression Omnibus. GSE136724 [DOI] [PMC free article] [PubMed]

Supplementary Materials

Supplementary File 1 (145.1KB, pdf)

Articles from Scientific Data are provided here courtesy of Nature Publishing Group

RESOURCES