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Epigenetic studies of a newborn twins cohort - insights into early development" Dr Jeff Craig, Early Life Epigenetics Group, Population Health Theme [email protected]

Epigenetic studies of a newborn twins cohort - insights into early … Craig... · 2013-10-10 · Epigenetics and the Developmental . origins of Health and Disease * * * Opportunities

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Page 1: Epigenetic studies of a newborn twins cohort - insights into early … Craig... · 2013-10-10 · Epigenetics and the Developmental . origins of Health and Disease * * * Opportunities

Epigenetic studies of a newborn twins cohort -

insights into early development"

Dr Jeff Craig, Early Life Epigenetics Group, Population Health [email protected]

Page 2: Epigenetic studies of a newborn twins cohort - insights into early … Craig... · 2013-10-10 · Epigenetics and the Developmental . origins of Health and Disease * * * Opportunities

Summary• Introduction: epigenetics, developmental origins, twins• Results

• Part 1. How can twins differ epigenetically at birth and how does this relate to environment?

• Part 2. How different are twins throughout the rest of the genome?

• Part 3. How DNA methylation changes between birth and 18 months: Epigenetic dynamics & drift

Dr Jeff Craig, Early Life Epigenetics Group, Population Health [email protected]

Page 3: Epigenetic studies of a newborn twins cohort - insights into early … Craig... · 2013-10-10 · Epigenetics and the Developmental . origins of Health and Disease * * * Opportunities

Epigenetics and the symphony of lifeGenes = instruments

Musicians = epigenetics

www.classicsonline.com

Dr Jeff Craig, Early Life Epigenetics Group, Population Health [email protected]

Page 4: Epigenetic studies of a newborn twins cohort - insights into early … Craig... · 2013-10-10 · Epigenetics and the Developmental . origins of Health and Disease * * * Opportunities

1,000s of genes, hundreds of cell types

www.classicsonline.com

Dr Jeff Craig, Early Life Epigenetics Group, Population Health [email protected]

Page 5: Epigenetic studies of a newborn twins cohort - insights into early … Craig... · 2013-10-10 · Epigenetics and the Developmental . origins of Health and Disease * * * Opportunities

From chromosomes to genes

Development

2. DNAwith histone proteins

(yellow)

Active marks on histones

1. DNA

Key to epigenetic marksMethylation of CpG in DNA

Inactive marks on histones

3. Two metres of DNA per cell packaged with more proteins into 

chromosomes

Open and active

Closed and 

inactive

Dr Jeff Craig, Early Life Epigenetics Group, Population Health [email protected]

Page 6: Epigenetic studies of a newborn twins cohort - insights into early … Craig... · 2013-10-10 · Epigenetics and the Developmental . origins of Health and Disease * * * Opportunities

Epigenetic marks can:• Control gene activity• Direct development of an organism • Be heritable though cell division• Be a way for the environment to influence gene activity

& disease• “the interactions of genes with their environment, which

bring the phenotype into being” – Conrad Waddington, 1942

Dr Jeff Craig, Early Life Epigenetics Group, Population Health [email protected]

Page 7: Epigenetic studies of a newborn twins cohort - insights into early … Craig... · 2013-10-10 · Epigenetics and the Developmental . origins of Health and Disease * * * Opportunities

The role of epigenetics in the Developmental

Origins of Health and Disease

Dr Jeff Craig, Early Life Epigenetics Group, Population Health [email protected]

Page 8: Epigenetic studies of a newborn twins cohort - insights into early … Craig... · 2013-10-10 · Epigenetics and the Developmental . origins of Health and Disease * * * Opportunities

Reduced flow of nutrients & oxygen to fetus

Adverse prenatal environment

Structural changes to organs

(Low birth weight or prematurity)

Risk of chronic disease•Metabolic imbalance•Cognitive and behavioural problems•Early puberty•Changes to food preference

Postnatal environment

Epigenetics and the Developmental . origins of Health

and Disease

**

*

Opportunities for intervention

Con-ception

Before birthAfter birth

Childhood

Adolescence

Adulthood

Page 9: Epigenetic studies of a newborn twins cohort - insights into early … Craig... · 2013-10-10 · Epigenetics and the Developmental . origins of Health and Disease * * * Opportunities

Using epigenetic marks as biomarkers for:

(1) Detection of exposures (2) Prediction of outcomes

Dr Jeff Craig, Early Life Epigenetics Group, Population Health [email protected]

Page 10: Epigenetic studies of a newborn twins cohort - insights into early … Craig... · 2013-10-10 · Epigenetics and the Developmental . origins of Health and Disease * * * Opportunities

Exposure-related epigenetic biomarkers• Maternal carbohydrate intake (Godfrey et al, 2011)• Childhood adversity (Kang et al 2013)• Many more e.g. maternal smoking, alcohol, folate,

gestational diabetes

Dr Jeff Craig, Early Life Epigenetics Group, Population Health [email protected]

Page 11: Epigenetic studies of a newborn twins cohort - insights into early … Craig... · 2013-10-10 · Epigenetics and the Developmental . origins of Health and Disease * * * Opportunities

Outcome-related epigenetic biomarkers

• Cancer• a growing number of predictive biomarkers have been

validated across many studies and are in clinical trials• Metabolic and cardiovascular disease:

• Obesity (Godfrey et al, 2011)• Type 1 diabetes (Rakyan et al 2011)• Type 2 diabetes (Toperoff et al 2012)• cardiovascular disease (Kim et al, 2010)• Response to weight loss programs (Cordero et al,

2011, Milagro et al 2011 )

Dr Jeff Craig, Early Life Epigenetics Group, Population Health [email protected]

Page 12: Epigenetic studies of a newborn twins cohort - insights into early … Craig... · 2013-10-10 · Epigenetics and the Developmental . origins of Health and Disease * * * Opportunities
Page 13: Epigenetic studies of a newborn twins cohort - insights into early … Craig... · 2013-10-10 · Epigenetics and the Developmental . origins of Health and Disease * * * Opportunities

Epigenetics and the symphony of lifeTwins: can the same instruments be played differently?

Page 14: Epigenetic studies of a newborn twins cohort - insights into early … Craig... · 2013-10-10 · Epigenetics and the Developmental . origins of Health and Disease * * * Opportunities

The Peri/Postnatal Epigenetic Twins Study (PETS)

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1. What is the level of epigenetic variation during prenatal development?

2. To what extent is neonatal epigenotype influenced by:- DNA sequence?- Shared (maternal) factors? - Nonshared (supply line) factors?

3. Are different tissues affected the same way by the same environment?

Neonatal epigenetics: main study questions

Page 16: Epigenetic studies of a newborn twins cohort - insights into early … Craig... · 2013-10-10 · Epigenetics and the Developmental . origins of Health and Disease * * * Opportunities

PETS timeline: fromPreconception to birth

1st

trim.

2nd

trim.

3rd

trim.

Recruitment & interview 1 (18-20wks)

Interview 2 (24wks)

Interview 3(36wks)

Birth (27-40 wks)

conception “Environmental” data collected • Shared (maternal)

• Diet & supplements• Stress• Smoking/alcohol• ART• Illnesses

Maternal blood for serum & plasma

(28wks)

• Non-shared (supply line)• Placental weight• Cord insertion

Page 17: Epigenetic studies of a newborn twins cohort - insights into early … Craig... · 2013-10-10 · Epigenetics and the Developmental . origins of Health and Disease * * * Opportunities

Dichorionic (MZ or DZ) Monochorionic (MZ)

FusedSeparate

Placental weight

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http://radiopaedia.org/articles/variation‐in‐cord‐insertion

Central

Position of cord insertion

Peripheral

Velamentous~ 9% in twins~ 1% in singletons

“Good” “Bad”

Page 19: Epigenetic studies of a newborn twins cohort - insights into early … Craig... · 2013-10-10 · Epigenetics and the Developmental . origins of Health and Disease * * * Opportunities

Multiple cell types collected from 251 deliveries

Cord blood

Mononuclear cells (CBMCs)

Granulocytes:

Whole blood

PlacentaCords

Human Umbilical vein

Endothelial cells(HUVECs)

Cheek swabs(buccal epithelial

cells)

MesodermExtra-embryonic Ectoderm

Page 20: Epigenetic studies of a newborn twins cohort - insights into early … Craig... · 2013-10-10 · Epigenetics and the Developmental . origins of Health and Disease * * * Opportunities

Reading DNA methylation as a sequence

CG meCGBisulfite Conversion

& PCR

TG CGBase-change detection

• Sodium bisulphite converts only unmethylated C to T

• Sequenom MassArray EpiTyper measures clusters of CpG units using mass spec.

Page 21: Epigenetic studies of a newborn twins cohort - insights into early … Craig... · 2013-10-10 · Epigenetics and the Developmental . origins of Health and Disease * * * Opportunities

How can twins differ epigenetically at birth and how does this relate to environment?

>100 pairs5 tissues1 locus

4 sub-regions

Dr Jeff Craig, Early Life Epigenetics Group, Population Health [email protected]

Page 22: Epigenetic studies of a newborn twins cohort - insights into early … Craig... · 2013-10-10 · Epigenetics and the Developmental . origins of Health and Disease * * * Opportunities

Summary of PETS phenotypic data

• IGF2)/H19 locus crucial for prenatal growth but environmentally labile.

• Previous studies focused on 1-2 DMRs & 1 tissue• Sequenom MassArray EpiTyper methylation analysis:

• 67 MZ and 49 DZ twin pairs • 5 tissues• 4 DMRs

H19

prom

oter DMR

IGF2

DMR2

IGF2

DMR2

H19IGF2IGF2IGF2

IGF2/H

19 IC

R

Page 23: Epigenetic studies of a newborn twins cohort - insights into early … Craig... · 2013-10-10 · Epigenetics and the Developmental . origins of Health and Disease * * * Opportunities

Range of Within-pair Methylation Differences at IGF2/H19

H19 promoter DMR IGF2/H19 ICR

IGF2 DMR2 IGF2 DMR2

Page 24: Epigenetic studies of a newborn twins cohort - insights into early … Craig... · 2013-10-10 · Epigenetics and the Developmental . origins of Health and Disease * * * Opportunities

*Intraclass Correlation Coefficient (ICC):Measures proportion of total variance attributable to within‐pair variation within a subset of twins

Intraclass Correlatio

n Co

efficient*

Methylation similarity within-pair: effects of zygosity

Page 25: Epigenetic studies of a newborn twins cohort - insights into early … Craig... · 2013-10-10 · Epigenetics and the Developmental . origins of Health and Disease * * * Opportunities

• Multiple linear regression • Normalisation to pool all data• Regression coefficients converted to percentage change in mean methylation

Correlation with prenatal environment

Page 26: Epigenetic studies of a newborn twins cohort - insights into early … Craig... · 2013-10-10 · Epigenetics and the Developmental . origins of Health and Disease * * * Opportunities

Factor All Assays Combined

H19 promoter DMR

IGF2/H19 ICR IGF2 DMR0 IGF2 DMR2

Coeff p-val Coeff p-val Coeff p-val Coeff p-val Coeff p-val Had folate 0.50% 0.44 -1.70% 0.024 0.40% 0.69 0.90% 0.46 2.90% 0.035 Vitamin B12 (z-score)

-0.23% 0.24 -0.97% 0.002 -0.23% 0.54 0.23% 0.55 0.27% 0.63

Homocysteine (z-score)

0.27% 0.29 0.10% 0.75 0.40% 0.29 0.37% 0.30 0.17% 0.72

Macronutrients (z-score)

0.37% 0.17 0.80% 0.049 0.20% 0.50 0.43% 0.27 0.10% 0.77

Had alcohol 0.50% 0.27 0.00% 0.98 -0.70% 0.18 1.30% 0.14 1.90% 0.062 Smoked 0.90% 0.059 2.10% 0.005 1.20% 0.043 0.30% 0.74 -0.10% 0.90 Stress (z-score)

-0.10% 0.68 0.00% 0.98 -0.27% 0.42 0.30% 0.58 0.17% 0.65

Gestational diabetes

-1.30% 0.012 -1.50% 0.14 -0.80% 0.44 -1.50% 0.14 -1.60% 0.17

Central cord insertion (MC)

3.00% <0.001 3.20% 0.046 2.40% 0.005 2.70% 0.001 4.30% 0.002

Central cord insertion (DC)

-0.30% 0.47 0.80% 0.28 1.80% 0.001 -1.80% 0.045 0.00% 0.98

Placenta Weight

0.53% 0.044 0.53% 0.18 0.87% 0.010 0.30% 0.57 0.27% 0.60

IGF2/H19, 5 tissues, 4 DMRs, 67 MZ 49 DZ, 8 shared, 2 nonshared environments

H19IGF2IGF2IGF2

Page 27: Epigenetic studies of a newborn twins cohort - insights into early … Craig... · 2013-10-10 · Epigenetics and the Developmental . origins of Health and Disease * * * Opportunities

Associations can be gene- and tissue-specific

Page 28: Epigenetic studies of a newborn twins cohort - insights into early … Craig... · 2013-10-10 · Epigenetics and the Developmental . origins of Health and Disease * * * Opportunities

“Supply line factors” influencing nonshared environment

• Placenta (structure and function)

• Umbilical cord

Page 29: Epigenetic studies of a newborn twins cohort - insights into early … Craig... · 2013-10-10 · Epigenetics and the Developmental . origins of Health and Disease * * * Opportunities

“Supply line factors” influencing nonshared environment

Thin cord Fat cord

Page 30: Epigenetic studies of a newborn twins cohort - insights into early … Craig... · 2013-10-10 · Epigenetics and the Developmental . origins of Health and Disease * * * Opportunities

How different are twins throughout the rest of the genome?

Dr Jeff Craig, Early Life Epigenetics Group, Population Health [email protected]

Page 31: Epigenetic studies of a newborn twins cohort - insights into early … Craig... · 2013-10-10 · Epigenetics and the Developmental . origins of Health and Disease * * * Opportunities

Samples & technology• CBMCs, HUVECs & placenta from ~24 twin pairs• Illumina expression arrays• Illumina Infinium Beadchip arrays

• Interrogate 27,578 CpG sites • Based on bisulphite conversion and genotyping.• Probes specific for methylated & unmethylated CpG

Page 32: Epigenetic studies of a newborn twins cohort - insights into early … Craig... · 2013-10-10 · Epigenetics and the Developmental . origins of Health and Disease * * * Opportunities

Relationship between within-pair methylation discordance and zygosity

140

120

80

100

60

17 9 8 9 13 8 8 5 8 6 284252N=

CBMCs                        HUVECs                 Placenta

MZ DZ MZMC

MZDC

MZ DZ MZMC

MZDC

MZ DZ URURUR

40With

in-p

air d

isco

rdan

ce

(Euc

lidea

n di

stan

ce)

Miina Ollikainen Eric Joo Boris Novakovic

Page 33: Epigenetic studies of a newborn twins cohort - insights into early … Craig... · 2013-10-10 · Epigenetics and the Developmental . origins of Health and Disease * * * Opportunities

140

120

80

100

60

17 9 8 9 13 8 8 5 8 6 284252N=

CBMCs                        HUVECs                 Placenta

MZ DZ MZMC

MZDC

MZ DZ MZMC

MZDC

MZ DZ URURUR

40With

in-p

air d

isco

rdan

ce

(Euc

lidea

n di

stan

ce)

Miina Ollikainen Eric Joo

Relationship between within-pair methylation discordance and zygosity

Page 34: Epigenetic studies of a newborn twins cohort - insights into early … Craig... · 2013-10-10 · Epigenetics and the Developmental . origins of Health and Disease * * * Opportunities

Summary of gene-specific data from expression & methylation arraysExpression

Illumina Expression BeadChip WG-6

CBMCs: 12 MZ pairs HUVECs: 10 MZ pairs

Methylation

Illumina Infinium HM27

CBMCs: 18 MZ, 8 DZ pairsHUVECs: 12 MZ, 8 DZ pairsPlacenta: 8 MZ, 8 DZ pairs

Arrays

“response to environment”

“development & morphogenesis” & “response

to environment”

Most discordant within pairs

Metabolism, biosynthesis, growth,

cardiovascular disease/function

Metabolism, biosynthesis, cardiovascular

disease/function

Regression for birth weight

Page 35: Epigenetic studies of a newborn twins cohort - insights into early … Craig... · 2013-10-10 · Epigenetics and the Developmental . origins of Health and Disease * * * Opportunities

c2

Freq

uency

Freq

uency

Freq

uency

Freq

uency

Freq

uency

Freq

uency

Mean  = 0.12

Mean  = 0.07

Mean  = 0.05

Mean  = 0

Mean  = 0

Mean  = 0

Variance components of DNA methylation on a genome-scale

CBMCs PlacentaHUVECs

Joseph Powell & Peter Visscher, University of Queensland

CBMCs PlacentaHUVECs

Heritability (h2)

Page 36: Epigenetic studies of a newborn twins cohort - insights into early … Craig... · 2013-10-10 · Epigenetics and the Developmental . origins of Health and Disease * * * Opportunities

CBMCs PlacentaHUVECs

Freq

uency

Freq

uency

Freq

uency

Freq

uency

Freq

uency

Freq

uency

Mean  = 0.12

Mean  = 0.07

Mean  = 0.05

Mean  = 0

Mean  = 0

Mean  = 0

Joseph Powell & Peter Visscher, University of Queensland

Common environment  (c2)

Heritability (h2)

Page 37: Epigenetic studies of a newborn twins cohort - insights into early … Craig... · 2013-10-10 · Epigenetics and the Developmental . origins of Health and Disease * * * Opportunities

• Genetic effect present but small and tissue-dependent• Effect of common environment negligible• Residual variance is large

• Nonshared environment • Stochastic factors• Measurement error

Neonatal variance component conclusions: on average, across the genome:

Page 38: Epigenetic studies of a newborn twins cohort - insights into early … Craig... · 2013-10-10 · Epigenetics and the Developmental . origins of Health and Disease * * * Opportunities

How DNA methylation changes between birth and 18 months: Epigenetic dynamics & drift

Dr Jeff Craig, Early Life Epigenetics Group, Population Health [email protected]

Page 39: Epigenetic studies of a newborn twins cohort - insights into early … Craig... · 2013-10-10 · Epigenetics and the Developmental . origins of Health and Disease * * * Opportunities

• Buccals from 10 MZ pairs & 5 DZ pairs• Birth and 18 months• Infinium HM450 arrays: 485,000 CpGs, genome-wide,

regions of functional significance• Promoters• Enhancers• Cancer-associated• ES cell-associated

Samples and technology

Page 40: Epigenetic studies of a newborn twins cohort - insights into early … Craig... · 2013-10-10 · Epigenetics and the Developmental . origins of Health and Disease * * * Opportunities

• 1/3 CpGs changed significantly between birth & 18m• ‘age-associated CpGs’ enriched in:

• Genes associated with development & morphogenesis• Intergenic regions inc. enhancers• Low CpG density promoters• Regions surrounding CpG islands• Regions associated with stem cell reprogramming

Results

Page 41: Epigenetic studies of a newborn twins cohort - insights into early … Craig... · 2013-10-10 · Epigenetics and the Developmental . origins of Health and Disease * * * Opportunities

Examination of twin-pair discordance with age

Converge

Drift

Stable

Page 42: Epigenetic studies of a newborn twins cohort - insights into early … Craig... · 2013-10-10 · Epigenetics and the Developmental . origins of Health and Disease * * * Opportunities

Examination of twin-pair discordance with age

Page 43: Epigenetic studies of a newborn twins cohort - insights into early … Craig... · 2013-10-10 · Epigenetics and the Developmental . origins of Health and Disease * * * Opportunities

Prenatal discordance and postnatal concordance

zygote

Twin 1 Twin 2

Antenatalenvironmentalfactors

Post-zygoticgeneticfactors

Differential placental implantation/

nutritionMonochor-ionic

placentationDifferentialtransplacental

teratogensDifferential transplacental

infectionDeliveryInterval,

asphyxia etc.Differentialpresentation e.g.

vertex/breechDifferential

prenatal infection e.g. HIV,

chorioamnionitis

Post-zygoticnon-disjunction

Differentialimprinting

Skewed X-inactivation Differential

dinucleotide repeat expansions Postzygotic

Single genemutation Differential

phenotypicseverity ofgenetic disease

Discordance for majormalformation

Increasing prenatal discordance

Unequal earlySeparation ofblastomeres

Birth

Repetitive concordant perception, choice and internalisation of postnatal

environmental experiences

Decreasing postnatal discordance

Time

Page 44: Epigenetic studies of a newborn twins cohort - insights into early … Craig... · 2013-10-10 · Epigenetics and the Developmental . origins of Health and Disease * * * Opportunities

Take-home messages

Dr Jeff Craig, Early Life Epigenetics Group, Population Health [email protected]

• Twins are great to tease apart the role of epigenetics in development and health

• Epigenetics can help explain why identical twins (and the rest of us) are different (not forgetting genetics)

• Intrauterine environment can be shared or non-shared• Environmental affect can differ between genes & tissues • The first 18 months of postnatal life is extremely

epigenetically dynamic• Prenatal and postnatal environments can differ

Page 45: Epigenetic studies of a newborn twins cohort - insights into early … Craig... · 2013-10-10 · Epigenetics and the Developmental . origins of Health and Disease * * * Opportunities

AcknowledgementsStudy coordinatorsJeff Craig

Richard SafferyRuth Morley

Boistats/bioinformaticsJohn Carlin

Lavinia GordonKatherine Smith

John GalatiGordon SmythAlicia OshlackStanley Ho

HeritabilityJoseph PowellPeter Visscher

The LabsMiina OllikainenBoris Novakovic

Mandy Parkinson-BatesHK Ng

Anna CzajkoEric Joo

Bobbie AndronikosNisa Abdul AzizNicole CarsonJane Loke

Mark CruickshankBlaise Weinrich

Yun Dai

Admin AssistantsHien NguyenGerri McIlroyObstetricians

Euan WallaceMichael Permezel

Mark UmstadResearch Nurses

Anne Krastev Sarah HealyTina Vaiano

Nicole BrooksSheila HollandJenny Foord

Bernie McCudden

Sansom Institute, Adelaide

Kerin O’Dea

Epigenetic driftKaren Conneally &

Alicia Smith,Atlanta

Robert Lyle,Kristina Gervin &

Jennifer Harris, Oslo

Jordana Bell & Pei-Chien Tsai, UK,

LondonJonathan Mill &

Chloe Wong,London

Reid Alisch,Atlanta