A Genetic, Epigenetic and Transcriptomic Study of 22Q11.2 Deletion Syndrome and Its Schizophrenia Phenotype
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A genetic, epigenetic and transcriptomic study of 22q11.2 Deletion Syndrome and its schizophrenia phenotype Thesis submitted for the degree of Doctor of Philosophy at the School of Medicine, Cardiff University (2017) By Thomas Monfeuga Supervised by: Professor Nigel Williams MRC Centre for Neuropsychiatric Genetics and Genomics, Division of Psychological Medicine and Clinical Neuroscience, School of Medicine, Cardiff University and: Professor Meng Li Neuroscience and Mental Health Research Institute, School of Medicine, Cardiff University Declaration This work has not been submitted in substance for any other degree or award at this or any other university or place of learning, nor is being submitted concurrently in candidature for any degree or other award. Signed ………………………………… (candidate) Date…………………. Statement 1 This thesis is being submitted in partial fulfillment of the requirements for the degree of PhD Signed ………………………………… (candidate) Date…………………. Statement 2 This thesis is the result of my own independent work/investigation, except where otherwise stated, and the thesis has not been edited by a third party beyond what is permitted by Cardiff University’s Policy on the Use of Third Party Editors by Research Degree Students. Other sources are acknowledged by explicit references. The views expressed are my own. Signed ………………………………… (candidate) Date…………………. Statement 3 I hereby give consent for my thesis, if accepted, to be available online in the University’s Open Access repository and for inter-library loan, and for the title and summary to be made available to outside organisations. Signed ………………………………… (candidate) Date…………………. Statement 4: previously approved bar on access I hereby give consent for my thesis, if accepted, to be available online in the University’s Open Access repository and for inter-library loans after expiry of a bar on access previously approved by the Academic Standards & Quality Committee. Signed ………………………………… (candidate) Date…………………. I Statement of contribution Part of the data, work and results presented in this thesis have been generated/performed/analysed by different individuals. These instances are detailed in the relevant sections of the thesis and are recapitulated here. Chapter 2: Schizophrenia polygenic risk score analysis in 22q11.2 deletion syndrome patients (p.31). 22q11.2 IBBC cohort samples have been provided by the International 22q11.2 Brain Behavior Consortium (raw .CEL files). The imputation of the 22q11.2 IBBC cohort data has been performed by Dr. Leon Hubbard (Cardiff University) (Genotype calling, pre- and post-imputation quality control and processing of the data were performed by the writer of this thesis). The CLOZUK data has been provided after imputation by Dr. James Walters (Cardiff University). Chapter 3: Effect of the 22q11.2 deletion on DNA methylation (p.49). Samples from the two cohorts’ groups (Cardiff University’s ECHO cohort, led by Prof. Marianne van den Bree and Prof. Michael Owen; and King’s College London’s BBAG study, led by Dr. Michael Craig) were provided after DNA extraction by the MRC Core team of the Centre for Neuropsychiatric Genetics and Genomics (Cardiff University). 450K DNA methylation arrays were prepared and run by Dr Afnan Salaka and Catherine Bresner (Cardiff University); EPIC DNA methylation arrays were prepared and run with the help of Catherine Bresner. Chapter 4: CRISPR/Cas9 genome editing of DGCR8 in human embryonic stem cells (p.81). DNA sequencing was performed by GATC Biotech. Chapter 5: Transcriptome analysis of DGCR8 knock-out lines (p.106). The induced pluripotent cell lines have been generated by Dr. Craig Joyce (Cardiff University) from dermal fibroblasts originated from skin biopsies provided by the National Centre for Mental Health (NCMH). Cell culture and RNA extraction in “Experiment 2” was done collaboratively with Matthieu Trigano (Cardiff University) (but different cell lines and experiments were analysed by Matthieu Trigano and the writer of this thesis independently). Post-extraction RNA integrity was assessed by Dr. Amanda Redfern (Central Biotechnology Services, Cardiff University). Sample preparation and sequencing was performed by Joanne Morgan (NGS Co-ordinator, Division of Psychological Medicine and Clinical Neurosciences, Cardiff University). Alignment of RNA-sequencing reads was performed by Daniel Cabezas De La Fuente (Cardiff University). II Acknowledgements First of all, I would like to thank my primary supervisor, Prof. Nigel Williams, for his guidance and his support throughout this PhD. I really appreciated the numerous discussions we have had during these 3 years; they were always constructive and interesting and will, I am sure, have a great impact for the rest of my scientific career. I would also like to thank my second supervisor, Prof. Meng Li, for all her help and feedback on my work. I am very grateful to the Wellcome Trust for funding my project and offering me this great opportunity. I would like to thank everyone that helped me during my PhD, who are probably too many to name here. I would like in particular to express my gratitude to Dr. Leon Hubbard, for all his assistance in bioinformatics. I am also thankful to everyone in the Li Lab for teaching me all I know about stem cell culture and being wonderful colleagues and friends; in particular it was a pleasure to work closely with my friend Matthieu Trigano during this PhD. I would also like to thank the people that helped me in various way in the last three years, especially Catherine Bresner and Dr. Afnan Salaka for generating the DNA methylation array data and helping me with the project, as well as Dr. Antonio Pardinas, Mark Einon, Prof. Peter Holmans and Dr. Elliot Rees for their help in bioinformatics and statistics. I am also grateful to all the researchers who collected the biological samples and generated the data analysed in this thesis and granted me permission to use it; and I am grateful to the patients who provided these samples. Last but not least, I want to thank everyone in the core team of the MRC Centre for Neuropsychiatric Genetics and Genomics for everything they taught me and their invaluable assistance. Then I would like to thank my friends, who are an essential part of who I am. In Cardiff, of course, Matthieu, Michal, Liad, Jamie and everyone else that I have met since I arrived in the UK; but also every friend I have made in Grenoble, Lyon, Marseille, Boston and all around the world. Most of all, I want to thank Peggy, for always being there for me. Finally, I want to thank my family. They got me to where I am now; and despite the distance, their support was always crucial for me. I dedicate this thesis to my grand- parents. I know they are or would have been proud of me and I cherish every moment I had with them. III Abstract 22q11.2 Deletion Syndrome (22q11.2DS) is a genetic disorder that results from a hemizygous deletion at chromosome 22q11.2, occurring at an incidence of 1 in 4000 live births. It is associated with a wide range of clinical features, such as congenital heart disorders and abnormal facial features. 22q11.2DS patients also have an increased risk of neuropsychiatric disorders, with deletions at 22q11.2 being the highest known risk factor for schizophrenia. However, the mechanisms underlying 22q11.2DS symptomatic variability are still unclear. This thesis addresses this issue by investigating genetic, epigenetic and transcriptomic changes related to 22q11.2DS. Firstly, by using a polygenic risk score profiling approach it shows that the increased risk of schizophrenia in 22q11.2DS patients is partly due to an increased burden of common genetic variants associated with this neuropsychiatric disorder. This thesis also presents evidence that DNA methylation, an epigenetic mark, is altered in 22q11.2DS patients compared to a control population that do not carry a deletion at 22q11.2. Microarray-based whole epigenome analysis showed that these patients have an altered DNA methylation profile that affects genes and biological pathway relevant to schizophrenia. Finally, the CRISPR/Cas9 genome editing technology has been employed in human embryonic stem cells to delete one of the genes spanned by the 22q11.2 deletion. This gene, DGCR8, is a major component of the microRNA biogenesis pathway that is involved in the regulation of gene expression. The knock-out cell lines generated in this study were differentiated into neural progenitor cells to investigate transcriptome changes due the deletion of this gene during neurodevelopment. In conclusion, this thesis shows that the increased risk for schizophrenia in 22q11.2DS patients depends in parts on common genetic variants located outside of the deletion. Moreover, different mechanisms involved in genetic regulation (DNA methylation, microRNAs) can possibly modulate the schizophrenia phenotype by affecting relevant genes and pathways. IV Contents Declaration ......................................................................................................................................I Statement of contribution .............................................................................................................II Acknowledgements .......................................................................................................................III Abstract ........................................................................................................................................ IV Contents .......................................................................................................................................