Increased methylation upstream of the MEG3 promotor is observed in acute myeloid leukemia patients with better overall survival.


Journal

Clinical epigenetics
ISSN: 1868-7083
Titre abrégé: Clin Epigenetics
Pays: Germany
ID NLM: 101516977

Informations de publication

Date de publication:
15 03 2019
Historique:
received: 17 12 2018
accepted: 28 02 2019
entrez: 17 3 2019
pubmed: 17 3 2019
medline: 22 1 2020
Statut: epublish

Résumé

The delta-like non-canonical Notch ligand 1 (DLK1)-maternally expressed 3(MEG3) locus (DLK1-MEG3 locus) plays a critical role in the maintenance and differentiation of hematopoietic stem cells. Accumulating evidence implicates the imprinted genes from this locus, DLK1 and MEG3, in the development and progression of acute myeloid leukemia (AML). However, the contribution of this locus to the treatment response of patients and their survival is unknown. DNA methylation of select CG dinucleotide-containing amplicons (CpG sites) within the DLK1-MEG3 locus and within differentially methylated regions of other imprinted loci was assessed in the mononuclear cells of 45 AML patients by combined bisulfite restriction analysis. Methylation results were compared with patient response to first-round induction therapy and overall survival. Multivariable analysis was employed to identify independent prognostic factors for patient overall survival in AML. Increased methylation at CpG sites within the MEG3 promotor region was observed in AML patients having longer overall survival. In addition, patients with shorter overall survival had increased expression of DLK1 and MEG3, and methylation at the MEG3-DMR CpG site inversely correlated with MEG3 expression. Multivariable analysis revealed that methylation at CG9, a non-imprinted CpG site within the MEG3 promotor region which contains a CCCTC-binding factor (CTCF)-binding DNA sequence, is an independent prognostic factor for the overall survival of AML patients. The results of our pilot study underscore the importance of the DLK1-MEG3 locus in AML development and progression. We identify CG9 methylation as an independent prognostic factor for AML patient survival, which suggests that distinct miRNA signatures from the DLK1-MEG3 locus could reflect varying degrees of cell stemness and present novel opportunities for personalized therapies in the future. These data provide a foundation for future studies into the role of higher-order chromatin structure at DLK1-MEG3 in AML.

Sections du résumé

BACKGROUND
The delta-like non-canonical Notch ligand 1 (DLK1)-maternally expressed 3(MEG3) locus (DLK1-MEG3 locus) plays a critical role in the maintenance and differentiation of hematopoietic stem cells. Accumulating evidence implicates the imprinted genes from this locus, DLK1 and MEG3, in the development and progression of acute myeloid leukemia (AML). However, the contribution of this locus to the treatment response of patients and their survival is unknown.
METHODS
DNA methylation of select CG dinucleotide-containing amplicons (CpG sites) within the DLK1-MEG3 locus and within differentially methylated regions of other imprinted loci was assessed in the mononuclear cells of 45 AML patients by combined bisulfite restriction analysis. Methylation results were compared with patient response to first-round induction therapy and overall survival. Multivariable analysis was employed to identify independent prognostic factors for patient overall survival in AML.
RESULTS
Increased methylation at CpG sites within the MEG3 promotor region was observed in AML patients having longer overall survival. In addition, patients with shorter overall survival had increased expression of DLK1 and MEG3, and methylation at the MEG3-DMR CpG site inversely correlated with MEG3 expression. Multivariable analysis revealed that methylation at CG9, a non-imprinted CpG site within the MEG3 promotor region which contains a CCCTC-binding factor (CTCF)-binding DNA sequence, is an independent prognostic factor for the overall survival of AML patients.
CONCLUSIONS
The results of our pilot study underscore the importance of the DLK1-MEG3 locus in AML development and progression. We identify CG9 methylation as an independent prognostic factor for AML patient survival, which suggests that distinct miRNA signatures from the DLK1-MEG3 locus could reflect varying degrees of cell stemness and present novel opportunities for personalized therapies in the future. These data provide a foundation for future studies into the role of higher-order chromatin structure at DLK1-MEG3 in AML.

Identifiants

pubmed: 30876483
doi: 10.1186/s13148-019-0643-z
pii: 10.1186/s13148-019-0643-z
pmc: PMC6419839
doi:

Substances chimiques

Calcium-Binding Proteins 0
DLK1 protein, human 0
MEG3 non-coding RNA, human 0
Membrane Proteins 0
RNA, Long Noncoding 0

Types de publication

Journal Article Research Support, N.I.H., Extramural Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

50

Subventions

Organisme : NIDDK NIH HHS
ID : R01 DK074720
Pays : United States
Organisme : NHLBI NIH HHS
ID : R01 HL112788
Pays : United States

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Auteurs

Zachariah Payne Sellers (ZP)

Stem Cell Institute at James Graham Brown Cancer Center, University of Louisville, Louisville, KY, USA.

Lukasz Bolkun (L)

Department of Hematology, Medical University of Bialystok, Bialystok, Poland.

Janusz Kloczko (J)

Department of Hematology, Medical University of Bialystok, Bialystok, Poland.

Marzena Liliana Wojtaszewska (ML)

Department of Hematology and Bone Marrow Transplantation, University of Medical Sciences, Poznań, Poland.

Krzysztof Lewandowski (K)

Department of Hematology and Bone Marrow Transplantation, University of Medical Sciences, Poznań, Poland.

Marcin Moniuszko (M)

Department of Allergology, Medical University of Bialystok, Bialystok, Poland.
Department of Regenerative Medicine and Immune Regulation, Medical University of Bialystok, Bialystok, Poland.

Mariusz Z Ratajczak (MZ)

Stem Cell Institute at James Graham Brown Cancer Center, University of Louisville, Louisville, KY, USA. mzrata01@louisville.edu.
Department of Regenerative Medicine, Medical University of Warsaw, Warsaw, Poland. mzrata01@louisville.edu.

Gabriela Schneider (G)

Stem Cell Institute at James Graham Brown Cancer Center, University of Louisville, Louisville, KY, USA. g0schn01@louisville.edu.

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Classifications MeSH