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Trichloroethylene-mediated epigenetic changes in T cell function Kathleen Gilbert Systemic lupus erythematosus Autoimmune disease Multiple sclerosis Graves disease NIH estimates that as many as 24 million Americans have one or more autoimmune disease. Type 1 diabetes Rheumatoid arthritis This lies between the number of people with cancer (about 10 million) and cardiovascular diseases (about 31 million). Scleroderma 2011 RANK SUBSTANCE NAME 1 ARSENIC 2 LEAD 3 MERCURY 4 VINYL CHLORIDE 5 POLYCHLORINATED BIPHENYLS 6 BENZENE 7 CADMIUM 8 BENZO(A)PYRENE 9 POLYCYCLIC AROMATIC HYDROCARBONS 10 BENZO(B)FLUORANTHENE 11 CHLOROFORM 12 AROCLOR 1260 13 DDT, P,P'- 14 AROCLOR 1254 15 DIBENZO(A,H)ANTHRACENE 16 TRICHLOROETHYLENE 17 CHROMIUM, HEXAVALENT 18 DIELDRIN 19 PHOSPHORUS, WHITE 20 HEXACHLOROBUTADIENE US Agency for Toxic Substances and Disease Registry (ATSDR) ranks 275 chemicals at NPL sites by combined exposure likelihood and negative impact on human health Trichloroethylene (TCE) TCE is used as an industrial solvent and in production of hydrofluorocarbons Because of improper disposal it is a major environmental pollutant Million pounds TCE is the most frequently reported organic contaminant in ground water (up to 34%) and at NPL sites EPA’s Toxic Release Inventory of TCE On-site Total Off-site Trichloroethylene (TCE) exposure • EPA sets maximum contaminant level of drinking water with TCE at 5 mg/L (5 ppb) • 10% of general, non-occupationally-exposed adult population had detectable TCE in blood (low levels); Third NHANES (1988-1994) • Exposure occurs through several routes including, oral, inhalation and dermal Trichloroethylene (TCE) exposure and autoimmunity • Epidemiological studies linked increased TCE exposure (occupational and environmental) to increased incidence of autoimmune disease (e.g. scleroderma, multiple sclerosis) • Even in absence of overt disease can see increased numbers of activated T cells and autoantibodies • Occupational TCE exposure in Asia is increasingly linked to hypersensitivity dermatitis and non-viral hepatitis Camp Lejeune, NC • TCE levels up to 1,400 mg/L in well water • Contamination by off-base dry-cleaners and on-base leakage from underground storage tanks • Contamination occurred between 1957 and 1987; between 0.2 – 1.0 million people exposed at some point • Results of health survey conducted by ATSDR showed increased incidence of only autoimmune disease examined (multiple sclerosis) 2014 Trichloroethylene (TCE) exposure “Exposure to TCE in the Millsboro, DE, drinking water between October 2004 and October 2005 may have increased resident’s likelihood of experiencing non-cancer health effects.” ATSDR “An Abandoned Wastewater Treatment Plant is Oozing Trichloroethylene”, Salem Eagle-Tribune, 2012 “Wake Forest Water Contamination: Residents Furious After Learning State Knew of Trichloroethylene Carcinogen”, Huffington Post, 2013 “Report finds current cleanup method at Cheyenne missile site inadequate” Casper Star Tribune, October, 2014 Overview of in vivo experiments to test whether adult exposure to TCE promotes autoimmune disease in mice Lupus-prone female MRL+/+ mice TCE in drinking water: 0 0.1 mg/ml = 21 mg/kg/day 0.5 mg/ml = 80 mg/kg/day 2.5 mg/ml = 400 mg/kg/day Pathology: Kidney Liver Skin Autoantibodies Immune cells: 4 - 40 weeks CD4+ T cells CD8+ T cells B cells Thymocytes Phenotype Cytokines Gene expression DNA methylation OSHA 8-hour permissible exposure limit for TCE is ~ 80 mg/kg/day Adult TCE exposure (0.5 or 2.5 mg/ml) for 32-40 weeks induced autoimmune hepatitis in MRL+/+ mice Control TCE-induced development of antiliver microsomal antibodies 4 weeks 40 weeks 100 75 50 37 25 20 TCE 15 CV PV PV Gilbert et al. Tox Appl Pharm 279: 284, 2014 Griffin, Gilbert and Pumford. Toxicol Sci 57: 345, 2000 Griffin, Blossom, Jackson, Gilbert, and Pumford, Immunopharm 46:123, 2000 TCE-induced autoimmunity associated with changes in CD4+ T cells 4 Weeks • TCE increased production of pro-inflammatory cytokine IFN-g by CD4+ T cells • TCE increased expansion of activated/memory (CD44hi, CD62Llo) CD4+ T cells32 Weeks Trichloroethylene (mg/ml) Griffin, Gilbert, Lamps and Pumford; Tox Sci, 57:345, 2000 How is TCE altering CD4+ T cells? Does it involve changes in DNA methylation? DNA methylation can regulate the activity of self-reactive CD4+ T cells that mediate autoimmune disease. Studies by others: • Activated CD4+ T cells treated with 5-aza-2’ deoxycytidine (DNA methyltransferase inhibitor) become autoreactive • Distinct DNA methylation patterns can be detected in CD4+ T cells from patients with a certain autoimmune disease, e.g. SLE • Twin discordance in certain autoimmune diseases correlate with patterns of DNA methylation in PBMC • Bisphenol A: CD4 immunotoxicant changes methylation-sensitive coat color in agouti mice Expression of retrotransposons can be used as possible sign of DNA demethylation Transcriptional Repression CH3 LTR Host gene #1 (may enhance or suppress expression) CH3 LTR Retrotransposon Transcription ( gene expression of IAP and MuErv) Demethylation event Escape from suppression LTR LTR IAP (Intracisternal A particle); MuErv (Murine endogenous retrovirus) 12-week adult exposure to TCE decreased expression of retrotransposons in CD4+ T cells Iap Muerv Gilbert et al. Tox Sci 127:169, 2012 Overview of in vivo experiments to test developmental effects of TCE TCE (0.01 mg/ml) GD0 – PND0 Gestational Exposure PND49 TCE (0.01 mg/ml) PND0 – PND49 Early Life Exposure PND49 0.01 mg/ml = 2 mg/kg/day Immune cells Phenotype Cytokines Gene expression DNA methylation Developmental exposure to TCE decreased expression of retrotransposons in CD4+ T cells fold change 2.00 Iap MuERV 1.50 0.00 Dnmt3a 1.50 Control 1.00 0.50 2.00 * * 1.00 TCE Dnmt1 2.00 Control TCE Iap MuERV 1.50 0.50 0.00 0.00 Dnmt3a 1.50 1.00 0.50 2.00 1.00 * * 0.50 0.00 Control Control TCE TCE Kinetics experiment to test effects of TCE Lupus-prone female MRL+/+ mice Pathology: TCE in drinking water: 0 0.5 mg/ml = 80 mg/kg/day Kidney Liver Skin Autoantibodies Immune cells: 4, 10, 16, 22, 28, 34 and 40 weeks CD4+ T cells CD8+ T cells B cells Thymocytes Gene expression: Iap, Ifng DNA methylation OSHA 8-hour permissible exposure limit for TCE is ~ 80 mg/kg/day Compared naïve and effector/memory CD4+ T cells from control and TCE-treated mice Effector/memory CD44hiCD62Llo Sample_047.fcs 10 FL1 CD44 10 10 10 4 3 2 Naive CD44loCD62Lhi 1 0 10 0 10 10 1 2 10 FL2 CD62L 10 3 10 4 Does TCE alter expression of Infg in CD4+ T cells by altering DNA methylation associated with the promoter ? Isolated effector/memory and naïve populations of CD4+ T 4 cells from MRL+/+mice treated with TCE (0.5 mg/ml): Weeks Stimulated with mitogen in vitro to generate IFN-g Examined Ifng expression 32 Conducted selected methylation mapping by sequencing Weeks bisulfite-converted DNA of promoters of functionally important genes: Ifng, Il4, Cd70, Cdknl1, Foxp3 Trichloroethylene (mg/ml) 118440745 0 118441459 118441432 118441384 118441344 118441333 118441326 118441304 118441222 118441007 118440996 118440988 118440868 118440848 118440834 % m ethy lation Did TCE alter DNA methylation in Infg promoter? Example of Ifng methylation pattern (4 weeks) 4 w eeks memory 120 100 80 60 Cont r ol TCE Control TCE 40 20 Conclusion • TCE alters expression of methylation-dependent Iap in CD4 + T cells after adult or developmental exposure • TCE-induced alteration in the expression of Iap and other genes (e.g. Ifng) is time-dependent • Epigenetic mechanisms may contribute to the long term effects of TCE on CD4+ T cells Acknowledgements UAMS :Sarah Blossom, PhD Funding: EPA (R82941701-0) Ashley Nelson NIH (1R01ES017286) Meagan Kreps Organic Compounds Property Contamination Joe Griffin, PhD Jason Doss, DVM Laura Lamps, MD Leah Hennings, DVM UAF: Neil Pumord PhD VAMC: Craig Cooney, PhD Class Action Settlement (CV 1992002603) Arkansas Biosciences Institute