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“Epigenetica en Biomedicina:
Del Conocimiento al Desarrollo
Biotecnológico y Farmacéutico”
Dr. Manel Esteller
Director
Cancer Epigenetics and Biology Program (PEBC),
Bellvitge Biomedical Research Institute (IDIBELL)
ICREA Research Professor
Professor of Genetics, University of Barcelona
WE ARE MORE THAN OUR GENES !
DOLLY
inrecentyearsepigeneticalterationshavecometopr
ominenceincancerresearchinparticularhypermethy
lationofcpgislandslocatedinthepromoterregionso
ftumorsuppressorgenesisnowfirmlyestablishedasa
nimportantmechanismforgeneinactivationincancer
oneofthemostremarkableachievementsinthefieldha
sbeentheidentificationofthemethylcpgbindingdom
ainfamilyofproteinswhichprovidemechanisticlink
sbetweenspecificpatternsofdnamethylationandhis
tonemodificationsalthoughmanyofthecurrentdatai
ndicatethatmethylcpgbindingproteinsplayakeyrol
einmaintainingatranscriptionallyinactivestateo
fmethylatedgenesmbd4isalsoknowntobeinvolvedine
xcisionrepairoftgmismatchesthelatterisamembero
fthisfamilyofproteinsandappearstoplayaroleinre
ducingmutationsat5methylcytosinethisreviewexam
inesthecontributionofmethylcpgbindingproteinsi
ntheepigeneticpathwayofcancer
The Epigenetic Dice:
-DNA Methylation
-Histone Modifications
-ncRNAs
-….
Cover by Sanchez-Mut and Esteller, Dev Cell, November 15th 2010
Epigenetics Parameters
Nature, 429, 457-63, 2004
Imprint of famine seen in genes of Second World War babies 60 years on
Towards the Human Epigenome
50-year-old
A
C
B
D
3-year-old twins 50-year-old twins3-year-old twins 50-year-old twins
0,00
0,40
0,80
1,20
1,60
2,00
0 15 30 45 60 75
Age (years)
ES
D 5
mC
0,00
0,40
0,80
1,20
1,60
2,00
0 15 30 45 60 75
Age (years)
ES
D A
c H
4
0,00
0,40
0,80
1,20
1,60
2,00
0 15 30 45 60 75
Age (years)
ES
D A
c H
3Francis Collins, director of the National Human Genome Research Institute, said:
"Here's something where Mendel, Watson and Crick all seem to have missed some crucial goodies"
Heyn et al., Carcinogenesis 2012
Discordant Twins for Breast Cancer
Autoantibodies against nuclear antigens, specially against DNA, histones and
nucleosomes
Lupus eritematoso sistémico
Autoimmune disease affecting many tissues and organs
% m
eth
yla
tion T
win
A
20-yo
twins
0 0.20 0.40 0.60 0.80 1
082_02 AVG_Beta
082_01 AVG_Beta vs 082_02 AVG_Beta
0
0.20
0.40
0.60
0.80
1
082_01 A
VG
_B
eta
Average Healthy Twin
Ave
rag
e S
LE
Tw
in
TD2 - twins (397 - 398)
0 0.20 0.40 0.60 0.80 1
030_02 AVG_Beta
030_01 AVG_Beta vs 030_02 AVG_Beta
0
0.20
0.40
0.60
0.80
1
030_01 A
VG
_B
eta
Average Healthy Twin
Ave
rag
e S
LE
Tw
in
% methylation Twin B
% m
eth
yla
tion
Tw
in A
TD2 - twins (529 - 530)
0 0.20 0.40 0.60 0.80 1
061_02 AVG_Beta
061_01 AVG_Beta vs 061_02 AVG_Beta
0
0.20
0.40
0.60
0.80
1
061_01 A
VG
_B
eta
Average Healthy Twin
Ave
rag
e S
LE
Tw
in
Epigenetics, Discordant Twins and Disease
Diabetes Type 2, Target tissue: Fat
Systemic Lupus Erythematosus, Target tissue: Lymphocytes
A
C
AF CA AS
0 2
0 4
0 6
0 8
0 1
00
An
cestr
al a
llele
(%
) P
CA
1
PCA2
-2 -1
0 1 2
-2 -1 0 1 2
D
B
AF AS CA
40 60 8
0 1
00 1
20
100 100
99
100
au
He
igh
t
Han Chinese-American (AS)
Caucasian-American (CA)
African-American (AF)
DNA methylation contributes to natural human variation
Heyn et al., Genome Research 2013
DNA methylation and natural human variation: pathways and diseases
DNA methylation and natural human variation: pathways and diseases
Taste Skin Pigmentation
http://www.google.es/url?sa=i&rct=j&q=&esrc=s&frm=1&source=images&cd=&cad=rja&uact=8&docid=j0_4Rq-xSbiQAM&tbnid=pLNLqB3T0LIjeM:&ved=0CAUQjRw&url=http://www.dermacaredirect.co.uk/blog/welcome-to-our-september-2012-newsletter/&ei=MtRXU9T9BKHW0QXIkoGYCg&psig=AFQjCNE1h7aMzGmMGqf-XG0Qie9al1f5TA&ust=1398351259693040
DNA methylation and natural human variation: pathways and diseases
Diabetes
Parkinson’s
Infection
(HBV, HIV, Measles
Virus, E. coli)
Taste Skin Pigmentation
http://www.google.es/url?sa=i&rct=j&q=&esrc=s&frm=1&source=images&cd=&cad=rja&uact=8&docid=j0_4Rq-xSbiQAM&tbnid=pLNLqB3T0LIjeM:&ved=0CAUQjRw&url=http://www.dermacaredirect.co.uk/blog/welcome-to-our-september-2012-newsletter/&ei=MtRXU9T9BKHW0QXIkoGYCg&psig=AFQjCNE1h7aMzGmMGqf-XG0Qie9al1f5TA&ust=1398351259693040
DNA methylation plasticity of human adipose-derived stem cells in lineage commitment
- 293 + 92PTPRS
Re
gre
sse
d
Ste
mC
ells
(fro
mm
yo
cyte
s)
- 152 + 160PIWIL2
Re
gre
sse
d
Ste
mC
ells
(fro
mo
ste
ocyte
s)
Re
gre
sse
d
Ste
mC
ells
(fro
mm
yo
cyte
s)
- 159 + 162SAA1
Re
gre
sse
d
Ste
mC
ells
(fro
mo
ste
ocyte
s)
Re
lative
exp
ressio
n
(PT
PR
S v
s G
AP
DH
)
0
200
400
600
800
1 2 3
Re
lative
exp
ressio
n
(SA
A1
vs G
AP
DH
)
0
50
100
150
1 2 3
Re
lative
exp
ressio
n
(PIW
IL2
vs G
AP
DH
)
0
50
100
150
1 2 3 4 5
A
B C
OSTEOGENIC
Differentiation
medium
Suppression of
the inductorDifferentiation
medium
Suppression of
the inductor
MYOGENIC
- 293 + 92PTPRS
Adult
Stem Cells_1
Adult
Stem Cells_2
In vitro
myocytes_1
In vitro
myocytes_2
- 152 + 160PIWIL2
Adult
Stem Cells_1
Adult
Stem Cells_2
In vitro
myocytes_1
In vitro
osteocytes_2
Adult
Stem Cells_1
Adult
Stem Cells_2
In vitro
Osteocytes_1
In vitro
Osteocytes_2
- 159 + 162SAA1
Berdasco et al., American Journal of Pathology 2012
Differentiation upon siRNA of SIRT1
Differentiation upon bFGF withdrawal
Embryonic Stem Cells (H-181)
Blue: DAPI
Green: alpha-actin
(mesodem)
Differentiation upon Sirtinol treatment (24h)
Stem Cells and Sirtuins
Epigenetic Marks
The Epigenetic Marks: DNA Methylation
Esteller, Nat Rev Genet 2007
Esteller, New England Journal of Medicine, 2008
Heyn and Esteller, Nature Review Genetics, 2012
Roriguez-Paredes and Esteller, Nature Medicine, 2011
THE HISTONE CODE
H3, N-terminus H4, N-terminus
SGRGKGGKGLGKGGAKRHRKVLRDN- 8 12 16 20 5
Ac
Ac Ac Ac Ac Me
ARTKQTARKSTGGKAPRKQLATKAARKSAPATGGVKKPH- 4 9 18 10 14 23 27 36
Me
Ac Me P Ac
activa
tio
n
sile
ncin
g
The Dark Genome
Melo and Esteller, FEBS Letters, 2010
Melo and Esteller, FEBS Letters, 2010
Nature Genetics, 2009
Science, 2009
Cancer Cell, 2010
Esteller, Nature Reviews Genetics 2011
Rodriguez-Paredes and Esteller, Nature Medicine, 2011
Epigenetic drugs
DNA Demethylating Agents
Histone Deacetylase Inhibitors
microRNA Related Compounds
Histone Methyltransferase Inhibitors
Histone Demethylase Inhibitors
Histone Kinase Inhibitors
Histone Acetyltransferase Inhibitors
Bromodomain Inhibitors
Sirtuin Inhibitors
Preclinical
stage
Clinical
stage
Rodriguez-Paredes and Esteller, Cancer Discovery 2011
Outside Cancer
Rett Syndrome (RS) is a neurodevelopmental disorder believed to affect 1 in
10,000 females..
Germline mutations in MECP2 (Methyl-CpG Binding Protein-2) found in
65% of Rett patients. MECP2 is located in Xq28.
Girls with Rett Syndrome appear to develop normally until 6 to 18 months of
age. They then enter a period of regression, losing speech and hand skills
they had acquired. Most girls develop seizures, repetitive hand movements,
irregular breathing and motor-control problems. A slowing of the rate of
head growth also becomes apparent. Most researchers agree that RS is a
developmental disorder rather than a progressive, degenerative disorder.
The girls can live to adulthood, but most never regain the ability to use their
hands or to speak.
Rett Syndrome
No
Mu
t3
No
Mu
t1
No
Mu
t4
No
Mu
t2
R255X
T158M
R106W
R306C
R294X
P391X
125 123 126 112 125 120 56 53 77 7136 38 35 49 36 41 105 108 84 90
No
Mu
t3
No
Mu
t1
No
Mu
t4
No
Mu
t2
R255X
T158M
R106W
R306C
R294X
P391X
125 123 126 112 125 120 56 53 77 7136 38 35 49 36 41 105 108 84 90
Clustering expression analysis and
release of MeCP2- Silencing
in Rett Syndrome Patients
MPP1
Control
R106W
I UB B UB B
MeCP2 NAB
+ 103
N1
N2
- 264
N2
Gene Primer sequence Annealing
MPP1 Forward 5´-YGAATTTGGTTAGGGTATTYGGG-3´ 57 ºCReverse 5´-CTTAAAAATCATCTCRCAAAAACT-3´
MPP1
Human Mutation, 2005
http://www.rett.es/gif/revista/editorial2.html
1.-Encéfalo 2.-Mesencéfalo 3.-Cerebelo
1
2 3
1
2 3
310mg
299mg 7.5gr/10.25cms
8.1gr/11.05cms
Mouse Model of Rett
Dynamic DNA Methylation Reconfiguration During Brain Development
Lister et al., Science 2013
•DNA Methylation and Schizophrenia
DNA Methylation Map of Mouse Brain Identifies Targets of Epigenetic Disruption in Alzheimer’s Disease
Sanchez-Mut et al., Brain 2013
Promoter hypermethylation of the phosphatase DUSP22 mediates PKA-dependent
TAU phosphorylation and CREB activation in Alzheimer's disease
Sanchez-Mut et al., Hippocampus 2013
http://www.google.com/url?sa=i&rct=j&q=&esrc=s&frm=1&source=images&cd=&cad=rja&docid=cAxSNZXvQ-L1NM&tbnid=vD3j8-Ie1YppWM:&ved=0CAUQjRw&url=http://commons.wikimedia.org/wiki/File:DNA_microarray.svg&ei=4yndUof5Bqqm0wWK_oCYAg&bvm=bv.59568121,d.d2k&psig=AFQjCNGJkTh-CebD4Ips9_ftEtpMB3yALA&ust=1390312271074176
DNA Methylation Profiling of Human Atheroesclerosis
Zaina et al., Circulation: Cardiovascular Genetics 2014
…Epigenomes
“The Book of Life” (Almost…)
Epigenetic differences
in monozygotic twins
and distinct penetrance
of disease
Epigenetic differences
in cloned animals
and distinct phenotypes
Epigenetic differences
among species
and distinct skills
Epigenetic differences
among species
and distinct skills
Epigenetic
alterations
and human
diseases
Epigenetic
changes
in germinal
cells
Epigenetic
changes in
development
and growth
Figure 1 Esteller
Esteller, The Lancet, 2008
Heyn and Esteller, Nature Reviews Genetics, 2012
Heyn and Esteller, Nature Reviews Genetics, 2012
Group 1 A.
Group 2
0 0.5 1
Adeno
Squamous
Large
0 20 5 10 15
0
0.2
0.4
0.6
0.8
group2 (n=174)
group1 (n=24)
1.0
Pro
po
rtio
n w
ith
rec
urr
ence
-fre
e su
rvia
l
Years after surgery
p: 0.002
Hazard ratio, 2.30 (95% CI, 1.36-3.89)
B.
Group 1 C. Group 2
0 0.5 1
group2 (n=114)
group1 (n=33)
p: 0.005
Hazard ratio, 2.46 (95% CI, 1.32-4.59)
D. Adeno
Squamous
Large
0 20 5 10 15
0
0.2
0.4
0.6
0.8
1.0
Pro
po
rtio
n w
ith
rec
urr
ence
-fre
e su
rvia
l
Years after surgery
A 450,000 CpG Site Prognostic Classifier of 500 Non-Small Cell Lung Cancer Patients
Cancer of Unknown Primary
Distance correlation to closest CpG site
0.00
0.10
0.20
0.30
0.40
0.50
0.60
0.70
0.80
0.90
1.00
Promoter Exonic Intronic Intergenic
Mean
meth
yla
tio
n level
NB
Y103
**
** ** **
68%
70%
72%
74%
76%
78%
80%
82%
Cp
G m
eth
yla
tio
n
lev
el (%
)
NB Y103 Y26 Corr
ela
tio
n
Distance
0.1
1.0
10 100 1 1000
16,000,000
16,200,000
16,400,000
16,600,000
16,800,000
Me
thyla
ted
Cp
G s
ite
s
NB Y103 Y26
Chromosome 8
0.8
0.6
0.4
Meth
. le
vel
Chromosome 2
0.8
0.6
0.4
Meth
. le
vel
0
0.1
0.2
0.3
0.4
0.5
0.6
0.7
0.8
0.9
CG poor promoters
CGI promoters
Me
an
me
thyla
tio
n le
ve
l
NB
Y103
**
**
0
1000
2000
3000
4000
5000
6000
7000
8000
9000
Promoter Exonic Intronic Intergenic
DM
R n
um
be
r
CpG poor
promoters CpG island
promoters
671; 83%
140; 17%
585; 55%
479; 45%
15669;
87%
2261; 13%
Hypomethylated
in Y103Hypermethylated
in Y103
DMRs
Housekeeping genes Tissue-specific genes
56; 87%
8; 13%
1200; 66%
611; 34%
The Distinct DNA Methylomes of Newborns and Centenarians
Proc Natl Acad Sci USA, 2012
Nonagenarians Newborn HG/W
Diseases Associated with Premature Aging:
Hutchinson-Gilford Progeria and Werner syndrome
Prediction of Biological Age Using DNA Methylation
The Genome
The Biomedical Iceberg
The Epigenome
Manel Esteller, 2014