Sodium bisulfite-induced cytosine deamination/PCR (CD-PCR) is currentl
y the most sensitive and robust method to determine the methylation st
atus of all cytosines in a specific DNA sequence. The CDPCR products a
re directly sequenced with Thermosequenase and capillary electrophores
is; peak areas are then used to determine the mole fraction of methyla
ted cytosines at each site in a single analysis. Here we show that, if
the original DNA sample is a mixture of methylated and unmethylated D
NA, conventional CDPCR discriminates against the sequence originating
from the methylated DNA; CDPCR product does not accurately represent t
he methylation status of the original DNA sample. While CDPCR bias can
lead to serious errors when determining methylation levels, the addit
ion of betaine (N,N,N-trimethylglycine) to the PCR reaction buffer red
uces this bias to less than 10%.