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. Author manuscript; available in PMC: 2022 Mar 9.
Published in final edited form as: West J Nurs Res. 2021 Jul 10;44(1):81–93. doi: 10.1177/01939459211030339

Table 2.

Methods for Methylation Measurement.

Methods Advantages Disadvantages
Candidate Gene Approach
Sanger Sequencing Chain-termination sequencing using capillary gel electrophoresis High quality High cost; small scale sequencing
Pyrosequencing Sequencing by synthesis method that detects how many complementary nucleotides have been incorporated into a strand High quality; low cost; faster than Sanger Sequencing Small scale sequencing
Methylation-Specific PCR (e.g., MethyLight) Determines DNAm status of target loci with specific primers and probes
Mass Spectrometry (e.g., EpiTyper) After bisulfite conversion, uses base-specific cleavage, and mass spectrometry to quantify® DNA fragments Reliable; cost-effective
Whole Genome Approach
Enzyme Digestion (e.g., Met-seq1; MSCC2) Uses restriction endonucleases, to detect and cleave specific DNA sequences Low cost Limited to sequences recognized by selected enzymes
Affinity-Based Antibody Enrichment (e.g., Me-DIP-seq3; MBD-seq4) Anti-5methylcytosine antibodies are used to isolate methylated DNA followed by microarray Low cost Low resolution
Microarray (e.g., Illumina 850k EPIC BeadChip Array) Quantification of all known genes, promoter sites, and enhancer regions of bisulfite converted DNA Single CpG site resolution with small samples High cost; limited to known CpG sites and subject to probe-type biases
Whole Genome Bisulfite Sequencing (WGBS) Uses bisulfite converted DNA for DNAm analysis across the genome High-quality interrogation w/o bias; DNAm status of single CpG sites Higher cost
Reduced Representation Bisulfite Sequencing (RRBS) Uses restriction enzymes and bisulfite conversion for DNAm analysis of the subset of the genome High-quality interrogation w/o bias; DNAm status of single CpG sites Lower cost; focuses on smaller regions instead of precise CpG sites
Enhanced Reduced Representation Bisulfite Sequencing (ERRBS) Uses restriction enzymes and bisulfite conversion for DNAm analysis of biologically relevant loci High-quality interrogation w/o bias; DNAm status of single CpG sites Lower cost; focuses on biologically relevant loci
1

Methyl-Seq = methylation sequencing;

2

MSCC = Methylation Sensitive Cut Counting;.

3

Me-DIP-seq = Methylated DNA Immunoprecipitation;

4

MBD-seq = methylated CpG-binding.