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2 1. DNA methylation 2. Histone modifications 3. Chromatin structure 4. Imprinting 5. Non-coding RNAs Epigenetics

3 Topics

4 DNA " 5-Methylcytosine" Inheritance upon replication" O N NH2 N dr CH3 M" CG" GC" M" M" CG" GC" CG" GC" M" M" CG" GC" M" M" CG" GC" CG" GC" M" CG" GC" DNA replication" CG" GC" CG" GC" CG" GC" CG" GC" CG" GC" Methyltransferase" M" CG" GC" M" M" CG" GC" M" M" CG" GC" M" M" CG" GC" M" CG" GC" CG" GC" CG" GC" CG" GC"

5 CpG ", ON, OFF CpG CpG "

6 DNA

7 [Ushijima and Asada, Cancer Sci, 101:300, 2010]

8 : MGMT Unmethylated Methylated 40 glioma cases Alkylating agents Pol II Poor response Good response (From Esteller and Herman, Oncogene, 2004)

9 DNA (CIMP) " Total = 145 cases" N-myc! Amp (+)" = 23 CIMP(+) = 50" N-myc(-) & CIMP(+) " = 27" CIMP(-) = 95" 1.0" 0.8" 0.6" 0.4" 0.2" 0.0" 1.0" 0.8" 0.6" 0.4" 0.2" 0.0" 0" 2,000" 4,000" (Days)" 0" 1,000" 2,000" (Days)" Overall survival" "HR "P" CIMP "9.5 ( ) "<0.0001" N-myc!12 (4.9-29) "<0.0001" " B to A "4.5 (1.3-16) "0.020" C to B "4.8 (1.7-14) "0.003" C to A "22 (6.8-69) "<0.0001" Disease-free survival" "HR "P" CIMP "5.4 (2.9-10) "<0.0001" N-myc!3.1 ( ) "0.0007" " B to A "5.2 (2.6-11) "<0.0001" C to B "1.1 ( ) "0.821" C to A "5.7 (2.6-12) "<0.0001" [Abe, Cancer Res, 65:828, 2005; Abe, Cancer Lett, 247:253, 2007]

10 Topics

11 Bisulfite treatment ( ) M M 5'-GCCCGTTGGTTTCCGGCGCAACGGCCGGGAGCCGT-3' Bisulfite treatment 5'-GUUCGTTGGTTTUCGGUGUAAUGGUUGGGAGUUGT-3' Before AEer Demethyla4ng agent Expression Methyla4on- sensi4ve restric4on enzyme Affinity M M 5'-GCCCGTTGGTTTCCGGCGCAACGGCCGGGAGCCGT-3' 3'-CGGGCAACCAAAGGCCGCGTTGCCGGCCCTCGGCA-5' M M HpaII M M 5'-GCCCGTTGGTTTCCGGCGCA 3'-CGGGCAACCAAAGGCCGCGT M M DNA fragmenta4on ACGGCCGGGAGCCGT-3' TGCCGGCCCTCGGCA-5' An4body MBD M M 5'-GCCCGTTGGTTTCCGGCGCAACGGC CGGGAGCCGT-3' 3'-CGGGCAACCAAAGGCCGCGTTGCCGGC CCTCGGCA-5' M M M M 5'-GCCCGTTGGTTTCCGGCGCA-3' 3'-CGGGCAACCAAAGGCCGCGT-5' M M

12 Bisulfite Step 1" Step 2" Step 3" Sulfonation" Hydrolytic deamination" Alkali desulfonation" NH 2 NH 2 O O N 3 5 HSO 3 -" +" HN H 2 O " NH 4 +" N OH -" N O 1 N dr OH -" O N dr SO 3 - O N dr SO 3 - HSO 3 -" O N dr Cytosine Cytosine sulfonate Uracil sulfonate Uracil Bisulfite:" NaHSO 3" M Bisulfite conversion" M PCR" C! C! C! C! U! T!

13 DNA (Beck et al Yamashita )

14 Illumina HumanMethylation450 BeadChip 450K (450,000) probes 95% CpG islands 12 samples / slide 41,300 yen / sample human [From Illumina]

15 HumanMethylation450 BeadChip

16 DNA MeDIP-CGI microarray R 2 = HumanMethylation450 R 2 = Me value beta value [Yamashita et al. unpublished]

17 HOXA5 promoter Agilent CGI microarray Illumina HM450

18 Topics

19 +10 Beta

20 AGS: ASCL2 16 HSC39: ASCL2 628 HSC57: ASCL KatoIII: ASCL [Yamashita et al. manuscript in prepara4on]

21 CpG TSS200 CGI TSS1500 HSC39 cells TSS200 S-shore 1stExon [Yamashita et al. manuscript in prepara4on]

22 DNA (1) (ESCC) 3 MeDIP + Agilent Human CpG island array (24 ) 0.4 Me value, Excel IF screening valida4on

23 Data of MeDIP- CGI microarray analysis in genomic regions around PAX6 CGIs Chr 11 (p13) ESCC N(- ) pool Differen4ally methylated region N(+)a pool N(+)b pool [Gyobu, Ann Surg Oncol, 18:1185, 2011]

24 Quan4ta4ve Methyla4on Analysis of Candidate CGIs in Screening Set and Construc4on of ROC Curve Methyla4on level (%) CPLX2 N(- ) N(+) M 7 13 U 1 27 Methylated (M) Unmethylated (U) Specificity p= (Fisher s exact test) Threshold 2.0 % sensi4vity 25 CGIs 7 CGIs ( p < 0.05)

25 Methylation level (%) Screening set (N=48) PAX6 (Threshold 2.0 %) p=0.048 Validation set (N=48) p=0.033 ENST (Threshold 8.3%) p=0.044 Node (-) Node (+) p=0.044 Node (-) Node (+) [Gyobu, Ann Surg Oncol, 18:1185, 2011] Combination marker PAX6 M U and or ENST U M C. marker (-) (+) Node metastasis C. marker (-) (+) (-) 10 5 (+) 7 74 Sensi4vity 91% Specificity 67% Accuracy 88%

26 ENST PAX6 Disease free survival Unmethylated N=50 Methylated N=41 p=0.24 All samples Combina4on markers Nega4ve N=17 Methylated N=37 Unmethylated N=54 p=0.014 All samples Time (days) Disease free survival Posi4ve N=74 p=0.006 All samples Time (days) Analysis of Associa4on with Methyla4on Status and Prognosis

27 HM450 PAX6 promoter CGI microarray HM450 Differen4ally methylated region [Gyobu et al. 2011]

28 DNA (2) (GC) Illumina HumanMethyla4on450

29 MLN vs Primary GC without LNM Mean methyla4on Level Metasta4c Lymph Nodes ( n = 3 ) 480,000 CpG sites 762 candidates CpG sites Ø Methyla4on level < 0.2 in all 3 GCs without LNM Ø Methyla4on level > 0.5 in all 3 Metasta4c lymph nodes 31 CpG sites Primary GCs without LNM ( n = 3 ) Mean methyla4on Level

30 Methods for analysis of candidates 31 CpG sites CpG sites Culng Site by methyl cytosine sensi4ve restric4on enzyme, MspJI MSP primers PCR primers 10 CpG sites 21 CpG sites qmsp qpcr-mr

31 Validated one CpG site (cg ) Methylation level Meta 0 cg (- ) (+) Primary PRKAG2 cg Exon CpG island Sensi4vity 43% Specificity 85% [Shigematsu, Oncol Lett, 2012]

32 HM450 HumanMethylation450 R 2 = beta value

33 HumanMethyla4on450 intensity intensity MCF7_demo S1 S Intensity Intensity500

34 Es4ma4on of the probe errors and their histogram Repeated measurements are available for 10 individuals. The within- sample varia4on is es4mated by use of "analysis of variance" (ANOVA). Quan'le Error 95% % % % % % % [Rehnberg et al. manuscript in prepara4on]

35 20 AGS+5- aza- dc error diff cg cg cg cg cg cg cg cg cg cg cg NA cg cg cg cg cg cg cg cg cg [Rehnberg et al. manuscript in prepara4on] SH- SY5Y+CDDP error diff cg cg cg cg cg cg cg NA cg cg cg cg cg NA cg cg cg cg cg cg cg cg

36 Biologically DNA

37 Topics

38 Flexibility qualitative low Restrictionenzyme CpG any High Existence MSP Quantitative analysis 10% 5% Southern blot COBRA RE- Real- 4me PCR Bisulfite sequencing Pyrosequencing MassARRAY 1% quantitative MethyLight Real- 4me MSP

39 Check Point of MSP Primer location Quantity and quality of template PCR conditions

40 A B NFR Exon1 Transcription C D E Unmethylated CpG Methylated CpG NFR : nucleosomefree region CpG island F G ~

41 CpG NCBI Map Viewer CpG

42 Bisulfite ü Fragmenta4on of genomic DNA BamHI or Sonica4on Adequate fragmenta4on ü Our protocol M sodium bisulfite, 6mM hydroqinone, ph [95, 30 sec 50, 15 min] 15 cycles (x hours) 3. Desulfona4on and purifica4on using Spin column (Zymo Research) ph High concentra4on bisulfite, high temperature Commercial kits (Invitrogen or Zymo)

43 [GENETYX-MAC: Search Restriction Map] Date : Filename : GATA2.gb Sequence Size : 2001 Sequence Position: MSP GATA2 [ Linear ] GpC (208) CpG (142) HpaII ( 19) Selected Enzymes With No Recognized Positions: BamHI (Top strand) 5'- T T A C G T G A A C A A A T A G C T G A G G G G C G G C C G G G C C A G A A C G -3' Bisulfite treatment Methylated DNA Unmethylated DNA M primer (forward) A T A A A T A G T T G A G G G G C G G T C 5'- t t a C G t g a a u a a a t a g u t g a g g g g C G g t C G g g u u a g a a C G U primer (forward) G A A T A A A T A G T T G A G G G G T G G T T 5'- t t a U G t g a a u a a a t a g u t g a g g g g U G g t U G g g u u a g a a U G -3' -3' CG site on primer 3' end =1, others = 1 to 4

44 PCR Template DNA Bisulfite DNA (ng, OD260) Copy numbers (in 1µL DNA solution) Treated Untreated NOL4 NTRK2 Treated Untreated Treated Untreated 14,000 copies (50 ng) 700-1,700 copies (5-12%) Inevitable (Any kit!) 10 copies for DNA detec4on / 1 MSP reac4on = 200 copies (100 cells) before bisulfite treatment = 0.6 ng (human, mouse) / 1 MSP reac4on Our protocol: DNA 1 µg (40-80 PCRs) = ng / 1 MSP

45 Annealing Temperature Primer for unmethylated DNA Methylated control Unmethylated control Annealing temperature Gradient PCR system is useful.

46 Excessive Number of PCR Cycles PCR 40 cycles PLS30 Unmethylated control 1 1/10 1/100 1/1000 Methylated control 1 1/10 1/100 1/1000 M U M U M U M U M U M U M U M U M U 0.1 % of methylated DNA can be amplified. 0.1% methylated in cancer?? Minimum cycles to obtain visible bands with positive control samples 4 cycles were added for test samples (total of cycles).

47 Before 5-Aza-2'- deoxycytidine" (5-aza-dC, DAC)" 5- Aza- dc HOH 2 C" HO" O" O" N" NH 2 " N" N" Re-expression by demethylation Protocol OD 260 nm 3 5-aza-dC 0.1 to 10 µm Day % 100% 80% 60% 40% Harvest Stability of 5-aza-dC in PBS After 20% 0% 4 C 37 C incubation time (day)

48 5- Aza- dc Up-regulation by demethylation Up-regulation by something else cell growth (%) aza-dC 5-aza-dC Not efficient Efficient Not efficient me (day) Low 0 High 5-aza-dC concentration

49 5- Aza- dc /β-actin 10-2 ANXA CAV SCRN1 8 x4.2 x1.2 4 x6.4 x2.3 x15 x aza- dc MSP M MSP U AGS KatoIII (- ) (+) (- ) (+) 0 AGS KatoIII (- ) (+) (- ) (+) 0 AGS KatoIII (- ) (+) (- ) (+) /β-actin 10-4 F2R IRS2 CTSL x6.0 x37 x130 x1800 x20 x160 x320 x TFAP2C 5- aza- dc MSP M MSP U AGS KatoIII (- ) (+) (- ) (+) 0 AGS KatoIII (- ) (+) (- ) (+) 0 AGS KatoIII (- ) (+) (- ) (+) 0 AGS KatoIII (- ) (+) (- ) (+) [Nakajima et al. IJC 2009]

50 Quantification of DNA Methylation Reliability Methylation level as marker (Cancer diagnosis, risk) Number of molecules Low level methylation Precision Flexibility Ease of use Cost Bisulfite sequencing Combined bisulfite and restriction analysis (COBRA) Pyrosequencing MethyLight Real-time methylationspecific PCR (SYBR Green I) MSP

51 Principle of Real-time MSP Bisulfite treatment = Methyla4on level (%) # of M # of U + # of M x 100 Primer for " unmethylated" (universal) " Real- 4me PCR (SYBR Green)" Primer for " methylated " Fraction of cells with methylation" # of DNA molecules " Unmethylated " Methylated " 10 6" 10 4" 10 2"

52 Real-time MSP needs DNA [Quantification of high copy number of DNA is stable.] Amplifica4on curve Signal (Log) 10 1 PCR cycles [PCR Template DNA is lost by bisulfite treatment.] DNA needed DNA before bisulfite treatment 1% precision 100 copies more than 2,000 copies (6 ng) 0.1% precision 1,000 copies more than 20,000 copies (60 ng)

53 Condi4on of Real- 4me MSP PCR with SYBR 32 cycles 40 cycles Methylated control M Primer " Unmethylated control ( C) Methylated control U Primer " Unmethylated control ( C) Confirma4on by real- 4me PCR Amplifica4on curve Mel4ng curve Calibra4on curve Signal (Log) d(signal) / d(temp) Ct value PCR cycles Temp. Copy number (Log) PCR efficiency 98.3%

54 Quan4ta4ve Methyla4on Analysis Revealed Epigene4c Field for Canceriza4on 20" FLNc FLNc P < 0.05 Methyla4on level (%) 16" 12" 8" 4" P < Methyla4on level (%) P < " H. pylori (- ) (n = 56) H.pylori (+) (n = 98) 0 Healthy Single gastric Mul4ple volunteer (n = 6) cancer (n = 11) gastric cancer (n = 13) [Maekita, Clin Cancer Res, 2006] [Nakajima, CEBP, 2006] ü These findings showed the presence of an epigene4c field for canceriza4on in gastric mucosa.

55 Bisulfite Sequencing Bisulfite treatment PCR using universal primer A Cloning (10~ clones) Sequencing B Gold standard Methylation pattern

56 Me Cont. Un Cont. PCR Bias Bisulfite Sequencing

57 Number of Analyzed Clones in Bisulfite Sequencing 1 - p p Binomial distribution (p = 0.5, n = 10) 0.1% 1.0% 4.4% 11.7% 20.5% 24.6% 20.5% 11.7% 4.4% 1.0% 0.1% (From Sasaki et. al)

58 Number of DNA Molecules in Bisulfite Sequencing 100 copies for methyla4on payern / 1 reac4on = 2,000 copies (1000 cells) before bisulfite treatment = 6 ng (human, mouse) / 1 reac4on Nonspecific products of PCR Duplica4on of clones

59

60 Acknowledgment National Cancer Center Research Institute" " Toshikazu Ushijima" Tohru Niwa" Hideyuki Takeshima" Yasuyuki Shigematsu" Ken Gyobu" Yasunori Matsuda" Kosuke Hosoya" Monali Lahoti" Satomi Takahashi"

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