Human Molecular Genetics Advance Access originally published online on March 10, 2006
Human Molecular Genetics 2006 15(8):1259-1269; doi:10.1093/hmg/ddl041
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Imprinting of IGF2 P0 transcript and novel alternatively spliced INS-IGF2 isoforms show differences between mouse and human
1Institute of Reproductive and Developmental Biology, Imperial College London, W12 ONN London, UK, 2Laboratory for Developmental Genetics and Imprinting, The Babraham Institute, Cambridge CB2 4AT, UK, 3Institute of Molecular Genetics, CNRS, UMR-5535 and University of Montpellier II, 1919 Route de Mende, 34090 Montpellier, France, 4School of Health and Social Sciences, Middlesex University, Enfield EN3 4SA, UK, 5Department of Oncology, Cambridge University, MRC-Hutchison Centre, Cambridge CB2 2XZ, UK and 6Department of General Surgery, University of Heidelberg, Heidelberg, Germany
* To whom correspondence should be addressed. Tel: +44 2075942125; Fax: +44 2075942129; Email: d.monk{at}imperial.ac.uk
Received December 22, 2005; Accepted February 24, 2006
GenBank accession nos DQ104203DQ104205
| ABSTRACT |
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Genomic imprinting is limited to a subset of genes that play critical roles in fetal growth, development and behaviour. One of the most studied imprinted genes encodes insulin-like growth factor 2, and aberrant imprinting and DNA methylation of this gene is associated with the growth disorders BeckwithWiedemann and SilverRussell syndromes and many human cancers. Specific isoforms of this gene have been shown to be essential for normal placental function, as mice carrying paternal null alleles for the Igf2-P0 transcript are growth restricted at birth. We report here the identification of three novel human transcripts from the IGF2 locus. One is equivalent to the mouse Igf2-P0 transcript, whereas the two others (INSIGF long and short) originate from the upstream INS gene that alternatively splices to downstream IGF2 exons. In order to elucidate the molecular mechanisms involved in the complex imprinting of these novel IGF2 transcripts, both the allele-specific expression and methylation for all the IGF2 promoters including P0 and the INSIGF transcripts were analysed in human tissues. Similar to the mouse, the human IGF2-P0 transcript is paternally expressed; however, its expression is not limited to placenta. This expression correlates with tissue-specific promoter methylation on the maternal allele. The two novel INSIGF transcripts reported here use the INS promoter and show highly restricted tissue expression profiles including the pancreas. As previously reported for INS in the yolk sac, we demonstrate complex, tissue-specific imprinting of these transcripts. The finding of additional transcripts within this locus will have important implications for IGF2 regulation in both cancer and metabolism.
| INTRODUCTION |
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Genomic imprinting is an epigenetic phenomenon that results in the expression of only one allele in a parent-of-origin-dependent manner (1
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In both human and mouse, the paternal expression of Igf2 and Ins2 is closely linked to the expression of the reciprocally imprinted H19 transcript (6
The expression of the different mouse Igf2 transcripts is dependent on promoter usage, with P0-derived transcripts only expressed in the labyrinthine layer of the mouse placenta, whereas transcripts from the P1P3 are found throughout the developing embryo and placenta (9
,16
). The reported human IGF2 transcripts (P2P4) are found in both the developing embryo and the extra-embryonic material, with adult expression limited to P1-derived biallelic transcription in liver (17
,18
). The IGFII protein has been shown to be a major modulator of fetal and placental growth (19
). Elegant gene targeting studies have shown that paternally inherited Igf 2 null alleles in heterozygous mice have the same growth restricted phenotype as homozygous null animals (
60% of wild-type weight) (2
). Targeted disruption specifically of the mouse Igf 2-P0 transcript, by removing the untranslated exon 2, resulted in a milder but still growth-restricted phenotype when compared with the total Igf 2 null, even though the fetal promoters (P1P3) were unaffected and remained transcriptionally active (16
). The Igf 2-P0 null mice were reported to have a smaller than normal placenta at embryonic day (E)16 of gestation, which was shown to affect the nutrient transfer capacity of the placenta (20
). However, once the placental constraints on growth were lifted at birth, postnatal catch-up growth was observed.
In the present study, we have investigated the imprinted expression of the various transcripts of the human IGF2 gene, both in first trimester fetal and placental tissues and term placental material. In addition to the four previously known IGF2 promoters, we describe the expression, imprinting and methylation of three novel transcripts, the human IGF2-P0 promoter/transcript and two INS linked to IGF2 (INSIGF) transcripts and discuss their potential involvement in human development both in utero and in tumourigenesis.
| RESULTS |
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Identification and expression of the human IGF2 -P0 and INSIGF transcripts
Multiple transcripts of human IGF2 are synthesized as a result of alternate promoter usage and splicing of the unique 5'-exons to the 3'-downstream exons encoding the IGFII precursor protein. Promoters P2P4 are known to be transcriptionally active in many fetal tissues and show a general down-regulation after birth (21
Northern blotting has previously shown that the mouse Igf 2-P0 transcript is solely expressed in the placenta, whereas in situ hybridization shows that it is specifically restricted to the labyrinthine layer (9
,16
). To assess the expression of the human IGF2-P0 transcript, we hybridized an adult multi-tissue northern blot with an anti-sense riboprobe consisting of the IGF2-P0-specific 5'-UTR sequence. A single band of
5 kb was detected in term placenta and all adult human tissues, except brain. This corresponds to a predicted IGF2-P0 transcript of 4998 bp (transcript accession no. DQ104203) utilizing the AATAAA polyadenylation motif (nucleotides 159837159841 of AC130303
[GenBank]
) common in other IGF2 transcripts (Fig. 2A). To investigate whether the expression of the IGF2-P0 transcript was limited to placenta during early development, we hybridized a northen blot containing selected first and second trimester tissues samples with the same P0-specific riboprobe. In contrast to the mouse, this revealed that the expression of the IGF2-P0 transcript is not detectable in early placenta but is most abundant in fetal skeletal muscle (Fig. 2B). The same adult and fetal northern blots were then sequentially re-hybridized with riboprobes specific to IGF2 exon 1, exon 2 and a fragment encompassing exons 8 and 9 in order to detect expression of other IGF2 transcripts. The IGF2 exon 2 riboprobe revealed ubiquitous expression of the IGF2-P0 transcript in adult tissues (except brain) as well as the slightly larger IGF2-P1 transcript in liver.
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Interestingly, the exon 2 riboprobe revealed an
1.5 kb pancreas-specific band that was not detected when using either the P0-specific or P1-specific riboprobes (Fig. 2A). From the investigation of expressed sequence tag (EST) databases, we suspected that this band might result from a novel transcript originating from the INS promoter and splicing to IGF2 exon 2 (EST transcript accession nos ig76F01/BM312593 or ir36b02/CA866245). ESTs for this transcript were pancreas-specific and consist of INS exons 1 and 2, which splice on to IGF2 exons 24. In addition, a precisely matching protein sequence (XP_508220
[GenBank]
) has been predicted by the computational GNOMON method in the Pan troglodytes genome. We have named this transcript INSIGF. As the transcript lacks INS exon 3 and the usual stop codon, the open reading frame differs from that of INSULIN and extends into the IGF2 exon 3. Translation of this ORF would result in a novel protein that not only includes the INSULIN leader sequence and B-chain peptide but also an additional peptide at the C-terminal end. Analysis of the Prodom and Pfam databases does not detect any other known protein motifs within this amino acid translation. Subsequent RTPCR amplifications revealed that a longer splice variant, which includes INS exons 1 and 2 and IGF2 exons 2, 3, 7, 8 and 9 (transcript accession no. DQ104205), also exists. This transcript is bicistronic, with the open reading frames present for both the novel INSIGF protein and IGFII (Fig. 1B). Both transcripts of INSIGF show a restricted expression profile when analysed by RTPCR. Primers within exon 1 of INS and exon 3 of IGF2 (detecting both INSIGF transcripts) show expression restricted to pancreas, eye and limb. However, the specific amplification of the short INSIGF isoform using a reverse primer in IGF2 exon 4 detected products only in pancreas and eye (Fig. 3).
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Mouse Insigf transcripts
Investigation of a potential mouse Insigf sequence has failed to identify a transcript by RTPCR, northern blotting or interrogation of dbEST. Nevertheless, the alignment of the mouse and human genomic sequences reveals significant homology corresponding to the exons and exonintron boundaries, at least up to and including the mouse untranslated exon u2. Translation of this putative transcript would result in a protein similar to the human INSIGF. The conceptual protein translations, however, differ near the C-terminal ends where the mouse sequence incorporates a 27 bp imperfect tandem repeat sequence. With no stop codon present until after this sequence, 194 amino acids based on the PEPRPEPPK repeat motif would be added (Fig. 4).
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Characterization of the human IGF2-P0 promoter
Analysis of the 5'-RACE products for the IGF2-P0 transcript revealed a consensus sequence (PyPyAN(T/A)PyPy) for an initiator element (Inr element). Inr promoter elements are generally found to encompass transcription start sites in eukaryotic promoters and in particular TATA-less promoters. To measure IGF2-P0 promoter activity, we utilized a transient luciferase expression assay in a human-term extravillous trophoblast cell line (Tcl1) (22
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Promoter-specific imprinting of the human IGF2-P0 transcript
The various transcripts originating from the IGF2 promoters were analysed for imprinted expression in human, using the RTPCR approach. Thirty-term placentae and 18 fetal samples sets with corresponding parental blood samples were genotyped for both the Alu1 SNP in exon 3 (rs17881514) and the Apa1 SNP in the 3'-UTR of IGF2 (rs680). Using both strand-specific (to avoid amplification of the paternally expressed IGF2-AS/PEG8) and random-primed cDNA, all heterozygous sample sets clearly showed that the expression from each individual IGF2 promoter (P0P4) was monoallelic, and in informative sample sets, this expression was derived from the paternal allele [three sample sets using rs17881514 (Fig. 6) and four sample sets using rs680 (data not shown)]. As the expression of the mouse Igf 2-P0 transcript is labyrinthine-specific, we also analysed the imprinting of the human IGF2-P0 transcript in the first trimester (n=2) and term (n=2) cytokeratin 7-enriched villous trophoblasts. These are the human cells equivalent to the mouse villous trophoblast cells contained within the labyrinthine zone (24
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Imprinting of the INSIGF transcripts
The imprinting status of the INSIGF transcripts was studied in 20 normal adult pancreas samples and the same 18 fetal sample sets previously used to analyse the IGF2 imprinting. DNAs from these samples were also genotyped for a Pst1 SNP in exon 3 of INS (rs3842757). Two pancreas samples were heterozygous for the rs17881514 and rs3842757 SNPs and were biallelic for INS, INSIGF and IGF2-P0 (Fig. 6). Interestingly, both INSIGF isoforms were monoallelic/paternally expressed in eye (n=3) and limb samples (n=1) (Fig. 6).
IGF2 methylation profile
Many studies have implicated DNA methylation throughout the IGF2/H19 region as critical for correct tissue-specific imprinting of the various IGF2 transcripts (10
12
). We, therefore, analysed all CpG islands within the IGF2 genomic region, as well as the region surrounding the promoter of the human IGF2-P0 transcript (Fig. 7). Each region was analysed by treating genomic DNA from various tissues with sodium bisulphite, followed by PCR amplification that would include both methylated and unmethylated molecules. Resulting products were subjected to COBRA (combined bisulphite restriction analysis) (25
) or cloned and sequenced.
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The first CpG island maps between the first two untranslated exons that comprise the human P1 transcript and is
1.8 kb downstream of two ALU repeat elements. Using bisulphite mutagenesis and PCR on treated DNA from placenta, liver, kidney and lymphocytes, this CpG island was found to be fully methylated on both alleles in all tissues. The second and third CpG islands map to the promoter regions of P2P4 and the IGF2-AS (PEG8) transcripts, essentially representing a single large CpG island. Two independent, non-overlapping PCR products revealed that this region was fully unmethylated in all tissues. The final CpG island maps to exon 9. Using Southern blot analysis, this region has previously been defined as a DMR in both human and mouse, with the paternal allele being more methylated than the maternal allele (10
The region surrounding the mouse P0 promoter is a maternally methylated DMR in placenta, even though it is not statistically defined as a CpG island (9
). The equivalent genomic region surrounding human exon 2 also fails to meet the criteria for a CpG island. Nevertheless, differential methylation for this region has previously been reported, and hypomethylation is associated with the loss of imprinting (LOI) of IGF2 in cancers (27
29
). We analysed two regions within this interval, one overlapping with the human P0 promoter, which contains eight CpG dinucleotides, and the other between exons 2 and 3, incorporating the same CpG dinucleotides described by the Feinberg group (29
). Both regions contained both fully methylated and unmethylated PCR products in all tissues analysed, indicating that the differential methylation of this region is not limited to extra-embryonic material as seen in the mouse. Further analysis of PCR products obtained from bisulphite-treated pUPD11 DNA confirmed that the human P0 promoter is embedded within a maternally methylated DMR (Fig. 7D).
| DISCUSSION |
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The paternal expression of IGF2 gene is regulated in a developmental-dependent and tissue-specific manner. Previously, the expression of IGF2 in the fetus was thought to arise from four different promoters, utilizing alternative splicing and polyadenylation signals (15
258 bp upstream of exon 2, approximately the same position as in the mouse (9
Even though the human and mouse P0 transcripts originate from similar regions and have identical splicing patterns, there are subtle differences between species. The mouse Igf2-P0 transcript is expressed exclusively in the placenta and is specifically detected in the labyrinthine trophoblast layer (16
). In contrast, the human fetal IGF2-P0 transcript is expressed at high levels in fetal skeletal muscle and later, at a lower transcribed level, it is found ubiquitously in adult tissues and term placenta. This marked change in spatial expression may result from the epigenetic differences we found between species in the P0 promoter regions. The paternal expression of the Igf 2-P0 transcript in the mouse originates from the only site of maternal allele methylation in the Igf 2 locus. This maternal methylation is limited to extra-embryonic material, suggesting that the transcriptional silencing of the maternal allele may be controlled by promoter methylation (9
). However, maternal methylation was observed in all human tissues, which correlates with maternal repression of the human IGF2-P0 transcript in the adult tissues.
It is not currently known whether the promoter methylation alone at the human DMR0 is sufficient to bring about maternal silencing of the P0 promoter, independent of the other IGF2 promoters. Although it would have been of great interest to investigate the imprinting status of the IGF2-P0 transcript in relation to the other IGF2 transcripts in BWS fibroblasts with H19 DMR hypomethylation, the IGF2-P0 transcript is not expressed in the available adult cell lines tested (data not shown). Nevertheless, evidence that the DMR0 plays a critical role in the regulation of IGF2-imprinted expression has come from the observation that this region is hypomethylated in Wilms' tumour and that colorectal cancers are associated with the reactivation of the maternal allele of IGF2 (27
29
). Indeed, other groups have proposed that the human DMR0 is a methylation-dependent silencer element that may be regulating IGF2 expression independent of the H19 DMR (29
). It is, therefore, possible that the human P0 transcript has a role to play in cancer. If LOI of IGF2-P0 was found in cancerous tissues, specifically colorectal cancer with loss of methylation DMR0, it could act independently of the other IGF2 isoforms that are mainly expressed and imprinted in the fetus. It remains to be studied whether the human IGF2-P0 transcript becomes biallelic in tumours and whether this over-expression might aid the overgrowth in these tumours (27
,28
).
We also report here our evidence for two novel transcripts originating from the INS promoter. Both contain a novel ORF altering the normal INSULIN protein. It is not yet clear whether this protein is translated in vivo and requires further studies to examine its potential function. The transcripts are biallelically expressed in pancreas, which would be expected because INS, sharing the same promoter, is also biallelic in this tissue. However, similar to INS that shows evidence of tissue-specific imprinting in the yolk sac and possibly also the thymus (30
,31
), INSIGF transcripts are monoallelically/paternally expressed in the limb and eye.
There may be interesting implications for a mouse Insigf transcript because the previously reported Igf2-P0 knockout mouse removes sequences potentially common to both transcripts. However, we can find no evidence for the expression of this sequence in the mouse. Also, the conceptually translated mouse Insigf protein is different than that of the human/monkey because of the presence of an additional simple sequence repeat found in the mouse un2 exon. This encodes a proline-rich insertion likely to render it non-functional.
Here, we have identified and characterized the human IGF2-P0 transcript as well as two novel imprinted transcripts running from INSULIN into IGF2. The human IGF2-P0 transcript is unlikely to have the same role in fetal growth as it does in the mouse because it is found in different tissues and is not specific to the placenta. However, it has a clear imprinted expression pattern in adult tissue, and we speculate that it may play a role in growth regulation due to LOI in adult cancers. Similarly, the two novel INSIGF-imprinted transcripts generated from this important locus also merit further study for their possible role in normal development and disease.
| MATERIALS AND METHODS |
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Collection of human material
A total of 18 fetal tissue sets (818 weeks) with first trimester placental samples and corresponding maternal blood samples were obtained from the termination of pregnancies at Queen Charlotte's and Chelsea Hospital. Samples were washed in sterile PBS and processed. Local ethical approval for obtaining fetal tissues was granted by the Research Ethics Committee of Hammersmith, Queen Charlottes's and Chelsea and Acton Hospitals Research Ethics Committee (2001/6028). Thirty placental trio samples consisting of multiple site placental tissues with corresponding maternal and paternal blood samples were collected from consecutive consenting pregnancies at Queen Charlotte's and Chelsea Hospital (local ethics approval 2001/6029). Twenty histologically normal adult pancreatic samples (2046 years) were obtained from the MRC tissue bank at Hammersmith Hospital and University Hospital Heidelberg. The collection of pancreatic samples was approved by the Ethical Committee of the University of Heidelberg. Written informed consent was obtained from all patients.
Enrichment for uncultured human villous trophoblasts
For the isolation of villous trophoblasts, which are equivalent in function to the mouse labyrinthine trophoblasts, we used a protocol of placental tissue digestion and negative immunoselection (32
). Briefly, dissected tissues from both termination (814 weeks gestation) and term placentas were thoroughly washed in PBS and digested with a cocktail of trypsin and DNase to release free cells. Unwanted erythrocytes were removed from the resulting cell suspension by centrifugation through a 40% percoll solution. The resulting trophoblasts are subjected to negative immunoselection using monoclonal anti-HLA class 1 (clone w6/32). All trophoblast cell preparations were subjected to cytokeratin 7 immunocytochemistry (>98% cytokeratin 7 positive cells) and HLA class 1 and Vimentin to assess cell contamination (<1.3%).
PCR amplification of genomic DNA
Genomic DNA was extracted from placental/fetal tissue samples and peripheral blood, using standard phenolchloroform separation. All amplifications were carried out on 200 ng DNA for 32 cycles. The following PCR primers were used for genotyping: IGF2 Alu1 F-CCTGACAAGGTGACCCTGAAG and IGF2 Alu1 R-GCCAAAGCTGCTTGCAGAAG; IGF2 Apa1 F-CTTGGACTTTGAGTCAAATTGG and IGF2 Apa1 R-CTCCTTTGGTCTTACTGGG; INS Pst1 F-TGGTGCAGGCAGCCTGCAG and INS Pst1 R-GTTCAAGGGCTTTATTCCATCTCTC.
RNA isolation and RTPCR
Total RNA was isolated from homogenized tissues using Trizol (Invitrogen). RNA was treated with amplification grade DNase 1 (Invitrogen) to degrade any contaminating genomic DNA present in the sample. First-strand cDNAs were synthesized from 2 µg DNase-treated RNA with MMLV-RT and random hexamers (Promega). Duplicate sets of samples were processed with MMLV-RT omitted to detect genomic contamination of the RNA. The presence of cDNA was confirmed using GAPDH primer sets. For strand-specific RTPCR, the IGF2 Apa1 R primer was used to synthesize the first strand of cDNA. The presence of IGF2 sense transcript was confirmed using an IGF2 Ex 8 and Ex 9 RTPCR.
Imprinting assays
For the imprinting analysis of IGF2, INSIGF and INS, an RTPCR approach was used as described previously (33
,34
). For IGF2, each individual isoform of IGF2 was amplified using a promoter-specific forward primer in conjunction with a common IGF2 3'-UTR reverse primer incorporating the Apa1 SNP in the PCR product. The following promoter-specific forward primers used were: P1-CTCGCACGGGTAGAGACAGG; P0 (EF)-GTAAACCCATCATTTCAGTTGGCATT; P2-CTTCAGGCTGATTTGCCCATC; P3-GGACAATCAGACGAATTCTCC; P4-CTTCTCCTGTGAAAGAGACTTCC and IGF2 3'-UTR R-CTTTTTAGGATGGGAATTGAG. The products were subsequently sequenced using the IGF2 Apa1 F as a nested sequence primer. The imprinting of the IGF2-P1 and P0 transcripts was also confirmed using the promoter-specific forward primer and an IGF2 exon 3 R-GCTGAGCTGGCAGCGATTCAGAG, incorporating the Alu1 SNP in the PCR product. The imprinting of the INS gene utilized an INS Ex1 F-CTGCATCAGAAGAGGCCATC and INS Ex3 R-GTTCAAGGGCTTTATTCCATC. The imprinting of the shorter INSIGF used INS Ex1 F and IGF2 Ex4 R-GACACCTTTGAAAGAACACTCCC. All RTPCRs used HotStar Taq DNA polymerase (Qiagen), following manufacture's instructions, and products were subjected to both restriction enzyme digestion and directly sequenced in both orientations using an ABI prism 3100 DNA sequencer (Applied Biosystems).
Northern blotting
To analyse relative expression levels of IGF2-P0 in adult tissues, a multiple human blot (FirstChoice 1) containing polyA+RNA (2 µg per lane) was purchased from Ambion. Custom-made fetal northern blots were obtained from Biochain. The IGF2 RNA probes, which encompassed the P1-specific promoter region (130501130800 of AC0130303), P0-specific promoter region (139201139620 of AC0130303) or the coding sequence of exons 8 and 9 (155336156732 of AC0130303) were generated as PCR products cloned into the pGEMT-easy vector (Promega). Single-stranded sense and antisense probes were radiolabelled with
[32P]UTP using the T7/SP6 MAXIscript in vitro transcription kit (Ambion). Hybridizations were carried out overnight at 65°C and washed according to manufacturer's instructions. The GAPDH or ß-actin PCR probe was used to comfirm equal loading of RNA in each lane.
Luciferase promoter assay
Luciferase assays for IGF2 promoter activity were carried out as described previously (23
), using the Promega Dual Luciferase kit and the luciferase pGL3 reporter vectors and Qiagen Effectine reagents. The P0 promoter construct was made by amplifying bases 139039139638 (AC130303
[GenBank]
) using the following primers: forward 5'-GCTAGGTACCTTGCTCATGGAAGATGG-3' and reverse 5'-TCAGGATCCAGCTGAGGCTGGAGAAACG-3'. These primers contained restriction sites at their 5'-ends (Fwd, Kpn1; Rev, BamH1) so that the PCR product could be directly cloned into multiple cloning site of the pGL3 vectors.
Methylation analysis by bisulphite sequencing
Approximately 1 µg DNA was treated with sodium bisulphite as described previously (35
). For the bisulphite treatment of trophoblast DNA,
1000 cells were resuspended in 32.5 µl of solution containing 10 µg glycogen, 1 mM SDS and 280 µg/ml proteinase K, incubated for 90 min at 37°C, followed by 15 min at 96°C in a thermocycler. This lysate was used directly for bisulphite treatment. HotStar DNA polymerase (Qiagen) was used to amplify CpG island products (annealing temperature of 58°C) using the following specific primers: CpG1 F-GTTTGGAGTTGGGGTTTGG and CpG1 R-CTACCTCAACAATCCCTAAAATC; DMRO (1
)F-TTGGTGTTGGAAAGTGTTTG and DMRO (1
)R-CTATAACRTCCAAACCCTCTA; DMRO (2
)F-GTTAAGGTAGTTTTTTTGGG and DMRO (2
)R-AATAACCCRCCTTAAAAAATC (27
); CpG2 F-GATTTTTGGGGGATTTTAATTTAT and CpG2 R-CCACATCCTAAAAAACCAAAC; CpG3 F-GGAGGYGGTTTTTTTYGTAGG and CpG3 R-TATAATTAATCCACTTTAATTC; CpG4 F-GTAGGGGTTTGTTTGTTTTTTTG and CpG4 R-CTACTATACTTCCTCAACCC. PCR amplification, cloning and sequencing were performed as described previously (20
). In addition, all PCR products were subjected to COBRA that involves digesting with Tai1 or Taq1 restriction enzyme to discriminate between methylated and unmethylated CpG dinucleotides to control for any potential cloning bias.
| ACKNOWLEDGEMENTS |
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We would like to thank Sally Newman for technical advice and sequencing, Professor Eammon Maher for the pUPD11 cell line and Dr Gavin Kelsey for critical reading of the manuscript. This work was supported by The Wellcome Trust, SPARKS, IOG Trust, WellBeing and the MRC. P.A. holds a Marie Curie European Reintegration Grant (MERGT-CT-2004-510972). This paper is dedicated to the memory of William Monk.
Conflict of Interest statement: None declared.
| FOOTNOTES |
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