<<

and Remodeling

Bradford Coffee, PhD, FACMG

Emory University Atlanta, GA Speaker Disclosure Information

Grant/Research Support: none Salary/Consultant Fees: none Board/Committee/Advisory Board: none Membership: none Stocks/Bonds: none Honorarium/Expenses: none Intellectual Property/Royalty Income: none Learning objectives

1. Define epigenetics

2. Describe the relationship between chromatin structure, modifications, DNA and gene expression.

3. Explain imprinting and the importance of uniparental disomy on the expression of imprinted regions.

4. Describe the many different molecular mechanisms can lead to loss of imprinted gene expression.

5. Compare the different methodologies available to test for DNA methylation as a marker of epigenetic disease. Definition

Epigenetics – stable and heritable (mitotic and/or meiotic) changes in gene expression that do not entail a change in DNA sequence

Nucleosomes

Felsenfeld and Groudine Controlling the double helix Nature 421: 448-453 Histone Modifications

Bhaumik et al. Nat. Struct and Mol. Biol. 14: 1008-1016 DNA Methylation

NH2

CH3 N

N O

occurs at the 5th position in cytosine ~50 million 5-methylcytosines/genome (4-8% of the cytosines) In somatic cells 99.98% of cytosine methlyaion in CpGs In ES cells only ~75% of cytosine methylation in CpGs. The remaining ~25% is in mCHG and mCHH contexts (H=A,C or T) CpG islands encompass the 5’ end of genes 50-60% of all genes in the human genome contain a CpG island Chromatin Structure

Modifications of the DNA and (and other chromatin proteins) act together to direct specific chromatin structures that control access to regulatory elements of genes.

Two general states of chromatin- -open trancriptionally active genes

Heterochromatin-closed transcriptionally repressed genes Constitutive-repetitive sequences Facultative-gene repression in specific cell types Imprinting

Definition-Exclusive or preferential expression of a gene from one of the two parental alleles

~75-100 known imprinted genes in humans

Found in clusters (imprinted regions).

Maternally and paternally imprinted genes are clustered

Imprinting is an epigenetic process. There is a change in gene expression without a change in the DNA sequence. These changes in gene expression are stable during meiosis. Clusters of Imprinted Genes Prader-Willi and Angelman Syndromes

Sahoo et al Nat. Genet. 40: 719 - 721 http://www.angelmanuk.org/ Prader-Willi syndrome (PWS) Angelman syndrome (AS) severe hypotonia in early infancy severe developmental delay excessive eating later in childhood mental retardation morbid obesity severe speech impairment delayed motor milestones and gait ataxia delayed language development tremulousness of the limbs cognitive impairment inappropriate happy demeanor

Caused by loss of paternal gene Caused by loss of maternal gene expression. expression.

15q11-q13 Imprinted Gene Cluster Molecular Mechanisms of PWS and AS

1. ~5 Mb deletions (mediated by flanking low copy repeats) ~70% of cases of PWS and AS on the paternal → PWS on the maternal chromosome → AS

2. Uniparental disomy (UPD) ~25-30% of cases of PWS → maternal UPD ~5% of cases of AS → paternal UPD

3. Single gene mutation N/A for PWS ~10% of AS due to mutation of UBE3A gene

4. Imprinting center mutation ~1% of PWS ~5% of AS

5. Unknown <1% of PWS 10%-15% of AS Uniparental Disomy Trisomy Rescue

genetests.org Beckwith-Wiedemann and Russell Silver Syndromes Beckwith-Wiedemann (BWS) Russell Silver (RSS)

www.nlm.nih.gov/medlineplus/ http://www.magicfoundation.org macrosomia -prenatal and postnatal growth retardation -prenatal and postnatal macroglossia triangular shaped face abdominal wall defects normal head circumference (omphalocele, umbilical hernia) (pseudohydrocephalus) hemihyperplasia fifth-finger clinodactyly embryonal tumors limb-length asymmetry (hemihypotrophy)

Both BWS and RSS caused by defects in imprinted gene expression at 11p15.5 11p15.5 Imprinted Gene Cluster RSS

(Lit1)

BWS Smith et al. 2007. Pediatr. Res. 61: 43R-47R

Beckwith Wiedemann Syndrome Russell Silver Syndrome matUPD7

DMR1 hypomethylation unknown Mechanisms Leading to Epigenetic Diseases

1. conventional sequence changes deletions removing imprinted gene(s) PWS, AS mutations that disrupt resetting imprint PWS, AS, RSS chromosome rearrangements BWS 2. uniparental disomy PWS, AS, UPD6, UPD7 (RSS) and UPD14 3. epimutations BWS, RSS, UPD14

DNA methylation is a marker for detecting if one of these mechanisms has occurred. Methods to Detect Aberrant Methylation

Clinical laboratories (locus specific) methylation restriction enzymes Southern blot Methylation Specific-MLPA bisulfite based methods Methylation Sensitive PCR (MSP) COBRA Quantitative-MSP (Q-MSP, Methyl-Light)

Research laboratories (whole genome) MeDIP Illumina Infinium methylation assay Methylome sequencing

Southern Blot Using Methylation Senstive Enzymes

CpG island XbaI KspI XbaI ~1.1 kb ~2.9 kb

NEG PWS AS

4kb methylated (maternal)

1.1kb unmethylated (paternal) Methylation Specific MLPA

http://www.mlpa.com Sodium Bisulfite Treatment of DNA

http://en.wikipedia.org/wiki/Combined_bisulfite_restriction_analysis Methylation Specific PCR

……………GCCGCGCGGCGGCAG………… methylated unmethylated sodium bisulfite

…GUCGCGCGGCGGUAG… …GUUGUGUGGUGGUAG… PCR amplification

…GUCGCGCGGCGGUAG… …GUUGUGUGGUGGUAG… GCGCGCCGCCATC… ACACACCACCATC… methylated DNA unmethylated DNA specific primer specific primer Chr15 Methylation Analysis

CpG island XbaI KspI XbaI ~1.1 kb ~2.9 kb

174bp methyl 100bp unmethyl H2O

1 2 AS PWS NEG

174bp methyl 100bp unmethyl

Askree et al 2011 J. Mol. Diag. 23 Chr15 Methylation Analysis by MSP

H2O NEG AS 1 2 3 PWS

Original primer set

174bp-methylated 100bp-unmethylated

Alternate primer set

152bp-methylated 100bp-unmethylated

Askree et al 2011 J. Mol. Diag. 24 UPD7 Methylation Analysis

GRB10 (7p11.2-7p12) PEG1/MEST (7q32) Chr7

patient samples Pos Neg H2O

methylated (maternal) unmethylated (paternal) GRB10

methylated (maternal) unmethylated (paternal) PEG1/MEST Quantitative Methylation Specific PCR methylated CG CG CG CG CG CG CG CG

unmethylated

UG UG UG UG UG UG UG UG

Amplification Taqman probe unmethylated DNA primers Taqman probe methylated DNA Q-MSP Amplification Plots

1ng (~151 copies) B FAM 8ng (~1208 copies) methylated

64ng (~9664 copies)

R2 = 0.987, E = 96.4%, slope = -3.412

1ng (~151 copies) VIC 8ng (~1208 copies) unmethylated

64ng (~9664 copies) Coffee et al.

R2 = 0.996, E = 92.6%, slope = -3.514 J. Mol. Diag. in press Qualitative vs. Quantitative Assays

If the disease is caused by underlying DNA sequence change (e.g. a deletion in PWS) or caused by UPD, a qualitative methylation assay will detect the disorder.

If the disease is caused by epimutation (e.g. loss of methylation DMR2 in BWS), a quantitative assay is needed to detect changes in methylation.

Mean methylation Mean methylation of unaffected population of disease population Self-Assessment Questions

1.Define epigenetics?

2.How do epigenetic modifications control gene expression?

3.List the molecular mechanisms of PWS and AS?

4. How does the mechanism of epigenetic disease determine if you use quantitative vs. qualitative methylation analysis in testing?

5. What are some of the molecular techniques used in clinical laboratories to test for aberrant DNA methylation?