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Unavailability of cardiac tissue has hindered the comprehensive exploration of gene regulatory networks and nodal players in DCM. In this study, we carried out integrated analysis of transcriptome and methylome data using non-negative matrix factorization from a cohort of DCM patients to uncover underlying latent factors and covarying features between whole-transcriptome and epigenome omics datasets from tissue biopsies of living patients. DNA methylation data from Infinium HM450 and mRNA Illumina sequencing of n = 33 DCM and n = 24 control probands were filtered, analyzed and used as input for matrix factorization using R <jats:italic>NMF<\/jats:italic> package. Mann-Whitney <jats:italic>U<\/jats:italic> test showed 4 out of 5 latent factors are significantly different between DCM and control probands (<jats:italic>P<\/jats:italic>&lt;0.05). Characterization of top 10% features driving each latent factor showed a significant enrichment of biological processes known to be involved in DCM pathogenesis, including immune response (<jats:italic>P<\/jats:italic> = 3.97E-21), nucleic acid binding (<jats:italic>P<\/jats:italic> = 1.42E-18), extracellular matrix (<jats:italic>P<\/jats:italic> = 9.23E-14) and myofibrillar structure (<jats:italic>P<\/jats:italic> = 8.46E-12). Correlation network analysis revealed interaction of important sarcomeric genes like Nebulin, Tropomyosin alpha-3 and ERC-protein 2 with CpG methylation of ATPase Phospholipid Transporting 11A0, Solute Carrier Family 12 Member 7 and Leucine Rich Repeat Containing 14B, all with significant <jats:italic>P<\/jats:italic> values associated with correlation coefficients &gt;0.7. Using matrix factorization, multi-omics data derived from human tissue samples can be integrated and novel interactions can be identified. Hypothesis generating nature of such analysis could help to better understand the pathophysiology of complex traits such as DCM.<\/jats:p>","DOI":"10.1371\/journal.pone.0272093","type":"journal-article","created":{"date-parts":[[2022,8,18]],"date-time":"2022-08-18T17:34:50Z","timestamp":1660844090000},"page":"e0272093","update-policy":"https:\/\/doi.org\/10.1371\/journal.pone.corrections_policy","source":"Crossref","is-referenced-by-count":9,"title":["Multi-omics assessment of dilated cardiomyopathy using non-negative matrix factorization"],"prefix":"10.1371","volume":"17","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0902-7114","authenticated-orcid":true,"given":"Rewati","family":"Tappu","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jan","family":"Haas","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David 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