Differential CpG DNA methylation in peripheral naive CD4(+) T-cells in early rheumatoid arthritis patients
CLINICAL EPIGENETICS
Authors: Pitaksalee, R.; Burska, A. N.; Ajaib, S.; Rogers, J.; Parmar, R.; Mydlova, K.; Xie, X.; Droop, A.; Nijjar, J. S.; Chambers, P.; Emery, P.; Hodgett, R.; McInnes, I. B.; Ponchel, F.
Abstract
Background The genetic risk associated with rheumatoid arthritis (RA) includes genes regulating DNA methylation, one of the hallmarks of epigenetic re-programing, as well as many T-cell genes, with a strong MHC association, pointing to immunogenetic mechanisms as disease triggers leading to chronicity. The aim of our study was to explore DNA methylation in early, drug-naive RA patients, towards a better understanding of early events in pathogenesis. Result Monocytes, naive and memory CD4(+) T-cells were sorted from 6 healthy controls and 10 RA patients. DNA methylation was assessed using a genome-wide Illumina 450K CpG promoter array. Differential methylation was confirmed using bisulfite sequencing for a specific gene promoter, ELISA for several cytokines and flow cytometry for cell surface markers. Differentially methylated (DM) CpGs were observed in 1047 genes in naive CD4(+) T-cells, 913 in memory cells and was minimal in monocytes with only 177 genes. Naive CD4(+) T-cells were further investigated as presenting differential methylation in the promoter of > 500 genes associated with several disease-relevant pathways, including many cytokines and their receptors. We confirmed hypomethylation of a region of the TNF-alpha gene in early RA and differential expression of 3 cytokines (IL21, IL34 and RANKL). Using a bioinformatics package (DMRcate) and an in-house analysis based on differences in beta values, we established lists of DM genes between health and RA. Publicly available gene expression data were interrogated to confirm differential expression of over 70 DM genes. The lists of DM genes were further investigated based on a functional relationship database analysis, which pointed to an IL6/JAK1/STAT3 node, related to TNF-signalling and engagement in Th17 cell differentiation amongst many pathways. Five DM genes for cell surface markers (CD4, IL6R, IL2RA/CD25, CD62L, CXCR4) were investigated towards identifying subpopulations of CD4(+) T-cells undergoing these modifications and pointed to a subset of naive T-cells, with high levels of CD4, IL2R, and CXCR4, but reduction and loss of IL6R and CD62L, respectively. Conclusion Our data provided novel conceptual advances in the understanding of early RA pathogenesis, with implications for early treatment and prevention.
Novel Association of the Interleukin 2-Interleukin 21 Region With Inflammatory Bowel Disease
AMERICAN JOURNAL OF GASTROENTEROLOGY
Authors: Marquez, Ana; Orozco, Gisela; Martinez, Alfonso; Palomino-Morales, Rogelio; Fernandez-Arquero, Miguel; Luis Mendoza, Juan; Taxonera, Carlos; Diaz-Rubio, Manuel; Gomez-Garcia, Maria; Nieto, Antonio; Lopez-Nevot, Miguel A.; de la Concha, Emilio G.; Martin, Javier; Urcelay, Elena
Abstract
OBJECTIVES: Genome-wide association studies have reported the role of the interleukin (IL)2-IL21 chromosomal region at 4q27 in several autoimmune conditions. Mice deficient in IL-2 develop a disease with clinical and histological similarity to ulcerative colitis (UC) in humans. Modest evidence of linkage with UC was tentatively proposed for the IL2 gene more than a decade ago. Therefore, we decide to investigate the association of polymorphisms in the IL-2 axis (IL2, IL2RA, and IL2RB genes) with inflammatory bowel diseases (IBDs). METHODS: Seven hundred and twenty-eight white Spanish unrelated IBD patients (356 Crohn's disease (CD) and 372 UC) and 549 ethnically matched controls were included in a case-control study. In addition, a Spanish replication cohort with 562 CD and 430 UC patients and 1,310 controls were analyzed. Eight single-nucleotide polymorphisms previously associated with different autoimmune diseases were analyzed using TaqMan chemistry. RESULTS: The IL2-rs6822844 polymorphism modified CD predisposition (P=0.002; odds ratio, OR (95% confidence interval, CI)=0.61 (0.44-0.84)); this was replicated in the other Spanish cohort, resulting in a strong protective effect of the minor allele in the merged samples (P=0.0002; OR (95% CI)=0.70 (0.58-0.85)). A similar effect of rs6822844 was detected for UC. Another marker, rs11938795, also showed evidence of an association with CD (P=0.006; OR (95% CI)=0.73 (0.58-0.92)). CONCLUSIONS: Polymorphisms within the IL2-IL21 linkage disequilibrium (LD) block show a novel association with IBD, this is concordant with suggestive previous results of whole genome analyses in CD and type 1 diabetes. Our data agree with the effect previously observed for other conditions and delineate a shared underlying mechanism.