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#4436 Synergistic Effects of Promoter Associated DNA Methylation and Genetic Alterations to Better Understand Oncogenic Gene Expression Profiles Claire Olson1, Fang Yin Lo1, Kerry Deutsch1, Sharon Austin1, Kellie Howard1, Amanda Leonti1, Lindsey Maassel1, Christopher Subia1, Tuuli Saloranta1, Nicole Heying1, Kathryn Shiji1, Shradha Patil1, Steven Anderson3 and Anup Madan1 1Covance, Seattle, WA; 2Laboratory Corporation of America® Holdings, Research Triangle Park, NC; 3Covance, Durham, NC Introduction The impacts of genetic and epigenetic mechanisms on cancer remain enigmatic, especially regarding changes in gene expression and methylation differences between tumor and normal samples. Tumorigenesis can potentially alter DNA methylation, however, the amount and location of these DNA modifications are unknown. The objective of our research is to qualify differentially methylated loci and identify roles of differential methylation in regulating gene expression between patients with and without breast cancer. Differences between normal human peripheral blood and TNM stage IIB grade 3 breast tissue were examined on a genome-wide level to identify differentially methylated CpG sites and differential gene expression. A comparative analysis of genetic and epigenetic regulation of gene expression will allow better understanding of gene regulatory networks in breast cancer. Methods Up-regulated Genes normal human peripheral blood tissues + TNM stage IIB, grade 3 primary ductal carcinoma in breast tissues Methylome Analysis Transcriptome Analysis Promoter Associated CpG islands Strand Specific RNA-Seq Differentially hypermethylated CpG sites 13,126 654 1,199 Differentially expressed genes Down-regulated Genes Differential Methylation Differential Expression ▶ Sequencing reads mapped to human genome ▶ Bisulfite treatment of lymphoblast cells ▶ Map to human genome using Bisulfite Sequence Mapping Program (BSMAP v2.74) ▶ Resulting alignment analyzed with methratio ▶ HTSeq Python package to generate gene count data and identification of differential expressed genes using Edge R package ▶ Examination of DNA methylation differences using methylKit 0.9.2 in R Figure 1. Patients with normal human peripheral blood and TNM stage IIB grade 3 breast tissue were assayed across multiple platforms to provide a better understanding of gene regulatory networks in breast cancer. Genome-wide DNA methylation profiles were characterized in patients with and without tumor cells. Differential gene expression analysis was also performed to identify roles of differential methylation in regulating gene expression. Table 1. Up-Regulated Genes Identified by Differential Expression and Differential Methylation Analysis and Their Respective p-Values Gene Symbol Gene Name Core Pathway Process RNASeq p-value Methylation q-value Notes Cancer associated genes CASP8 caspase 8, apoptosis-related Cell Cycle/ cysteine peptidase Apoptosis Cell Survival 0.0225 CSF1R colony stimulating factor 1 receptor PI3K; RAS Cell Survival 0.0004 0.0017 Oncogene ERBB2 v-erb-b2 erythroblastic leukemia viral oncogene homolog 2, neuro/ glioblastoma derived oncogene homolog (avian) PI3K; RAS Cell Survival 0.0004 0.0017 Oncogene GATA2 GATA binding protein 2 NOTCH, TGF-b Cell Fate 0.0038 0.0022 Oncogene Tumor Suppressor Gene DNA Damage Control Genome Maintenance Fanconi anemia complementation group E 6,285 219 988 Differentially expressed genes Figure 2. Number of genes likely to be regulated by differential methylation of CpG islands with TNM stage IIB, grade 3 primary ductal carcinoma in breast tissues and those with normal blood tissue. A total of 202,547 differentially methylated regions were identified between patients with and without breast cancer. These loci were identified using a qvalue cutoff of <0.01 and were within 1kb of TSS of a gene indicating their potential role within a promoter region. A total of 15,656 of the genes were unique, therefore many of the genes potentially have multiple differentially methylated CpG sites within their promoter regions. Using a p-value cutoff of 0.05 we identified a total of 2,187 differentially expressed genes between normal and breast cancer samples. Figure 3. Pathway of differentially expressed genes between samples with and without breast cancer. Biological processes that are also differentially methylated between normal and tumor samples are indicated by an additional purple circle. Pathways that involved differentially expressed and differentially methylated genes between normal and breast cancer patients included appendage development, behavior, cell activation, chemotaxis, growth, locomotory behavior, ossification, pattern specification process, skeletal system development and positive regulation of molecular functions. Summary In an attempt to discover potential effects of methylation and gene expression on cancer mechanisms, differentially methylated CpG sites and differentially expressed genes were identified between patients with TNM stage IIB, grade 3 primary ductal carcinoma in breast tissues and patients without cancer. Interestingly, some of the genes associated with differentially methylated CpG sites and differentially expressed genes are those that are involved in behavioral processes and immune system response. Regulation of cell proliferation and cell-cell signaling were also common biological processes observed. Further Analysis Perform a comprehensive analysis incorporating Exome-Seq data and examination of promoter mutations to learn contributions of genetic variation and mutations in patients with breast cancer. ▶ Identify potential gene fusion events and understand their role in tumorigenesis. ▶ Identify structural variants using whole genome sequencing and use these as potential biomarker for patient stratification. ▶ Cancer predisposition genes FANCE Differentially hypomethylated CpG sites ▶ Assemble transcriptome using cufflinks and RSEM to estimate gene and isoform expression levels 0.0060 0.0028 Fanconi anaemia E Cancer syndrome Gene rearrangements ARNT aryl hydrocarbon receptor nuclear translocator 0.0170 0.0024 BCL3 B-cell CLL/lymphoma 3 0.0110 0.0000 fibroblast growth factor receptor 1 0.0186 0.0024 HOXA11 homeobox A11 0.0003 0.0018 HOXC11 homeobox C11 0.0003 0.0097 0.0002 0.0000 FGFR1 NIN Presented at AACR 2016 ninein Covance is the drug development business of Laboratory Corporation of America Holdings (LabCorp). Content of this material was developed by scientists who at the time were affiliated with LabCorp Clinical Trials or Tandem Labs, now part of Covance.