Methylation classification

One epigenetic fingerprint, read on any platform.

The cancer epigenome

A molecular fingerprint of the tumour’s life history

The cancer epigenome carries two things at once: the changes that accumulate as a tumour grows, and the marks that reveal the cell it grew from. That combination makes it possible to identify where a cancer originated even after it has spread.

We read that fingerprint and match it against reference cohorts of tumours whose identity is already established. The result is a methylation class: a reproducible molecular identity that groups tumours by shared biology rather than by appearance alone. The approach complements microscopic examination, extends it, and in some entities supersedes it.

How it works

Machine-learning classification with calibrated confidence

Our machine-learning models are trained on cohorts of tumours whose identity is already established, learning the methylation patterns that separate one class from another. A new sample is then scored against every class in the reference set.

1

Profile

Genome-wide methylation data are generated in the laboratory on whatever platform it already runs, then normalised through a versioned preprocessing pipeline.

2

Classify

The profile is scored against every class in the reference set. Each prediction carries a calibrated score, so a confident call is distinguishable from an uncertain one.

3

Report

Alongside the class, the run returns a copy-number variation profile and QC metrics, and for CNS samples, MGMT promoter methylation status.

Calibrated scores matter more than raw accuracy: they let a laboratory decide when a prediction is strong enough to act on and when the sample needs a second line of evidence.

Platform-agnostic

Any methylation platform, including sequencing

There is no separate model per instrument. One classifier accepts input from array and sequencing platforms alike, so a laboratory is not locked into the technology the reference cohort happened to use, and results stay comparable as platforms change.

Arrays

Illumina Infinium MethylationEPIC v1.0 and v2.0, and the earlier HumanMethylation450 platform.

Sequencing

EM-seq, TAPS+, Nanopore adaptive sampling, Illumina 5-base and biomodal 6-base sequencing.

MNP-Flex. Platform independence is built on MNP-Flex, the platform-agnostic classifier described in Patel et al., Nature Medicine 2025. It maps profiles from different technologies into a shared representation before classification, which is why one model can serve them all.

Evidence

The research behind the classifiers

Nature · 2018

Capper et al. DNA methylation-based classification of central nervous system tumours

The paper that established the approach, demonstrating the first methylation-based classification of CNS tumours across a large reference cohort.

Read the paper →

Nature Medicine · 2025

Patel et al. MNP-Flex, platform-agnostic classification

Introduces the flexible classifier that decouples methylation classification from the measurement platform, enabling array and sequencing input through one model.

Read the paper →

Cancer Cell · 2026

Sill et al. the next generation of the CNS classifier

Describes the expanded CNS reference set and classifier version underlying the current MNP release, with performance across a substantially broader class set.

Read the paper →

Nature Communications · 2021

Koelsche et al. sarcoma classification by DNA methylation

Extends methylation classification beyond the CNS, establishing the reference cohort and class structure behind the sarcoma classifier.

Read the paper →

A fuller list, including the sarcoma validation preprint by Jäger et al. (2025), is on our publications page.

Getting access

Two ways to run our methylation classifiers

Research use: hosted

The full portfolio, including beta classifiers, on app.epignostix.com. Free registration, approval usually within a few days.

Go to app.epignostix.com →

Routine use: licensed locally

Validated CNS, sarcoma and skin classifiers installed in your own infrastructure, running fully offline with installation and validation support.

See our products →

Dedicated product pages

CNS tumour methylation classifier184 subclasses, CNV profile, MGMT promoter methylation status

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Sarcoma methylation classifierSoft-tissue and bone tumour classes, CNV profile, QC metrics

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Skin cancer methylation classifierMethylation-based classification of skin cancers

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Classifiers on app.epignostix.com are for research use only and are not intended for diagnostic procedures.

Collaborate with us

A tumour type we don’t cover, or a platform we haven’t seen?

New classifiers come out of collaborations, with clinical partners who bring cohorts and questions, and with laboratories running technologies we have yet to support. Tell us what you are working on.

support@epignostix.com →