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Genes differentially expressed in medulloblastoma and fetal brain E. M. C. MICHIELS1, E. OUSSOREN2, M. VAN GROENIGEN2, E. PAUWS2, P. M. M. BOSSUYT3, P. A. VOÛTE1, AND F. BAAS2 1Department of Pediatric Oncology, Emma Kinderziekenhuis/Academic Medical Center; and 2Neurozintuigen Laboratory and 3Department of Clinical Epidemiology, Academic Medical Center, 1100 DE Amsterdam, The Netherlands serial analysis of gene expression; brain tumors GENE EXPRESSION IN MAMMALIAN CELLS is highly complex: the genome is estimated to contain about 50,000 to 100,000 genes, and the complexity of their transcription is dependent on the type of tissue. Brain is thought to express more than 30,000 genes. Earlier studies on the reannealing kinetics of cDNA suggest that most of the cerebral mRNA molecules are present in few copies per cell (35). Several methods have been used to determine the complexity of gene expression and identify genes that tissues express differentially. Many techniques of subtractive hybridization and differential display (14, 18) are used to identify differences in expression among samples but do not inform us about the abundance of a certain gene or its expression pattern. Moreover, all these methods are technically demanding and time-consuming. Methods based on sequencing of expressed sequence tags (ESTs) (1) only allow us analysis of a limited number of genes. Until recently it was not feasible to obtain information on the majority of genes expressed in cells. Two new techniques for the analysis of gene expression are serial analysis of gene expression (SAGE) and microarray hybridization. These can now be used because the sequence of tens of thousands of human Received 17 March 1999; accepted in final form 29 June 1999. Article published online before print. See web site for date of publication (http://physiolgenomics.physiology.org). mRNAs as ESTs is known. In microarray hybridization, a two-color hybridization technique developed by Shena et al. (30), known cDNAs are spotted on a surface and hybridized with differentially labeled cDNA. In this way the expression patterns of clones present on the microarray are analyzed. A limitation of the microarray approach is that only previously identified sequences can be analyzed. This is not a problem for the SAGE technique. SAGE, described by Velculescu et al. (38), is based on the principle that a nucleotide sequence of 9–10 bp can uniquely identify a transcript, if the position of the sequence within it is known. Briefly, a biotinylated oligo(dT) primer is used to synthesize cDNA from mRNA, and after digestion with a restriction enzyme, the most 38 terminus [near the poly(A) tail] is isolated. These 38 fragments of cDNA are ligated to linkers and cleaved with a type II restriction enzyme to release a short sequence (9–10 bp) of the original cDNA (tags). The tags are ligated to ditags and PCRamplified. These ditags are then ligated to form long concatamers, which are cloned and sequenced. In this way, one sequence reaction yields information about the distribution of many different tags. Finally, the calculation of the abundance of the different tags and the matching of the tags in GenBank are done using the necessary computer software. SAGE was used to compare yeast gene expression in different stages of the cell cycle (39). Because the yeast genome has been completely sequenced and the number of open reading frames amounts to only 7,000 vs. about 50,000–100,000 in humans, analysis of a limited number of cDNA tags by SAGE will yield quantitative data on gene expression in yeast. In the mammalian system SAGE was used to compare gene expression profiles in lung cancer (15) and p53-transformed cells (19) in gastrointestinal tumors (42). Because of the complexity of the mammalian genome a large number of tags were analyzed to generate detailed transcription profiles. However, if one were only interested in differentially expressed genes, analysis of a limited number of tags might suffice. De Waard et al. (40) used only 12,000 tags to identify genes induced by atherogenic stimuli in endothelial cells. In this study we applied SAGE as a differential screening in a mammalian system and confirm that the identification of major differences in gene expression does not require exhaustive analysis of sequences expressed. As model tissues we chose a 241⁄2-wk fetal brain and a medulloblastoma and compared their patterns of gene expression. Medulloblastoma is a central nervous system tumor predominantly of childhood and 1094-8341/99 $5.00 Copyright r 1999 the American Physiological Society 83 Downloaded from http://physiolgenomics.physiology.org/ by 10.220.33.4 on August 9, 2017 Michiels, E. M. C., E. Oussoren, M. van Groenigen, E. Pauws, P. M. M. Bossuyt, P. A. Voûte, and F. Baas. Genes differentially expressed in medulloblastoma and fetal brain. Physiol. Genomics 1: 83–91, 1999.—Serial analysis of gene expression (SAGE) was used to identify genes that might be involved in the development or growth of medulloblastoma, a childhood brain tumor. Sequence tags from medulloblastoma (10229) and fetal brain (10692) were determined. The distributions of sequence tags in each population were compared, and for each sequence tag, pairwise -square test statistics were calculated. Northern blot was used to confirm some of the results obtained by SAGE. For 16 tags, the -square test statistic was associated with a P value ⬍ 10⫺4. Among those transcripts with a higher expression in medulloblastoma were the genes for ZIC1 protein and the OTX2 gene, both of which are expressed in the cerebellar germinal layers. The high expression of these two genes strongly supports the hypothesis that medulloblastoma arises from the germinal layer of the cerebellum. This analysis shows that SAGE can be used as a rapid differential screening procedure. 84 SAGE OF FETAL BRAIN AND MEDULLOBLASTOMA MATERIALS AND METHODS Fetal brain and medulloblastoma tissue. Fetal brain was obtained from a 241⁄2-wk-old female fetus (partus immaturus) that showed no abnormalities at obduction. Medulloblastoma tissue from an 11-yr-old girl with a posterior fossa tumor was flash-frozen in liquid nitrogen immediately after neurosurgical removal and stored at ⫺70°C. Diagnosis of medulloblastoma was confirmed histopathologically according to the World Health Organization classification (17). SAGE. The procedure was performed as described by Velculescu et al. (38, 39). From normal brain and tumor tissues total RNA was isolated using Trizol reagent according to the manufacturer’s protocol (GIBCO BRL). Poly(A) RNA was obtained using the PolyATract mRNA isolation kit according to the manufacturer’s protocol for small-scale mRNA isolation (Promega). With a cDNA synthesis kit (GIBCO BRL no. 18267–013), double-stranded cDNA was synthesized with a biotinylated oligo(dT) primer. The subsequent steps were performed as described by Velculescu et al. (38, 39) until the first PCR of ditags. Of this PCR, 25 cycles were performed. The PCR was analyzed by PAGE, and the desired product was excised. No additional PCR cycles were done. These ditags were kept on ice, and salt (50 mM NaCl) was added to prevent melting of double-stranded ditags. The PCR products were then cleaved with Nla III, and the band containing the ditags was excised from gel and self-ligated. After ligation the concatenated ditags were separated by PAGE, and products of 300–600 bp were used for cloning in the Sph I site of pZero (Invitrogen) and transformation into TOP 10F8 E. coli electrocompetent cells. Colonies were picked and inoculated into 50 µl of liquid SOB medium containing Zeocin in 96-well plates and grown overnight at 37°C. Two microliters of this culture were used in a PCR with M13 forward and reverse primers. PCR products were run on an agarose gel to check for the presence of an insert before sequencing. Sequencing was done on an ABI 377 XL automatic sequencer (Perkin Elmer) using a DYEnamic ET-T7 primer (Amersham), following the manufacturer’s protocol. Analysis of the sequence results was performed using software especially designed for SAGE purposes by Velculescu et al. (38). GenBank release 100.0 and subsequent updates were used to identify matches with known gene sequences and ESTs. RACE-PCR. Tags with no homology to known sequences were used as forward primers in a 38 rapid amplification of cDNA ends (RACE)-PCR according to the procedure described by Frohman et al. (13), with 58-GCATGCCAGAATTCTGGATCC-38 as a reverse primer. Template cDNA was made of mRNA of the SAGE medulloblastoma, with 58-GCATGCCAGAATTCTGGATCCTTTTTTTTTTTTTTTTTT-38 as primer. The PCR product was run on a 1.5% agarose gel, and the band was isolated and sequenced as described below. Cloning and sequencing of the probes. Probes for the Northern blot were obtained by standard PCR on cDNA using the following primers: for ZIC1 (GenBank accession no. D76435), position 2719–2739 of the mRNA (forward) and position 3019–3000 (reverse); for secretogranin I (GenBank accession no. Y00064), position 1449–1468 (forward) and 2094–2075 (reverse); for GAPDH (GenBank accession no. M33197), position 245–264 (forward) and 536–517 (reverse). For OTX2 two different probes were constructed: one of ⬃300 bp using 58-GCAAAATTCAGAGCAACTGAG-38 as forward and 58-ATCTGCCAAATCCAGGAAGAA-38 as reverse primer and one of ⬃600 bp using 58-TGGGAACAGGATCCAGATTTC-38 as forward and 58-CTCGACTCGGGCAAGTTGA-38 as reverse primer. Fragments were cloned into a pGEM-T Easy Vector (Promega) according to manufacturer’s protocol, and the sequence was confirmed by sequence analysis. Northern blot. For RNA blotting 10 µg of total RNA was separated on a glyoxal gel according to standard procedures (2). Total RNA of the fetal brain and medulloblastoma of which the SAGE libraries were constructed and RNA of six other medulloblastomas were used in Figs. 2 and 3, respectively. A ␥-actin probe was used as control for RNA loading of the lanes (10). Hybridization of the probes to the RNA blots was performed according to Church and Gilbert (7). Hybridized probe was visualized on a PhosphorImager (Molecular Dynamics). Statistical analysis. Statistical analysis was done in two steps. First we analyzed whether the two sets of SAGE data had a different distribution of tags. An overall -square test statistic was calculated for which a P value was obtained through Monte Carlo simulation (StatXact 3 for Windows). The tag distribution in fetal brain and medulloblastoma were found to be statistically different (P ⬍ 0.001). In the second step, pairwise -square statistics were calculated, one for each test statistic. Within the same pair of distributions, more pronounced differences in expression will lead to higher -square values. Because of the large number of comparisons, the simple P values that correspond to those -square statistics cannot reliably be used. RESULTS We constructed and compared SAGE libraries of a fetal brain and a medulloblastoma. We sequenced ⬃10,000 tags from each tissue. Of the resulting tag populations we then selected the tags that showed a marked difference in expression. Medulloblastoma. Of the medulloblastoma, 10,229 tags were sequenced. They represented 5,799 different tags. Of these, 273 appeared five times or more, 1,074 were seen between one and five times, and 4,452 tags occurred only once. Of the 273 tags appearing five times or more, two tags turned out to be linker sequences, occurring 102 and 75 times, respectively. They were excluded from further analysis, which brought the total of tags seen five times or more to 271. Although only 271 of 5,797 different tags (4.7%) occurred five times or more, they represent 29% of the total mass of tags. The low-abundance tags represent 95% of the different tags but only 69% of the total tag mass. http://physiolgenomics.physiology.org Downloaded from http://physiolgenomics.physiology.org/ by 10.220.33.4 on August 9, 2017 arising in the cerebellum. Five-year survival of affected children is poor (39–70%) despite very intensive therapy consisting of neurosurgery, radiotherapy, and sometimes chemotherapy (9, 11, 22, 27, 36). If the children survive, they often suffer from serious late effects of the tumor and, not in the least, of the treatment. Numerous previous studies have described alterations in the DNA content of medulloblastomas (5, 6, 8, 16, 21, 23, 25, 26, 28, 29, 37). Until now, no studies have been published on gene expression patterns in medulloblastoma. In this study we used SAGE to search for genes that are overexpressed in medulloblastoma and therefore may affect growth or development of the tumor. Identification of transcripts that are highly expressed in medulloblastoma may also reveal specific markers that may assist in the diagnosis. 85 SAGE OF FETAL BRAIN AND MEDULLOBLASTOMA Table 1. List of tags occurring at least 10 times in medulloblastoma with corresponding GenBank entry Accession No. Frequency GenBank Entry CCC ATC GTC 75 CGT CAC GGG GGC GAG ATT ATC CAG 69 52 44 41 TCC GTG GTT 30 GCT CTA CTT CCT TAC AGG ATT TCA ACA TCG CAA TCC 27 25 25 21 21 20 CGA CCC CAC GAA GCA GGA GGA TTT GGC 20 20 20 GAG TGG CAG GAA GGG GTG GGA TGT TTG AAA CTG CTG GTT TGA TGG TGG GGG AAT 19 18 17 17 17 17 TTA AAG GCC GGA TGG CAG GTG GAG CCA CCC CTC GAG GAA CTG CAC 17 16 16 16 16 TTG GCA GTG TTG AGC GAA GCC TGC CCC GCC GGC TAA TTG GTC TAA AAG GTG ACC CAC GTG ACG TGG TTC AAG GGA GAG CTC TAG GCA AAG TCC ATC TCC TTT GTT CAA AAG GCT ATC 16 15 15 15 14 14 14 14 13 13 13 13 13 AAG AAG CAA CAC TCC TTC ACA GAG CTA AAA TGC AAT GTG ATG ATT CGC CCC AAA 12 12 12 12 12 12 TTG GGG TTT ACT TTG TCC 12 11 ATT CCA CCT CGC TAA CCA CAG GCC AAA AAC AGG TCC 11 11 11 11 11 10 CTG GGG TAA 10 Cytochrome c oxidase, subunit II Elongation factor 1-␣ Mitochondrial ATPase Thymosin -10 Calmodulin binding protein (Mac Marcks) Neuronal tissue-enriched acidic protein NAP 22 -Actin Cytoskeletal ␥-actin Secretogranin I T-cell cyclophilin GAPDH Ubiquinol-cytochrome c reductase complex subunit VI requiring protein Apolipoprotein E Nonmuscle isoform cofilin Acidic ribosomal phosphoprotein P2 Ribosomal protein L27a Ribosomal protein S18 Neuronatin Laminin-binding protein Ribosomal protein L29 Nonmuscle/smooth muscle myosin alkali light chain ZIC1 protein Ribosomal protein L18a Ribosomal protein S12 Ribosomal protein L3 Homo sapiens Opa-interacting protein OIP3 Ribosomal protein L41 Ribosomal protein L21 Ribosomal protein S3a Thymosin -4 Elongation factor 2 Ribosomal protein L19 Ribosomal protein S6 Ribosomal protein L32 Ferritin L chain Nuclear p68 protein Ribosomal protein L27 Ribosomal protein S26 NADH:ubiquinone oxidoreductase MLRQ subunit Ribosomal protein L37a Ribosomal protein L31 TRPM-2 Ribosomal protein S27 Parathymosin Acidic ribosomal phosphoprotein P1 Ferritin H chain Glial fibrillary acidic protein GFAP Ribosomal protein L17 Ribosomal protein S9 Ribosomal protein L38 Ribosomal protein L4 Ribosomal protein S8 Neuron-specific ␥-2 enolase Ribosomal protein S19 GTT CTA GAA AGC TTT GCC ATG AGC CAT GCT CTC GTG CGG CGG TAA CGT Tag Frequency GenBank Entry GCC GGG TGG 10 GTG GCA GGC 10 TAG GTT GTC 10 TGA GGG AAT 10 Collagenase stimulatory factor Pancreatic zymogen granule membrane protein GP-2 Translationally controled tumor protein Triosephosphate isomerase X15759 X16869 AA782865 M92381 X70326 AF039656 X00351 X04098 Y00064 Y00052 M33197 M73791 K00396 X95404 M17887 U14968 X69150 U25034 X61156 U10248 M22918 D76435 L05093 X53505 X73460 AF025439 AF026844 U14967 M77234 M17733 M19997 X63527 M20020 X03342 M11147 X15729 L19527 X69654 U94586 X66699 X69181 M64722 U57847 M24398 M17886 M97164 J04569 X55954 U14971 Z26876 X73974 X67247 M22349 M81757 Accession No. L10240 U36221 X16064 M10036 Only tags that match with mRNA sequences of known genes containing a poly(A) signal are listed. Frequency, no. of times the tag is found in the medulloblastoma library (total no. of tags, 10,229). TRPM-2, testosterone-repressed prostatic message-2. As could be expected, more abundant tags were more likely to match a known gene in GenBank. No matches with known genes were found in ⬃80% of the single tags, in 49% of tags occurring three times or more, and in 39% of tags occurring at least five times. Table 1 gives an overview of the tags occurring at least 10 times, with their corresponding gene and GenBank accession number. Only the tags that matched with a known gene, for which the complete 38-untranslated region (38-UTR) and thus the position in the mRNA sequence are known, are listed. Fetal brain. For fetal brain, 10,692 tags were analyzed. These represented 6,423 different tags, of which 264 appeared five times or more, 1,055 tags appeared between one and five times, and 5,104 tags were detected once. The same linker sequences as seen in the medulloblastoma library were found here in a frequency of, respectively, 48 and 28 times, which makes a total of 262 tags occurring five times or more. As in medulloblastoma, the 262 tags appearing five times or more, which are only 4% of 6,421 different tags, represent 2,994 of the 10,692 tags, which are 28% of the total mass of tags. In contrast, the lowabundance tags (⬍5 times) represent 96% of the 6,421 different tags but only 71% of the total mass of tags. Of the single tags, ⬃86% showed no match with a known gene, whereas this was the case for only 47% of tags occurring at least three times and 33% of tags occurring five times or more. Table 2 lists the tags occurring 10 times or more, with their corresponding gene match. As shown in Fig. 1, more than one-half of the tags that occur at least five times are found in fetal brain as well as in medulloblastoma and thus represent genes that are highly expressed in both tissues. Comparison of medulloblastoma and fetal brain. The distributions of sequence tags in each population were compared and found to differ significantly (P ⬍ 0.001). For each sequence tag, pairwise -square test statistics were calculated. These test statistics were sorted to obtain a ranking of differences in expression level. Table 3 lists the 138 tags for which the -square test statistic was associated with a P value ⬍ 0.05, with the corresponding GenBank entries. Of these, 67 (54%) matched to a gene in GenBank, although for three of them only the clone number or chromosomal mapping http://physiolgenomics.physiology.org Downloaded from http://physiolgenomics.physiology.org/ by 10.220.33.4 on August 9, 2017 Tag Table 1.—Continued 86 SAGE OF FETAL BRAIN AND MEDULLOBLASTOMA Table 2. List of tags occurring at least 10 times in fetal brain with corresponding GenBank entry Tag Mitochondrial ATPase Elongation factor 1-␣ Laminin-binding protein Cytochrome c oxidase, subunit II NADH dehydrogenase 1 Ribosomal protein S18 -Tubulin class III isotype Acidic ribosomal phosphoprotein P2 Ribosomal protein L29 Thymosin -10 Ubiquinol-cytochrome c reductase complex subunit VI requiring protein Nonmuscle isoform cofilin Elongation factor 2 Ribosomal protein L21 Ribosomal protein S12 Ribosomal protein L41 Neuronal tissue-enriched acidic protein NAP 22 Neuronatin Ferritin H chain Calmodulin binding protein (MacMarcks) Ribosomal protein S4 (RPS4X) isoform Ribosomal protein S27 Ribosomal protein L4 Ribosomal protein S8 Ribosomal protein L31 Ribosomal protein L27a Cytoskeletal ␥-actin Ribosomal protein L18a Cytochrome oxidase subunit 1 Creatine kinase-B Ribosomal protein L6 Ribosomal protein S29 Ribosomal protein L18 Ribosomal protein S3a Ribosomal protein L30 Ribosomal protein L11 Homolog of yeast ribosomal protein S28 Ribosomal protein S16 Ribosomal protein L3 Pancreatic zymogen granule membrane protein GP-2 Cystatin C Elongation factor 1-␥ Thymosin -4 Ribosomal protein L37a Ribosomal protein L9 Ribosomal protein L17 Ribosomal protein L37 Ribosomal protein L19 Elongation factor 1 ␣-2 CTA GTT AAA ATC ATT GAG TGG GTC 67 63 37 35 ACC TGG AAC GGA CTT TGT GAC TTT GGC TGA CTG GGC 33 27 25 25 GGG CTG GGG GGG GAA ATC AGG GCT TCC 24 24 23 GAA AGC GCA GCC TTG TCC GGA TCC TAG GAA CTC GTT 23 21 21 21 22 20 CAG TTG TGG TTG GGG TTT GGC AGC CAG 19 19 18 TCA GAT CTT 19 CAC CGC TAA AAG GAG TCA AAG ATT AAA CGG TAA GAG GGA GGG GTG TGA CGG AAC AGG ATG GTT CTG GAG GAA 17 17 17 17 17 15 14 14 CAC TAC ATA GGA GTG CCA CGC CTG CCC AAG ATT GTG AAG GAA TGG TTG TGA AGG CTT GAC GCA CAG TTC GTG 14 14 13 13 13 12 12 12 CCG TCC AAG GGA CCA CTG GAG AAA CCC 11 11 11 TGC TGG TTG AAG ATC ATT CAA GAA TCT 11 11 11 11 10 10 10 10 10 CTG GCA GTG ACA AAG CTC TAA CAC GCA CAC AAG AAG GTG GGT CAG ATG ATC CCT AA782865 X16869 X61156 X15759 X93334 X69150 U47634 M17887 U10248 M92381 M73791 X95404 M19997 U14967 X53505 AF026844 AF039656 U25034 M97164 X70326 M22146 U57847 X73974 X67247 X69181 U14968 S57813 L05093 X93334 M16364 X69391 L31610 L11566 M77234 L05095 L05092 D14530 M60854 X73460 U36221 X05607 Z11531 M17733 X66699 U09953 X55954 D23661 X63527 X70940 Only tags that match with mRNA sequences of known genes containing a poly(A) signal are listed. Frequency, number of times the tag is found in the fetal brain library (total no. of tags, 10,692). site is known and not the gene itself (tag nos. 82, 84, and 116). Of the 138 tags, 20 contained repeat sequences (mostly an Alu repeat) that resulted in numerous hits. In 45 cases, no match with a known gene was Fig. 1. Tags occurring at least 5 times in the fetal brain (FB) and medulloblastoma (MB) libraries. The numbers 118, 144, and 127 represent the number of tags that occur in fetal brain only, in both libraries, and in medulloblastoma only, respectively. http://physiolgenomics.physiology.org Downloaded from http://physiolgenomics.physiology.org/ by 10.220.33.4 on August 9, 2017 GenBank Entry CAC TGT GAA CCC GCA ACC TAA GAG GTC GTG Accession No. Frequency found, but the tags matched to multiple EST sequences. Because the poly(A) tail was not present in these ESTs, we cannot conclude that the tag identified is in fact located at the 38 end of the last Nla III site preceding the poly(A) tail. In one case, only one EST was found to be a possible hit (tag no. 4). Six tags did not match with any known gene, EST, or sequencetagged site sequence and were designated as ‘‘no match’’ (tag nos. 13, 33, 63, 114, 119, 122); three others matched with a known gene, but these sequences in GenBank contained no poly(A) tail, so proof is missing that this is the correct corresponding transcript (tag nos. 14, 22 and 121). These last three tags are also marked with a question mark in Table 3. As shown in Table 3, two tags match with cytoskeletal ␥-actin (tag nos. 8 and 20). This turns out to be due to a polymorphism in the last CATG, which is the recognition site of the restriction enzyme used to generate the tags (see DISCUSSION ). Among the genes that show significant higher expression in medulloblastoma is the gene for ZIC1 protein, which is known to be selectively expressed in a very thin layer of brain cells and in medulloblastoma. One of the tags that shows homology to multiple ESTs was analyzed further (tag no. 18). As it was not possible to identify the correct EST because of lack of a poly(A) tail, we performed a RACE-PCR and found a sequence of ⬃600 bp. The sequence of these 600 bp showed homology with a rat and mouse homeobox gene called Otx2. We cloned and sequenced the full-length mRNA. Translation of this mRNA revealed an amino acid sequence similar to the OTX2 protein already known in mouse and rat and identical to the human protein sequence (12, 32, 33). Northern blot analysis. The SAGE results for secretogranin I, ZIC1 protein, OTX2, and GAPDH were checked by Northern blot analysis. As shown in Figs. 2 and 3, the Northern blots indeed show a higher expression of secretogranin I, ZIC1, and OTX2 in medulloblastoma. Only the expression level of GAPDH is slightly higher in fetal brain on Northern blot. To examine whether the higher expression of ZIC1 and OTX2 also holds true for other medulloblastomas, Northern blot analysis was performed on six other tumors from which RNA was available. Results are shown in Fig. 3. All tumors show a high ZIC1 expression, and four of six medulloblastomas have high OTX2 expression. On a multiple tissue blot, we detected OTX2 in the medulloblastoma and a weak signal in 87 SAGE OF FETAL BRAIN AND MEDULLOBLASTOMA Table 3. Results of comparison of gene expression in fetal brain and medulloblastoma Tag MB GenBank Entry ESTs ESTs* Secretogranin I ESTs ZIC1 protein ESTs* Cytochrome c oxidase subunit II Cytoskeletal ␥-actin ESTs* NADH dehydrogenase 1 Alu repeat sequence Alu repeat sequence No match SOX4/? Apolipoprotein E -Actin ESTs ESTs = OTX2 ESTs moderately similar to homology with squid retinal binding protein Cytoskeletal ␥-actin Calmodulin binding protein (Mac Marcks) PACAP type-3/VIP type-2 receptor? Elongation factor 1 ␣-2 Vascular endothelial growth factor-D ESTs* GFAP ESTs* ESTs* Ribosomal protein L27 NADH dehydrogenase 3 Alu repeat sequence -Tubulin class III isotype (-3) No match Collagenase stimulatory factor ESTs* T-cell cyclophilin GAPDH Alu repeat sequence Alu repeat sequence Thymosin -10 ESTs* ESTs* ESTs* Alu repeat sequence Ribosomal protein L 38 Alu repeat sequence Laminin-binding protein H3 histone, family 3A ESTs* Cytochrome oxidase subunit 1 ESTs, highly similar to neuritin (R. norvegicus) ESTs, weakly similar to PCBP-2 protein (H. sapiens) ESTs Glutamine synthase ESTs* Activin receptor/80 K-L protein ESTs* ESTs* Mitochondrial DNA, RNA 5 ESTs* Brain-specific tyrosine and tryptophane hydrolase activator ESTs* No match Phosphatidylinositol synthase ESTs* mac-2 binding protein DAP-1 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 CCG ACT CTT TCT TTA TTA CCC TCA CCC ACC GCG CCT AGC CAG CGA GCT ATG ACC GAC CTG TTT ATG AAC CAG ACC ATC GGG GTC CTT AAA GTA CCG GCT CCC TTT TCA AAC TCT CGT TCA ACA AAC CTC CTC GTC CTG CGG GGC CCC ATC TGA TTT CAC ATT CGA TGG GGG 2 28 0 0 0 0 35 15 28 33 26 71 0 0 4 8 1 0 0 35 1 22 21 17 16 75 0 6 9 6 34 11 11 20 27 13 10 10 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 CTA GGC ACT TCT GAA GTG ACT CCG CCT GGC AGC CCA AAC GAG GCC AGG CCT TAC GCA GTG GGG TGG CTT TGT GTG CCT TTG GAA CCA CAA CAT CTG GGG GTT TAC TCA TTT CCA TAG AGA GCA TCA GCC TCA AGC CAG AAC ACC GCA CCT TGG CAG GGG ACG TTG TCC GCC GCC GTA ATT AAG AAG CCT ACA CTG CAC GAC CTG AAA TTA GGG TGG TGG CAA AGC TGG CAT CAA AAA CCC AAA CCC GAA ATC GAA GTG TTC AGC TTG TTG GG GGC CGG AAA GCC AGG AAA TGG AAC GTG ATC CAA TTG TAA CTA TGG CAG GGG TCT TCC AGT ATG CCT TAG TGT AAA GGA GGA GGC AAT CCC ACA GTC ATT ATC AAG 8 18 13 10 0 0 1 1 9 2 12 59 25 1 1 8 7 7 17 99 24 12 7 7 16 2 23 37 6 0 0 0 0 0 0 0 0 13 1 6 6 6 26 41 1 0 9 9 11 11 0 13 30 30 8 10 10 0 21 21 4 62 44 2 0 0 4 11 8 17 18 6 6 6 6 6 6 6 6 3 8 0 0 0 62 63 64 65 66 67 TGG TCC AAG AGG ATG CAT GGA CGT GCA CGA CTC CTG 6 5 0 0 0 0 0 15 5 5 5 5 TGT ACA CAG GAT CCT TGA Accession No. AI199006 Y00064 X93334 D76435 X15759 M19283 X93334 X70683 K00396 X00351 AA121202 H17804 AA600960 X04098 X70326 U18810 X70940 AJ000185 J04569 L19527 X93334 U47634 L10240 Y00052 M33197 M92381 Z26876 X61156 M11354 X93334 AI143163 AI364320 AI193246 X59834 D10522 X93334 S80794 AF014807 L13210 X76105 Square 30.98 24 23.02 21.97 17.78 16.74 16.46 14.36 13.31 12.7 11.65 11.52 11.5 11.5 11.41 11.2 10.84 10.46 10.46 10.36 10.05 9.773 9.572 9.411 9.411 8.791 8.791 8.614 8.571 8.553 8.249 8.038 7.775 7.775 7.657 7.647 7.647 7.494 7.002 6.826 6.715 6.699 6.699 6.688 6.643 6.622 6.569 6.554 6.273 6.273 6.273 6.273 6.273 6.273 6.273 6.273 5.823 5.764 5.742 5.742 5.742 5.742 5.46 5.228 5.228 5.228 5.228 Continued http://physiolgenomics.physiology.org Downloaded from http://physiolgenomics.physiology.org/ by 10.220.33.4 on August 9, 2017 FB 88 SAGE OF FETAL BRAIN AND MEDULLOBLASTOMA Table 3.—Continued Tag MB GenBank Entry ESTs* Histone H2A.Z ESTs -2-Microglobulin ESTs* Preferentially expressed antigen of melanoma ESTs ESTs* mln 51 gene Alu repeat sequence Ribosomal protein S26 NADH:ubiguinone oxidoreductase MLRQ subunit ESTs* T cell leukemia/lymphoma 1 gene Clone 23867 (infant brain) Alu repeat sequence Clone 23707 (infant brain) ESTs*/repeat sequence ESTs*/repeat sequence ESTs*/repeat sequence ESTs* ESTs*/repeat sequence ESTs* Alu repeat sequence ERK activator kinase (MEK2) H3 histone, family 3B (H3.3B) ESTs*/repeat sequence Homo sapiens okadaic acid-inducible phosphoprotein (OA48-18) mRNA ESTs*/repeat sequence nonmuscle/smooth muscle myosin alkali light chain ESTs* Ribosomal protein L18 TRPM-2 gene ESTs* ESTs* ESTs*/repeat sequence Ribosomal protein S11 ESTs* Cystatin C (cysteine proteinase inhibitor precursor) ESTs ESTs* UDP-galactose transporter related isozyme 1 Cysteine- and glycine-rich protein 2 Phosphomevalonate kinase Ubiquitine carboxyterminal hydrolase ESTs No match Protein phosphatase 1 catalytic subunit mRNA mapping to 22q13 ESTs Cyclin protein No match ESTs*/repeat sequence hLIM-1/? No match Human surface antigen Alu repeat sequence Apolipoprotein C-1 GST1-Hs mRNA for GTP-binding protein ESTs* Homo sapiens mRNA for GEF-2 protein ESTs* Phospholipase A2 ESTs* Homo sapiens zinc finger protein 216 spice variant 2 (ZNF216) mRNA Homo sapiens Opa-interacting protein OIP3 Nuclear p68 protein ESTs*/repeat sequence 68 69 70 71 72 73 74 75 76 77 78 79 80 81 82 83 84 85 86 87 88 89 90 91 92 93 94 95 CCA GAC GTG GTT TAG TAG TAG TCT TGT TTC TAA TTG TCT GAA GAG ACC AAT AGC CCT GTG GTG TCA TCA TTA CAG AGA GAA TGG CAT GTG TCG GTG CTG GAG TAA CCA GGT AGC GGA GAG TCC AAA GAT CCG GTT CAC GTG AAA AAA CTG TAG GCC GAA GCC AAA CTT TGC TGG GGG GTT CTG TTA TAG GGA GGT CTG GCT ATC AGG AAA GGT GGA AAA TGC ATC CCA TTC CAC TTC AGG CGG AGC TTT GCT 0 0 0 0 0 0 0 0 0 0 4 4 8 10 3 17 5 5 5 5 5 5 5 5 2 1 1 1 5 5 5 5 5 5 5 5 5 5 13 13 1 2 11 6 0 0 0 0 0 0 0 0 9 7 7 7 96 97 98 99 100 101 102 103 104 105 106 107 108 109 110 111 112 113 114 115 116 117 118 119 120 121 122 123 124 125 126 127 128 129 130 131 132 ATT GTG ACA GGA CAA ACC GGT GTG TCT GAG TGC AAG AGC CAG CCC CTC CTT CTT GAA GAG GCC GGA GGC GGT TAC TCG TCG TCT TCT TGG TTA TTC TTG TTT ACT GGG TAC GTT CTG AAC GTG CTA AAT GAG GCG GTA AAA CTG AAG CGG TGG AGT TTC CTG GGG GTT CCT CAG AAG GTG TGG CCC GCC TAA GGT GTT CCC ATA AGT GAC GCC TTT GTC AGA TAT AAT TTA GAC ATT GAA ACC CAG CAC CCC CAC ACT GCT GTG AAG AGG TGT AGG CTG TGG CCC TTC AAC TAG TGA GAG CGA CTG AAT CAG AAA GCT TGA CTA CTG TGG GGG 7 7 15 13 4 7 7 7 7 11 11 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9 9 3 17 17 5 4 12 1 1 1 1 3 3 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 2 2 10 133 134 135 TGG CCC CAC GCC TTC CAA AAA AAT AAA 7 5 14 16 13 5 http://physiolgenomics.physiology.org Accession No. M37583 AI362197 AA148104 U65011 AI217125 X80199 X69654 U94586 X82240 U79287 U79270 L11285 AA703312 AF069250 M22918 L11566 M64722 X06617 M27891 AI363755 D87989 U57646 L77213 D80012 AI024305 S57501 AL021682 M15796 U14755 M60922 X00570 X17644 AI391666 AF077046 M86400 AF062347 AF025439 X15729 Square 5.228 5.228 5.228 5.228 5.228 5.228 5.228 5.228 5.228 5.228 5.178 5.178 5.144 4.99 4.938 4.793 4.785 4.785 4.785 4.785 4.785 4.785 4.785 4.785 4.775 4.774 4.774 4.774 4.629 4.629 4.574 4.38 4.367 4.242 4.242 4.242 4.424 4.229 4.229 4.182 4.182 4.182 4.182 4.182 4.182 4.182 4.182 4.182 4.182 4.182 4.182 4.182 4.182 4.182 4.182 4.182 4.182 4.182 4.182 4.182 4.182 4.182 4.154 4.154 4.09 3.938 3.924 3.88 Downloaded from http://physiolgenomics.physiology.org/ by 10.220.33.4 on August 9, 2017 FB 89 SAGE OF FETAL BRAIN AND MEDULLOBLASTOMA Table 3.—Continued Tag 136 137 138 CAC CCC TGA TAC AAG AGG CCG CCT CCG FB MB GenBank Entry Accession No. Square 14 14 2 5 5 8 Creatine kinase B Ribosomal protein L6 Small nuclear ribonucleoprotein particle N M16364 X69391 U41303 3.88 3.88 3.874 The 138 tags for which the -square test statistic was associated with a P value ⬍0.05 are listed with corresponding GenBank entry. FB, no. of times the tag is found in fetal brain library; MB, no. of times the tag is found in medulloblastoma library; GenBank entry, name of corresponding hit in GenBank; *ESTs, no hits with a known gene in GenBank but matches with multiple expressed sequence tag (EST) sequences (position of last CATG in EST sequence in relation to poly(A) tail is unknown; therefore tag assignment is ambiguous); -square, -square value for pairwise -square statistics. DISCUSSION The purpose of this analysis was to identify differences in gene expression between medulloblastoma and fetal brain. More than 30,000 genes are believed to be expressed in human brain (35). In view of this number, a huge number of SAGE tags need to be sequenced to obtain statistically significant information on the complete gene expression profile of human brain cells. However, if one is only interested in major differences in gene expression, a much smaller sample size should be sufficient. As initial comparison for medulloblastoma we chose fetal brain from a partus immaturus that showed no malformations at autopsy. Because medulloblastoma is believed to be derived from the cells of the external germinal layer (EGL), the internal granular layer (IGL), or both (20, 34, 43, 44), a comparison of the EGL and the IGL would be of interest. Because of the very small amount of cells in the EGL and IGL, this is currently technically not possible. Thus, as a first step, we compared the expression Fig. 2. Northern blot analysis of transcripts that show different expression in fetal brain (FB) and medulloblastoma (MB) by serial analysis of gene expression (SAGE). RNA of fetal brain and medulloblastoma from which the SAGE libraries were constructed was used. Each lane contains 10 µg of total RNA. ␥-Actin was used as control for RNA loading. GAPDH, glyceraldehyde-3-phosphate dehydrogenase. pattern of medulloblastoma with that of fetal brain, which contains developing neuronal cells at a stage where there is no myelination. A comparison with adult cerebellum or adult whole brain would result in genes involved in myelination. Sequencing 20,917 tags in total yielded 138 tags that showed significantly different count in the two samples. Fifty-four percent of these tags matched to a known gene in GenBank. Northern blot analysis was used to correlate tag count with expression level. Some pitfalls have to be considered when analyzing the SAGE data. First, when a hit is found with a known gene in GenBank and the complete coding sequence is known, that does not necessarily mean that the complete 38-UTR is also known. The EST library has to be screened to identify ESTs that carry the entire 38-UTR up until the poly(A) tail. Only in that way can one check whether the hit that was found initially is really located at the last cleaving site of the anchoring enzyme that was used to construct the SAGE library. The SAGE software searches for the sequences adjacent to the most-38 located CATG. As a consequence, multiple ESTs are identified as hits. Because for most ESTs a poly(A) tail is lacking and no precise information on the orientation of the clone is given, the majority of EST Fig. 3. Northern blot analysis of ZIC1 and OTX2 expression in fetal brain and 7 medulloblastomas. Each lane contains 10 µg of total RNA. ␥-Actin was used as control for RNA loading of the lanes. Lanes: FB and M, fetal brain and medulloblastoma from the SAGE library; 3–8, 6 other medulloblastomas. http://physiolgenomics.physiology.org Downloaded from http://physiolgenomics.physiology.org/ by 10.220.33.4 on August 9, 2017 lung. Esophagus, kidney, thyroid gland, testis, peripheral nerve, liver, gallbladder, thymus, tonsil, prostate, adrenal, ovary, muscle, duodenum, brain, stomach, skin, cervix, spleen, breast, colon, and salivary gland show no expression. Adult cerebral cortex V17/V18, white matter, and cerebellum are also negative for OTX2 on Northern blot (data not shown). 90 SAGE OF FETAL BRAIN AND MEDULLOBLASTOMA homologs of wingless (Wnt-1, -2, -3, -4, and -5) and engrailed (En-1 and -2). Only for En-2 was one tag found. For the other genes no tags were detected. Thus high mRNA levels of ZIC1 do not imply that Wnt and En homologs are highly expressed. This could be due to the fact that either the hierarchy seen in Drosophila is not conserved in humans or that ZIC1 is not the human homolog of Opa. We cannot of course exclude the possibility that the expression of Wnt and En homologs is controlled by ZIC1 but that the expression levels are not high enough to be picked up by the analysis of 10,000 tags. The Wnt and En homologs did not appear in fetal brain. More detailed analysis of tag no. 18 revealed identity to OTX2. OTX2 is related to the Drosophila homeobox gene orthodenticle. It is expressed in the developing head of the fruit fly and involved in the development of rostral brain regions. Its expression pattern is well studied in different developmental stages in mouse and rat (12, 32, 33), but regional expression in fetal or adult human brain has not been examined, as far as we know. In mouse, Otx2 ⫺/⫺ embryos show defective development of the rostral neuroectoderm, resulting in a headless phenotype (Ref. 31 and references therein). Just like Zic1, Otx2 is expressed in the EGL, the IGL, and cells migrating to the IGL. These layers are among candidate sites of origin of medulloblastoma (20, 34, 43, 44). The high expression of both ZIC1 and OTX2 in medulloblastoma strongly supports this hypothesis. In rats, Otx2 is also expressed in the granule neurons of the EGL as well as their precursor cells (12, 31). Normally the EGL disappears at ⬃1 yr of age in humans. Nests of precursor cells that fail to disappear might be the cause of medulloblastoma in later life. The activation of genes, such as OTX2 and ZIC1, that are important in the development of these layers must be strictly controlled. Inappropriate activation might cause malignant transformation of these cells. Further analysis is necessary to clarify the relationship between these genes and the development of medulloblastoma. The finding that OTX2 is expressed in the majority of medulloblastomas tested may provide us with a tool helpful in molecular pathological diagnostics. Thus far, we have not seen OTX2 expression in adult tissues, including brain. We thank Dr. D. Troost for providing the fetal brain and reviewing the medulloblastoma slides, and the neurosurgeons of the Academic Medical Center for providing the tumor tissue. We thank our colleagues at the Neurozintuigen Laboratory, Drs. R. Versteeg, H. Tabak, J. M. B. V. de Jong, and E. Hettema, for critical comments. This work was supported by the Stichting Kindergeneeskundig Kankeronderzoek and the European Cancer Center. Address for reprint requests and other correspondence: F. Baas, Neurozintuigen Laboratory, Academic Medical Center, P.O. Box 22700, 1100 DE Amsterdam, The Netherlands (E-mail: [email protected]). REFERENCES 1. Adams, M. D., J. M. Kelley, J. D. Gocayne, M. Dubnick, M. H. Polymeropoulos, H. Xiao, C. R. Merril, A. Wu, B. Olde, R. F. Moreno, A. R. Kerlavage, W. R. McCombie, and J. C. Venter. Complementary DNA sequencing: expressed sequence tags and human genome project. Science 252: 1651–1656, 1991. http://physiolgenomics.physiology.org Downloaded from http://physiolgenomics.physiology.org/ by 10.220.33.4 on August 9, 2017 hits will be false positive. The clones we could not identify further by rescreening GenBank for polyadenylation signals or poly(A) tails are marked with an asterisk in Table 3. Another pitfall is shown in Table 3. Tag no. 8, which occurred 15 times in fetal brain and not at all in medulloblastoma, matched in GenBank with cytoskeletal ␥-actin, as did tag no. 20, which on the contrary showed a much higher expression in medulloblastoma (26 times vs. 8 times in fetal brain). Further examination of these hits shows that tag no. 8 matched with the DNA for cytoskeletal ␥-actin and represented indeed the last CATG in front of the poly(A) tail. Tag no. 20 also matched with cytoskeletal ␥-actin, but in this case with the mRNA sequence. However, of the most-38 CATG in the DNA sequence the CATG was changed to CGTG in the mRNA for ␥-actin and thus was not recognized as a Nla III recognition site. The preceding CATG in the mRNA sequence was seen as the last one, and thus a different tag was found. Apparently this represents a polymorphism, for which the individual from whom the fetal brain library is constructed was heterozygous, and the medulloblastoma patient was homozygous. By counting the frequencies of both the tags, the total tag counts are 23 and 26 (for fetal brain and medulloblastoma, respectively), and the difference is no longer significant. This is also confirmed by Northern blot analysis (Fig. 3). A similar phenomenon might play a role in the results that were obtained for GAPDH. As shown in Table 3, the tag corresponding to the mRNA for GAPDH (tag no. 37) was seen 7 and 21 times in fetal brain and medulloblastoma, respectively. However, Northern blot analysis showed a slightly higher expression in fetal brain (Fig. 3). Several GAPDH pseudogenes exist (4, 24). A database search identified a GAPDH pseudogene, in which the last CATG was polymorphic. This emphasizes that one should be aware of polymorphisms in the last CATG and in the following 9–10 bases. This will result in multiple different tags for the same gene and also possible wrong assignment of a tag and underscores the necessity of Northern blot confirmation of SAGE results. Except for GAPDH, Northern blot analysis of differentially expressed genes showed a good correlation with the SAGE data (see below). The tag count for ZIC1 protein is significantly higher in medulloblastoma (Table 3), and this was confirmed by Northern blot (Figs. 2 and 3). ZIC1 is known to be expressed very selectively in cells of the EGL and IGL and from cells migrating from one layer to another, and in medulloblastoma (41). 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