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Abstract 


Blood cell counts often fail to report on immune processes occurring in remote tissues. Here, we use immune cell type-specific methylation patterns in circulating cell-free DNA (cfDNA) for studying human immune cell dynamics. We characterized cfDNA released from specific immune cell types in healthy individuals (N = 242), cross sectionally and longitudinally. Immune cfDNA levels had no individual steady state as opposed to blood cell counts, suggesting that cfDNA concentration reflects adjustment of cell survival to maintain homeostatic cell numbers. We also observed selective elevation of immune-derived cfDNA upon perturbations of immune homeostasis. Following influenza vaccination (N = 92), B-cell-derived cfDNA levels increased prior to elevated B-cell counts and predicted efficacy of antibody production. Patients with eosinophilic esophagitis (N = 21) and B-cell lymphoma (N = 27) showed selective elevation of eosinophil and B-cell cfDNA, respectively, which were undetectable by cell counts in blood. Immune-derived cfDNA provides a novel biomarker for monitoring immune responses to physiological and pathological processes that are not accessible using conventional methods.

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    Funding 


    Funders who supported this work.

    Alex U Soyka Pancreatic Cancer Research Fund

      Ernest and Bonnie Beutler Research Program of Excellence in Genomic Medicine

        GRAIL

          Glassman Hebrew University Diabetes Center

            Helmsley Charitable Trust

              Human Islet Research Network (2)

              • Grant ID: HIRN UC4DK104216

              • Grant ID: HIRN UC4DK116274

              Israel Science Foundation

                Juvenile Diabetes Research Foundation, International (2)

                • Grant ID: 3-SRA-2014–38

                • Grant ID: 1-SRA-2019–705

                NIDDK NIH HHS (2)

                • Grant ID: UC4 DK104216

                • Grant ID: UC4 DK116274

                Robert M and Marilyn Sternberg Family Charitable Foundation

                  The DON Foundation

                    Waldholtz/Pakula family

                      Walter and Greta Stiel (2)

                      • Grant ID: Research grant in heart studies

                      • Grant ID: Chair

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