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Impact of epigenetic variations on breast cancer metastasis risk and therapy resistance e:Med Meeting Heidelberg, 4.12.2012 Division Epigenomics and Cancer Risk Factors Christoph Plass 23 May 2017 Dieter Weichenhan Clarissa Gerhauser, German Cancer Research Center Clarissa Gerhäuser Mechanisms of Epigenetic Regulation DNA Chromosom 1. DNA methylation Histones Chromatin 2. Histone tail modifications 3. non-coding RNAs (microRNAs) Me Me Me mRNA Transcription Translation Me - Inhibition of translation - Degradation of mRNA 23 May 2017 Clarissa Gerhauser, German Cancer Research Center Protein DNA Methylation meC NH2 5 N O CH3 Epigenetic event Methyl-CpG Control of gene expression N Promoter CpG islands Normal cell DNA Repeats Exon unmethylated methylated mRNA CpG island hypermethylation meC global hypomethylation Carcinogenesis transcription 23 May 2017 genomic instability Clarissa Gerhauser, German Cancer Research Center DNA Methylation Profiling Projects Specific Aims: Identification of differentially methylated genes with critical roles during cancer development, recurrence, radiation sensitivity Leukemia (DFG-SPP) Prostate (ICGC) Breast (FRONTIER) Lung (DZL) Glioblastoma Colon Head&Neck Pancreas Cholangiocarcinoma… Epigenetic markers for early detection, prognosis, and as potential targets for intervention and cancer prevention 23 May 2017 Clarissa Gerhauser, German Cancer Research Center DNA Methylation Profiling Projects Step 1: Genome-wide methylation profiling • Methyl-CpG Immunoprecipitation (MCIp)/CpG island array - NGS • Illumina 450k technology • Whole genome bisulfite sequencing (WGBS) (Tagmentation) Step 2: Technical validation/confirmation in independent sample sets • High-throughput quantification of DNA methylation • Sequenom MassARRAY technology 384-well format Step 3: Selection of candidate genes • Correlation with clinical data • Correlation with gene expression (RT-PCR, or published data) • Correlation with protein expression/TMA • Demethylation analyses in cell culture to confirm epigenetic regulation 23 May 2017 Clarissa Gerhauser, German Cancer Research Center DNA Methylation Profiling Projects Step 4: Functional analyses in vitro • Reporter gene assays for promoter/enhancer methylation • Gene overexpression and knockdown by si- and sh-RNA Effects on proliferation, colony formation, DNA repair, cell cycle regulation, migration/invasion • Reporter construct panel for key transcription factor pathways (Chris Oakes, HEK cells) • ChIP-Seq: Histone marks, TF-binding Step 5: Confirmation of gene function in vivo • Testing of gene ki oder ko cell lines in xenograft models • Dilution experiments to determine stem cell characteristics • transgenic mouse model for basal BC: C3(1) SV40 TAg 23 May 2017 Clarissa Gerhauser, German Cancer Research Center Genome Wide Methylation Screens MCIp-Seq Enrichment of highly methylated DNA with MBD2 protein Sample req. ~3 µg gDNA (fresh frozen tissue) Not quantitative Limited analysis of hypomethylation events Illumina 450k technology Further development of 27k array (27.000 CpG sites, 14.000 promoters) Interrogates >480.000 distinct CpG sites (CGIs, prom., gene body, 3‘UTR…) Input: bisulfite-converted DNA, compatible with FFPE tissue Advantage: quantitative data (beta values 0-1), hypo- and hypermethylation Sample requirement: 0.25 µg DNA (FFPE), 1 µg (fresh frozen) Whole genome bisulfite sequencing (WGBS) Interrogates all CpG sites Input: traditional 5 µg, with tagmentation modification 10-50 ng (fresh fr.) quantitative Transposase same input DNA can be used for genome-seq complex Disadvantage: high costs 23 May 2017 Clarissa Gerhauser, German Cancer Research Center Genome Wide Methylation: Resolution 450k Tissue specific Methylation diff. Liver WGBS hESC PCa MCIpSeq PCa Prostate Prostate Differentially methylated region (DMR) 23 May 2017 Clarissa Gerhauser, German Cancer Research Center Quantitative high-throughput determination of DNA methylation (MassARRAY) Bisulfite treatment of DNA PCR amplification of regions of interest In vitro transcription Base-specific cleavage 16 m/z MALDI-TOF mass spectrometry-based MassARRAY analysis Statistical analysis DNA from FFPE tissue can be used 500 ng DNA sufficient for ~30 amplicons (200-500 bp) High-throughput 384 well format Ehrich et al., 2005 23 May 2017 Clarissa Gerhauser, German Cancer Research Center Breast Cancer Methylation Profiling 1. MCIp-CGI array on 10 ER/PR pos. low grade BC/unmatched normal breast tissue 2. Identification of 214 CGIs hypermethylated in 6/10 BC 3. Validation of 11 candidates by MassARRAy in two independent sample sets 4. Correlation with clinical data 23 May 2017 Clarissa Gerhauser, German Cancer Research Center DNA hypermethylation as diagnostic biomarker Validation set 1: ER+/PR+ low-grade IBC and DCIS (Prof. Sinn, Uni HD/NCT) BCAN HOXD1 KCTD8 KLF11 CPNE7 * Distant Metastases (20) Faryna et al., FASEB J 2012 Invasive breast cancer (32) Carcinoma in situ (13) Normal tissue (11) STD 0 20 40 60 80 100 Significant hypermethylation already in preinvasive tumors Definition of cutoff methylation levels allows correct classification of tumors 23 May 2017 Clarissa Gerhauser, German Cancer Research Center DNA methylation as potential prognostic markers Validation Set 2: 43 ER+/PR+ IBC (Dr. J. Rom, Uni HD) Methylation of CPNE7 1.0 Metastasis-free survival Metastasis-free survival Methylation of KLF11 CpG5 0.8 0.6 0.4 p-value = 0.009 Median methylation < 0.62 Median methylation 0.62 0.2 0.0 0 2 4 6 8 p-value = 0.0112 Median methylation ≤ 0.2 Median methylation > 0.2 10 Years Years Confirmation with 45 IBC w/wo metastases (Dr. Rom and NCT HD) ongoing So far no information on gene function 23 May 2017 Clarissa Gerhauser, German Cancer Research Center Planned project Aim 1: Identification of epigenetically deregulated genes with prognostic or functional relevance for metastatic risk (WP1: in silico; WP2: experimentally) Aim 2: Analysis of gene functions to identify potential targets for intervention (combination therapy?) (WP3) Aim 3: Demonstration of functional relevance in vivo (gene function / intervention) (WP4) 23 May 2017 Clarissa Gerhauser, German Cancer Research Center TCGA, 2012 ICGC 23 May 2017 Subgroup definition (progn. 15 M1, 73 Mx, 97 dead) 6 projects on BC 802 / ~80 5 mets hundreds Clarissa Gerhauser, German Cancer Research Center Illumin Infinium 27k Illumina Infinium 450k Planned project WP1: In silico screen of available datasets to identify epigenetically regulated genes involved in metastasis and drug-resistance Link to other WP that identify interesting gene/miRNA candidates (Christian/Cindy/Stefan) WP2: Genome-wide methylation analysis 2.1 Tumor-stroma interaction Link to WP Erlangen (Samples needed) • Normal - Tumor – Stroma from 10 patients M0 / 10 patients M1 (same subtype?) • 450k array 100-200 ng DNA from microdissected tissue (FFPE) • Link to WP Ulrike 2.2 Epigenetic alterations in metastases Link to WP Erlangen (Samples needed) • Normal – Tumor - (Stroma) – Metastases from min. 3 patients • WGBS 10-50 ng DNA from microdissected fresh frozen tissue • Best coverage of methylation events – Link to WP Jose TF-binding 23 May 2017 Clarissa Gerhauser, German Cancer Research Center Planned project 2.3 Epigenetic alterations in drug resistance Link to WP Erlangen (Samples needed) • resistant tumors vs. not-resistant tumors (possible)? 10 each • 450k array 100-200 ng DNA (FFPE) • Identify DMRs Link to WP Christian 2.4 Validation on methylation events from 2.1-2.3. • Quantitative methylation analyses by Massarray • FFPE material sufficient • Link to WP Erlangen (Samples needed) (as many as possible) • Correlation with protein expression (TMA), link to WP Erlangen 23 May 2017 Clarissa Gerhauser, German Cancer Research Center Planned project WP3: Functional analyses in vitro 3.1 siRNA screen/overexpression of differentially methylated genes affecting metastasis risk (from WP1 and 2 and other WPs) • Endpoint proliferation, migration (high throughput migration assay Stefan, which cell lines suitable?) • Reporter construct assay panel for key pathways affecting migration, invasion, EMT? • Confirmation by RPPA? (WP Ulrike) • Identification of druggable targets in pathways • Comparison of gene dose effects with drug treatment • Link to WP Rainer: generation of stable cell lines for highly relevant candidates for in vivo analyses (WP Karin) 23 May 2017 Clarissa Gerhauser, German Cancer Research Center Planned project 3.2. Functional analyses related to drug resistance (link to WP Christian) • Co-treatment of parental and resistant cell lines with anti-cancer therapeutics and epigentic drugs (DNMT and HDAC inhibitors) • Methylation changes (MassARRAY) • Effect on proliferation, apoptosis induction, cell cycle regulation 3.3. Functional analyses related to TF-pathways (WP Jose) • Reporter gene assays for promoter/enhancer methylation • Reporter construct assay panel for key pathways (Chris Oakes) • ChIP and ChIP-Seq for TF-DNA methylation interaction and chromatin marks 23 May 2017 Clarissa Gerhauser, German Cancer Research Center Planned project WP4: Functional analyses in vivo 4.1 Confirmation in vivo (WP Karin) • Xenograft models with ki/ko cell lines (Rainer), drug intervention studies? • transgenic mouse model for basal BC: C3(1) SV40 TAg (depending of human – mouse correlation) 4.2 Planning for translational studies? 23 May 2017 Clarissa Gerhauser, German Cancer Research Center Breast cancer: C3(1) SV40 TAg mouse model Green et al, Oncogene 2001 C3(1) region of rat PSBP SV40 TAg p53 100% breast cancer ~ 20 weeks 70-80% prostate cancer pRB Progression of mammary carcinogenesis similar to human disease normal atypia pre-invasive invasive BC metastasis Human Breast Cancer Prevention studies: Exercise (Murphy et al., 2011) Green tea (Leong et al., 2008) Green tea, black tea (Kaur et al., 2007) VEGF-DT385 toxin (Wild et al., 2004) 23 May 2017 Celcoxib (Kavanaugh & Green, 2003) Retinoids (Wu et al., 2002, 2000) DFMO, DHEA (Green et al., 2001) p21 induction (Shibata et al., 2001) Clarissa Gerhauser, German Cancer Research Center Kinetics of DNA methylation changes Developmental phases Birth Ablaction Puberty w0 w1 Mammary gland tumors Adult w12 w3 w22-24 wt control Lung mets W32?? Tissue collection every 4 weeks C3(1) tg w4 w8 w12 w16 w20 w24 Genome-wide methylation analysis by MCIp/Seq Quantitative analysis of methylation changes by MassARRAY 23 May 2017 Clarissa Gerhauser, German Cancer Research Center Genome-wide analysis using Next-Generation Sequencing Lyl1 Plekhg5 Espn w4 transgene w8 w12 w16 w20 w24 w4 wildtype w8 w12 w16 w20 w24 23 May 2017 Clarissa Gerhauser, German Cancer Research Center K. Heilmann Validation of novel candidate genes by MassARRAY Age 50 80 Mab21l2 wt Avg. Methylation (%) Avg. Methylation (%) 60 TG WT Mab21l2 tg 40 30 20 10 60 tg 20 4 w 12 w 16 w 20 w 24 w 4 w 12 w 16 w 20 w 24 w A93 Atp 60 70 Atp6v1b1 wt Avg. Methylation (%) Avg. Methylation (%) wt 40 4 w 12 w 16 w 20 w 24 w 4 w 12 w 16 w 20 w 24 w 50 Lyl1 0 0 60 Lyl1 tg 40 30 20 10 50 40 A930037G wt tg 30 20 10 0 0 4 w 12 w 16 w 20 w 24 w 4 w 12 w 16 w 20 w 24 w 4 w 12 w 16 w 20 w 24 w 4 w 12 w 16 w 20 w 24 w Espin Avg. Methylation (%) 80 Espn 60 wt tg 40 20 0 4 w 16 w 24 w 4 w 12 w 16 w 20 w 24 w Development-associated genes Sig. increase in methylation during carcinogenesis Function in breast carcinogenesis largely unknown A. Ward/ M. Pudenz 23 May 2017 Clarissa Gerhauser, German Cancer Research Center 23 May 2017 Clarissa Gerhauser, German Cancer Research Center Genome Wide Methylation Screen MCIp (Methyl-CpG immunoprecipitation) & NGS 3 µg genomic DNA modified from Gebhard et al., 2006 Dieter Weichenhan bp 600- 100- Fragmentation by sonication Robot-assisted binding to MBD2-coated magnetic beads (MBD2: Methyl binding domain protein) Fractionation by salt gradient Library prep, NGS (Solid, Illumina HiSeq) Bioinformatic analysis Lei Gu 23 May 2017 Clarissa Gerhauser, German Cancer Research Center Genome Wide Methylation Screen Illumina 450k array technology Interrogates >480.000 distinct CpG sites (CpG islands, promoters, gene body, 3‘UTR…) Input: bisulfite-converted DNA Advantage: quantitative data (beta values 0-1) Compatible with FFPE tissue Sample requirement: 0.25 to 1 µg Data handling rel. „easy“ treated WA 0.7 µM treated MDA-MB231 cells treated with demethylating agent WA 0.175 µM control 23 May 2017 Clarissa Gerhauser, German Cancer Research Center 20% control Tagmentation-based whole genome bisulfite NGS Adey & Shendure , Genome Res. 2012 Conventional Tagmentation based Fragmentation hyperactive transposase Polishing Tagmentation: all in one A-tailing Adaptor ligation seq. barcode PCR PCR seq. barcode Sample requirement: 5 µg 23 May 2017 Bisulfite treatment, NGS Clarissa Gerhauser, German Cancer Research Center 10-50 ng Tagmentation-based whole genome bisulfite NGS hyperactive transposase in vitro assembled transposome free ME adaptors (hyperactive derivatives of IS50 end sequences) tagmentation genomic DNA • genomic DNA is frag-(tag)mented with end-joining of ME adaptors to 5‘end of fragments seq. barcode • bisulfite treatment • limited-cycle PCR is used to append seq-platform-specific primers • NGS 23 May 2017 Clarissa Gerhauser, German Cancer Research Center Flowchart of tagmentation-based WGBNGS (i) Assembly of the transposome (ii) Tagmentation of genomic DNA SPRI purification (iii) Oligonucleotide replacement and gap repair SPRI purification (iv) Bisulfite treatment Column purification (v) Limited cycle number PCR SPRI purification (vi) Next generation sequencing 23 May 2017 Clarissa Gerhauser, German Cancer Research Center Quantitative high-throughput determination of DNA methylation (MassARRAY) Bisulfite treatment of DNA PCR amplification of regions of interest In vitro transcription Base-specific cleavage 16 m/z MALDI-TOF mass spectrometry-based MassARRAY analysis Statistical analysis 23 May 2017 Clarissa Gerhauser, German Cancer Research Center Ehrich et al., 2005 Planned project WP1: Identification of genes with relevance for metastasis risk 1.1 In silico search, use of available datasets • Several recent genome-wide methylation studies have identified aberrant methylation as biomarker of poor prognosis (metastasis risk) • Mainly relevant for ER-neg. BC • Both hyper- and hypomethylation events • Compile gene list, compare methylation status with expression in additional datasets (TCGA, ICGC) - Link to miRNA WP • Select candidates for validation and functional studies 1.2 Genome-wide methylation analysis • Limited information for ER+ BC • Perform 450k methylation analysis on 40 ER+ BC with known metastasis status (FFPE samples are available) • Select differentially methylated regions (DMRs) and proceed as above • Validation of 10-20 hypo- and hypermethylated candidates by MassARRAY 23 May 2017 Clarissa Gerhauser, German Cancer Research Center Planned project 1.3 Whole genome bisulfite sequencing (Tagmetation) • So far, no genome-wide data available for methylation changes between tumor and metastasis (only two matching N-T-M datasets out of ~650 450k datasets in TCGA) • Genome-wide data will facilitate TF-binding analysis – link to WP Jose • Same samples could be used for whole genome seq (costs!) • identify genes with aberrant methylation between samples, mRNA expression? Sample requirement: 3-5 triplets of Normal-Tumor-Metastasis (fresh frozen, high purity (LCM?), but ~ 50 ng DNA sufficient) 23 May 2017 Clarissa Gerhauser, German Cancer Research Center Planned project WP2: Identification and validation genes with relevance for aquired drug resistance 2.1 In silico screen • Available information mainly from comparison of parental and resistant BC cell lines; (data Aoife?) human studies? • Resistance mainly related to hypomethylation events • Compile gene list, compare gene functions, expression? (Stefan) • Select candidates for validation and functional studies 2.2 Validation of methylation changes in clinical samples • Sample availability? before and after therapy, or resistant tumors vs. not-resistant tumors • Validation of up to 50 hypo- and hypermethylated candidates by MassARRAY would require ~ 1 µg DNA (can be FFPE), more efficient to do 450k? 23 May 2017 Clarissa Gerhauser, German Cancer Research Center