End-repair causes methylation underestimation in cell-free DNA sequencing libraries
Tobin Groth, Andrew A. Mishin, Varsha Rao, Ruby Tibet, Christopher J. Troll
The paper shows that end-repair in double-stranded DNA libraries reduces CpG methylation estimates and tissue origin accuracy, while trimming read termini mitigates this bias but reduces coverage.
The Journal of Liquid Biopsy · Jan 3, 2026Peer-reviewedGenomics