Abstract:The analysis of genomic DNA is widely-used for research, forensic and diagnostic purposes. Here we describe reliable methods for isolation of cell-free DNA and cellular DNA from urine. Both DNA fractions are suitable for PCR and Methylation-Specific PCR (MSP) amplification, leading to consistent and reproducible results. A kinetics analysis describes the decline of efficiency of MSP performed with urinary DNA which had been stored at room temperature with and without proteinase K for various time periods.Keywords: Cell-free DNA, Diagnosis, DNA methylation, Urine.For research purposes, DNA is frequently required in order to determine genetic variability in defined populations and to identify genomic and epigenomic alterations in disease. In forensic science, DNA analyses aid enquiries associated with criminal offenses and missing persons investigations, often based on trace amounts of genetic material [1]. Forensic scientists frequently utilize repetitive DNA elements for gender and species identification or inference of human ancestry [2]. An emerging application of DNA-based assays is disease diagnostics, including the diagnosis of bladder and prostate cancers, the main urological causes of morbidity and mortality worldwide [3,4]. Novel potent biomarkers may detect these malignancies earlier and with greater accuracy and may even help to discriminate between various tumor subclasses, a step further towards individualized medicine. Thus, they could contribute as well to improve the therapeutic success.Urinary DNA derives from either cell-free DNA originating from apoptotic or-, necrotic urothelial, tumor or bloodderived cells [5,6] or from intact cells shed into urine, such as exfoliated tumor cells [7], normal uroepithelial cells and leukocytes. Depending on the circumstances, tumor cell DNA could be enriched in either one or both DNA fractions. Therefore, proper differentiation between cell-free DNA released from disintegrated cells and DNA of intact cells in urine could add an additional value for diagnostic purposes. Basic prerequisites for use in diagnostics are an appropriate amount of each DNA fraction and sufficient quality for successful application in various PCR amplification procedures. In particular, altered DNA methylation is commonly found in urological malignancies [8,9] and should represent a useful source of beneficial biomarkers. DNA, and especially *Address correspondence to this author at the Institute for Transplantation Diagnostics and Cell Therapeutics, Heinrich Heine University, Düsseldorf, Germany; Tel: +49-(0)211-81-16905; Fax: +49-(0)-211-81-04543; E-mail: santourlidis@itz.uni-duesseldorf.de # contributed equally.cell-free DNA isolated from urine should therefore be suitable for Methylation Specific PCR which includes bisulfite treatment, a routine technical step, which is inevitably associated with some chemically-induced degradation of the genetic material with diminished PCR efficiency as a consequence.Voided native urine is transferred into a 50 ml sample tube and is imme...