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“Epigenetica en Biomedicina: Del Conocimiento al Desarrollo Biotecnológico y Farmacéutico” Dr. Manel Esteller [email protected] Director Cancer Epigenetics and Biology Program (PEBC), Bellvitge Biomedical Research Institute (IDIBELL) ICREA Research Professor Professor of Genetics, University of Barcelona

“Epigenetica en Biomedicina - Món UVic · “Epigenetica en Biomedicina: Del Conocimiento al Desarrollo Biotecnológico y Farmacéutico” Dr. Manel Esteller [email protected]

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  • “Epigenetica en Biomedicina:

    Del Conocimiento al Desarrollo

    Biotecnológico y Farmacéutico”

    Dr. Manel Esteller

    [email protected]

    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

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    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

    [email protected]