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Human Molecular Genetics Advance Access originally published online on March 5, 2007
Human Molecular Genetics 2007 16(5):547-554; doi:10.1093/hmg/ddm010
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© The Author 2007. Published by Oxford University Press. All rights reserved. For Permissions, please email: journals.permissions@oxfordjournals.org

Heritable rather than age-related environmental and stochastic factors dominate variation in DNA methylation of the human IGF2/H19 locus

Bastiaan T. Heijmans1,*, Dennis Kremer1, Elmar W. Tobi1, Dorret I. Boomsma2 and P. Eline Slagboom1

1 Molecular Epidemiology Section, Leiden University Medical Centre, Leiden 2333 ZC, The, Netherlands and 2 Biological Psychology, Vrije Universiteit, Amsterdam 1081 BT, The, Netherlands

* To whom correspondence should be addressed at: Molecular Epidemiology Section, Leiden University Medical Centre, Postal Zone S-05-P, PO Box 9600, 2300 RC Leiden, The Netherlands. Tel: +31 715269785; Fax: +31 715268280; Email: b.t.heijmans{at}lumc.nl

Received December 7, 2006; Accepted January 26, 2007


    ABSTRACT
 TOP
 ABSTRACT
 INTRODUCTION
 RESULTS
 Inter-individual variation in...
 Correlation in DNA methylation
 Heritability of DNA methylation
 SNPs and DNA methylation
 Methylation and body size
 DISCUSSION
 MATERIALS AND METHODS
 REFERENCES
 
Epigenetic variation may significantly contribute to the risk of common disease. Currently, little is known about the extent and causes of epigenetic variation. Here, we investigated the contribution of heritable influences and the combined effect of environmental and stochastic factors to variation in DNA methylation of the IGF2/H19 locus. Moreover, we tested whether this locus was subject to age-related degeneration of epigenetic patterns as was previously suggested for global methylation. We measured methylation of the H19 and IGF2 differentially methylated regions (DMRs) in 196 adolescent and 176 middle-aged twins using a recently developed mass spectrometry-based method. We observed substantial variation in DNA methylation across individuals, underscoring that DNA methylation is a quantitative trait. Analysis of data in monozygotic and dizygotic twins revealed that a significant part of this variation could be attributed to heritable factors. The heritability of methylation of individual CpG sites varied between 20 and 74% for the H19 DMR and was even higher, between 57 and 97%, for the IGF2 DMR. Remarkably, the combined influence of environmental and stochastic factors on DNA methylation was not greater in middle-age than in adolescence, suggesting a limited role for age-related degeneration of methylation patterns at this locus. Single nucleotide polymorphisms in the IGF2/H19 locus were significantly associated with DNA methylation of the IGF2 DMR (P = 0.004). A preliminary analysis suggested an association between H19 DMR methylation and body size (P < 0.05). Our study shows that variation in DNA methylation of the IGF2/H19 locus is mainly determined by heritable factors and single nucleotide polymorphisms (SNPs) in cis, rather than the cumulative effect of environmental and stochastic factors occurring with age.


    INTRODUCTION
 TOP
 ABSTRACT
 INTRODUCTION
 RESULTS
 Inter-individual variation in...
 Correlation in DNA methylation
 Heritability of DNA methylation
 SNPs and DNA methylation
 Methylation and body size
 DISCUSSION
 MATERIALS AND METHODS
 REFERENCES
 
Epigenetic mechanisms are intimately involved in phenomena that rely on a stable control of gene expression such as cell differentiation, X chromosome inactivation and genetic imprinting (1). In mammals, the molecular basis of epigenetic mechanisms includes a range of histone modifications, including acetylation, and the methylation of DNA, particularly methylation of cytosines of CpG dinucleotide sequences. A genomic region with deacetylated histones and methylated DNA is not accessible for the transcriptional machinery and gene expression is silenced (2). Although generally stable, the epigenetic state of a genomic region may undergo changes that result from transient environmental circumstances or from stochastic events related to inaccuracies of the machinery maintaining epigenetic patterns (3). Such changes may eventually have significant phenotypic consequences as the epigenetic state is heritable during mitosis and thus an increasing number of cells may display altered gene expression. Recent proof of this concept came from experiments with Agouti Avy mice (4). Mice exposed to prenatal methyl-donor deficiency showed a reduced methylation of the agouti gene across tissues which was associated with increased expression of the gene product, which results in a yellow coat color. This epigenetically induced phenotype was stable over the lifetime.

Human studies commonly investigate the role of epigenetic mechanisms in cancer where an epigenetic event in a single cell contributes to tumor formation (2). Studies on more widespread epigenetic changes that may affect tissue function and contribute to other diseases are, however, scarce and generally focus on the influence of diet and age. Intervention studies indicated an effect of diet on average genomic (i.e. global) DNA methylation. Several weeks of moderate depletion of the methyl-donor folate resulted in significant global hypomethylation of genomic DNA from lymphocytes in postmenopausal women (5,6). Global hypomethylation could afterwards be corrected by a diet containing sufficient folate (5). More recently, monozygotic (MZ) twins were comprehensively investigated for epigenetic differences. With increasing age, MZ twins were found to display significantly more epigenetic differences particularly at the level of global DNA methylation, methylation of repetitive sequences and global histone acetylation (7). The phenotypic consequences of such global epigenetic changes, however, are as yet unclear.

These data may indicate the widespread occurrence of diet and age-dependent degeneration of epigenetic patterns, which, in turn, might contribute to the phenotypic changes that arise during aging. An alternative interpretation, however, is that the epigenetic changes uncovered using global assessments may be enriched for well-tolerated alterations with limited phenotypic consequences. One approach to differentiate between these interpretations is the investigation of specific loci that are under epigenetic control and produce phenotypic consequences when this control is lost. The maternally imprinted insulin-like growth factor II (IGF2) gene on chromosome 11p15.5 is one of the best-characterized epigenetically regulated loci. It involves both the IGF2 region itself, of which the maternal allele is methylated, and the H19 region located ~150 kb p-ter, of which the paternal allele is methylated. Moreover, the loss of epigenetic control, specifically demethylation of the IGF2 differentially methylated region (DMR), leads to IGF2 overexpression and is associated with a ~5-fold increased risk of colorectal neoplasia (8,9). IGF2 imprinting defects also underlie the Beckwith–Wiedeman syndrome (10). Furthermore, IGF2 is a major fetal growth factor and is implicated in body composition (11,12) and atherosclerosis (13).

The aim of the current study is 3-fold: first to evaluate the inter-individual variation in DNA methylation of the H19 (14) and IGF2 (8) DMRs in the general population, second to assess the influence of heritable versus environmental and stochastic factors on this variation and, third to examine whether the effect of these factors depends on age. To this end, DNA methylation was assessed in monozygotic (MZ) twins, who are identical at the DNA sequence level, and in dizygotic (DZ) twins, who on average share half of their genome identical- by-descent. In total, 372 twins were studied, of whom 196 were adolescent (mean age 17 years) and 176 middle-aged (mean age 45 years). DNA methylation was measured using a recently developed method by employing mass spectrometry that allows quantifying the methylation of individual CpG sites (15). In addition to the measurement of DNA methylation, SNPs were genotyped in the IGF2/H19 region (in cis) and the MTHFR Ala222Val variant (in trans), which is associated with disturbed methyl-donor metabolism and global DNA hypomethylation (16,17), to test their association with methylation of the H19 and IGF2 DMRs. Finally, the association of methylation of the H19 and IGF2 DMRs with body size was considered in a preliminary analysis.


    RESULTS
 TOP
 ABSTRACT
 INTRODUCTION
 RESULTS
 Inter-individual variation in...
 Correlation in DNA methylation
 Heritability of DNA methylation
 SNPs and DNA methylation
 Methylation and body size
 DISCUSSION
 MATERIALS AND METHODS
 REFERENCES
 
Characteristics of twins and IGF2/H19 DMRs
DNA methylation of the IGF2/H19 locus was analyzed in 196 adolescent and 176 middle-aged twins (in total, 372 individuals). The adolescent twins had a mean age of 16.7 years (SD, 2.0) and consisted of 54 MZ and 44 DZ twin pairs. The middle-aged twins had a mean age of 44.8 years (SD, 6.8) and consisted of 48 MZ and 40 DZ twin pairs.

DNA methylation was assessed at two locations: at the 5' region of the H19 transcript overlapping a CpG island, which is part of the H19 DMR, and in exon 3 of the IGF2AS transcript, which is part of the IGF2 DMR (Fig. 1). In the H19 DMR, the methylation of 12 CpG sites was measured: six individually and the other six in pairs because they were directly adjacent and could not be resolved with the technology used. In the IGF2 DMR, six CpG sites were assessed: four individually and two as a pair. Figure 2 shows the mean methylation of the various CpG sites separately for adolescents and middle-aged twins. The mean methylation of CpGs in the H19 DMR varied between 23 and 30%. The mean methylation of the IGF2 DMR was higher and varied around 50% (43–62%). For both regions, the average methylation was similar in adolescent and middle-aged individuals and independent of sex and age.


Figure 1
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Figure 1. Overview of the H19 and IGF2/IGF2AS genomic regions with, in black, the H19 and IGF2 DMRs assayed for methylation and the SNPs measured.

 


Figure 2
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Figure 2. Mean DNA methylation for individual CpG sites in the H19 and IGF2 DMRs as observed in 196 adolescent (mean age 16.7) and 176 middle-aged twins (mean age 44.8).

 

    Inter-individual variation in DNA methylation
 TOP
 ABSTRACT
 INTRODUCTION
 RESULTS
 Inter-individual variation in...
 Correlation in DNA methylation
 Heritability of DNA methylation
 SNPs and DNA methylation
 Methylation and body size
 DISCUSSION
 MATERIALS AND METHODS
 REFERENCES
 
Considerable inter-individual variation in methylation was observed for each CpG site (Fig. 3). Methylation for the majority of sites was normally distributed, others were bimodally distributed, which could be explained by the presence of an SNP at the CpG site itself. For example, CpG site located at 382 bp in the H19 DMR was non-methylated in a subset of individuals (Fig. 3).


Figure 3
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Figure 3. Distribution methylation of four representative CpG sites. SNPs underlie the non-normal distributions observed. IGF2 DMR at 296 bp: rs3741209 at 297 bp; IGF2 DMR at 202 bp: rs4929963 at 202 bp (data not shown); H19 at 382 bp unknown SNP.

 

    Correlation in DNA methylation
 TOP
 ABSTRACT
 INTRODUCTION
 RESULTS
 Inter-individual variation in...
 Correlation in DNA methylation
 Heritability of DNA methylation
 SNPs and DNA methylation
 Methylation and body size
 DISCUSSION
 MATERIALS AND METHODS
 REFERENCES
 
DNA methylation of different CpG sites was correlated (Fig. 4). Particularly within the H19 region, methylation was highly correlated (up to 0.92), although the two q-ter CpG sites showed lower correlations with the sites p-ter (0.42–0.73). Within the IGF2 DMR, the bimodally distributed CpG site at 296 bp (Fig. 3) was uncorrelated with other sites. Of interest, there was a lower correlation up to 0.25 (P = 10–5) between sites in the H19 and the IGF2 DMRs, which are located ~134 kb apart.


Figure 4
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Figure 4. Graphical representation of the strength of the correlation between CpG sites.

 
Principal components analysis (PCA) was used to reduce the dimensionality in the data by obtaining component scores for methylation. PCA extracts components from a correlated set of phenotypes and is not affected by factors merely influencing a single CpG site, such as an SNP abolishing a CpG site. Summarizing the correlated data into a smaller number of components also reduces the testing burden. Methylation of the H19 DMR could be described by a single main principal component describing 73% of the total variation brought about by the 12 CpG sites measured in this DMR. For the IGF2 DMR (six CpG sites), 53% of the variation was captured with a single principal component.


    Heritability of DNA methylation
 TOP
 ABSTRACT
 INTRODUCTION
 RESULTS
 Inter-individual variation in...
 Correlation in DNA methylation
 Heritability of DNA methylation
 SNPs and DNA methylation
 Methylation and body size
 DISCUSSION
 MATERIALS AND METHODS
 REFERENCES
 
The component scores obtained using PCA were used to estimate the genetic and environmental influences on DNA methylation in a twin design. The heritability of H19 methylation was significant and virtually identical in the adolescent (0.33; 95% CI, 0.11–0.52) and middle-aged twins (0.35; 95% CI, 0.04–0.59), thus suggesting that the genetic control on DNA methylation at this locus was not compromised in the age range tested. There was no evidence for the influence of common environmental (e.g. familial) factors (P = 0.87).

The heritability of the component score describing the IGF2 DMR methylation was higher (and thus the environmental influence smaller): 0.80 (95% CI, 0.68–0.87) in adolescent and 0.75 (95% CI, 0.59–0.84) in middle-aged twins. Again, the heritability was similar in both groups (P = 0.82), indicating that the influence of environmental factors did not increase with age. As for the H19 DMR, an influence of common environment was absent (P = 0.91).

Figure 5 shows the heritability of all CpG sites individually for both adolescent and middle-aged twins separately as well as combined. As for the component scores, the heritabilities were substantially higher for the IGF2 DMR than for the H19 DMR and the heritabilities in adolescent and middle-aged twins were not statistically different with one exception (at 382 bp). Particularly, high heritabilities were observed for the three non-normally distributed CpG sites (H19 at 382 kb IGF2 at 202 and 296 bp). This high heritability is compatible with the effect of an SNP allele abolishing the CpG site and thus DNA methylation. When the analysis was repeated for these sites after excluding individuals with a low methylation, the heritability decreased toward that of other CpG sites in the two DMRs.


Figure 5
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Figure 5. Heritability estimates for CpG sites and component scores based on PCA separately for adolescent and middle-aged twins as well as combined. For one CpG site (H19 at 382 bp), the heritabilities between the two groups were significantly different (P = 0.01) and for another CpG site (IGF2 DMR at 202 bp), there was evidence for a significant contribution of common environment (P = 0.02). PC denotes the methylation score describing the methylation per DMR obtained using PCA.

 

    SNPs and DNA methylation
 TOP
 ABSTRACT
 INTRODUCTION
 RESULTS
 Inter-individual variation in...
 Correlation in DNA methylation
 Heritability of DNA methylation
 SNPs and DNA methylation
 Methylation and body size
 DISCUSSION
 MATERIALS AND METHODS
 REFERENCES
 
Subsequently, we investigated whether the heritability could be attributed to genetic variation at the IGF2/H19 locus itself and the Ala222Val variant of the MTHFR gene (rs1801133), which is known to influence global DNA methylation (16,17). We genotyped three SNPs in the H19 region and five SNPs in the IGF2/IGF2AS region (Fig. 1). The three H19 SNPs together accounted for 1.4% of the total variance in the component score describing methylation of the H19 region, which was not significant (P = 0.40, df = 3). Nevertheless, SNP rs2839701 was associated with four individual H19 CpG sites (Fig. 6). The association of rs217727 with the non-normally distributed CpG site H19 at 382 bp (P = 0.0002) was lost when individuals not methylated at this site were removed (P = 0.37). This is presumably explained by linkage disequilibrium (LD) between the SNP genotyped and an unknown, rare SNP abolishing the CpG site at 382 bp.


Figure 6
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Figure 6. Association of SNPs in the H19 and IGF2/IGF2AS genomic regions and the MTHFR gene with DNA methylation of H19 and IGF2 DMRs.

 
The associations of IGF2/IGF2AS SNPs with methylation of the IGF2 DMR were more striking. The five SNPs combined explained 6.5% of the variance in the component score (P = 0.004, df = 5). A similar percentage of the variance of CpGs at 41 bp and 57,60 bp could be attributed to the SNPs (Table 1). Individual SNPs showing the strongest association with methylation of these two sites were rs680 (P = 5 x 10–4 and 10–3, respectively) and rs1003483 (P = 5 x 10–4 and 4 x 10–4, respectively; Fig. 6). The two SNPs were in modest LD (D' = 0.92, r2 = 0.32) and statistical tests could not exclude an independent association of the SNPs.


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Table 1. Total variance of DNA methylation of the H19 and IGF2 DMRs explained by SNPs in cis

 
As expected, the strongest association was observed for CpG site at 296 whose bimodal distribution was explained by rs1004446 (P = 7 x 10–13), which is in perfect LD (r2 = 1) with rs3741209 that abolishes the CpG site.

In contrast to SNPs in cis, the MTHFR SNP was not associated with either H19 or IGF2 DMR methylation (Fig. 4).


    Methylation and body size
 TOP
 ABSTRACT
 INTRODUCTION
 RESULTS
 Inter-individual variation in...
 Correlation in DNA methylation
 Heritability of DNA methylation
 SNPs and DNA methylation
 Methylation and body size
 DISCUSSION
 MATERIALS AND METHODS
 REFERENCES
 
Measures of body size were available for the middle-aged twins. Higher methylation of the H19 DMR as estimated using the component score was associated with a smaller waist circumference (P = 0.046) and a lower waist–hip ratio (WHR) (P = 0.023), but not with body mass index (BMI). Methylation of the IGF2 DMR was not associated with body size.


    DISCUSSION
 TOP
 ABSTRACT
 INTRODUCTION
 RESULTS
 Inter-individual variation in...
 Correlation in DNA methylation
 Heritability of DNA methylation
 SNPs and DNA methylation
 Methylation and body size
 DISCUSSION
 MATERIALS AND METHODS
 REFERENCES
 
We observed substantial variation in DNA methylation of the IGF2/H19 locus in both adolescent and middle-aged twins underscoring that DNA methylation is a quantitative trait (18). The variation could be attributed to heritable factors, particularly in case of the IGF2 DMR for which the heritability was 75–80%. With 35%, the heritable influences on variation in H19 methylation were smaller. One of the most striking findings of the current study was that the combined influence of environmental and stochastic factors did not increase from adolescence to middle age at the expense of the heritability. This suggests that age-related degeneration of methylation patterns plays a minor role at this locus. A moderate but highly significant part of the heritability of DNA methylation was accounted for by SNPs in the IGF2/H19 locus itself. In contrast, the MTHFR Ala222Val variant, which is known to be associated with global DNA hypomethylation (16,17), was not associated.

It has previously been speculated that variation in DNA methylation and other epigenetic characteristics may be partly heritable (3,19). This is the first study to show a substantial heritability for epigenetic variation at the IGF2/H19 locus using a large series of twins. Previous data already hinted at the involvement of genetic factors in IGF2/H19 methylation. Indications for familial aggregation were observed for H19 methylation assayed using methylation-sensitive restriction endonucleases (20) and loss-of-imprinting of the IGF2 DMR was not associated with a series of specific environmental factors including diet (9). We observed the highest heritability for the IGF2 DMR whose methylation status was previously shown to be directly correlated with IGF2 expression, particularly CpG sites at 41 and 57,60 bp (8).

In the current study, we reported on the methylation of an imprinted locus. Future studies are needed to establish whether our findings extend to histone modifications and non-imprinted loci. In addition, our study was limited to individuals with a maximum age of 62 years. It will be valuable to examine the occurrence of age-related degeneration of epigenetic patterns in very old age.

Methylation of the IGF2/H19 locus was associated with SNPs in cis. For three CpG sites, the association was simply explained by a rare allele of an SNP abolishing the CpG site and thus its potential to become methylated. The other SNPs found to be associated, however, did not affect a CpG site in the DMRs and are of particular interest. Their further investigation may be a promising starting point for elucidating more sequence motifs guiding DNA methylation (21,22). The association of specific SNPs with DNA methylation suggests that its heritability has a genetic and not an epigenetic origin. This would be in line with the thought that DNA methylation of imprinted loci is erased during gametogenesis after which parent-of-origin specific patterns are established (23).

Our study indicated that the influence of environmental factors on IGF2/H19 methylation was not greater in middle age than in adolescence. This implies that age-related degeneration is of limited relevance to this locus, even though its epigenetic state was hypothesized to be especially susceptible to environmental dysregulation (24). Fraga et al. (7) observed a greater discordance in global epigenetic measures among MZ twin pairs of increasing age. This greater discordance was observed in MZ twins from the age of 28 years and onwards (range 28–70 years), which is comparable with the age of the middle-aged twins we studied (range 34–62 years). Our study suggests that some loci may be relatively resistant to age-related changes in methylation. Fraga et al. (7) found age-related differences particularly in global DNA methylation, global histone modifications and repetitive sequences. Previous studies indicated that such global changes can be readily induced as well as reversed by diet (5,6) and their phenotypic consequences are currently unclear. It might be hypothesized that epigenetic patterns with greater stability during aging are more likely to be associated with phenotypic consequences if changed. The putative phenotypic consequences of quantitative variation in methylation of the IGF2/H19 locus as reported here have yet to be characterized. Imprinting defects of the IGF2/H19 locus, however, are associated with severe epigenetic disease (25) and an increased risk of colorectal adenoma (8,9).

A limitation of both our and the Fraga et al. study is that they relied on genomic DNA extracted from whole blood so that heterogeneity in cell populations may have contributed to the outcomes (26). Our study likely is less sensitive to such heterogeneity because the epigenetic state of imprinted loci is less dependent on cell differentiation and, importantly, a previous study showed that when demethylation of the IGF2 DMR was observed in peripheral blood lymphocytes of an individual, this was also found in colon tissue (8), which has a distinct embryologic origin (endoderm and mesoderm, respectively).

In pigs, IGF2 promotes muscle growth at the expense of fat deposition (12). In a preliminary analysis, we observed an association of higher H19 DMR methylation with a smaller waist circumference and a lower WHR in middle-aged twins. Although the notion that common epigenetic variation might influence a phenotype in the general population is intriguing, the result should be interpreted with care. The sample size was relatively small and an explanation for the finding is speculative. It is currently unknown whether modestly increased H19 DMR methylation upregulates IGF2 expression. Also, it has not been established whether such quantitative differences measured in lymphocytes mark a soma-wide phenomenon as was suggested for loss-of-imprinting of the IGF2 DMR (8).

We show the presence of substantial epigenetic variation at the IGF2/H19 locus in the general population. Once established, DNA methylation of this locus is mainly genetically determined and appears to be relatively stable during aging. Our data highlight the potential of studying genetic and epigenetic variation in concert as a means to identify novel genomic determinants of common disease.


    MATERIALS AND METHODS
 TOP
 ABSTRACT
 INTRODUCTION
 RESULTS
 Inter-individual variation in...
 Correlation in DNA methylation
 Heritability of DNA methylation
 SNPs and DNA methylation
 Methylation and body size
 DISCUSSION
 MATERIALS AND METHODS
 REFERENCES
 
Subjects
The adolescent and adult twins studied are part of The Netherlands Twin Register. Detailed characteristics of these samples have been described previously (27,28). The adolescent twins (age range 13–22 years) were recruited between 1985 and 1988 and all lived in the same household with their parents; the middle-aged twins (age range 34–62 years) were recruited between 1992 and 1995 and generally lived apart with their own families. Zygosity of the twins was initially determined by standardized questionnaires, typing of blood group markers and was confirmed with short tandem repeat markers measured as part of a genome-wide linkage scan (29). In the middle-aged twins, measures of body size were assessed during a visit to the research centre. Measurements included weight and height for calculation of BMI and waist and hip circumference for calculation of WHR. Informed consent was obtained from all participants and the study was approved by the Medical Ethics Committee of the Vrije Universiteit Amsterdam.

DNA methylation measurement
DNA methylation measurements were performed on genomic DNA extracted from whole blood. Genomic DNA was treated with sodium bisulfite using the EZ methylation kit (ZymoResearch). Sodium bisulfite converts unmethylated cytosines to uracils, whereas it does not affect methylated cytosines. One microgram of genomic DNA was bisulfite-treated. Methylation of individual CpG sites was assessed using the MALDI-TOF mass spectrometry-based method (Epityper, Sequenom) (15). Briefly, 10 ng of bisulfite-treated DNA is PCR-amplified with primers containing a T7-promoter. After PCR, the reverse strand of the product is transcribed using T7-polymerase and the resulting RNA is cleaved with RNase A. RNase A cleaves 3' of every uracil thus producing different sized fragments, part of which will contain one or more original CpG sequences. Note that the reverse strand of the bisulfite-treated DNA is transcribed so that original CpG sequences are either present as CpA if unmethylated or CpG if methylated. As fragments originating from a methylated CpG sequence contain a G instead of an A-base, they will have a 16 Da higher molecular weight. This mass difference can be readily detected using a MALDI-TOF mass spectrometer (Autoflex, Bruker Daltonics). The spectra produced by the mass spectrometer were analyzed using the software QMA 1.1 (Sequenom). This software uses the genomic sequence of the amplicon to predict the fragments that occur after RNase A fragmentation and matches the expected and observed peaks taking into account that fragments are 16 Da heavier for every methylated CpG sequence they contain. The percentage methylation of individual CpG sites is calculated using the area under the peak of the signal from the unmethylated and methylated fragments. As DNA was extracted from whole blood, the percentage methylation reflects the average methylation in a population of cells.

The quantitative nature of the assay was shown previously (15). To achieve optimal quantification within the limitations of the technology, all samples were measured in triplicate. If the triplicate measurements had a standard deviation equal to or greater than 0.10, all data for the sample involved were discarded (removing 3.5% of measurements). In addition, DNA samples for which methylation could be established for < 60% of the CpG sites were removed prior to analyses (removing 4.0% of measurements). Finally, CpG sites with a success rate lower than 80% after applying the previous criteria were not analyzed (discussed subsequently).

DNA methylation was assessed in two regions (Fig. 1): in the 5' region of the H19 transcript overlapping a CpG island, which is part of the H19 DMR (14), and in exon 3 of the IGF2AS transcript, which is part of the IGF2 DMR (8). The H19 amplicon was amplified using the primers (tags in lower case) aggaagagag-GGGTTTGGGAGAGTTTGTGAGGT (forward) and cagtaatacgactcactatagggagaaggct-ATACCTACTACTCCCTAC CTACCAAC (reverse) and encompassed 413 bp (NCBI build 34, chr11: 1 975 948–1 976 360). All primers were designed on the reverse complement strand and anneal to sequences devoid of CpG dinucleotides. CpG sites are numbered according to the position of its cytosine in the amplicon counting from p-ter onwards. The H19 DMR amplicon harbored 25 CpG sites, 12 of which were successfully measured (three fragments contained two adjacent CpG sites). Six CpG sites on four fragments could not be measured independently because the fragments had the same molecular weight and were overlapping in the spectrum; six CpG sites could not be assessed because of a success rate < 80%; and one site could not be measured because of an adjacent SNP (rs12292822) compromising the correct prediction of fragments by the software. The IGF2 DMR amplicon was amplified using the primers aggaagagag-TGGATAGGAGATTGAGGAGAAA (forward) and cagtaatacgactcactatagggagaaggct-AAACCCCAACAAAAACCACT (reverse) and encompassed 338 bp (NCBI build 34, chr11: 2 126 035–2 126 372; note that base 2 126 154 is a T instead of a C in > 99% of individuals of European descent, thus abolishing a CpG site). The amplicon harbored seven CpG sites, six of which could be measured successfully (one fragment contained two CpG sites). CpG sites at 41 bp and 57,60 bp coincided with those studied by Cui et al. (8) and were highly correlated with IGF2 expression. Measurement of the remaining CpG sites was compromised by an adjacent SNP (rs17883338). The mean success rate for the 18 successfully assayed CpG sites (distributed over 14 fragments) was 92.5%.

Genotyping
Using the HapMap phase II data, SNPs were selected in the H19 and IGF2/IGF2AS regions using a pairwise tagging strategy (r2 > 0.8; Fig. 1). Two SNPs commonly genotyped in other studies were also selected [rs217727 and rs680 (11,30)]. In addition, the Ala222Val ( = 677C/T = rs1801133) variant of the MTHFR gene was genotyped. Genotyping of the nine SNPs was done using the mass spectrometry-based hME assay (Sequenom) in two multiplex reactions. Average genotyping success rate was 99.1%; for 13 of 378 samples with DNA methylation data, there was insufficient DNA for genotyping, resulting in an effective average success rate of 95.7%. The observed minor allele frequencies were 0.18 (rs217727), 0.47 (rs2839701), 0.27 (rs2251375), 0.31 (rs680), 0.20 (rs3213223), 0.41 (rs3213221), 0.46 (rs1003483), 0.38 (rs1004446) and 0.36 (rs1801133).

Statistical analysis
Statistical analyses were carried out with four goals (1): to reduce the high dimensional data set of correlated CpG methylation data into a smaller number of independent factors using PCA (2), to estimate the heritability of variation in methylation of the individual sites as well as the component scores obtained using PCA (3), to assess the association between SNPs and methylation and (4) to test for association between DNA methylation and body size. Prior to PCA, correlations between methylation of different CpG sites were visualized using GOLD (31). PCA was performed on correlated methylation data of individual CpG sites separately for the H19 and IGF2 DMRs using SPSS 11. PCA indicated one factor with an eigenvalue exceeding 1 for either DMR. In the case of the H19 DMR, this single factor explained 73% of the variance in methylation, whereas it explained 53% of the variance in IGF2 DMR methylation. To assess the heritability, estimates of additive genetic V(A), common environmental V(C) and unique environmental and stochastic V(E) variance in DNA methylation were obtained using variance components analysis implemented in Mx 1.61 (http://www.vcu.edu/mx/). The analysis makes use of the differential genetic resemblance of monozygotic and dizygotic twins to estimate the effects of genes and environment on phenotypic variation. Differences in variance components and in heritability between adolescent and middle-aged twins were assessed by testing whether the model with the same absolute estimates for V(A), V(C) and V(E) in adolescent and middle-aged twins had a significantly worse fit to the data than a model with separate estimates for the two age groups. The association of SNPs with DNA methylation was tested as additive genotypic effects within the same variance components setting, thereby taking into account the dependency in the observations from twins. Pairwise linkage disequilibria between SNPs were estimated using HaploView (32). Testing for association between DNA methylation and body size was also done in the variance components setting with body size as outcome measure, the component scores for the two DMRs as explaining variables and age and sex as confounders. Prior to statistical analysis, methylation data were adjusted for bisulfite batch to exclude potential confounding effects.


    ACKNOWLEDGEMENTS
 
We wish to thank Gabor Abbas for excellent technical assistance and Drs Matthias Ehrich and Dirk van den Boom from Sequenom, San Diego CA, USA for making available software for DNA methylation measurements. Financial support from The Netherlands Heart Foundation (grants 86.083, 88.042 and 90.313), The Netherlands Organization for Scientific Research NWO (grant 911-03-016) and the Centre for Medical Systems Biology (CMSB), a centre of excellence approved by the Netherlands Genomics Initiative/Netherlands Organization for Scientific Research (NWO), is gratefully acknowledged.

Conflict of Interest statement. No conflicts of interests declared.


    REFERENCES
 TOP
 ABSTRACT
 INTRODUCTION
 RESULTS
 Inter-individual variation in...
 Correlation in DNA methylation
 Heritability of DNA methylation
 SNPs and DNA methylation
 Methylation and body size
 DISCUSSION
 MATERIALS AND METHODS
 REFERENCES
 

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