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Novel genetic and epigenetic alterations in ... - Ous-research.no

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Journal of Translational Medic<strong>in</strong>e 2008, 6:13http://www.translational-medic<strong>in</strong>e.com/content/6/1/13The "bisulphite sequence" of the MAL promoterFigure 3The "bisulphite sequence" of the MAL promoter. Representative bisulphite sequenc<strong>in</strong>g electropherograms of the MALpromoter <strong>in</strong> colon cancer cell l<strong>in</strong>es. A subsection of the bisulphite sequence electropherogram, cover<strong>in</strong>g CpG sites +11 to +15relative to transcription start. Cytos<strong>in</strong>es <strong>in</strong> CpG sites are <strong>in</strong>dicated by a black arrow, whereas cytos<strong>in</strong>es that have been convertedto thym<strong>in</strong>es are underl<strong>in</strong>ed <strong>in</strong> red. The MAL promoter sequenc<strong>in</strong>g electropherograms illustrated here, are from theunmethylated V9P cell l<strong>in</strong>e <strong>and</strong> the hypermethylated ALA <strong>and</strong> HCT116.quency of MAL <strong>in</strong> both benign <strong>and</strong> malignant colorectaltumours (71% <strong>in</strong> ade<strong>no</strong>mas <strong>and</strong> 80% <strong>in</strong> carc<strong>in</strong>omas). Thediscrepancy <strong>in</strong> methylation frequencies between thepresent report <strong>and</strong> the previous study by Mori <strong>and</strong> coworkers[31] is probably a consequence of study design.From direct bisulphite sequenc<strong>in</strong>g of colon cancer celll<strong>in</strong>es, we have <strong>no</strong>w shown that the DNA methylation ofMAL is unequally distributed with<strong>in</strong> the CpG isl<strong>and</strong> of itspromoter (Figure 2). CpG isl<strong>and</strong>s often span more tha<strong>no</strong>ne kilobase of the gene promoter, <strong>and</strong> the methylationstatus with<strong>in</strong> this region is sometimes mistakenlyassumed to be equally distributed. This is exemplified bythe MLH1 gene <strong>in</strong> which hypermethylation of a limitednumber of CpG sites approximately 200 base pairsupstream of the transcription start po<strong>in</strong>t <strong>in</strong>variably correlateswith the lack of gene expression, while other sites do<strong>no</strong>t [32,33]. S<strong>in</strong>ce the results of an MSP analysis rely onthe match or mismatch of the unmethylated <strong>and</strong> methylatedprimer sequences to bisulphite treated DNA, oneshould ensure that the primers anneal to relevant CpGsites <strong>in</strong> the gene promoter. In the present study, wedesigned the MSP primers close to the transcription startpo<strong>in</strong>t of the gene (-72 to +70) <strong>and</strong> found, by bisulphitesequenc<strong>in</strong>g, concordance between the overall methylationstatus of MAL as assessed by MSP <strong>and</strong> the methylationstatus of the <strong>in</strong>dividual CpG sites covered by our MSPprimer set (Figure 2). This part of the CpG isl<strong>and</strong> washypermethylated <strong>in</strong> the majority of colon cancer cell l<strong>in</strong>es(95%). We also found that these cell l<strong>in</strong>es, as well as thoseof other tissues, showed loss of MAL RNA expression fromquantitative real time analyses, <strong>and</strong> that removal of DNAhypermethylation by the comb<strong>in</strong>ed treatment of 5-aza-2'-deoxycytid<strong>in</strong>e <strong>and</strong> Trichostat<strong>in</strong> A re-<strong>in</strong>duced the expressio<strong>no</strong>f MAL <strong>in</strong> colon cancer cell l<strong>in</strong>es (Figure 5). Furthermore,by analyz<strong>in</strong>g a large series of cl<strong>in</strong>icallyrepresentative samples by prote<strong>in</strong> immu<strong>no</strong>histochemistrywe confirmed that the expression of MAL was lost <strong>in</strong>malignant colorectal epithelial cells as compared to <strong>no</strong>rmalmucosa.We have further analyzed the same region of the MAL promoteras Mori et al., which is located -206 to -126 basepairs upstream of the transcription start po<strong>in</strong>t [31]. Bydirect bisulphite sequenc<strong>in</strong>g, we showed that only am<strong>in</strong>ority of the CpG sites covered by the Mori antisenseprimer were methylated <strong>in</strong> the 19 colon cancer cell l<strong>in</strong>esPage 7 of 11(page number <strong>no</strong>t for citation purposes)

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