Altered chromatin landscape and 3D interactions associated with primary constitutional MLH1 epimutations

Abstract Background Lynch syndrome (LS), characterised by an increased risk for cancer, is mainly caused by germline pathogenic variants affecting a mismatch repair gene (MLH1, MSH2, MSH6, PMS2). Occasionally, LS may be caused by constitutional MLH1 epimutation (CME) characterised by soma-wide methy...

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Main Authors: Paula Climent-Cantó, Marc Subirana-Granés, Mireia Ramos-Rodríguez, Estela Dámaso, Fátima Marín, Covadonga Vara, Beatriz Pérez-González, Helena Raurell, Elisabet Munté, José Luis Soto, Ángel Alonso, GiWon Shin, Hanlee Ji, Megan Hitchins, Gabriel Capellá, Lorenzo Pasquali, Marta Pineda
Format: Article
Language:English
Published: BMC 2024-12-01
Series:Clinical Epigenetics
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Online Access:https://doi.org/10.1186/s13148-024-01770-3
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author Paula Climent-Cantó
Marc Subirana-Granés
Mireia Ramos-Rodríguez
Estela Dámaso
Fátima Marín
Covadonga Vara
Beatriz Pérez-González
Helena Raurell
Elisabet Munté
José Luis Soto
Ángel Alonso
GiWon Shin
Hanlee Ji
Megan Hitchins
Gabriel Capellá
Lorenzo Pasquali
Marta Pineda
author_facet Paula Climent-Cantó
Marc Subirana-Granés
Mireia Ramos-Rodríguez
Estela Dámaso
Fátima Marín
Covadonga Vara
Beatriz Pérez-González
Helena Raurell
Elisabet Munté
José Luis Soto
Ángel Alonso
GiWon Shin
Hanlee Ji
Megan Hitchins
Gabriel Capellá
Lorenzo Pasquali
Marta Pineda
author_sort Paula Climent-Cantó
collection DOAJ
description Abstract Background Lynch syndrome (LS), characterised by an increased risk for cancer, is mainly caused by germline pathogenic variants affecting a mismatch repair gene (MLH1, MSH2, MSH6, PMS2). Occasionally, LS may be caused by constitutional MLH1 epimutation (CME) characterised by soma-wide methylation of one allele of the MLH1 promoter. Most of these are “primary” epimutations, arising de novo without any apparent underlying cis-genetic cause, and are reversible between generations. We aimed to characterise genetic and gene regulatory changes associated with primary CME to elucidate possible underlying molecular mechanisms. Methods Four carriers of a primary CME and three non-methylated relatives carrying the same genetic haplotype were included. Genetic alterations were sought using linked-read WGS in blood DNA. Transcriptome (RNA-seq), chromatin landscape (ATAC-seq, H3K27ac CUT&Tag) and 3D chromatin interactions (UMI-4C) were studied in lymphoblastoid cell lines. The MLH1 promoter SNP (c.-93G > A, rs1800734) was used as a reporter in heterozygotes to assess allele-specific chromatin conformation states. Results MLH1 epimutant alleles presented a closed chromatin conformation and decreased levels of H3K27ac, as compared to the unmethylated allele. Moreover, the epimutant MLH1 promoter exhibited differential 3D chromatin contacts, including lost and gained interactions with distal regulatory elements. Of note, rare genetic alterations potentially affecting transcription factor binding sites were found in the promoter-contacting region of CME carriers. Conclusions Primary CMEs present allele-specific differential interaction patterns with neighbouring genes and regulatory elements. The role of the identified cis-regulatory regions in the molecular mechanism underlying the origin and maintenance of CME requires further investigation.
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spelling doaj-art-b0709bf94557455ab1ed3d02b07cc5b72025-01-05T12:33:57ZengBMCClinical Epigenetics1868-70832024-12-0116111510.1186/s13148-024-01770-3Altered chromatin landscape and 3D interactions associated with primary constitutional MLH1 epimutationsPaula Climent-Cantó0Marc Subirana-Granés1Mireia Ramos-Rodríguez2Estela Dámaso3Fátima Marín4Covadonga Vara5Beatriz Pérez-González6Helena Raurell7Elisabet Munté8José Luis Soto9Ángel Alonso10GiWon Shin11Hanlee Ji12Megan Hitchins13Gabriel Capellá14Lorenzo Pasquali15Marta Pineda16Hereditary Cancer Group, ONCOBELL Program, Institut d’Investigació Biomèdica de Bellvitge (IDIBELL)Department of Medicine and Life Sciences, Universitat Pompeu FabraDepartment of Medicine and Life Sciences, Universitat Pompeu FabraHereditary Cancer Group, ONCOBELL Program, Institut d’Investigació Biomèdica de Bellvitge (IDIBELL)Hereditary Cancer Group, ONCOBELL Program, Institut d’Investigació Biomèdica de Bellvitge (IDIBELL)Hereditary Cancer Group, ONCOBELL Program, Institut d’Investigació Biomèdica de Bellvitge (IDIBELL)Department of Medicine and Life Sciences, Universitat Pompeu FabraDepartment of Medicine and Life Sciences, Universitat Pompeu FabraHereditary Cancer Group, ONCOBELL Program, Institut d’Investigació Biomèdica de Bellvitge (IDIBELL)Molecular Genetics Laboratory, Foundation for the Promotion of Health and Biomedical Research of Valencia Region (FISABIO), University Hospital of ElcheGenomics Medicine Unit, Navarrabiomed, Hospital Universitario de Navarra (HUN), Universidad Pública de Navarra (UPNA), IdiSNADepartment of Medicine (Oncology), Stanford Cancer Institute, Stanford UniversityDepartment of Medicine (Oncology), Stanford Cancer Institute, Stanford UniversityDepartment of Biomedical Sciences, Cedars-Sinai Medical CenterHereditary Cancer Group, ONCOBELL Program, Institut d’Investigació Biomèdica de Bellvitge (IDIBELL)Department of Medicine and Life Sciences, Universitat Pompeu FabraHereditary Cancer Group, ONCOBELL Program, Institut d’Investigació Biomèdica de Bellvitge (IDIBELL)Abstract Background Lynch syndrome (LS), characterised by an increased risk for cancer, is mainly caused by germline pathogenic variants affecting a mismatch repair gene (MLH1, MSH2, MSH6, PMS2). Occasionally, LS may be caused by constitutional MLH1 epimutation (CME) characterised by soma-wide methylation of one allele of the MLH1 promoter. Most of these are “primary” epimutations, arising de novo without any apparent underlying cis-genetic cause, and are reversible between generations. We aimed to characterise genetic and gene regulatory changes associated with primary CME to elucidate possible underlying molecular mechanisms. Methods Four carriers of a primary CME and three non-methylated relatives carrying the same genetic haplotype were included. Genetic alterations were sought using linked-read WGS in blood DNA. Transcriptome (RNA-seq), chromatin landscape (ATAC-seq, H3K27ac CUT&Tag) and 3D chromatin interactions (UMI-4C) were studied in lymphoblastoid cell lines. The MLH1 promoter SNP (c.-93G > A, rs1800734) was used as a reporter in heterozygotes to assess allele-specific chromatin conformation states. Results MLH1 epimutant alleles presented a closed chromatin conformation and decreased levels of H3K27ac, as compared to the unmethylated allele. Moreover, the epimutant MLH1 promoter exhibited differential 3D chromatin contacts, including lost and gained interactions with distal regulatory elements. Of note, rare genetic alterations potentially affecting transcription factor binding sites were found in the promoter-contacting region of CME carriers. Conclusions Primary CMEs present allele-specific differential interaction patterns with neighbouring genes and regulatory elements. The role of the identified cis-regulatory regions in the molecular mechanism underlying the origin and maintenance of CME requires further investigation.https://doi.org/10.1186/s13148-024-01770-3Lynch syndromeConstitutional MLH1 epimutationMLH1 promoter methylation3D interactionsChromatin structureCis-regulatory regions
spellingShingle Paula Climent-Cantó
Marc Subirana-Granés
Mireia Ramos-Rodríguez
Estela Dámaso
Fátima Marín
Covadonga Vara
Beatriz Pérez-González
Helena Raurell
Elisabet Munté
José Luis Soto
Ángel Alonso
GiWon Shin
Hanlee Ji
Megan Hitchins
Gabriel Capellá
Lorenzo Pasquali
Marta Pineda
Altered chromatin landscape and 3D interactions associated with primary constitutional MLH1 epimutations
Clinical Epigenetics
Lynch syndrome
Constitutional MLH1 epimutation
MLH1 promoter methylation
3D interactions
Chromatin structure
Cis-regulatory regions
title Altered chromatin landscape and 3D interactions associated with primary constitutional MLH1 epimutations
title_full Altered chromatin landscape and 3D interactions associated with primary constitutional MLH1 epimutations
title_fullStr Altered chromatin landscape and 3D interactions associated with primary constitutional MLH1 epimutations
title_full_unstemmed Altered chromatin landscape and 3D interactions associated with primary constitutional MLH1 epimutations
title_short Altered chromatin landscape and 3D interactions associated with primary constitutional MLH1 epimutations
title_sort altered chromatin landscape and 3d interactions associated with primary constitutional mlh1 epimutations
topic Lynch syndrome
Constitutional MLH1 epimutation
MLH1 promoter methylation
3D interactions
Chromatin structure
Cis-regulatory regions
url https://doi.org/10.1186/s13148-024-01770-3
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